Fundamentals of clinical medicine 3

The course is designed to address, with systematic approach the pathophysiology and diseases of the endocrine and gastrointestinal systems, as well as to dermatology and venereology and to introduce students to exercise and sport medicine. The endocrinology module is designed to teach the students the appropriate skills to understand the origins of and diagnose patients with endocrine disorders, to interpret endocrine and hormonal tests and manage both acute and chronic conditions. The gastroenterology module addresses disorders and diseases of the Gastrointestinal Tract, including the Liver and the Pancreas with a systematic approach and is designed to make students familiar with clinical presentation and differential diagnosis of GI diseases. The Exercise and Sport Medicine Module provides the students with conceptual tools to introduce lifestyle intervention programs (with particular focus on physical exercise and nutrition) to foster health/wellbeing and to prevent/treat major chronic non communicable diseases. The dermatology module will enable students to diagnose common skin diseases and understand the principles of the therapeutic management of these patients. The course will cover the pathogenesis of the main skin conditions and the main therapies to use including both topical preparations and systemic drugs, such as immunomodulating agents, immunosuppressants and biologics.

Students are expected to: - identify the typical and atypical features of endocrine disorders, their presentation, clinical course and expected outcome. - interpret endocrine tests and manage acute and chronic conditions. - describe aetiologies, pathogenetic mechanisms, morphological changes of neoplastic proliferations of the pituitary gland, thyroid gland, parathyroid glands and adrenal gland - describe pathological classification and prognostic markers of the neuroendocrine tumors. -describe aetiologies, pathogenetic mechanisms and morphological changes of non-neoplastic diseases of the endocrine system. - interpret endocrine tests and manage acute and chronic conditions. -identify the typical and atypical features of gastrointestinal disorders, their presentation, differential diagnosis, clinical course and expected outcome. -describe aetiologies, pathogenetic mechanisms and morphological changes of non-neoplastic diseases of the gastrointestinal tract -describe the aetiologies, pathogenetic mechanisms, morphological changes, prognostic and predictive factors of esophageal, gastric and intestinal tumors. - describe the pathological changes of the liver in hepatitis and cirrhosis and tumors and tumor-like lesions. -describe the pathological changes of the inflammatory and neoplastic conditions of the pancreas. -
Students will learn -the definitions, the differences and the clinical importance of the Exercise and Sport Medicine, the definition of Health, Wellbeing, Prevention and Lifestyle Medicine - the effects of lifestyle interventions on main etiopathogenetic mechanisms of chronic non communicable diseases: a translational approach, - the importance of exercise medicine in chronic non communicable disease (cardiometabolic diseases, cancer, functional syndromes, etc), the cardiometabolic risk and lifestyle assessment, - the patient's assessment in order to prescribe lifestyle intervention programs (with particular focus on physical exercise and nutrition), - the definition of specific clinical goals and personalized medicine in lifestyle interventions, -the exercise prescription, -the nutrition program prescription, - the synergies between exercise and nutrition programs
Students will also learn: -to acquire an understanding of the scientific basis of dermatology; -to relate knowledge of skin structure to the physical signs of skin disease; -to take a coherent dermatological history and be able to describe cutaneous physical signs using appropriate terminology; -To recognise common skin diseases; -to recognise important cutaneous signs of systemic disease or adverse reactions to drugs; -To understand the principles of dermatological treatment.