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

Activity type

Clinica delle specialità medico-chirurgiche

SSD

MED/10

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

Activity type

Clinica delle specialità medico-chirurgiche

SSD

MED/11

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

Activity type

Clinica generale medica e chirurgica

SSD

MED/18

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

Activity type

Formazione clinica interdisciplinare e medicina basata sulle evidenze

SSD

MED/49

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

ELEONORA POGGIOGALLE

Activity type

Inglese scientifico e abilità linguistiche, informatiche e relazionali, pedagogia medica, tecnologie avanzate e a distanza di informazione e comunicazione

SSD

L-LIN/12

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

CARLA BRUSCHELLI

Activity type

Clinica generale medica e chirurgica

SSD

MED/18

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

ANDREA POLISTENA
ALESSANDRO COPPOLA
AUGUSTO LAURO

Activity type

Tirocini formativi e di orientamento

SSD

MED/09

Year

N/D

Semester

N/D

CFU

1

Hours distribution

25 others hours

Lecturers

LUIGI PETRAMALA

Activity type

Inglese scientifico e abilità linguistiche, informatiche e relazionali, pedagogia medica, tecnologie avanzate e a distanza di informazione e comunicazione

SSD

L-LIN/12

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

MMS INTEGRATA (I)
Through seminars on interdisciplinary clinical cases, students will be guided to know how to critically evaluate,
through a correct clinical reasoning, the symptoms and clinical signs and to correlate them to the pathophysiological knowledge related to cardiovascular, respiratory and renal diseases more frequent in daily clinical practice. Particular importance will be given to the presentation of paradigmatic clinical cases of medical-surgical system pluripatologie.
The final objective will be the acquisition of an adequate differential diagnostic capacity useful for identifying the most suitable instrumental examinations for the resolution of the presented clinical case.

MMS INTEGRATA (II)
Through interdisciplinary seminars the student will be guided to be aware of the epidemiological and socio-economic relevance of the main endocrine-metabolic and digestive diseases foreseen in the integrated course. It will be able to critically evaluate and correlate clinical symptoms, physical signs and functional alterations with pathogenic causes.
It will also be brought to know the clinical process to put an exact differential diagnosis also through the use of instrumental techniques. Last but not least, the therapeutic aspect will be considered.

The importance of the scientific method in medicine is universally recognized, both with regards to the specific knowledge of medical methodology and its rules, according to the principles of evidence-based medicine, and to clinical methodology applied to the single patient.
This integrated course aims to guide students towards a unified training and, using the individual and specific skills of the teachers in the clinical, surgical, and radiological fields, guide them through their scientific-professional training.

At the end of the course, the student shall be able to identify the correct methodology, useful for the diagnostic and clinical classification of patients affected by thoracic or abdominal pain, liver disease, dyspnea, syncope, metabolic and nutrition disorders.

Knowledge and understanding: Ability to place the presented symptoms within the context of pathological conditions.
Applied knowledge and understanding: Ability to apply acquired knowledge to differential diagnoses and data interpretation.
Making independent judgments: Ability to formulate diagnostic hypotheses, to make decisions within the diagnostic algorithm, and to sustain clinical judgements independently and critically.
Communication skills: Ability to communicate effectively through appropriate use of medical terminology.
Learning skills: Ability to develop independent learning and the ability to continue professional development through the ability to critically evaluate, through sound clinical reasoning, clinical symptoms and signs, and to correlate them with pathophysiological knowledge of the most common cardiovascular, respiratory, and renal diseases in daily clinical practice.

Medical Semiotics
Pathophysiology

Module: Integrated Scientific Methods I - RESPIRATORY DISEASES
N/D
Module: Integrated Scientific Methods I - CARDIOVASCULAR DISEASES
N/D
Module: Integrated Scientific Methods I - GENERAL SURGERY
N/D
Module: Integrated Scientific Methods I - Medical English
Food Science and Human Nutrition . Nutritional status assessment. Overnutrition. Undernutrition. Impaired glucose tolerance. Chronic renal failure. Celiac disease.
Internal Medicine. Evaluation of patients with: abdominal pain, chest pain, dyspnea, syncope, palpitations,
ascites, fluid and electrolyte disturbances.
General Surgery. Surgical semiotics and clinical methodology for neck endocrinopathies and breast and adrenal disorders. Digestive bleeding, intestinal obstruction, obstructive jaundice, pancreatitis.
Example radiological images related to the internal medicine and surgery topics covered in the integrated course.


