Medicine and Surgery HT

Main diseases of internal medicine interest with particular reference to endocrine-metabolic diseases and the diseases of the respiratory, cardiovascular, gastrointestinal and nervous system.

Adequate knowledge of biology, physiology, pathophysiology, general pathology, pathological anatomy, hygiene and preventive medicine, semiotics, laboratory and instrumental diagnostics, internal medicine and medical specialties, general and specialist surgery, pharmacology.

Harrison, Principi di Medicina Interna, XX edizione

Attendance in at least 67% of teaching hours is required (attendance will be recorded on register)

Oral and practical assessment aimimg to evaluate the acquisition of the skills required

Practical courses

Main Teaching Objectives: The course is organised in professional activity, aimed towards the student acquiring a diagnostic methodology (clinical, in the laboratory and instrumental) and subsequently to recognize therapeutic indications. Bearing this in mind the discussion of clinical cases and video projections are fundamental in the student’spractical professional activity. The following principal clinical symptoms of interest to doctors and surgeons are dealt with: dysfagia, vomiting, abdominal pain , thoracic pain, alterations of the alvus, icteri, arterial hypertension, tumefaction, anemic syndromes, dyspnea. During the course particular attention is paid to the main geriatric syndromes and the evaluation of surgical risk in geriatrics. Multi Dimensional evaluation (VMD) and predictive medicine will be dealt with. Common symptoms in geriatric practice will be dealt with, such as the following: bedsores, senile malnutrition, osteoporosis, urinary incontinence, dementia, acute confusional states and the “case management” of the healthy elderly patient and risk of disability. At the end of the course the student must be able to make a decision aimed towards therapeutic ends in pathologies of statistical importance. The student will also have acquired general knowledge about intensive therapy, enteral and parenteral nutrition, transfusions, obvious and concealed hemorrhage, and, as far as the surgical patient is concerned, to prepare him for the operation, and to deal with post-operative complications, paying particular attention to infection and antibiotic treatment.

The student must have completed integrated clinics and internal medicine 1-2 as well as pharmacology, pathological anatomy and laboratory medicine

-Malattie del cuore di Braunwald - Trattato di medicina cardiovascolare Autori: Braunwald - Zipes - Libby - Bonow ISBN: 9788821430497 Editore: Elsevier - Masson -Harrison - Manuale di Medicina interna - Edizione 2017 Autori: Fauci - Kasper - Hauser - Longo - Jameson - Loscalzo - Harrison ISBN: 9788808680006

mandatory attendance

objective examination with the compilation of a medical record, clinical reasoning and therapeutic approach

in internal medicine ward