System diseases 2 (clerkship)

A.A. 2019/2020
4
Crediti massimi
100
Ore totali
SSD
MED/10 MED/15 MED/36
Lingua
Inglese
Obiettivi formativi
Practical activities will be organized, through simulation or at the bedside in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Risultati apprendimento attesi
At the end of the practical activities, students should be able to:
- take the history of the patient
- perform a clinical examination of the thorax: inspection, palpation, percussion, auscultation
- perform a clinical examination of the precordial region: palpation, auscultation
- examine the arterial pulses
- measure blood pressure
- perform a clinical examination of the abdomen: inspection, auscultation, percussion, palpation (liver, spleen)
- examine and interpret the results of blood gas analysis
- examine and interpret the results of laboratory assessment (interpretation of a full blood count, look at a peripheral blood or bone marrow smear)
- observe the execution of a bone marrow aspirate or trephine
Programma e organizzazione didattica

Edizione unica

Prerequisiti
To take the System Diseases 2 exam, students must have already passed all the exams of the first and second year (Fundamentals of Basic Sciences, Cells, Molecules and Genes 1 and 2, Human Body, Functions and Mechanisms of Diseases).
Modalità di verifica dell’apprendimento e criteri di valutazione
Student assessment is based on a combination of written and oral examinations.
The written exam is a multiple choice test focused on the topics of the modules: Clinical Biochemistry, Microbiology, Pathology (10 questions for each subject). Only students who successfully pass the written tests of all subjects (threshold 7/10) are allowed to take the oral examination, focused on the modules: Diagnostic Imaging, Respiratory Diseases and Blood Diseases.
The oral examination must be passed in the same session as the written examination.
The students must undergo both written and oral examination on the same day. If the student does not pass successfully the oral examination, the positive result at the written test is valid only within the same session.
The final mark is the average of the marks obtained in the three oral examinations weighted for the number of credits of each discipline.
The exam is deemed to be passed successfully if the final grade is equal to or higher than 18/30. In the event of a full grade (30/30) honors (lode) may be granted with the consent of all the professors.
Registration to the exam through SIFA is mandatory.
Respiratory diseases
Programma
Pneumology: Pulmonary function tests and imaging
Clinical approach to: Chronic Obstructive Pulmonary Disease, Asthma, Diffuse parenchymal lung diseases, Obstructive and Restrictive lung diseases, Respiratory infections, Pleural diseases, Acute and chronic respiratory failure (RF)
Examination of laboratory tests

Hematology: clinical approach to bleeding syndromes, thrombotic disorders and thrombotic microangiopathies, hemoglobinopathies, red cell disorders, myeloproliferative syndromes, acute myeloid and lymphoid leukemias, myelodysplastic and bone marrow failure syndromes,
Clinical approach to lymphadenopathies and splenomegaly and hematological emergencies
Examination of laboratory tests

Imaging of thrombosis and pulmonary thromboembolism and related interventional procedures - intravascular thrombolysis, vena cava filters
PET in the staging and restaging of lymphomas
Metodi didattici
Lectures, Clinical cases, Case studies. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Materiale di riferimento
· Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill, 2018 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
· Robbins and Cotran. Pathologic Basis Of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Hematology Pathophysiology, Diagnosis and Treatment. Tura, Cavo, Zinzani. Società Editrice Esculapio 2018
· Teaching material from the individual lectures
· Website: www.uptodate.com
Blood diseases
Programma
The course is based on a strong integration of different disciplines, thus the program of the single disciplines cannot be extracted form the program of the whole course which is reported in module Respiratory diseases.
Metodi didattici
Lectures, Clinical cases, Case studies. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Materiale di riferimento
· Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill, 2018 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
· Robbins and Cotran. Pathologic Basis Of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Hematology Pathophysiology, Diagnosis and Treatment. Tura, Cavo, Zinzani. Società Editrice Esculapio 2018
· Teaching material from the individual lectures
· Website: www.uptodate.com
Radiology
Programma
The course is based on a strong integration of different disciplines, thus the program of the single disciplines cannot be extracted form the program of the whole course which is reported in module Respiratory diseases.
Metodi didattici
Lectures, Clinical cases, Case studies. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Materiale di riferimento
· Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill, 2018 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
· Robbins and Cotran. Pathologic Basis Of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Hematology Pathophysiology, Diagnosis and Treatment. Tura, Cavo, Zinzani. Società Editrice Esculapio 2018
· Teaching material from the individual lectures
· Website: www.uptodate.com
Moduli o unità didattiche
Blood diseases
MED/15 - MALATTIE DEL SANGUE - CFU: 2
Clerkship (att.prof.): 50 ore
Turni:
Group 1
Docente: Corradini Paolo
Group 2
Docente: Onida Francesco
Group 3
Docente: Federici Augusto Bramante

Radiology
MED/36 - DIAGNOSTICA PER IMMAGINI E RADIOTERAPIA - CFU: 1
Clerkship (att.prof.): 25 ore
Docente: Messina Carmelo

Respiratory diseases
MED/10 - MALATTIE DELL'APPARATO RESPIRATORIO - CFU: 1
Clerkship (att.prof.): 25 ore
Turni:
Group 1
Docente: Santus Pierachille
Group 2
Docente: Centanni Stefano
Group 3
Docenti: Aliberti Stefano, Mantero Marco

Docente/i
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Presso UOC di Ematologia e Medicina Trasfusionale, AO L. Sacco e Polo Uuniversitario
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pad. Granelli Osp. Maggiore Policlinico - CTMO
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UOC Pneumologia, Ospedale L. Sacco, Via G.B. Grassi, 74 - Milano