Enrollment year
2020/2021
Academic discipline
MED/14 (NEPHROLOGY)
Department
DEPARTMENT OF INTERNAL MEDICINE AND THERAPEUTICS
Course
MEDICINE AND SURGERY
Curriculum
PERCORSO COMUNE
Period
1st semester (25/09/2023 - 12/01/2024)
Lesson hours
32 lesson hours
Prerequisites
Knowledge of basis of renal anatomy and physiology.
Learning outcomes
The objectives training will be the following:
1. Know how to describe and recognize the clinical signs of depletion and extracellular volume expansion in the patient. Learn to describe the peripheral edema diagnostic algorithm. Know how to change the volume of extracellular volume.
2. To describe and recognize in the patient the clinical signs of plasma hyperpo-mality. Know how to correct an alteration of plasma osmolarity.
3. Know how to describe the mechanisms that generate an acidosis and a metabolic alkalosis. Learn to recognize clinical signs and indicate corrective methods.
4. To describe and recognize in the patient the clinical signs of hypo-hyperpotassiemia.
5. Know how to interpret a urine test.
6. To describe and recognize in the patient the clinical signs of nephritic syndrome and nephrotic syndrome.
7. Learn to describe the diagnostic algorithm of hematuria, proteinuria, oliguria
8. Describe the pathogenesis, clinical and laboratory signs and the evolution of glomerulonephritis.
9 Know how to describe the mechanisms of acute renal damage and indicate the differential diagnostic signs of functional forms with respect to organic forms.
10. Describe the clinical and laboratory signs of chronic renal disease. Know the guidelines and general principles of the substitution treatment for renal function (dialysis, transplantation).
11. Must learn the notions of the most common therapeutic and diagnostic maneuvers as well as indications of the surgical and endoscopic therapy of urinary apparatus.
Course contents
1) Anatomy and renal physiology
2) Nephrology semeiotics
3) Electrolytic alterations
4) Acid-base equilibrium alteration
5) Acute renal damage (AKI)
6) Kidney and ipertension
7) Hereditary diseases
8) Nephrotic syndrome
9) Nephritic syndrome
10) Primitive and secondary glomerulonephritis
11) Diabetic nephropathy
12) Urinary tract infection
13) Nephrolithiasis
14) Chronic renal disease and uremia
15) Hemodialysis
16) Kidney transplantation
17) Kidney and pregnancy
Teaching methods
The course is based on frontal lessons in the classroom, eventually integrated by seminars practical training which the obligatory frequency is of the 80% of the hours assigned.
Reccomended or required readings
Carmelo Libetta
IL RENE
Publisher: Piccin-Nuova Libraria
Assessment methods
The assessment of the achievement of the objectives set in the course includes an oral examination. The assessment will be carried out through an examination on all the topics of the two modules (nephrology and urology) of the integrated course, which will assess not only the knowledge of each nosographic entity, but also the ability to make differential diagnoses. If the student is able to adequately describe the subject under study, the grade in terms of knowledge and presentation will be between 18 and 24, if in addition he is able to describe the subject in more detail also with reference to pathogenesis and with recourse to elements of physiology and pathology, the grade will be between 25 and 28, but if you also add correlations and skills of differential diagnosis between the various pathologies, the grade will be between 29 and 30 with honours. The final grade is the weighted average (based on CFU) of the grades of the two modules.
It is not possible to take the modules separately in two consecutive sessions. Therefore, if you do not achieve the grade in one of the two sessions of the integrated course, the student must repeat both sessions
Further information
Prof. Carmelo Libetta receives students on Wednesday from 11.00 to 12.00
Tel. +39.0382.501813
e.mail: carlib.04@unipv.it; carmelo.libetta@unipv.it
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