CLINICAL METHODOLOGY Single channel

Chair (Coordinator) and Rapporteur: SALVATORE SORRENTI

Module 1: HISTORY OF MEDICINE

Activity type
Attività formative affini o integrative
SSD
MED/02
Year
N/D
Semester
N/D
CFU
1
Hours distribution
12 others hours
Lecturers

Module 2: INTERNAL MEDICINE V

Activity type
Clinica generale medica e chirurgica, Tirocini formativi e di orientamento
SSD
MED/09, MED/09
Year
N/D
Semester
N/D
CFU
3
Hours distribution
24 classroom hours, 25 others hours
Lecturers

Module 3: GENERAL SURGERY V

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
3
Hours distribution
36 classroom hours
Lecturers

Module 4: INTERNAL MEDICINE VI

Activity type
Clinica generale medica e chirurgica, Tirocini formativi e di orientamento
SSD
MED/09, MED/09
Year
N/D
Semester
N/D
CFU
4
Hours distribution
36 classroom hours, 25 others hours
Lecturers
EDOARDO ROSATO
LAURA D'ERASMO
CINZIA MILITO
ALESSIO MOLFINO

Module 5: GENERAL SURGERY VI

Activity type
Clinica generale medica e chirurgica, Tirocini formativi e di orientamento
SSD
MED/18, MED/18
Year
N/D
Semester
N/D
CFU
4
Hours distribution
36 classroom hours, 25 others hours
Lecturers
DANIELE PIRONI
FATIMA DELLA PIETRA
STEFANO ARCIERI
SALVATORE SORRENTI
LUIGI BASSO
SILVIA QUARESIMA

Module 6: ENGLISH LANGUAGE

Activity type
Clinica generale medica e chirurgica, Tirocini formativi e di orientamento
SSD
MED/18, MED/18
Year
N/D
Semester
N/D
CFU
4
Hours distribution
24 classroom hours, 50 others hours
Lecturers

Learning outcomes

Learning objectives:

Communication and relationships in medicine:
Develop the ability to establish an effective doctor–patient relationship (language and goals of the medical interview, the triadic relationship, the chronic patient, difficult communications, values and ethics in medicine, etc.).

Medical-scientific terminology:
Introduction to the correct use of specific medical terminology (general aspects and organ/system-specific terminology).

Medical history (Anamnesis):
Acquire knowledge and skills to systematically collect a patient’s medical history.
Be able to obtain the patient’s medical history using appropriate medical terminology.
Learn to identify priorities in history-taking depending on the clinical setting (inpatient ward, outpatient clinic, emergency department, etc.).

Physical examination:
Learn to perform a systematic physical examination in adult patients: general physical examination, measurement of vital signs, and examination of individual organs and systems (practical activities: skill lab, on mannequins, peer-to-peer, and/or in the ward).
Be able to distinguish normal from pathological findings.
Use appropriate medical-scientific terminology to describe findings identified during the physical examination.

Semeiotics and clinical methodology:
Know and be able to define the main pathological signs and symptoms related to each organ and system.
Know and be able to define the main syndromic patterns.
Acquire basic notions of diagnostic methodology for the different organs and systems:
Application of major laboratory tests in the study of various organs and systems
Application of the main instrumental diagnostic techniques in the study of various organs and systems
In-depth study of pathological conditions, with particular focus on the following systems:
Cardiovascular
Respiratory
Renal
Urogenital
Endocrine
Gastrointestinal (digestive) system and associated organs (liver, biliary tract, pancreas, etc.)
Circulatory system (aorta, supra-aortic vessels, peripheral arteries, nervous system)
Breast
Acid–base and fluid–electrolyte balance

Prerequisites

Knowledge of human anatomy and physiology is essential.

