Medicine and Surgery

Medical history (Anamnesis) General overview: collecting and writing the patient’s medical history Physical examination General overview: basic concepts and scientific terminology Vital signs Semeiotics of fever Semeiotics of pain Semeiotics of shock The malnourished patient Malnutrition by deficiency and by excess Physical examination and semeiotics of the head and neck Thyroid Parathyroid glands Salivary glands Lymph nodes The cardiologic patient Physical examination and semeiotics in the cardiologic patient Introduction to laboratory and instrumental tests The patient with respiratory disease Respiratory symptoms Physical examination and semeiotics in the patient with respiratory disease Introduction to laboratory and instrumental tests Surgical semeiotics of the chest Semeiotics of the breast The patient with gastrointestinal disease Semeiotics and scientific terminology (nausea and vomiting, constipation, diarrhea, etc.) Physical examination of the abdomen The patient with liver disease Physical examination and semeiotics in the patient with liver disease Introduction to laboratory and instrumental tests Effusions Dysproteinemias Biliary tract and gallbladder Jaundice Pre-hepatic jaundice Intra-hepatic jaundice Post-hepatic jaundice Semeiotics and differential diagnosis The patient with acute abdominal disease Acute abdomen Peritonitis Intestinal obstruction Perforations Intestinal ischemia Semeiotics of pancreatitis Acute pancreatitis Chronic pancreatitis Neoplastic diseases of the pancreas Semeiotics of gastrointestinal bleeding Semeiotics of benign and malignant gastrointestinal diseases Esophagus Stomach Small intestine Colon Chronic inflammatory bowel diseases Semeiotics of the proctologic patient Semeiotics of abdominal wall diseases Hernias and incisional hernias Semeiotics of urological diseases Hematuria Urinary calculi Prostatic disease Neoplastic diseases of the urinary tract Semeiotics of the patient with renal disease Alterations in urination (polyuria, anuria, etc.) Nephrotic syndrome Nephritic syndrome Introduction to laboratory and instrumental tests in patients with renal disease Semeiotics of skin alterations and visible swellings Semeiotics of wounds, ulcers, and burns Semeiotics of the vascular system Venous disease Arterial disease Semeiotics of acute aortic syndromes Semeiotics of the neurological patient Neurological examination Altered states of consciousness Semeiotics of the musculoskeletal system Semeiotics of the diabetic patient Signs and symptoms of hematologic diseases White blood cell disorders Red blood cell disorders Platelet disorders Semeiotics of the immune system Autoimmunity Immunodeficiencies

1. Amoroso A., Rossi Fanelli F. Semeiotica Medica e Metodologia Clinica - A. Delfino Editore 2. Amoroso A., et al. Semeiotica Chirurgica - Metodologia, Clinica e Terapia - A. Delfino Editore 3. Fradà G. Semeiotica Medica nell’Adulto e nell’Anziano - Piccin Editore 4. Bickley L.S. Bates. Esame obiettivo e anamnesi - Piccin-Nuova Libraria 5. Nardo B., Pata, F. Metodologia Clinica e Sistematica Medico-Chirurgica. Lezioni di Chirurgia Generale - Società Editrice Esculapio

1. Amoroso A., Rossi Fanelli F. Semeiotica Medica e Metodologia Clinica - A. Delfino Editore 2. Amoroso A., et al. Semeiotica Chirurgica - Metodologia, Clinica e Terapia - A. Delfino Editore 3. Fradà G. Semeiotica Medica nell’Adulto e nell’Anziano - Piccin Editore 4. Bickley L.S. Bates. Esame obiettivo e anamnesi - Piccin-Nuova Libraria 5. Nardo B., Pata, F. Metodologia Clinica e Sistematica Medico-Chirurgica. Lezioni di Chirurgia Generale - Società Editrice Esculapio

The course is divided into two parts The first part aims to provide the student with the general knowledge for a correct approach to the surgical patient. This knowledge concerns the collection of anamnestic data, the correct execution of the physical examination in the various anatomical districts, the recognition and interpretation of the signs and symptoms and the description of the main surgical syndromic pictures. This part therefore includes teaching the physical examination, semeiological maneuvers, the search for painful points as well as the study of commonly used laboratory tests and the main instrumental examinations. Subsequently, the main syndromes of surgical interest will be addressed, such as jaundice, intestinal obstruction, acute abdomen and peritonitis. The second, special, is aimed at the semeiological classification of the main pathologies of surgical interest for single organs and systems. For each of these will be treated: recalls of surgical anatomy and physio-pathology, outline of epidemiology, signs and symptoms, physical examination, diagnostic process, laboratory tests and the main instrumental tests essential for diagnosis. EXTENDED PROGRAM General Part - from symptoms and signs to clinical diagnosis - laboratory, endoscopic and imaging diagnostics - semiotic of the chest - general principles in the semiotics of the abdomen - semiotics of abdominal pain - semiotics of the acute abdomen - semeiotics of intestinal obstruction - semeiotics of the peritonitis - semiotics of digestive haemorrhage - semeiotics of jaundice - vascular semeiotics

According to the study plan. Preliminary exams: General pathology and physiopathology. It is fundamental the knowledge of human anatomy and pathophysiology

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mandatory frequency

oral exam with discussion of clinical cases

The course includes a part of lectures and a part of internship. The lectures are carried out with the help of explanatory presentations, accompanied by iconography and radiological images. Practical training will be performed through attendance in surgical wards and clinics