Midwifery - Course C - ASL Viterbo

Activity type

Interdisciplinari e cliniche

SSD

MED/06

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

FEDERICA TOMAO

Activity type

Interdisciplinari e cliniche

SSD

MED/11

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

Mario Malavasi

Activity type

Interdisciplinari e cliniche

SSD

MED/10

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

Giulia Cardillo Piccolino

Activity type

Interdisciplinari e cliniche

SSD

MED/13

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

ALFONSO PEZZELLA

Activity type

Interdisciplinari e cliniche

SSD

MED/14

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

Elisa Catasca

Activity type

Interdisciplinari e cliniche

SSD

MED/15

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

MARIA ROSARIA RICCIARDI

Upon completion of the course, students will be able to describe the mechanisms of onset and alterations in the fundamental biological processes of the main pathological conditions in hematology, oncology, nephrology, cardiology, endocrinology, and respiratory medicine. They will apply the acquired knowledge to identify areas of obstetric expertise and evaluate, describe, and manage obstetric care in the care pathways for specialized pathologies.

The student has an advantage in following the lessons and studying the topics of the integrated course if he has basic knowledge of biology, anatomy and physiology

Module: MEDICAL ONCOLOGY
Ongogenesis
Oncological prevention
Breast cancer
Gynecological tumors



Module: DISEASES OF CARDIOVASCULAR SYSTEM
Physiological changes in pregnant women, Normal laboratory values.
Cardiovascular risk factors, signs and symptoms
Instrumental diagnostics
Gestational arterial hypertension, pre-aclampsia, eclampsia.
Venous thromboembolism
Cardiac arrest



Module: RESPIRATORY SYSTEM DISEASES
Program
1. Anatomy and Physiology of the Respiratory System
2. Regulatory Mechanisms of Breathing
3. Respiratory Mechanics and Their Changes in Pregnancy
4. Pulmonary Physical Examination
5. Pulmonary Function Tests: Spirometry
6. Arterial Blood Gas Analysis and Acid-Base Disorders
7. Dyspnea
8. Obstructive Diseases:
• Asthma;
• Acute Bronchitis;
• Chronic Bronchitis;
• Emphysema;
• COPD;
• Manifestations and Management in Pregnancy
9. Restrictive Diseases:
• Lung Parenchymal (Interstitial Lung Disease);
• Pleural (Pneumothorax, Pleural Effusion);
• Chest Wall;
• Neuromuscular Diseases
10. Bronchiectasis
11. Community-acquired and nosocomial pneumonia
12. Venous thromboembolism:
• Deep vein thrombosis;
• Pulmonary embolism;
• Amniotic fluid embolism;
• Risk factors and management during pregnancy
13. Acute, chronic, and exacerbated chronic respiratory failure: classification, clinical presentation, and management
14. Oxygen therapy: when, how, and why
15. Care aspects and prevention of respiratory disease during pregnancy


Module: ENDOCRINOLOGY
Introduction to the endocrine system: Mechanisms of Hormone Action
Pathophysiology of the hypothalamic-pituitary axis
Secretory and non-secretory pituitary adenomas
Hypopituitarism
Empty Sella Syndrome
Central diabetes insipidus
Pathophysiology of the thyroid: Hyperthyroidism and Hypothyroidism
Acute, Subacute, and Chronic Thyroiditis
Endemic Goiter
Thyroid Nodule Management
Thyroid Tumors: Histological Classification and Therapeutic Considerations
Calcium/Phosphorus Metabolism
Pathophysiology of the Parathyroid gland: Hypo- and Hyperparathyroidism
Pathophysiology of the Adrenal Glands.
Dynamic Tests for the Diagnosis of Major Endocrine Disorders
Disorders of the Adrenal Medulla: Pheochromocytoma
Endocrine-Based Hypertension. Primary hyperaldosteronism
Metabolic syndrome
Diabetes classification: type I, type II, and other types
Diagnostic criteria for diabetes
Laboratory tests in the diagnosis and treatment of diabetic patients
Glycemic monitoring
Treatment of type I and type II diabetes (hints)
Nursing management of acute and chronic complications of type I and type II diabetes
Gestational diabetes: diagnostic criteria, management of patients with diabetes during pregnancy, and treatment outline.