Programme

Module: HISTORY OF MEDICINE
N/D
Module: INTERNAL MEDICINE V
N/D
Module: GENERAL SURGERY V
N/D
Module: INTERNAL MEDICINE VI
Semeiotica medica e metodologia clinica


Module: GENERAL SURGERY VI
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


Module: ENGLISH LANGUAGE
N/D

Books

Module: HISTORY OF MEDICINE
N/D
Module: INTERNAL MEDICINE V
N/D
Module: GENERAL SURGERY V
N/D
Module: INTERNAL MEDICINE VI
Semeiotica e metodologia clinica e diagnostica


Module: GENERAL SURGERY VI
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



Module: ENGLISH LANGUAGE
N/D

Bibliography

Module: HISTORY OF MEDICINE
N/D
Module: INTERNAL MEDICINE V
N/D
Module: GENERAL SURGERY V
N/D
Module: INTERNAL MEDICINE VI
N/D
Module: GENERAL SURGERY VI
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



Module: ENGLISH LANGUAGE
N/D

Lessons mode

The program will be delivered by the lecturers through frontal lessons, interactive assignments, and practical activities (skill lab sessions with practice on mannequins and/or peer-to-peer exercises and, where possible, in hospital wards). Additional teaching materials will also be made available to students.

Frequency

The program will be conducted by the lecturers through frontal lectures, interactive assignments, and practical activities (skill labs involving practice on mannequins and/or peer-to-peer sessions and, where possible, in hospital wards). Supplementary teaching materials will also be provided to students.

Exam mode

Module: HISTORY OF MEDICINE
N/D
Module: INTERNAL MEDICINE V
N/D
Module: GENERAL SURGERY V
N/D
Module: INTERNAL MEDICINE VI
esame orale sul programe annuale


Module: GENERAL SURGERY VI
N/D
Module: ENGLISH LANGUAGE
N/D

Example exam questions

Neck semiotics
E.O. of the cirrhotic patient
Signs and symptoms of the patient with acute pancreatitis

Arguments

Module: HISTORY OF MEDICINE
N/D
Module: INTERNAL MEDICINE V
N/D
Module: GENERAL SURGERY V
N/D
Module: INTERNAL MEDICINE VI



Module: GENERAL SURGERY VI

  • Breast Examination and Semiotics:Benign and Malignant Pathology
    • Books: supplementary teaching materials

  • Semiotics of shock
    • Books: supplementary teaching materials

  • Semiotics of abdominal wall pathology: hernias and laparoceles
    • Books: supplementary teaching materials

  • Chronic inflammatory bowel disease
    • Books: supplementary teaching materials

  • Biliary tract and gallbladder
    • Books: supplementary teaching materials

  • Semiotics of the vascular system: Venous and arterial pathology
    • Books: supplementary teaching materials

  • Physical and instrumental semiotics of the urological patient
    • Books: supplementary teaching materials

  • Semiotics of benign and malignant colon pathology
    • Books: supplementary teaching materials

  • Semiotics of benign and malignant pathology of the ESOPHAGUS
    • Books: supplementary teaching materials

  • Semiotics of benign and malignant pathology of the STOMACH
    • Books: supplementary teaching materials

  • Semiotics of benign and malignant pathology of the SMALL INTESTINE
    • Books: supplementary teaching materials

  • Semiotics of the proctological patient
    • Books: supplementary teaching materials

  • Semiotics of Acute Aortic Syndromes
    • Books: supplementary teaching materials

  • Semiotics of wounds, ulcers and burns
    • Books: supplementary teaching materials

  • Interactive clinical cases
    • Books: supplementary teaching materials

  • Professionalizing practical activities as outlined in the program



Module: ENGLISH LANGUAGE
N/D

Sustainability goals

  • Goal3
  • Goal4
  • Academic year2026/2027
  • Degree program to which the course belongsMedicine and Surgery "B" - Roma Azienda Policlinico Umberto I
  • Languageita
  • CFU19 CFU, distributed among 6 integrated didactic modules
  • Total duration293 hours