Enrollment year
2018/2019
Academic discipline
MED/13 (ENDOCRINOLOGY)
Department
DEPARTMENT OF MOLECULAR MEDICINE
Course
MEDICINE AND SURGERY (IN ENGLISH LANGUAGE) (ENGLISH LANGUAGE)
Curriculum
PERCORSO COMUNE
Period
2nd semester (01/03/2021 - 04/06/2021)
Lesson hours
24 lesson hours
Prerequisites
No preparatory exams are required. However students must possess or acquire a proper preparation in physiology and pathology
Learning outcomes
Diseases of endocrine system: The Course is aimed at providing the students with the main notions regarding pathophysiology and clinics of the diseases of the endocrine system. The subject of endocrine diseases will be treated taking into account their repercussions in Internal Medicine and giving a particular emphasis to their multidisciplinary aspects. Paradigmatic clinical cases will be illustrated. Clinical practice, both in the outpatients clinic and in the ward, is encouraged.
Diseases of metabolism: The Course is aimed at providing students with the main notions regarding pathophysiology and clinics of the Diseases of Metabolism. Particular emphasis will be given to methodological aspects, which are useful to attain a clinical diagnosis. The final aim is to provide students with an integrated picture of the Diseases of Metabolism.
Endocrine surgery: The main topics of the course will be: 1) anatomy and physiology of endocrine glands; 2) notions regarding etiology, gross and microscopic pathology, signs and symptoms, diagnosis and treatment of the those diseases of the Endocrine System and of Metabolism, which are currently considered of surgical interest. Paradigmatic clinical cases will be illustrated and discussed.
Course contents
Diseases of endocrine system
Neuro-endocrinology
Pituitary adenomas
Hyper-prolactinemia
Acromegaly
Cushing's disease
Hypopituitarism
Disorders of the neurohypophysis and diabetes insipidus
Pathophysiology of the hypothalamic-pituitary-thyroid axis
Hyperthyroidism
Hypothyroidism
Nodular thyroid diseases and thyroid cancer
Mineral metabolism
Hyperparathyroidism
Hypoparathyroidism
Multiple endocrine neoplasia (MEN)
Pathophysiology of the adrenal gland
Adrenal insufficiency
Cushing’s syndrome
Female reproductive endocrinology
Male reproductive endocrinology
Diseases of metabolism:
Disorders of carbohydrate metabolism: diabetes mellitus and its acute and chronic complications
Obesity and insulin resistance
Dyslipidemia
Gout
Metabolic abnormalities due to endocrine diseases
Endocrine surgery:
MEN 1 and MEN 2
Pancreatic endocrine tumors
Carcinoid
Adrenal cortical cancer
Pheochromocytoma
Surgical thyroid diseases: toxic and non-toxic goiter, Graves-Basedow’s disease, thyroid tumors
Hyperparathyroidism
Adrenal incidentaloma
Teaching methods
The Course is divided in three modules, diseases of endocrine system, diseases of metabolism and endocrine surgery and includes frontal teaching activities and clinical practice in the outpatients and inpatients endocrine-metabolic clinics. The teachers are available, in the schedule of reception, for explanations on the matters treated at lesson
Reccomended or required readings
J. Larry Jameson, Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser, Dan L. Longo, Joseph Loscalzo (Eds). Harrison's Principles of Internal Medicine: Volumes 1 and 2, 20e, Mc Graw-Hill, 2018.
D. Gardner, D. Shoback (Eds). Greenspan's Basic and Clinical Endocrinology, 10th Edition. Mc Graw-Hill, 2017.
L. Goldman, AI. Schafer (Eds). Goldman's Cecil Medicine, 26th Edition. Saunders Elsevier, 2015.
A. Lenzi, G. Lombardi, E. Martino, R. Vigneri (Eds.). Endocrinologia Clinica, Minerva Medica, 2011.
LJ Greenfield, MW Mulholland, et al (Eds.) Greenfield's Surgery: Scientific Principles and Practice, 5th Edition. 4 Volumes Wolters Kluwer / Lippincott Williams & Wilkins, Philadelphia, 2011.
R. Dionigi (Ed.) Chirurgia 2 Volumi, 5° Edizione. Elsevier, 2011.
MC Towsend, RD Beauchamp, BM Evers, KL Mattox (Eds.) Sabiston Textbook of Surgery, 19th Edition. WB Saunders Company, 2012.
Assessment methods
The exam is oral for the modules of diseases of endocrine system, diseases of metabolism. It is written (30 multiple choice in a 30 minutes test) for endocrine surgery. The final grade will be calculated according to the credits of each module. During the exam the skill achieved and the learning objectives in each module, as well as the appropriate scientific dictionary will be evaluated .
Further information
The exam is oral for the modules of diseases of endocrine system, diseases of metabolism. It is written (30 multiple choice in a 30 minutes test) for endocrine surgery. The final grade will be calculated according to the credits of each module. During the exam the skill achieved and the learning objectives in each module, as well as the appropriate scientific dictionary will be evaluated .
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