Dietistic

Surgery Single channel

Chair (Coordinator) and Rapporteur: LORENZO LOFFREDO

Module 1:

Activity type: Scienze medico-chirurgiche
SSD: MED/18
Year: 3rd year
Semester: 1st semester
CFU: 1
Hours distribution: 10 classroom hours
Lecturers: Flavio Mancini

Module 2:

Activity type: Primo soccorso
SSD: MED/41
Year: 3rd year
Semester: 1st semester
CFU: 1
Hours distribution: 10 classroom hours
Lecturers: CINZIA MARI

Module 3:

Activity type: Primo soccorso
SSD: MED/09
Year: 3rd year
Semester: 1st semester
CFU: 2
Hours distribution: 20 classroom hours
Lecturers: LORENZO LOFFREDO

Module 4:

Activity type: Scienze medico-chirurgiche
SSD: BIO/14
Year: 3rd year
Semester: 1st semester
CFU: 2
Hours distribution: 20 classroom hours
Lecturers: DANIELA MAFTEI

Learning outcomes

The ability to acquire the main principles of first aid remains an essential goal for all healthcare professionals and will be one of the objectives of this course.

Prerequisites

Basic knowledge of anatomy and human physio-pathology is essential.

Programme

Internal Medicine:
The student must acquire the principles of first aid for the main internal diseases reported below:

1) Principles of eco-fast in the critically ill patient
2) Diagnosis and treatment of venous thrombo-embolism
3) Hypertensive emergencies
4) Sepsis and septic shock
5) Acute respiratory failure
6) Major arrhythmias in the critically ill patient
7) Vascular and cardiovascular emergencies and emergencies
8) Main clinical pictures of acute intoxication
9) Ultrasound-guided venous access
10) Strokes

**General Pharmacology**

* **General principles of pharmacology:** Concepts of drug, medicinal product, and poison. Drug classification. Sources of drugs. Drug effects.
* **Pharmacokinetics:** Mechanisms and principles governing drug absorption, distribution, metabolism, and elimination. Characteristics of the main routes of drug administration. Bioavailability and bioequivalence.
* **Pharmacodynamics:** Characteristics of drug–receptor interactions. Definitions of agonists, antagonists, partial agonists, and inverse agonists. Dose–response curves, ED50, efficacy and potency. Therapeutic index. Drug receptors and molecular targets.

**Special Pharmacology**

* **Anti-inflammatory drugs:** Steroidal anti-inflammatory drugs (SAIDs) and nonsteroidal anti-inflammatory drugs (NSAIDs).
* **Drugs for the treatment of diabetes:** Insulin and oral hypoglycemic agents.
* **Drugs affecting body weight.**
* **Drugs for hyperlipidemia.**

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## Surgery

* Course overview
* Introduction to surgery
* The surgical patient
* **Stomach:** Gastric cancer, gastric and duodenal ulcers
* **Breast:** Benign and malignant breast diseases
* Acute abdomen
* Intestinal obstruction
* **Colon:** Colon polyps, colorectal cancer, colonic diverticular disease
* Proctologic diseases
* **Liver:** Jaundice, liver tumors, gallstone disease
* **Pancreas:** Pancreatic neoplasms and pancreatic pseudocysts
* **Lung:** Lung cancer and pneumothorax

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## Anesthesiology

* Basic Life Support (BLS) and patient stabilization
* Obesity and anthropometric measurements: the importance of neck circumference as a predictor of difficult intubation; the importance of waist circumference and visceral fat
* COPD and obstructive sleep apnea (OSA) in obese patients and their postoperative risks
* Visceral fat, perioperative cardiovascular risk, and the metabolism of anesthetic drugs (e.g., opioids and benzodiazepines)
* Preoperative fasting
* Artificial nutrition in critically ill patients.

Books

Chiaranda: Urgenze ed emergenze, Piccin Editore.

Karen Whalen “Le basi della farmacologia” Con la collaborazione di Sarah M.
Lerchenfeldt e Chris R. Giordano (Quarta edizione italiana)
Katzung, Master, Trevor. “Farmacologia generale e Clinica” Piccin Editore (ultima
edizione)

Bibliography

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Lessons mode

The course will take place in the classroom, in person, with lectures and with the presentation of clinical cases.

Frequency

Attendance at lessons is mandatory. The presence is detected by affixing the signature to a dedicated form, dated and referring to the specific lesson of the day.

Exam mode

Learning the course content will be verified by means of a written test and an oral test.

Example exam questions

A patient with shortness of breath, a sore and hot swollen leg that arises after trauma may be instructed to perform in the emergency room:
1) Venous ultrasound of the lower extremities and chest tomography
2) Abdominal ultrasound
3) Abdominal tomography
4) Chest X-ray

Arguments