Medicine and Surgery

practical approach to pathological ECG;

Advanced knowledge of pathoogy and pathophysiology of organs and sysstems. Kbnowledge of therapy and pharmacology. Knowledge of epidemiology and health statistics.

Amoroso A., Rossi Fanelli F., Medicina Interna, l’Essenziale, A. Delfino Editore, Roma 2012 Harrison, Principi di Medicina Interna, 2012, Casa Editrice Ambrosiana Semeiotica Chirurgica - Metodologia, Clinica e Terapia – Antonio Delfino Editore, Roma 2014

mandatory

assessment of acquired skills

Didactic lessons

Programma indicato sulla guida dello studente per l'anno in corso

come da regolamento del corso di studi

Harrison: Principi di Medicina Interna

In entrambe le modalità indicate

Esame svolto tramite modalità orale

In entrambe le modalità indicate

Pharmacological and non-pharmacological treatment of the patient with essential arterial hypertension, based on international guidelines; selection criteria for drug therapy of hypertension; main side effects of antihypertensive drugs, contraindications and drug interactions. Prescription and monitoring of drug therapy in atrial fibrillation (FA). Prescription and monitoring of drug therapy in patients with high cardiovascular risk. Prescription and monitoring of anticoagulant and / or antiplatelet therapy in the various cardiovascular diseases. Pharmacological and non-pharmacological treatment of type 1 and type 2 diabetes. Diagnostic and therapeutic framework of the patient with NAFLD / NASH. Diagnostic and therapeutic framework of the patient with obstructive sleep apnea syndrome (OSAS). Setting up pharmacological and non-pharmacological treatment and clinical follow-up of the patient with ischemic heart disease. Setting the diagnostic and therapeutic path for dyslipidaemias. Practical clinical training Attendance in medicine and surgery departments is foreseen under the guidance of a tutor to acquire the ability to frame, clinical and decision-making skills relating to the diagnostic procedure, therapeutic management and clinical follow-up of the patient.

Knowledge of organ-specific integrated pathologies

- Step - Up per Medicina di Agabegi - Agabebi • 2020 - Equilibrio acido - base - Ossigeno - Fluidi e elettroliti di Schiraldi - Guiotto • 2016 - Harrison 's Principles of Internal Medicine ( 2 Volumes ) di Harrison - Loscalzo - Fauci - Kasper - Hauser - Longo - Jameson • 2022 - SIMI (Societa' Italiana di Medicina Interna ) Handbook - Terapia medica di Corazza - Perticone - Pietrangelo - SIMI • 2022 - Kumar and Clark’ s Medicina interna di Feather - Randall - Waterhouse - Kumar - Clark • 2024 - Algoritmi diagnostico - terapeutici in medicina interna. Autori:Violi. Editore:Edra - Masson. Volume:Unico. Edizione:2021

Blended (Online and in person)

Mandatory

Oral examination

2024 Guidelines for Management of Atrial Fibrillation ESC Clinical Practice Guidelines https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Atrial-Fibrillation-Management 2019 Guidelines on Diabetes, Pre-Diabetes and Cardiovascular Diseases developed in collaboration with the EASD https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Diabetes-Pre-Diabetes-and-Cardiovascular-Diseases-developed-with-the-EASD 2019 Guidelines on Dyslipidaemias (Management of) ESC Clinical Practice Guidelines https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Dyslipidaemias-Management-of 2019 Guidelines on Acute Pulmonary Embolism (Diagnosis and Management of) ESC Clinical Practice Guidelines https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Acute-Pulmonary-Embolism-Diagnosis-and-Management-of 2018 ESC/ESH Clinical Practice Guidelines for the Management of Arterial Hypertension https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Arterial-Hypertension-Management-of Guidelines on Fourth Universal Definition of Myocardial Infarction. ESC Clinical Practice Guidelines https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Fourth-Universal-Definition-of-Myocardial-Infarction 2021 Acute and Chronic Heart Failure Guidelines ESC Clinical Practice Guidelines https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Acute-and-Chronic-Heart-Failure

Blended (Online and in person)

Contents: Growth, Development and Behavior; Nutrition; Fluid and Electrolyte Disorders; Human Genetics; Metabolic Disorders; The Fetus and Neonatal Infant; Immunology; Allergic Disorders; Rheumatic Diseases of Childhood; Infectious diseases; The Digestive System; Respiratory System; The Cardiovascular System; Diseases of the Blood; Cancer and Benign tumors; Nephrology; Urologic Disorders in Infants and Children; The Endocrine System; The Nervous System and Neuromuscular Disorders

Knowledge of the main adult diseases.

Suggested textbooks: ● Nelson Textbook of Pediatrics, Editors. RM Kliegman, BF Stanton, JW St Geme III, NF Schor, RE Behrman, 20th Edition . Elsevier, Philadelphia, 2016 ● The Online Metabolic and Molecular Bases of Inherited Disease, David Valle, MD, Editor-in-Chief, Arthur L. Beaudet, MD, Editor, Bert Vogelstein, MD, Editor, Kenneth W. Kinzler, Ph.D., Editor, Stylianos E. Antonarakis, MD, D.Sc., Editor, Andrea Ballabio, MD, Editor, K. Michael Gibson, Ph.D., FACMG, Editor, Grant Mitchell, MD, Editor

mandatory

Evaluation methods: written and oral exam. The final evaluation of the entire course will be based on the results of a test structured as follows: 1) 33 multiple-choice questions (1 point each) 2) an oral exam after the written evaluation to discuss the wrong choices (optional).

Teaching methods: Academic lectures with use of slides; discussion of clinical cases, seminars, training.

1. Atrial fibrillation as an example of complex cardiovascular pathology in the elderly 2. Heart failure: diagnosis and treatment 3. Deep vein thrombosis and pulmonary embolism: diagnosis and treatment 4. Appropriate use of antiplatelet and anticoagulant drugs 5. Knowing how to address the complexity of patients in the ward affected by multiple comorbidities

The prerequisites for the course include knowledge of the pathophysiology of the most common internal medicine conditions (hypertension, diabetes, metabolic syndrome, atherosclerosis, ischemic heart disease, heart failure, infectious diseases commonly encountered in internal medicine departments such as pneumonia and urinary tract infections, autoimmune diseases, deep vein thrombosis, and pulmonary embolism), basics of general pharmacology, familiarity with drugs used in internal medicine conditions, and understanding of pathological anatomy.

Harrison: Principles of Internal Medicine (last edition) ESC guidelines on heart failure and atrial fibrillation

Classroom lectures and practical professionalizing sessions in small groups

The general assessment of the exam consists of knowledge of the topics covered in class. The assessment of internships will be based on the student's ability to evaluate a complex clinical situation, work in a team, handle communication between physician and patient, propose a diagnostic-therapeutic strategy, discuss it with colleagues, and make collective decisions.

Regarding the frequency with the undersigned teacher, it involves classroom lectures and practical professionalizing sessions in small groups in the wards and outpatient clinics of internal medicine.