Learning objectives
The course will allow the student to manage according to an holistic approach the patients suffering from internal diseases.
The student will be able to:
1. to plan a standardized diagnostic algorithm;
2. to evaluate after making a differential diagnostic hypothesis all clinical and instrumental data.
3. to plan a therapeutic, pharmacological and non pharmacological, strategy of acute diseases and riacutization of chronic disease;
4. to adopt preventive strategies.
5.to be knowledgeable and competent about recognition and treatment of common endocrine and metabolic disorders.
6. The Course will also give to the students the cultural basis to formulate a diagnostic-therapeutic plan of the most common geriatric syndromes and the instruments to perform the comprehensive geriatric assessment in older patients with multimorbidity and to minimize the risks of polypharmacotherapy.
Prerequisites
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Course unit content
The classes will help to get knowledge of epidemiological, physiopathological, clinical and therapeutical aspects of internal medicine diseases, endocrine disease, supported by training in internal and geriatric wards and palliative care labs.
Full programme
CORE CURRICULUM
1) Heart failure and arrythmia particularly in the elderly.
2) Patient with thoracic pain, differential diagnosis and clinical approach, evaluation of the main instrumental and biochemical investigations.
3) Hypertension: diagnostic evaluations and therapy also in the elderly.
4) Dysphagia, malnutrition and cachexia in the elderly, anorexia and obesity.
5) COPD,asthma and chronic respiratory failure.
6) Infectious diseases (Pneumonia, Infezioni delle vie UTI , Sepsis): diagnosis and therapy.
7) Fever: physiopathology, causes and clinical approach.
8) Osteoporosis, Paget Disease, Hypercalcemia and hypocalcemia.
9) Deep vein thrombosis and pulmonary embolism.
10) Clinical approach to the patient with lynfoadenomegaly and splenomegaly.
11) Clinical evaluation of patients with platelet disease (low platelet count).
12)Anemia: causes, diagnosis and therapy.
13) Liver diseases,jaundice.
14) Diabetes Mellitus: diagnosis, treatment (insulin oral hypoglycemic and euglycemic agents), prevention and treatment of macro and microvascular complications .
15) Dislipidemia and atherosclerosis.
16) prevention of CV risk.
17) Metabolic syndrome.
18) Cerebrovascular disease : prevention and therapy.
19) Endocrine diseases.
20) Dementia: Differential diagnosis and therapy
Bibliography
1) Harrison's Principles of Internal Medicine, XVIII° ed. Mc Grow Hill ed.
2) Goldman-Cecil, Medicina Interna XXV° ed Edra SpA ed.
3) Manuale di Geriatria 2019. Edra Editore. Curato da Antonelli Incalzi R, Cesari M, Ungar A, Pedone C, Volpato S, Leosco D.
4) Endocrine and Metabolic Diseases in: Kumar & Clark’s, Clinical Medicine - 9th Edition
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/).
All classes will start from the description of a real patient, and then during the description of the different aspect of the disease the real clinical aspect of single patients wil be taken into consideration.
Therapeutical aspect will be considered in practical fashion.
Assessment methods and criteria
Oral examination.
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)
An oral test will start from the description of a specific patient, and the student will discuss in a critical fashion the different diagnostic options in order to reach a specific diagnosis, that will be followed by the definition of a therapeutical approach.
This test will allow to evaluate the knowledge as well as the clinical skills of the student.
Other information
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