Module: nephrology
• Overview of the anatomy and physiology of the kidney and urinary tract.
• Physiological changes in renal function during pregnancy.
• Acute and chronic renal failure: general principles and obstetric implications.
• Glomerular syndromes: glomerulonephritis and nephrotic syndrome (clinical notes).
• Kidney stones.
• Urinary tract infections (asymptomatic bacteriuria, cystitis, and pyelonephritis), with particular attention to pregnancy.
• Urinary tract disorders.
• Overview of glomerular diseases, tubular diseases, and renal vascular diseases.
• Kidney tumors (notes).
• Principles of prevention, monitoring of renal function, and multidisciplinary collaboration in the management of women with renal disease.



Module: BLOOD DISEASES
Course program
Hematopoiesis.
Stem cells from bone marrow, umbilical cord blood and peripheral blood.
Physiological changes in hematological parameters during pregnancy.
Anemias: classification.
• Anemia in obstetrics.
Physiology of hemostasis
Coagulopathies and platelet diseases in obstetrics.
Onco-hematology - Definition and classification:
• Acute and chronic myeloid and lymphoid leukemia,
• Hodgkin's lymphoma, non-Hodgkin's lymphomas,


Aims
The aim of the module is the classification of the main hematological and onco-hematological diseases of obstetric-gynecological interest. A further objective is to provide students with the main guidelines for understanding the pathophysiological basis of hematological diseases and the key elements of clinical and laboratory evaluation.

Module: MEDICAL ONCOLOGY
Bianco - Mnuale di Oncologia
MC Graw Hill



Module: DISEASES OF CARDIOVASCULAR SYSTEM
2025 ESC Guidelines for the management of cardiovascular disease and pregnancy: Developed by the task force on the management of cardiovascular disease and pregnancy of the European Society of Cardiology (ESC) Endorsed by the European Society of Gynecology (ESG)




Module: RESPIRATORY SYSTEM DISEASES
West – Fisiopatologia Polmonare, L’essenziale. Autori John B. West, Andrew M. Luks
West – Fisiologia della Respirazione. Autori John B. West, Andrew M. Luks
Rugarli. Medicina interna sistematica. Estratto: Malattie dell’apparato respiratorio. Autori Claudio Rugarli, Leonardo M. Fabbri.
Compendio di Malattie dell’Apparato Respiratorio per professioni sanitarie. Autori Donato Lacedonia, Giovanna E. Carpagnano, Giulia Scioscia, Matteo Pio Natale


Module: ENDOCRINOLOGY
F. Monaco Endocrinology (for health professions degree courses) Società Editrice Universo.


Module: nephrology
1. Harrison. Principles of Internal Medicine - Chapters dedicated to nephrology, renal failure, and urinary tract infections.
2. Claudio Ronco Medical Nephrology
3. Garibotto - Pontremoli - Ardissino - Bagnasco - Biancone Manual of Nephrology
4. Williams Obstetrics: For nephrological aspects of pregnancy (e.g., urinary tract infections, renal failure, and kidney disease in pregnancy).



Module: BLOOD DISEASES
Ematologia di Mandelli - G. Avvisati, second edition (2019) ISBN: 978-88-299-2307-6; Piccin.
Compendio di Medicina Interna (Capitolo 7) - Amoroso A, Afeltra A, Rossi FanelliF - Antonio Delfino Editore.
Any other recently published hematology textbook can be used.

.

Module: MEDICAL ONCOLOGY
N/D
Module: DISEASES OF CARDIOVASCULAR SYSTEM
https://doi.org/10.1093/eurheartj/ehaf193


Module: RESPIRATORY SYSTEM DISEASES
N/D
Module: ENDOCRINOLOGY
Recent bibliography recommended in class.


Module: nephrology
• Slides and handouts provided by the instructor during class.
• Any guidelines and scientific articles indicated by the instructor.



Module: BLOOD DISEASES
Recent bibliography recommended in class.

The lessons will be held in the classroom with the aid of PowerPoint presentations prepared by the teacher on the various topics of the program.

Mandatory attendance with at least 66% attendance in each module. Attendance will be recorded by the instructor in a specific class register, which will be submitted to the degree program office at the end of the course.

The final exam will be conducted with the subject instructors, either orally or in the form of a written test consisting of 10 multiple-choice questions for each module. Students who achieve a passing grade in each module will pass the exam.

