2018/2019

2020/2021

DM270

DIPARTIMENTO DI MEDICINA MOLECOLARE

MEDICINA E CHIRURGIA (IN LINGUA INGLESE)

PERCORSO COMUNE

3°

Primo Semestre (01/10/2020 - 15/01/2021)

10

English

Anatomy, Physiology

The course is intended to provide a knowledge of the symptoms and signs of the most common diseases and to allow the student to identify the diseases starting from symptoms and physical examination of the patients

MEDICAL SEMIOTICS SYLLABUS – Harvey Course 2016/17

General approach to the patient
History taking (personal, familiar, social, previous, current)
Patient's main complaint vs. main medical problem
Signs and symptoms
Physical evaluation
- Inspection
- Palpation
- Percussion
- Auscultation
General presentation (facies, nutritional status, decubitus, skin and annexes,...)
Cognitive status, consciousness, coma, motility, gait and deambulation. Reflexes. Cranial and spinal nerve semeiology. Syncope. Dizziness.
Edema: mechanisms of edema formation; generalized and localized edema, main causes of generalized and localized edema; differential diagnosis
Lymphnodes
Arterial pulses
Venous system
Thyroid evaluation
Lung evaluation: normal vs. laboured breathing, cough, hemoptysis, pleural effusion, pleuritis; respiration patterns
Cardiovascular evaluation: heart and arterial vessels. Thrills, cardiac sounds and murmurs. Pericarditis. Heart rhytms and arrhythmias. Blood pressure evaluation.
Abdominal evaluation: Liver, spleen, kidney, and gallbladder evaluation. Peritoneal effusion

Big pictures:
• Anemia
• Cyanosis
• Dyspnoea
• Shortness of breath
• Acute pulmonary edema
• Generalized vs localised edema
• Angina
• Chest pain
• Heart failure
• Ascites
• Hyper/Hypo thyroid status
• Jaundice
Pain: somatic vs visceral
Fever: causes and patterns, associated signs and symptoms
Diuresis and micturition: oliguria, anuria and polyuria
Urinalysis: main clinical diseases leading to changes in urinanalysis.
Hematuria: definition and causes with associated symptoms
Proteinuria: definition, causes
Nephrotic and nephritic syndromes
Urinary tract infection: symptoms and signs

1) Lessons
2) Traineeship in small groups
3) Tutorials with simulated clinical cases
4) Simulation-guided cardiac auscultation with a dedicated manikin

Bates, Harrison's

Multiple choice questions and open question

Through formal and practical training activities, the student will be able to make a full physical examination, to detect and interpret the main symptoms and signs of disease, using techniques and standardized procedures (clinical skills), to collect from patient's full medical history, oriented to problems and starting from the referral reason, identifying the problems and active and inactive, identifying the relationships between events, providing a weight and an interpretation, always comprehensively considering the needs of the person, perceiving and valuing individuality, to develop the necessary communication skills (interview skills) to reliably and effectively identify all patient-relevant problems, and increase interpersonal communication skills necessary to create a relationship of trust and cooperation with the patient. Furthermore, it will be able to promote patient involvement in its overall management. It will be able to recognize in a clinical setting the various professionals and major logistical connotations of patient management inhospitals.