INTERNAL MEDICINE GENERAL SURGERY II Single channel

Chair (Coordinator) and Rapporteur: ROBERTO CANGEMI

Module 1: INTERNAL MEDICINE

Activity type
Clinica generale medica e chirurgica, Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica, Tirocini formativi e di orientamento
SSD
MED/09, MED/09, MED/09
Year
6th year
Semester
1st semester
CFU
3
Hours distribution
25 classroom hours, 25 others hours
Lecturers
STEFANIA BASILI
ROBERTO CANGEMI
SILVIA MIGLIACCIO
GIULIA CIANCARELLA
LUIGI PETRAMALA

Module 2: GENERAL SURGERY

Activity type
Emergenze medico-chirurgiche
SSD
BIO/14
Year
6th year
Semester
1st semester
CFU
1
Hours distribution
13 classroom hours
Lecturers
GIUSEPPE BATTAGLIA

Module 3: PHARMACOLOGY

Activity type
Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
SSD
MED/18
Year
6th year
Semester
1st semester
CFU
2
Hours distribution
25 classroom hours
Lecturers
ROBERTO CARONNA
ANDREA MINGOLI
ALESSANDRO MARIA PAGANINI
PAOLO SAPIENZA

Objectives

The main purpose of the course is to provide the student with the fundamental knowledge to be able to perform the clinical classification and differential diagnosis and to formulate the therapy of the most common pathologies of Internal Medicine and General Surgery, with particular attention to those most typical of the elderly patient. This knowledge must also include those necessary to be able to conduct the multidimensional assessment of the elderly patient and to evaluate the risks of the different treatments in elderly patients suffering from multiple pathologies. The course will integrate to the frontal lessons, professionalizing activities in the ward or in the clinic that must be considered as indispensable for the achievement of the objectives of the course itself.

Learning outcomes

Module: INTERNAL MEDICINE

N/D
Module: GENERAL SURGERY

N/D
Module: PHARMACOLOGY
N/D

Prerequisites

Students must have passed the fourth-year exams

Programme

Internal Medicine:
Primary and secondary cardiovascular prevention; obesity; eating disorders; type 2 diabetes; heart failure; atrial fibrillation; pulmonary embolism; essential hypertension; resistant, renovascular, and adrenal hypertension; liver cirrhosis; rheumatoid arthritis; systemic lupus erythematosus.
The general practitioner’s perspective on the prevention of non-communicable diseases, prescription practices, and the use of medical prescription forms.

General Surgery:
Primary liver tumors; hepatic metastases; liver cirrhosis; cholelithiasis – complications and surgical treatment; gastric carcinoma; pancreatic neuroendocrine tumors; colonic diverticulosis – complications and surgical indications; adrenal pathologies of surgical interest; intestinal obstructions; hernia diseases; introduction to trauma management.

Pharmacology:
Acute intoxication from alcohol and opioids; treatment of multiple sclerosis; neuropathic pain management.

Books

2021 ESC Guidelines on Cardiovascular Disease Prevention in Clinical Practice
Recommendations for primary and secondary prevention of cardiovascular diseases, including updated risk assessment tools (SCORE2 / SCORE2-OP) and integrated management of risk factors.

2024 ESC Guidelines for the Management of Atrial Fibrillation
Updated guidance on diagnosis and management of atrial fibrillation, with the AF-CARE framework (Comorbidities, Avoid stroke, Reduce symptoms, Evaluate) and recommendations on anticoagulation and rhythm control.

ESC Guidelines on Acute Pulmonary Embolism (Diagnosis and Management)
European recommendations for the diagnosis, risk stratification, and management of acute pulmonary embolism.

2021 ESC Guidelines on Acute and Chronic Heart Failure
Evidence-based recommendations for the diagnosis, clinical management, and treatment of acute and chronic heart failure.

2019 ESC/EAS Guidelines for the Management of Dyslipidaemias
Joint guidelines from the European Society of Cardiology and the European Atherosclerosis Society on lipid management and cardiovascular risk reduction.

Bibliography

Module: INTERNAL MEDICINE

N/D
Module: GENERAL SURGERY

Updated references provided during lectures


Module: PHARMACOLOGY
N/D

Lessons mode

Module: INTERNAL MEDICINE

N/D
Module: GENERAL SURGERY

Lectures


Module: PHARMACOLOGY
N/D

Frequency

Attendance is mandatory. Presence is recorded by signing a dated attendance sheet specific to each lecture.

Exam mode

The oral examination will assess the student’s level of knowledge of the topics covered in the program and evaluate the ability to apply and contextualize the acquired knowledge within clinical practice.

Example exam questions

Module: INTERNAL MEDICINE

N/D
Module: GENERAL SURGERY

N/D
Module: PHARMACOLOGY
N/D

Arguments

Module: INTERNAL MEDICINE

N/D
Module: GENERAL SURGERY

N/D
Module: PHARMACOLOGY
N/D

  • Academic year2026/2027
  • Degree program to which the course belongsMedicine and Surgery "D" - Roma Azienda Policlinico Umberto I
  • Mandatory presenceNo
  • Languageita
  • CFU6 CFU, distributed among 3 integrated didactic modules
  • Total duration88 hours