Module: Integrated Scientific Methods II - Medical English
N/D
Module: Integrated Scientific Methods II - GENERAL SURGERY
Jaundice
Acute and Chronic Pancreatitis


Module: Integrated Scientific Methods II - INTERNAL MEDICINE
ECG reading; EGA reading, assisted ventilation techniques (invasive and non-invasive), acute coronary syndromes, management of internal medicine and and specialist emergencies



Module: Integrated Scientific Methods II - Applied Dietary SCIENCES
N/D

Module: Integrated Scientific Methods I - RESPIRATORY DISEASES
N/D
Module: Integrated Scientific Methods I - CARDIOVASCULAR DISEASES
N/D
Module: Integrated Scientific Methods I - GENERAL SURGERY
N/D
Module: Integrated Scientific Methods I - Medical English
Learning/CME | NEJM



Module: Integrated Scientific Methods II - Medical English
N/D
Module: Integrated Scientific Methods II - GENERAL SURGERY
N/D
Module: Integrated Scientific Methods II - INTERNAL MEDICINE
emergency texts to be defined



Module: Integrated Scientific Methods II - Applied Dietary SCIENCES
N/D

Module: Integrated Scientific Methods I - RESPIRATORY DISEASES
N/D
Module: Integrated Scientific Methods I - CARDIOVASCULAR DISEASES
N/D
Module: Integrated Scientific Methods I - GENERAL SURGERY
N/D
Module: Integrated Scientific Methods I - Medical English
N/D
Module: Integrated Scientific Methods II - Medical English
N/D
Module: Integrated Scientific Methods II - GENERAL SURGERY
N/D
Module: Integrated Scientific Methods II - INTERNAL MEDICINE
emergency texts to be defined



Module: Integrated Scientific Methods II - Applied Dietary SCIENCES
N/D

Frontal teaching; Cooperative Learning; Inquiry-Based Learning.

Mandatory attendance (minimum requirement: 67%)

Oral exam. Discussion of Clinical Cases.

Clinical case: approach to the patient with malnutrition in geriatric age, from semiotics to differential diagnosis.

Module: Integrated Scientific Methods I - RESPIRATORY DISEASES
N/D
Module: Integrated Scientific Methods I - CARDIOVASCULAR DISEASES
N/D
Module: Integrated Scientific Methods I - GENERAL SURGERY
N/D
Module: Integrated Scientific Methods I - Medical English

• Nutritional assessment.Nutritional semiotics.


• Overnutrition. Glucose tolerance.


• Malnutrition in adulthood and in the elderly.


• Nutritional assessment in feeding and eating disorders


• Nutritional assessment in digestive tract disorders: celiac disease

• Module 1: Clinical Reasoning and Critical Vitals (1.5 Hours)1.5 hrs- Problem-Based History Taking: Key questions for emergencies (chest pain, syncope). - Assessment of Critical State: Use of simple scoring systems (e.g., NEWS/MEWS, AVPU). - Vital Signs: Critical variations in BP, HR, RR, and when a vital sign indicates an emergency.


• Module 2: Clinical Approach to Dyspnea and Toxicity (2.5 Hours)2.5 hrs- Dyspnea: Classification, signs of respiratory distress and fatigue. - Essential Pulmonary Semiotics: Correlation between findings (reduced breath sounds, crackles, wheezes) and clinical pictures (Acute Pulmonary Edema, Pneumothorax). - Toxicity and Febrile Syndrome: Clinical signs of SIRS and Sepsis (clinical framework).


• Module 3: Clinical Approach to Pain and Acute Abdomen (2 Hours)2 hrs- Chest Pain: Symptom analysis (radiation, quality) and immediate differential diagnosis (ACS, Pulmonary Embolism, Aortic Dissection). - Acute Abdomen: Essential basic semiotics (guarding, Blumberg sign) and its interpretation in critical pathologies (peritonitis). - Acute Headache: Recognizing neurological red flags.


• Module 4: Focused Neurological Exam and Synthesis (1 Hour)1 hr- Altered Level of Consciousness: Basic semiotics and an overview of the Glasgow Coma Scale (GCS). - Focal Deficits: Rapid recognition for suspected Stroke. - Methodological Synthesis: The transition from symptom to Working Diagnosis and first-line investigations.