Pulmonary embolism and pregnancy: diagnosis and treatment.
Endocrine-related hypertension
Describe the main criteria for classifying anemia.
What are the cardiac arrest rhythms?
What defines creatinine clearance?
What is the common treatment for advanced ovarian cancer?

Module: MEDICAL ONCOLOGY

• Ongogenesis
  
  Oncological
  prevention


• Breast
  cancer


• Gynecological
  tumors

• Physiological changes in pregnant women, Normal
  laboratory values.


• Cardiovascular risk factors, signs and
  symptoms. Instrumental diagnostics. 


• Gestational arterial
  hypertension, pre-aclampsia, eclampsia.


• Venous thromboembolism. Cardiac
  arrest

• Anatomy and Physiology of the Respiratory
  System. Regulatory Mechanisms of Breathing. Respiratory Mechanics and Their
  Changes in Pregnancy. Pulmonary Physical Examination. Pulmonary Function Tests:
  Spirometry. Arterial Blood Gas Analysis and Acid-Base Disorders
  
   


• Dyspnea. Obstructive Diseases:• Asthma;• Acute
  Bronchitis;• Chronic Bronchitis;• Emphysema;• COPD;• Manifestations and
  Management in Pregnancy. Restrictive Diseases:• Lung Parenchymal
  (Interstitial Lung Disease);• Pleural (Pneumothorax, Pleural Effusion);• Chest
  Wall;• Neuromuscular Diseases. Bronchiectasis. Community-acquired and
  nosocomial pneumonia.


• Venous thromboembolism:• Deep vein
  thrombosis;• Pulmonary embolism;• Amniotic fluid embolism;• Risk factors and
  management during pregnancy. Acute, chronic, and exacerbated chronic
  respiratory failure: classification, clinical presentation, and management.
  Oxygen therapy: when, how, and why. Care aspects and prevention of respiratory
  disease during pregnancy.

• Introduction to the endocrine system: mechanisms of hormone action.
  
  Pathophysiology of the hypothalamic-pituitary axis.
  
  Secretory and non-secretory pituitary adenomas.
  
  Hypopituitarism.
  
  Empty Sella syndrome.
  
  Central diabetes insipidus.


• Pathophysiology of the thyroid: hyperthyroidism and hypothyroidism.
  
  Acute, subacute, and chronic thyroiditis.
  
  Endemic goiter.
  
  Thyroid nodule management.
  
  Thyroid tumors: histological classification and therapeutic considerations.
  
  Calcium/phosphorus metabolism.
  
  Pathophysiology of the parathyroid gland: hypo- and hyperparathyroidism.
  
  Pathophysiology of the adrenal glands.
  
  Dynamic tests for the diagnosis of major endocrine disorders.
  
  Disorders of the adrenal medulla: pheochromocytoma.
  
  Endocrine-based hypertension.
  
  Primary hyperaldosteronism.
  
  Metabolic syndrome


• Diabetes classification: type I, type II, and other types.
  
  Diagnostic criteria for diabetes.
  
  Laboratory tests in the diagnosis and treatment of diabetic patients.
  
  Glycemic monitoring.
  
  Treatment of type I and type II diabetes (hints).
  
  Gestational diabetes: diagnostic criteria, management of patients with
  diabetes during pregnancy, and treatment

• Overview of the anatomy and physiology of the kidney and urinary tract.
  
  • Physiological changes in renal function during pregnancy.
  
  • Acute and chronic renal failure: general principles and obstetric
  implications.
  
  • Glomerular syndromes: glomerulonephritis and nephrotic syndrome (clinical
  notes).


• • Kidney stones.
  
  • Urinary tract infections (asymptomatic bacteriuria, cystitis, and
  pyelonephritis), with particular attention to pregnancy.
  
  • Urinary tract disorders.


• • Overview of glomerular diseases, tubular diseases, and renal vascular
  diseases.
  
  • Kidney tumors (notes).
  
  • Principles of prevention, monitoring of renal function, and
  multidisciplinary collaboration in the management of women with renal disease.

• Hematopoiesis. Stem cells from bone marrow, umbilical cord blood and peripheral blood. Physiological changes in hematological parameters during pregnancy.


• Anemias: classification. • Anemia in obstetrics.Physiology of hemostasis


• Coagulopathies and platelet diseases in obstetrics. Onco-hematology - Definition and classification: • Acute and chronic myeloid and lymphoid leukemia,• Hodgkin's lymphoma, non-Hodgkin's lymphomas.