Internal Medicine

A.Y. 2021/2022
5
Max ECTS
60
Overall hours
SSD
MED/09
Language
Italian
Learning objectives
The objectives of the sixth year are unified with those of the fifth, the various topics concerning the main diseases, their differential diagnosis and therapies will be distributed in the two semesters of the fifth year and in the first semester of the sixth year
Expected learning outcomes
At the end of the course, which includes the 5th and 6th year, the exam will be carried out in which the candidate will have to perform a practical part and answer questions.
Course syllabus and organization

Linea: Policlinico

More specific information on the delivery modes of training activities for academic year 2021/22 will be provided over the coming months, based on the evolution of the public health situation.
Course syllabus
Hypertension
- Approach to autoimmune diseases
- Urgent ultrasound and bedside ultrasound
- Urinary tract infections
- Acute and chronic renal failure
- Dehydration and hypovolemia, electrolyte imbalances (K +, Ca ++)
- Anemia
- Alterations of state of consciousness, confusional states
- Acute non-surgical abdomen
- Fragility in the elderly and evaluation in geriatrics
- Polytherapy and deprescribing
Prerequisites for admission
The student need to know the pathogenesis and pathophysiological bases, the risk factors and the prognostic factors of the diseases; their epidemiology and pathology, physical, laboratory and instrumental characterization of the diseases; the pharmacological basis of the therapies; how to evaluate the evidence in medicine
Teaching methods
· Frontal lessons - Presentation of clinical cases aimed at promoting the discussion of methodological aspects (clinical epidemiology, medical reasoning); specific pathological conditions which, due to their prevalence, exemplarity and complexity, require a more in-depth treatment, or have recently been updated or reviewed (guidelines, reviews according to EBM); analysis of the ethical dimensions of clinical decisions.
Teaching Resources
Il libro di testo proposto è: Harrison Principles of Internal Medicine, 20th edition
Durante le lezioni l'attenzione è rivolta a fornire riferimenti per la consultazione della letteratura di aggiornamento disponibile online, con particolare attenzione alle riviste New England Journal of Medicine, Lancet, British Medical Journal-BMJ; riviste edite dall'American College of Physicians; Cochrane Library.
Per le tematiche trattate nelle lezioni fontali verranno forniti le referenze delle più recenti linee guida internazionali.
Ogni lezione del corso presenta i riferimenti bibliografici essenziali circa gli argomenti trattati.
Assessment methods and Criteria
The exam of Internal Medicine will evaluate the student's skills to collect and interpret the data from patients interview and physical examination and plan rational diagnostic procedure to reach a correct diagnosis and to define the most appropriate therapy. The following contents will be specifically evaluated:
1) practice exam: (a) Ability to perform the approach to the patient both in terms of history collection and evaluation of the physical examination (b) Ability of the interpretation of laboratory or instrumental tests and discussion of their meaning in the context of the patient under examination and as differential diagnosis with other clinical pictures.
2) Oral exam
(a) Discussion of a clinical case with particular attention:
- to differential diagnosis
- the definition of a rational diagnostic procedure based on: epidemiological criteria, rational use of diagnostic resources, optimal risk-benefit and cost-effectiveness ratio, expected prognosis
(b) Discussion of the criteria for setting the therapy in the treatment of the various conditions with particular attention to the exposure of:
- methods of clinical use of the main drugs and their therapeutic efficacy
- main contraindications and side effects in the use of the most used drugs.
The evaluation of each of the two parts will constitute the overall mark out of 30
If the health conditions do not allow this procedure to be carried out, the exam will take place only in oral form.

