Learning objectives
The student, at the end of the course, by integrating the his/her background of anatomy, biochemistry, and physiology, should be able to demonstrate full knowledge of kidney diseases, the main urologic disease, the main rheumatologic diseases
Prerequisites
Kidney, heart, lung, liver anatomy and physiology. Heart Failure. Diabetes mellitus.
Course unit content
The Nephrology course is part of the integrated course on kidney and urinary tract diseases. The course gives the student the basic elements in order to understand etiology, pathogenesis, clinical aspects, diagnosis and therapy of the main kidney diseases, including the different modalities of renal replacement therapies (hemodialysis, peritoneal dialysis, renal transplantation)
Full programme
- Diagnostic approach to the main nephrological syndromes (proteinuria, hematuria, edema, nephrotic and nephritic syndrome
- Serum creatinine, BUN, clearance, GFR measured, calculated and estimated
- Hypo- and hypernatremia
- Hypo- and hyperkalemia
- Acid-base alterations
- Diuretics: pharmacolgy and use in acute and chronic kidney disease, heart failure, liver failure
- Nephroprotection
- Nutrition in chronic kideny disease
- Glomerulonephritides: primary and secondary
The Kidney in systemic diseases (diabetes mellitus, herat failure, SLE, vasculitides, trombothic microangiopathies, multiple myloma, amyloidosis
- Acute and chronic tubulointerstitial diseases
- Cystic diseases
- Congenital kidney diseases
- Acute kidney injury
- Chronic kidney disease
- Essential and secondary hypertension
- Hemodialysis and peritoneal dialysis
- Renal transplantation
- Urodynamics
- benign renal tumors and renal cell carcinoma
- urothelial cancer of the urinay system
- prostate cancer
- testicular cancer
- acute and non-acute scrotal conditions in the ault
- neurological bladder
- urinary incontinence
- male sexual dysfunction
- nephrolithiasis: urological aspects
- obstructive nephropathy, including benign prostate hyperplasia and vescico-ureteral reflux
Elements to recognize and interpret the main rheumatic diseases with a prevalent joint localization and connective diseases. Recognition of the signs, symptoms and interpretation of laboratory data and instrumental diagnostics that characterize inflammatory arthropathies (Rheumatoid Arthritis, Seronegative Spondyloarthritis, Septic Arthritis, Arthritis caused by microcrystals); degenerative arthropathy (osteoarthritis or osteoarthritis); Horton's Polymyalgia Rheumatica and Temporal Arteritis. - Notes on inflammatory myopathies and on the classes of drugs used for arthropathies.
Bibliography
Gilbert SJ, Weiner DE. National Kidney Foundation's Primer on Kidney Diseases. Seventh Edition. 2018. Elsevier
UptoDate, accessible from pc workstations of Parma University, and at the Faculty of Medicine Library
Teaching methods
The course will be held through lectures to Students either in the classroom (“in presenza”) or in synchronous-streaming (“in telepresenza”) on the Teams platform. Therefore, the opportunity of Student/Teacher interaction will be preserved both face to face and remotely, by the simultaneous use of the Teams platform.
Lectures will be supported by slide presentations, which will be available to students on the Elly platform (https://elly2020.medicina.unipr.it/).
Assessment methods and criteria
Oral examination on nephrology, rheumatology and urology (single exhamination).
In case of the persistence of the health emergency, the exams will be conducted remotely, as follows:
remote oral questions, through the Teams platform (guide http://selma.unipr.it/).
Students with SLD / BSE must first contact Le Eli-che: support for students with disabilities, D.S.A., B.E.S. (https://sea.unipr.it/it/servizi/le-eli-che-supporto-studenti-con-disabilita-dsa-bes)
Other information
the slides of the lectures and seminars will be made available online
