GENERAL SURGERY - EMERGENCIES

Course objectives

General Objectives of the integrated course Acquiring the ability to analyze and solve clinical problems and evaluating the relationship between benefits, risks and costs, in order to the principles of evidence based medicine; Developing the appropriate clinical reasoning skills to analyze and solve the most common and important clinical problems of both medical and surgical interest and the capability to assess the epidemiological data and their proper use for health promotion and disease prevention in individuals and community; Acquiring the ability to consider the general health status of a person in order to integrate his needs for general well-being into a global assessment of both younger and older patients considering their symptoms, signs, structural and functional alterations thus creating a preventive, diagnostic, therapeutic, rehabilitation strategies and gender related problems. General Objectives of medical and surgical emergencies Acquiring the ability to make fast and effective clinical decisions, taking into account international guidelines;Acquiring the ability to recognize and stabilize critically ill patients;Acquiring the ability to determine the most appropriate care pathwayAcquiring the ability to recognize the main presentation of symptoms in emergency department; Acquiring the ability to identify different diagnostic and therapeutic strategies in relation to the acute conditions; Acquiring the main manual skills used in emergency; Acquiring the ability to use and interpret the main diagnostic tools and laboratory parameters used in acute patient. Acquiring the main skill for a good relationship between physiscians and patients-relatives in Emergency setting. Acquring integrated knowledge with Territorial aspect of Emergencies such as Ambulance system and territorial GPs, also with skills on Telemdecine use. Specific objectives of the Integrated course Knowledge and understanding: passing the exam implies the ability to analyze and solve clinical problems and evaluating the relationship between benefits, risks and costs, in order to the principles of evidence based medicine. Applying knowledge and understanding: passing the exam implies the appropriate clinical reasoning skills to analyze and solve the most common and important clinical problems of both medical and surgical interest and the capability to assess the epidemiological data and their proper use for health promotion and disease prevention in individuals and community. Making judgment: passing the exam implies the ability to consider the general health status of a person in order to integrate his needs for general well-being into a global assessment of both younger and older patients considering their symptoms, signs, structural and functional alterations thus creating a preventive, diagnostic, therapeutic, rehabilitation strategies and gender related problems. Communication skills: passing the exam implies mastering the ability to expose clinical reasoning and decision-making from signs and symptoms collection to appropriate diagnosis and therapy; mastering the the main skill for a good relationship between physicians and patients. Learning skills: passing the exam implies mastering the ability to learn the rational basis of differential diagnosis. Specific objectives of medical and surgical emergencies Knowledge and understanding: passing the exam implies the ability to recognize and stabilize critically ill patients; the ability to determine the most appropriate care pathway; the ability to recognize the main presentation of symptoms in emergency department. Applying knowledge and understanding: passing the exam implies the ability to make fast and effective clinical decisions, taking into account international guidelines; the ability to use and interpret the main diagnostic tools and laboratory parameters used in acute patient. Making judgment: passing the exam implies the ability to identify different diagnostic and therapeutic strategies in relation to the acute conditions; the main manual skills used in emergency. Communication skills: passing the exam implies mastering the the main skill for a good relationship between physicians, medical team and patients in Emergency setting. Learning skills: passing the exam implies mastering the ability to learn the rational basis of differential diagnosis.

Channel 1
GIUSEPPE NIGRI Lecturers' profile
PAOLO AURELLO Lecturers' profile
FRANCESCO MARIA CARRANO Lecturers' profile

Program - Frequency - Exams

Course program
By the end of the course, students should be able to: Identify the core competencies of the surgeon in the management of the polytraumatized patient. Recognize diagnostic methods and outline treatment strategies for digestive hemorrhage in cases of: Esophageal varices Gastric and duodenal ulcers, and hemorrhagic gastritis Inflammatory diseases Neoplasms Diverticulitis Hemorrhoidal disease Interpret acute abdominal pain from a clinical and diagnostic perspective. Describe diagnostic approaches and treatment options for acute pancreatitis. Differentiate causes and guide treatment in cases of peritonitis due to: Acute appendicitis Perforated ulcer Perforated diverticulitis Differentiate causes and guide treatment in cases of intestinal obstruction due to: Adhesions Inflammatory diseases Hernias and incisional hernias Neoplasms Volvulus Intussusception Differentiate causes and guide treatment in biliary emergencies such as: Acute cholecystitis and empyema Cholangitis and common bile duct stones Recognize, evaluate, and manage open and closed abdominal trauma, including: Hepatic trauma Splenic trauma Abdominal compartment syndrome
Prerequisites
For the effective study of Internal Medicine, General Surgery III, and Medical-Surgical Emergencies, a solid knowledge of general pathophysiology, semeiotics, and systemic diseases is essential.
Books
Mini-invasive Approach in Acute Care Surgery, Springer Real life/real time pocket-guide of emergency surgery: un Bignami per la Chirurgia d’urgenza, Edizioni Idelson Gnocchi Chirurgia: Basi teoriche e chirurgia generale-Chirurgia specialistica vol.1-2 7a edizione, Edra Sabiston Textbook of Surgery . The Biological Basis of Modern Surgical Practice 21st Edition, McGraw Hill Medical Schwartz's Principles of Surgery, 11th Edition, McGraw Hill Medical
Teaching mode
Lectures
Frequency
Compulsory
Exam mode
Written Examination: The written test consists of a multiple-choice questionnaire and short open-ended questions aimed at assessing theoretical knowledge and problem-solving ability. Practical Clinical Examination (OSCE): The Objective Structured Clinical Examination is carried out through structured clinical stations. The final evaluation also includes oral interviews conducted at the end of the professional training internship in the areas of Internal Medicine, Emergency Medicine, and General Surgery.
Bibliography
Mini-invasive Approach in Acute Care Surgery, Springer Real life/real time pocket-guide of emergency surgery: un Bignami per la Chirurgia d’urgenza, Edizioni Idelson Gnocchi Chirurgia: Basi teoriche e chirurgia generale-Chirurgia specialistica vol.1-2 7a edizione, Edra Sabiston Textbook of Surgery . The Biological Basis of Modern Surgical Practice 21st Edition, McGraw Hill Medical Schwartz's Principles of Surgery, 11th Edition, McGraw Hill Medical
  • Academic year2025/2026
  • CourseMedicine and Surgery
  • CurriculumSingle curriculum
  • Year6th year
  • Semester2nd semester
  • SSDMED/18
  • CFU1