Linea: San Donato

More specific information on the delivery modes of training activities for academic year 2021/22 will be provided over the coming months, based on the evolution of the public health situation.
Course syllabus
Hypertension
- Approach to autoimmune diseases
- Urgent ultrasound and bedside ultrasound
- Urinary tract infections
- Acute and chronic renal failure
- Dehydration and hypovolemia, electrolyte imbalances (K +, Ca ++)
- Anemia
- Alterations of state of consciousness, confusional states
- Acute non-surgical abdomen
- Fragility in the elderly and evaluation in geriatrics
- Polytherapy and deprescribing
Prerequisites for admission
The student need to know the pathogenesis and pathophysiological bases, the risk factors and the prognostic factors of the diseases; their epidemiology and pathology, physical, laboratory and instrumental characterization of the diseases; the pharmacological basis of the therapies; how to evaluate the evidence in medicine
Teaching methods
· Frontal lessons - Presentation of clinical cases aimed at promoting the discussion of methodological aspects (clinical epidemiology, medical reasoning); specific pathological conditions which, due to their prevalence, exemplarity and complexity, require a more in-depth treatment, or have recently been updated or reviewed (guidelines, reviews according to EBM); analysis of the ethical dimensions of clinical decisions.
Teaching Resources
Il libro di testo proposto è: Harrison Principles of Internal Medicine, 20th edition
Durante le lezioni l'attenzione è rivolta a fornire riferimenti per la consultazione della letteratura di aggiornamento disponibile online, con particolare attenzione alle riviste New England Journal of Medicine, Lancet, British Medical Journal-BMJ; riviste edite dall'American College of Physicians; Cochrane Library.
Per le tematiche trattate nelle lezioni fontali verranno forniti le referenze delle più recenti linee guida internazionali.
Ogni lezione del corso presenta i riferimenti bibliografici essenziali circa gli argomenti trattati.
Assessment methods and Criteria
The exam of Internal Medicine will evaluate the student's skills to collect and interpret the data from patients interview and physical examination and plan rational diagnostic procedure to reach a correct diagnosis and to define the most appropriate therapy. The following contents will be specifically evaluated:
1) practice exam: (a) Ability to perform the approach to the patient both in terms of history collection and evaluation of the physical examination (b) Ability of the interpretation of laboratory or instrumental tests and discussion of their meaning in the context of the patient under examination and as differential diagnosis with other clinical pictures.
2) Oral exam
(a) Discussion of a clinical case with particular attention:
- to differential diagnosis
- the definition of a rational diagnostic procedure based on: epidemiological criteria, rational use of diagnostic resources, optimal risk-benefit and cost-effectiveness ratio, expected prognosis
(b) Discussion of the criteria for setting the therapy in the treatment of the various conditions with particular attention to the exposure of:
- methods of clinical use of the main drugs and their therapeutic efficacy
- main contraindications and side effects in the use of the most used drugs.
The evaluation of each of the two parts will constitute the overall mark out of 30
If the health conditions do not allow this procedure to be carried out, the exam will take place only in oral form.
MED/09 - INTERNAL MEDICINE - University credits: 5
Lessons: 60 hours

Linea: San Giuseppe

More specific information on the delivery modes of training activities for academic year 2021/22 will be provided over the coming months, based on the evolution of the public health situation.
Course syllabus
- Hypertension
- Approach to autoimmune diseases
- Urgent ultrasound and bedside ultrasound
- Urinary tract infections
- Acute and chronic renal failure
- Dehydration and hypovolemia, electrolyte imbalances (K +, Ca ++)
- Anemia
- Alterations of state of consciousness, confusional states
- Acute non-surgical abdomen
- Fragility in the elderly and evaluation in geriatrics
- Polytherapy and deprescribing
Prerequisites for admission
The student need to know the pathogenesis and pathophysiological bases, the risk factors and the prognostic factors of the diseases; their epidemiology and pathology, physical, laboratory and instrumental characterization of the diseases; the pharmacological basis of the therapies; how to evaluate the evidence in medicine
Teaching methods
· Frontal lessons - Presentation of clinical cases aimed at promoting the discussion of methodological aspects (clinical epidemiology, medical reasoning); specific pathological conditions which, due to their prevalence, exemplarity and complexity, require a more in-depth treatment, or have recently been updated or reviewed (guidelines, reviews according to EBM); analysis of the ethical dimensions of clinical decisions.
Teaching Resources
Il libro di testo proposto è: Harrison Principles of Internal Medicine, 20th edition
Durante le lezioni l'attenzione è rivolta a fornire riferimenti per la consultazione della letteratura di aggiornamento disponibile online, con particolare attenzione alle riviste New England Journal of Medicine, Lancet, British Medical Journal-BMJ; riviste edite dall'American College of Physicians; Cochrane Library.
Per le tematiche trattate nelle lezioni fontali verranno forniti le referenze delle più recenti linee guida internazionali.
Ogni lezione del corso presenta i riferimenti bibliografici essenziali circa gli argomenti trattati.
Assessment methods and Criteria
The exam of Internal Medicine will evaluate the student's skills to collect and interpret the data from patients interview and physical examination and plan rational diagnostic procedure to reach a correct diagnosis and to define the most appropriate therapy. The following contents will be specifically evaluated:
1) practice exam: (a) Ability to perform the approach to the patient both in terms of history collection and evaluation of the physical examination (b) Ability of the interpretation of laboratory or instrumental tests and discussion of their meaning in the context of the patient under examination and as differential diagnosis with other clinical pictures.
2) Oral exam
(a) Discussion of a clinical case with particular attention:
- to differential diagnosis
- the definition of a rational diagnostic procedure based on: epidemiological criteria, rational use of diagnostic resources, optimal risk-benefit and cost-effectiveness ratio, expected prognosis
(b) Discussion of the criteria for setting the therapy in the treatment of the various conditions with particular attention to the exposure of:
- methods of clinical use of the main drugs and their therapeutic efficacy
- main contraindications and side effects in the use of the most used drugs.
The evaluation of each of the two parts will constitute the overall mark out of 30
If the health conditions do not allow this procedure to be carried out, the exam will take place only in oral form.
MED/09 - INTERNAL MEDICINE - University credits: 5
Lessons: 60 hours