Pediatrics - Clinical Skills
A.Y. 2023/2024
Learning objectives
A practical approach to patient care including taking a medical history, physical examination, differential diagnosis, and therapeutic interventions.
Expected learning outcomes
On completion of the course the student should:
· be able to take a medical history by communicating both with the parent and, possibly, with the child, considering the different age-appropriate methods (0-18 years) and the socio-cultural status of the family;
· be able to perform a physical examination taking into account the age of the patient as well as their clinical condition;
· be able to make a differential diagnosis of the main diseases in relation to their prevalence and urgency;
· know which therapeutic interventions do not require the assistance of a specialist.
· be able to communicate with patients and their families with respect and empathy.
· be able to take a medical history by communicating both with the parent and, possibly, with the child, considering the different age-appropriate methods (0-18 years) and the socio-cultural status of the family;
· be able to perform a physical examination taking into account the age of the patient as well as their clinical condition;
· be able to make a differential diagnosis of the main diseases in relation to their prevalence and urgency;
· know which therapeutic interventions do not require the assistance of a specialist.
· be able to communicate with patients and their families with respect and empathy.
Lesson period: First semester
Assessment methods: Giudizio di approvazione
Assessment result: superato/non superato
Single course
This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.
Course syllabus and organization
Linea: Policlinico
Course syllabus
Understand how to perform newborn exam. Perform a thorough newborn exam including:
· gestational age assessment
· general appearance
· hemodynamic status
· skin (normal newborn exanthems)
· head (caput, cephalohematoma, molding, nares, clefts)
· neck
· chest (fractured clavicle), lungs
· heart (murmur evaluation)
· abdomen (including umbilical cord)
· genitalia
· femoral pulses
· hips (Ortolani and Barlow maneuvers)
· articular evaluation
· extremities (Erb's palsy)
· neurology (Glasgow coma scale, activity, tone, primitive reflexes, sacral lesions, general movements)
Neonatal procedures: placement of umbilical venous catheter, umbilical arterial catheter, peripherally inserted central catheter
Pediatric Procedures: measurement of arterial blood pressure, placement of intravenous peripheral access, evaluation of urinary dipstick
· gestational age assessment
· general appearance
· hemodynamic status
· skin (normal newborn exanthems)
· head (caput, cephalohematoma, molding, nares, clefts)
· neck
· chest (fractured clavicle), lungs
· heart (murmur evaluation)
· abdomen (including umbilical cord)
· genitalia
· femoral pulses
· hips (Ortolani and Barlow maneuvers)
· articular evaluation
· extremities (Erb's palsy)
· neurology (Glasgow coma scale, activity, tone, primitive reflexes, sacral lesions, general movements)
Neonatal procedures: placement of umbilical venous catheter, umbilical arterial catheter, peripherally inserted central catheter
Pediatric Procedures: measurement of arterial blood pressure, placement of intravenous peripheral access, evaluation of urinary dipstick
Prerequisites for admission
Basic knowledge of neonatology and pediatrics. Understanding the physiology of growth and development and the pathophysiology of the main clinical issues related to the pediatric age is preparatory to the teaching professional activity.
Teaching methods
The course includes a short frontal lesson, with the support of iconographic material / video projection.
Practical sessions will be performed through collective evaluation of clinical cases, interpretation of blood tests and laboratory investigations.
Practical sessions will be performed through collective evaluation of clinical cases, interpretation of blood tests and laboratory investigations.
Teaching Resources
https://med.stanford.edu/newborns/professional-education/photo-gallery.html
https://www.openpediatrics.org
Nelson Textbook of pediatrics, 18th Ed.
The Newborn Book, Significance of Physical Findings in the Neonate, Aby 2014.
Hammersmith Neonatal Neurological Examination (HNNE)
New England Journal of Medicine
https://www.openpediatrics.org
Nelson Textbook of pediatrics, 18th Ed.
The Newborn Book, Significance of Physical Findings in the Neonate, Aby 2014.
Hammersmith Neonatal Neurological Examination (HNNE)
New England Journal of Medicine
Assessment methods and Criteria
Learning will be assessed through a written test - quiz, administered at the end of each teaching activity.
The acquisition of practical knowledge will be further evaluated in the context of the oral examination of pediatrics.
The course material is available to the student, including suggestions for further individual study.
The acquisition of practical knowledge will be further evaluated in the context of the oral examination of pediatrics.
The course material is available to the student, including suggestions for further individual study.
MED/38 - PAEDIATRICS - University credits: 2
Professional training: 50 hours
Linea: San Donato
Course syllabus
Understand how to perform newborn exam. Perform a thorough newborn exam including:
· gestational age assessment
· general appearance
· hemodynamic status
· skin (normal newborn exanthems)
· head (caput, cephalohematoma, molding, nares, clefts)
· neck
· chest (fractured clavicle), lungs
· heart (murmur evaluation)
· abdomen (including umbilical cord)
· genitalia
· femoral pulses
· hips (Ortolani and Barlow maneuvers)
· articular evaluation
· extremities (Erb's palsy)
· neurology (Glasgow coma scale, activity, tone, primitive reflexes, sacral lesions, general movements)
Neonatal procedures: placement of umbilical venous catheter, umbilical arterial catheter, peripherally inserted central catheter
Pediatric Procedures: measurement of arterial blood pressure, placement of intravenous peripheral access, evaluation of urinary dipstick
· gestational age assessment
· general appearance
· hemodynamic status
· skin (normal newborn exanthems)
· head (caput, cephalohematoma, molding, nares, clefts)
· neck
· chest (fractured clavicle), lungs
· heart (murmur evaluation)
· abdomen (including umbilical cord)
· genitalia
· femoral pulses
· hips (Ortolani and Barlow maneuvers)
· articular evaluation
· extremities (Erb's palsy)
· neurology (Glasgow coma scale, activity, tone, primitive reflexes, sacral lesions, general movements)
Neonatal procedures: placement of umbilical venous catheter, umbilical arterial catheter, peripherally inserted central catheter
Pediatric Procedures: measurement of arterial blood pressure, placement of intravenous peripheral access, evaluation of urinary dipstick
Prerequisites for admission
Basic knowledge of neonatology and pediatrics. Understanding the physiology of growth and development and the pathophysiology of the main clinical issues related to the pediatric age is preparatory to the teaching professional activity.
