Medical Science Specialties 2

A.Y. 2023/2024
4
Max ECTS
40
Overall hours
SSD
MED/13 MED/25 MED/26 MED/28
Language
Italian
Learning objectives
The course aims to provide students with a critical, conscious and operational acquisition of knowledge concerning:
- the clinical and laboratory characteristics of the main endocrine-metabolic diseases and the related nutritional requirements;
- Eating disorders in paediatric, adolescent and adult contexts;
- the main neurological and psychiatric diseases and related nutritional needs;
- the odontostomatological system, oral health and the relationship between food and oral health.
Expected learning outcomes
Knowledge and understanding.
By the end of the course, students will have acquired knowledge of the diagnosis of the main endocrine-metabolic, odontostomatological, neurological diseases and eating disorders, with a focus on nutritional needs.

Applying knowledge and understanding. For these diseases students will be able to recognize clinical and biochemical manifestations, and related diagnostic procedures.

Making judgments.
Students will be able to collect and interpret data for the diagnosis of major endocrine-metabolic, odontostomatological and neurological diseases and to assess the effects on nutritional status. These skills will be acquired through the discussion of clinical cases. Students will also have an in-depth understanding of the link between neurological and psychiatric diseases and nutrition, in order to identify the therapy required for the specific clinical case.

Communication skills.
Students will acquire interpersonal and communication skills that ensure effective information exchange, related these diseases, with individual patients, their families and other healthcare professionals. These abilities will be developed through outpatient internship.

Learning skills.
Students will be able to go deeper in the topic of these diseases through the autonomous consultation of databases, scientific publications and reference texts. These abilities will be developed through report writing during the course.
Single course

This course can be attended as a single course.

Course syllabus and organization

Single session

Responsible
Prerequisites for admission
No prior knowledge is required
Assessment methods and Criteria
The final test consists in a written examination through a multiple choice test including 64 questions (16 questions for each module), with a time limit of 60 minutes. For each question, the student is supposed to select the "best" choice among a set of four options. Only one option is right. Any incorrect or not indicated answers do not affect the result. The minimum score to pass the exam is 36. The maximum gradescore is 64. The final grade will be expressed in thirtieths by dividing the total score by 2. The score ranging 62-64 will give rise to " 30 cum laude". The results will be communicated to students through email.
Endocrinology
Course syllabus
- Introduction to endocrinology
- Physiology and disorders of the hypothalamus and pituitary gland
- Physiology and disorders of the thyroid gland
- Parathyroid glands and modulation of calcium-phosphate metabolism. Osteoporosis
- Physiology and disorders of the adrenal glands
- Physiology and disorders of the gonads
Teaching methods
Frontal lessons, interactive discussion of clinical cases.
Teaching Resources
Slides e bibliografia a cura del Docente
- Rugarli Medicina Interna Sistematica. Edizione 7. Edra Masson.
Psychiatry
Course syllabus
-Definition of Mental Illness and nosografic systems
-Psychopathology
-Depression and Bipolar Disorders
-Anxiety Disorders
-Psychotic Disorders
-Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder
-Personality Disorders
-Substance use Disorders
Teaching methods
As concerns the Psychiatry section, only frontal lessons are contemplated, without any laboratory experience, simulations, seminars, team work or intermediate evaluations.
Each lesson will be immediately available on the e-learning platform Ariel; moreover, each topic, saved as *.ppt format, will be provided to students at the end of each lesson.
Teaching Resources
Kaplan & Sadok's Pocket Handbook of Clinical Psychiatry - Sixth Edition - Wolters Kluver ed.
Neurology
Course syllabus
Cerebrovascular Diseases: neuronatomical bases, classification, main clinical features, acute phase treatment and therapies for complications.
Parkinson's Disease and "atypical" Parkinsonisms. Definition and classification, main pharmacological therapies and their side-effects, including dysphagia.
Alzheimer's Disease and other Dementias (fronto-temporal degeneration and normotensive hydrocephalus). Definition and classification, main pharmacological therapies and their side-effects.
Primary headaches. Classification, clinical presentation, dietary prevention and neurobiological bases for current pharmacological strategies.
Demyelinating Diseases of the Central nervous System: Multiple Sclerosis and mimicking disorders. Novel insights into the possible pathogenetic role of vitamin D.
New perspectives for non-pharmacological treatment of dysphagia in neurological syndromes. The role of non-invasive brain stimulation techniques; putative mechanisms of action, clinical and neurophysiological outcome (tDCS, rTMS).
Teaching methods
As concerns Neurology section, only frontal lessons are contemplated, without any laboratory experience, simulations, seminars, team work or intermediate evaluations.
Each lesson will be immediately available on the e-learning platform Ariel; moreover, each topic, saved as *.ppt format, will be provided to students at the end of each lesson.
Teaching Resources
"La Neurologia" di Cambier, Masson - Casa Editrice Masson, ed.
Oral diseases and dentistry
Course syllabus
- Notes on embryology, histology and physiology of the stomatognathic system
- Bacterial plaque and periodontal disease
- Caries
- Halitosis
- Oral hygiene: oral hygiene instructions
- Prevention and oral hygiene in the patient suffering from alcoholism, and from smoking.
Teaching methods
Frontal lessons, interactive discussion of clinical cases.
Teaching Resources
- L'Odontostomatologia per l'Igienista Dentale G. Farronato ed. Piccin
- ASPEN-FELAMPE Clinical Guideline: nutrition support of adult patients with enterocutaneous fistula. JPEN 2017; 41:104-112
Endocrinology
MED/13 - ENDOCRINOLOGY AND METABOLISM - University credits: 1
Lessons: 10 hours
Neurology
MED/26 - NEUROLOGY - University credits: 1
Lessons: 10 hours
Professor: Bocci Tommaso
Oral diseases and dentistry
MED/28 - ORAL DISEASES AND DENTISTRY - University credits: 1
Lessons: 10 hours
Psychiatry
MED/25 - PSYCHIATRY - University credits: 1
Lessons: 10 hours
Professor: Gambini Orsola
Professor(s)
Reception:
by appointment
San Paolo Hospital, 9th Floor, A Building, via A di Rudinì 8, Milano