System diseases 3 (clerkship)
A.A. 2023/2024
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, )
Periodo: Primo semestre
Modalità di valutazione: Giudizio di approvazione
Giudizio di valutazione: superato/non superato
Corso singolo
Questo insegnamento non può essere seguito come corso singolo. Puoi trovare gli insegnamenti disponibili consultando il catalogo corsi singoli.
Programma e organizzazione didattica
Edizione unica
Responsabile
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 with 30 questions focused on the topics of the modules: Clinical Biochemistry, Microbiology, Pathology (10 questions each). Only students who successfully pass the written tests of all subjects (threshold 7/10) are allowed to take the oral examination, focused on the following modules: Diagnostic Imaging, Endocrinology and Gastroenterology. The result of the written exam is communicated immediately after the end of the test.
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. Examinations on two consecutive days are seldom possible depending upon the availability of teachers or rooms. If the student does not successfully pass the oral examination, the positive result at the written test is valid only within the same session.
The final mark is the weighted average of the marks obtained during the oral examinations.
Attendance is required to be allowed to take the exam. Unexcused absence is tolerated up to 34% of the course activities. University policy regarding excused illness is followed.
Registration to the exam through SIFA is mandatory.
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. Examinations on two consecutive days are seldom possible depending upon the availability of teachers or rooms. If the student does not successfully pass the oral examination, the positive result at the written test is valid only within the same session.
The final mark is the weighted average of the marks obtained during the oral examinations.
Attendance is required to be allowed to take the exam. Unexcused absence is tolerated up to 34% of the course activities. University policy regarding excused illness is followed.
Registration to the exam through SIFA is mandatory.
Pathology
Programma
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
Molecular pathology of tumours of the gastrointestinal tract and pathology report in gastrointestinal pathology
Metodi didattici
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
Robbins and Cotran. Pathologic basis of Disease (9th Edition)
Gastroenterology
Programma
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
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
Metodi didattici
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
Sleisenger And Fordtran's Gastrointestinal And Liver Disease, 10th edition
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/)
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/)
Endocrinology
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.
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.
Metodi didattici
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)
· Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
Radiology
Programma
Diagnostic Imaging. Sonography, Computerized Tomography - CT, Magnetic Resonance Imaging - MRI applied to endocrine and gastrointestinal diseases.
Metodi didattici
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
Core Radiology. J. Mandell. Cambrige University Press. (ebook)
Moduli o unità didattiche
Endocrinology
MED/13 - ENDOCRINOLOGIA - CFU: 1
Clerkship (att.prof.): 25 ore
Turni:
Group 1
Docente:
Cangiano BiagioGroup 2
Docente:
Colombo CarlaGroup 3
Docente:
Chiodini IacopoGroup 4
Docente:
Bonomi Marco
Gastroenterology
MED/12 - GASTROENTEROLOGIA - CFU: 2
Clerkship (att.prof.): 50 ore
Docenti:
Dioscoridi Lorenzo, Mazzarelli Chiara
Turni:
Group 1
Docente:
Mazzarelli ChiaraGroup 2
Docente:
Dioscoridi Lorenzo
Pathology
MED/08 - ANATOMIA PATOLOGICA - CFU: 1
Clerkship (att.prof.): 25 ore
Docente:
Fusco Nicola
Turni:
Group 1
Docente:
Fusco Nicola
Radiology
MED/36 - DIAGNOSTICA PER IMMAGINI E RADIOTERAPIA - CFU: 1
Clerkship (att.prof.): 25 ore
Docente:
Vanzulli Angelo
Siti didattici
Docente/i
Ricevimento:
Venerdì 14-15 (su appuntamento)
IRCCS Istituto Auxologico Italiano - Ospedale San Luca (5°piano) - Piazzale Brescia 20 - 20149 Milano
Ricevimento:
Lunedi e Venerdì ore 9-10
Ospedale Niguarda Cà Granda, Piazza Ospedale Maggiore 3, 20162, Milano. Blocco Nord, III piano, Stanza 14
Ricevimento:
su appuntamento
Piazzale Brescia, 20 - Istituto Auxologico - Ospedale San Luca 20149 MILANO (MI)
Ricevimento:
Giovedì pomeriggio (15:30-17:30)
ASST Niguarda
Ricevimento:
Martedì e Giovedì ore 12 previo appuntamento