Teaching methods
The course includes a short frontal lesson, with the support of iconographic material / video projection.
Practical sessions will be performed through collective evaluation of clinical cases, interpretation of blood tests and laboratory investigations.
Practical sessions will be performed through collective evaluation of clinical cases, interpretation of blood tests and laboratory investigations.
Teaching Resources
https://med.stanford.edu/newborns/professional-education/photo-gallery.html
https://www.openpediatrics.org
Nelson Textbook of pediatrics, 18th Ed.
The Newborn Book, Significance of Physical Findings in the Neonate, Aby 2014.
Hammersmith Neonatal Neurological Examination (HNNE)
New England Journal of Medicine
https://www.openpediatrics.org
Nelson Textbook of pediatrics, 18th Ed.
The Newborn Book, Significance of Physical Findings in the Neonate, Aby 2014.
Hammersmith Neonatal Neurological Examination (HNNE)
New England Journal of Medicine
Assessment methods and Criteria
Learning will be assessed through a written test - quiz, administered at the end of each teaching activity.
The acquisition of practical knowledge will be further evaluated in the context of the oral examination of pediatrics.
The course material is available to the student, including suggestions for further individual study.
The acquisition of practical knowledge will be further evaluated in the context of the oral examination of pediatrics.
The course material is available to the student, including suggestions for further individual study.
MED/38 - PAEDIATRICS - University credits: 2
Professional training: 50 hours
Professors:
Milani Gregorio Paolo, Raffaeli Genny
Shifts:
Turno
Professors:
Milani Gregorio Paolo, Raffaeli GennyLinea: San Giuseppe
Course syllabus
Understand how to perform newborn exam. Perform a thorough newborn exam including:
· gestational age assessment
· general appearance
· hemodynamic status
· skin (normal newborn exanthems)
· head (caput, cephalohematoma, molding, nares, clefts)
· neck
· chest (fractured clavicle), lungs
· heart (murmur evaluation)
· abdomen (including umbilical cord)
· genitalia
· femoral pulses
· hips (Ortolani and Barlow maneuvers)
· articular evaluation
· extremities (Erb's palsy)
· neurology (Glasgow coma scale, activity, tone, primitive reflexes, sacral lesions, general movements)
Neonatal procedures: placement of umbilical venous catheter, umbilical arterial catheter, peripherally inserted central catheter
Pediatric Procedures: measurement of arterial blood pressure, placement of intravenous peripheral access, evaluation of urinary dipstick
· gestational age assessment
· general appearance
· hemodynamic status
· skin (normal newborn exanthems)
· head (caput, cephalohematoma, molding, nares, clefts)
· neck
· chest (fractured clavicle), lungs
· heart (murmur evaluation)
· abdomen (including umbilical cord)
· genitalia
· femoral pulses
· hips (Ortolani and Barlow maneuvers)
· articular evaluation
· extremities (Erb's palsy)
· neurology (Glasgow coma scale, activity, tone, primitive reflexes, sacral lesions, general movements)
Neonatal procedures: placement of umbilical venous catheter, umbilical arterial catheter, peripherally inserted central catheter
Pediatric Procedures: measurement of arterial blood pressure, placement of intravenous peripheral access, evaluation of urinary dipstick
Prerequisites for admission
Basic knowledge of neonatology and pediatrics. Understanding the physiology of growth and development and the pathophysiology of the main clinical issues related to the pediatric age is preparatory to the teaching professional activity.
Teaching methods
The course includes a short frontal lesson, with the support of iconographic material / video projection.
Practical sessions will be performed through collective evaluation of clinical cases, interpretation of blood tests and laboratory investigations.
Practical sessions will be performed through collective evaluation of clinical cases, interpretation of blood tests and laboratory investigations.
Teaching Resources
https://med.stanford.edu/newborns/professional-education/photo-gallery.html
https://www.openpediatrics.org
Nelson Textbook of pediatrics, 18th Ed.
The Newborn Book, Significance of Physical Findings in the Neonate, Aby 2014.
Hammersmith Neonatal Neurological Examination (HNNE)
New England Journal of Medicine
https://www.openpediatrics.org
Nelson Textbook of pediatrics, 18th Ed.
The Newborn Book, Significance of Physical Findings in the Neonate, Aby 2014.
Hammersmith Neonatal Neurological Examination (HNNE)
New England Journal of Medicine
Assessment methods and Criteria
Learning will be assessed through a written test - quiz, administered at the end of each teaching activity.
The acquisition of practical knowledge will be further evaluated in the context of the oral examination of pediatrics.
The course material is available to the student, including suggestions for further individual study.
The acquisition of practical knowledge will be further evaluated in the context of the oral examination of pediatrics.
The course material is available to the student, including suggestions for further individual study.
MED/38 - PAEDIATRICS - University credits: 2
Professional training: 50 hours
Professor(s)