Medicine and Surgery "A" - Roma Azienda Policlinico Umberto I

Activity type

Clinica delle specialità medico-chirurgiche, Tirocini formativi e di orientamento

SSD

MED/10, MED/10

Year

4th year

Semester

1st semester

CFU

3

Hours distribution

12.5 classroom hours, 10 training hours, 40 others hours

Lecturers

PAOLO PALANGE
MATTEO BONINI
FRANCESCO LUIGI CICIARELLO
LETIZIA D'ANTONI

Activity type

Clinica delle specialità medico-chirurgiche, Tirocini formativi e di orientamento

SSD

MED/11, MED/11

Year

4th year

Semester

1st semester

CFU

3

Hours distribution

12.5 classroom hours, 10 training hours, 40 others hours

Lecturers

VIVIANA MAESTRINI
MASSIMO MANCONE
CARMINE DARIO VIZZA

Activity type

Clinica delle specialità medico-chirurgiche

SSD

MED/23

Year

4th year

Semester

1st semester

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

MIZAR D'ABRAMO

Activity type

Clinica delle specialità medico-chirurgiche

SSD

MED/22

Year

4th year

Semester

1st semester

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

PASQUALINO SIRIGNANO
WASSIM AHMAD MANSOUR

Activity type

Clinica delle specialità medico-chirurgiche

SSD

MED/21

Year

4th year

Semester

1st semester

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

TIZIANO DE GIACOMO

Knowledge of the main diseases of the respiratory and cardiovascular system, indications for surgery and knowledge of the main surgical procedures.
Knowledge of the semeiological maneuvers performed for diagnostic and therapeutic purposes.
Knowledge of the main corrective methods of the patient's lifestyle, for preventive purposes.

At the end of the course, the student will be able to:

Knowledge and understanding
- Describe the pathophysiology of the main diseases of the cardiovascular and respiratory systems.
- Identify the etiopathogenetic and pathological bases of the diseases addressed in the modules on cardiovascular diseases, respiratory diseases, vascular surgery, thoracic surgery, and cardiac surgery.
- Understand the integration between medical and surgical aspects in the management of cardio-respiratory diseases.

Applying knowledge and understanding:
- Apply physiological and clinical knowledge to interpret the main symptom patterns and physical signs of cardiovascular and respiratory diseases.
- Recognize the general principles of diagnosis, prognosis, and treatment of the diseases discussed in the different modules.
- Distinguish between medical and surgical therapeutic indications according to the severity and stage of the disease.

Making judgements:
- Critically analyze a clinical case, identifying the underlying pathogenetic mechanisms and formulating coherent diagnostic hypotheses.
- Integrate knowledge from different specialist areas to achieve a multidisciplinary approach to the patient.

Communication skills
- Communicate clearly and appropriately the clinical reasoning and pathophysiological principles underlying diagnostic and therapeutic decisions.

Learning skills:
- Demonstrate the ability for autonomous learning and continuous professional development in the field of cardio-respiratory diseases, using scientific sources and evidence-based guidelines.

Before taking the exam, all first- and second-year exams, as well as at least one third-year exam, must have been passed.
In addition, the exam in Pathology and Pathophysiology must have been successfully completed.
The student is also expected to have adequate knowledge of anatomy, physiology, and pathology.

Module: RESPIRATORY SYSTEM DISEASES
Programma in inglese
- Pulmonary clinical history and chest physical examination
- The pathophysiological mechanisms underlying the main respiratory diseases
- The main respiratory clinical signs and symptoms (i.e. dyspnoea, cyanosis, cough, sputum, hemoptysis)
- The principal diagnostic tests in Respiratory Medicine (i.e. pulmonary function tests, arterial blood gas analysis, cardiopulmonary exercise test, chest imaging)
- The invasive and non-invasive procedures for the diagnosis and management of the main respiratory diseases
- The effects of smoking on the lungs and the available multidisciplinary therapeutic interventions
- Acute and chronic respiratory failure
- Obstructive sleep apnea syndrome
- Bronchial Asthma
- Chronic Obstructive Pulmonary Disease (COPD)
- Pulmonary emphysema
- Lung bronchiectasis
- Idiopathic and secondary Interstitial Lung Diseases (ILDs)
- Sarcoidosis
- Pulmonary hypertension
- Pulmonary embolism
- Cystic fibrosis
- Community-acquired and hospital-acquired pneumonia
- Tuberculosis
- COVID-19
- Pleural effusions
- Idiopathic chronic cough



Module: DISEASES OF CARDIOVASCULAR SYSTEM
Ischemic heart disease
Heart failure
Pulmonary edema
Valvular heart diseases
Sudden cardiac death
Cardiomyopathies
Myocarditis and pericarditis
ECG (Electrocardiogram)
Arrhythmias
Pulmonary embolism


Module: THORACIC SURGERY
History of cardiac surgery

- Fundamentals of cardiac anatomy

- Surgical accesses

- Extracorporeal circulation

- Myocardial and cerebral protection

- Aortic valve disease: diagnosis, surgical and percutaneous therapy.

- Mitral valve disease: diagnosis, surgical and percutaneous therapy.

- Ischemic heart disease: diagnosis, surgical and percutaneous therapy.

- Thoracic aorta pathology: diagnosis, surgical therapy.

- Heart tumors.


