System diseases 3 (clerkship)

A.A. 2019/2020
5
Crediti massimi
125
Ore totali
SSD
MED/08 MED/12 MED/13 MED/36
Lingua
Italiano
Obiettivi formativi
Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Risultati apprendimento attesi
GASTROINTESTINAL DISEASES: at the end of the clerkship, students should have learned:
- how to perform a clinical examination of the abdomen (inspection, auscultation, percussion, palpation)
- how to research rebound tenderness (Blumberg's sign)
- how to research Murphy's sign
- the semeiology of ascites
- how to research signs of cirrhosis
Furthermore, they should have observed:
- how to perform upper and lower gastro-intestinal endoscopy
- how to perform an abdominal ultrasound
ENDOCRINOLOGICAL DISEASES: at the end of the clerkship, students should have learned:
- how to perform a clinical examination of the neck: inspection, thyroid palpation
- how to perform the examination of arterial pulses
- how to measure blood pressure
- how to determine blood glucose (glucometer, Homa index, )
- how to perform a physical examination of obese patients (waist circumference, )
- how to examine patients with short stature (determination of target height, growth charts, )
- how to detect hypocalcemia (Chovostek and Trousseau signs)
- how to interpret key radiological examinations (thyroid US & scintiscan, pituitary MRI, )
Programma e organizzazione didattica

Edizione unica

Prerequisiti
To take the System Diseases 3 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, Endocrinology and Gastroenterology.
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.
Pathology
Programma
Endocrinology: clinical approach to Hypothalamus and Pituitary diseases, Thyroid diseases (hypothyroidism and hyperthyroidism), Adrenal function and diseases. Neuroendocrine tumors.
Clinical approach to obesity, disorders of lipid metabolism and nutrition disorders, Diabetes Mellitus,
Hypoglycemia, Disorders of calcium homeostasis
Adrenal imaging and Pathology
Examination of laboratory tests.

Gastroenterology: clinical approach to the patient with dysphagia and gastric symptoms, patients with Gastrointestinal bleeding, stomach diseases, pancreas and liver disease (clinical consequences of Liver diseases), metabolic and toxic liver diseases, biliary tract diseases, Small and Large Intestine diseases, Appendix and the anal canal diseases.
Clinical approach to the patients with chronic diarrhea.

Examination of laboratory tests, with special reference to neoplastic markers, diagnosis of viral, fungine and bacterial diseases of gastrointestinal tract including the liver
Pathology: examination of Non-neoplastic diseases of the Gastro intestinal, tumours of the gastrointestinal tract including liver and pancreas.
Molecular pathology of tumours of the gastrointestinal tract and pathology report in gastrointestinal pathology
Metodi didattici
Lectures, Clinical cases, Seminars, Grand Rounds, Case studies and Laboratory skills. 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/)
· Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
· Sleisenger And Fordtran's Gastrointestinal And Liver Disease, 10th edition
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Robbins and Cotran. Pathologic basis of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
Gastroenterology
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 Pathology.
Metodi didattici
Lectures, Clinical cases, Seminars, Grand Rounds, Case studies and Laboratory skills. 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/)
· Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
· Sleisenger And Fordtran's Gastrointestinal And Liver Disease, 10th edition
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Robbins and Cotran. Pathologic basis of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
Endocrinology
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 Pathology.
Metodi didattici
Lectures, Clinical cases, Seminars, Grand Rounds, Case studies and Laboratory skills. 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/)
· Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
· Sleisenger And Fordtran's Gastrointestinal And Liver Disease, 10th edition
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Robbins and Cotran. Pathologic basis of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
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 Pathology.
Metodi didattici
Lectures, Clinical cases, Seminars, Grand Rounds, Case studies and Laboratory skills. 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/)
· Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
· Sleisenger And Fordtran's Gastrointestinal And Liver Disease, 10th edition
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Robbins and Cotran. Pathologic basis of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
Moduli o unità didattiche
Endocrinology
MED/13 - ENDOCRINOLOGIA - CFU: 1
Clerkship (att.prof.): 25 ore
Turni:
Group 1
Docente: Luzi Livio

Gastroenterology
MED/12 - GASTROENTEROLOGIA - CFU: 2
Clerkship (att.prof.): 50 ore
Turni:
Group 1
Docente: Lampertico Pietro
Group 2
Docente: Tontini Gian Eugenio
Group 3
Docente: Pastorelli Luca
Group 4
Docente: Zuin Massimo

Pathology
MED/08 - ANATOMIA PATOLOGICA - CFU: 1
Clerkship (att.prof.): 25 ore
Docente: Vaira Valentina

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

Docente/i
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Venerdì 14-15 (su appuntamento)
IRCCS Istituto Auxologico Italiano - Ospedale San Luca (5°piano) - Piazzale Brescia 20 - 20149 Milano
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