System diseases 1 (clerkship)

A.A. 2020/2021
3
Crediti massimi
75
Ore totali
SSD
MED/11 MED/14 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
At the end of the practical activities, students should be able to:
- 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)
At the end of the Cardiovascular clerkship, students should be able to:
- perform an ECG recording
- describe ECG recordings: depicit pathological signs
At the end of the Nephrology clerkship, students should be able to:
- describe and analyse blood gas analysis
- describe and analyse urinary sediment
- describe how to perform a renal ultrasound assessment
- describe how the different radiologic examination are obtained
- use the imaging based diagnostic thinking which will guide successful therapeutic interventions
Programma e organizzazione didattica

Edizione unica

Responsabile
The teaching, given the current health situation, will be carried out entirely at a distance.
Prerequisiti
To take the System Diseases 1 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, Cardiovascular Diseases, Nephrology.
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.
Cardiovascular diseases
Programma
Diagnostic Imaging. Sonography, Computerized Tomography - CT, Magnetic Resonance Imaging - MRI.

Cardiology. ECG: normal, Arrhythmias Ischemic heart disease
Clinical approach to Valvular heart disease , Pericarditis and endocarditis, Heart failure, Pulmonary hypertension
Diagnostic Cardiac and Cardiovascular imaging
Examination of laboratory tests

Nephrology. Clinical approach to patients with urinary tract and renal infection, acute kidney injury / acute renal failure, chronic kidney disease, renal vascular diseases
Management of artificial kidney
Diagnostic kidney imaging
Examination of laboratory tests, analysis of the urinary sediment
Metodi didattici
Lectures, Clinical cases, 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/)
· Goldman's Cecil Medicine L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
· Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
· Bates' Guide to Physical Examination and History Taking, Lynn S. Bickley
· Robbins and Cotran. Pathologic Basis Of Disease (9th Edition)
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders. (e book)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Nephrology textbooks and resources:
o Edinburgh Renal Education Pages Textbook. Free textbook available at http://www.edrep.org/pages/textbook.php
o Robert W. Schrier. Manual of Nephrology. Wolters Kluwer Health, 2014
· JOVE Clinical Skills - Digital library of the University of Milano
Nephrology
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 Cardiovascular diseases.
Metodi didattici
Lectures, Clinical cases, 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/)
· Goldman's Cecil Medicine L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
· Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
· Bates' Guide to Physical Examination and History Taking, Lynn S. Bickley
· Robbins and Cotran. Pathologic Basis Of Disease (9th Edition)
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders. (e book)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Nephrology textbooks and resources:
o Edinburgh Renal Education Pages Textbook. Free textbook available at http://www.edrep.org/pages/textbook.php
o Robert W. Schrier. Manual of Nephrology. Wolters Kluwer Health, 2014
· JOVE Clinical Skills - Digital library of the University of Milano
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 Cardiovascular diseases.
Metodi didattici
Lectures, Clinical cases, 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/)
· Goldman's Cecil Medicine L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
· Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
· Bates' Guide to Physical Examination and History Taking, Lynn S. Bickley
· Robbins and Cotran. Pathologic Basis Of Disease (9th Edition)
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders. (e book)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Nephrology textbooks and resources:
o Edinburgh Renal Education Pages Textbook. Free textbook available at http://www.edrep.org/pages/textbook.php
o Robert W. Schrier. Manual of Nephrology. Wolters Kluwer Health, 2014
· JOVE Clinical Skills - Digital library of the University of Milano
Moduli o unità didattiche
Cardiovascular diseases
MED/11 - MALATTIE DELL'APPARATO CARDIOVASCOLARE - CFU: 1
Clerkship (att.prof.): 25 ore
Docenti: Agostoni Piergiuseppe, Vignati Carlo
Turni:
Gruppo 1
Docente: Agostoni Piergiuseppe
Gruppo 2
Docente: Vignati Carlo

Nephrology
MED/14 - NEFROLOGIA - CFU: 1
Clerkship (att.prof.): 25 ore
Turni:
Gruppo 1
Docente: Gallieni Maurizio Alberto
Gruppo 2
Docente: Cozzolino Mario Gennaro
Gruppo 3
Docente: Messa Piergiorgio

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

Docente/i
Ricevimento:
previo appuntamento da concordare via e-mail
Ricevimento:
Lunedì 9-10
Ospedale San Paolo, 2 Piano, Blocco B
Ricevimento:
previo appuntamento da concordare via e-mail
U.O. Nefrologia e Dialisi, Ospedale Sacco oppure Ospedale Fatebenefratelli
Ricevimento:
Previo appuntamento da concordare via e-mail
IRCCS Policlinico San Donato - Radiologia - Piano 2 Settore E