Module: VASCULAR SURGERY
N/D
Module: CARDIAC SURGERY
Chest anatomy, main diagnostic procedures for chest diseases: fiberoptic bronchoscopy, EBUS, EUS, CT-guided needle biopsy, supraclavicular biopsy, anterior mediastinotomy, mediastinoscopy, thoracoscopy.
Congenital deformities of the chest wall
Primary or secondary benign and malignant neoplasms of the respiratory system
Primary and secondary neoplasms of the chest wall
Benign and malignant neoplasms of the pleura, pleural effusions
Mediastinal neoplasms and syndromes
Pneumothorax and pleural drainage
Infectious diseases of the chest of surgical interest: pleural empyema, lung abscess, bronchiectasis, mediastinitis
Chest trauma
Lung transplantation and surgical lung volume reduction for emphysema

Module: RESPIRATORY SYSTEM DISEASES
Testi di riferimento in inglese“Harrison’s principles of internal medicine” 21st Edition
"West's Respiratory Physiology: The Essentials" 11th Edition
“ERS Handbook of Respiratory Medicine” 4th Edition
"Fishman's Pulmonary Diseases and Disorders" 6th Edition
"Murray & Nadel's Textbook of Respiratory Medicine" 7th Edition



Module: DISEASES OF CARDIOVASCULAR SYSTEM
Harrison's Principles of Internal Medicine
Ed Mc Gray Hill


Cardiology Book
Sabino Iliceto
Ed Piccin




Module: THORACIC SURGERY
Cardiac Surgery in the Adult. Cohn McGrave Hill

Cardiac Surgery Kirklin / Barrat Boyes ELSEVIER


Module: VASCULAR SURGERY
N/D
Module: CARDIAC SURGERY
General Thoracic Surgery VIII Edizione Wolter Kluwer Ed.

Module: RESPIRATORY SYSTEM DISEASES
N/D
Module: DISEASES OF CARDIOVASCULAR SYSTEM
N/D
Module: THORACIC SURGERY
N/D
Module: VASCULAR SURGERY
N/D
Module: CARDIAC SURGERY
N/D

The lecturer delivers frontal teaching in the traditional format, supported by audiovisual aids and according to a scheduled timetable.

The professional training activities included in this integrated course are carried out in small groups within the hospital departments affiliated with the Degree Programme and in teaching laboratories, following the scheduled rotations.

Attendance is mandatory.
Attendance will be recorded in the classroom using paper sign-in sheets.

The exam will be conducted orally and will cover the topics included in the syllabus.
Questions will be open-ended, requiring open responses.
They may concern:
1. definitions of the disease, etiology, pathophysiology, clinical presentations, diagnosis, and treatment;
2. clinical cases;
3. formulation of coherent diagnostic hypotheses.

The type of questions may vary, including requests for definitions of various diseases, their etiology, pathophysiology, clinical presentations, diagnosis, and treatment.
Alternatively, clinical case scenarios may be presented, requiring the student to apply reasoning and clinical judgment and formulario of diagnostic hypothesis.
For example: A male smoker presents to the emergency department with constrictive chest pain radiating to the left arm. The ECG shows ST-segment elevation in leads II, III, and aVF. What is your diagnostic suspicion, and how should the patient be managed?

Module: RESPIRATORY SYSTEM DISEASES



Module: DISEASES OF CARDIOVASCULAR SYSTEM

•  Valve disease
  • Books: Harrison's Principles of Internal MedicineEd Mc Gray HillCardiology BookSabino IlicetoEd Piccin


•  Valve disease 
  • Books: Harrison's Principles of Internal MedicineEd Mc Gray HillCardiology BookSabino IlicetoEd Piccin


•  Ischemic heart disease 
  • Books: Harrison's Principles of Internal MedicineEd Mc Gray HillCardiology BookSabino IlicetoEd Piccin


• Assessment of the cardiorespiratory patient
  • Books: Harrison's Principles of Internal MedicineEd Mc Gray HillCardiology BookSabino IlicetoEd Piccin


• Ischemic heart disease 
  • Books: Harrison's Principles of Internal MedicineEd Mc Gray HillCardiology BookSabino IlicetoEd Piccin


•  Heart Failure
  • Books: Harrison's Principles of Internal MedicineEd Mc Gray HillCardiology BookSabino IlicetoEd Piccin


• Pulmonary edema
  • Books: Harrison's Principles of Internal MedicineEd Mc Gray HillCardiology BookSabino IlicetoEd Piccin


•  Pulmonary embolism
  • Books: Harrison's Principles of Internal MedicineEd Mc Gray HillCardiology BookSabino IlicetoEd Piccin


• Arrhythmias part I
  • Books: Harrison's Principles of Internal MedicineEd Mc Gray HillCardiology BookSabino IlicetoEd Piccin


• Sudden Cardiac death and cardiomyopathy 
  • Books: Harrison's Principles of Internal MedicineEd Mc Gray HillCardiology BookSabino IlicetoEd Piccin


• Myocarditis and pericarditis
  • Books: Harrison's Principles of Internal MedicineEd Mc Gray HillCardiology BookSabino IlicetoEd Piccin


• Endocarditis
  • Books: Harrison's Principles of Internal MedicineEd Mc Gray HillCardiology BookSabino IlicetoEd Piccin

• Frontal classes and practical activities according to the published calendar

• aortic dissection 
  • Books: SICVE III edition 


• aortic aneurysms 
  • Books: SICVE III edition 


• carotid artery 
  • Books: SICVE III edition 


• Venous disease
  • Books: SICVE III edition 


• Peripheral artery disease 
  • Books: SICVE III edition 


• Vascular Trauma 
  • Books: SICVE III edition