CODE 67362 ACADEMIC YEAR 2022/2023 CREDITS 8 cfu anno 3 MEDICINA E CHIRURGIA 8745 (LM-41) - GENOVA SCIENTIFIC DISCIPLINARY SECTOR MED/04 LANGUAGE Italian TEACHING LOCATION GENOVA SEMESTER 1° Semester PREREQUISITES Propedeuticità in ingresso Per sostenere l'esame di questo insegnamento è necessario aver sostenuto i seguenti esami: MEDICINE AND SURGERY 8745 (coorte 2020/2021) HUMAN PHYSIOLOGY 2 61193 2020 Propedeuticità in uscita Questo insegnamento è propedeutico per gli insegnamenti: MEDICINE AND SURGERY 8745 (coorte 2020/2021) DERMATOLOGY, CLINICAL IMMUNOLOGY AND RHEUMATOLOGY 67377 MEDICINE AND SURGERY 8745 (coorte 2020/2021) CARDIOLOGY AND PNEUMOLOGY 67384 MEDICINE AND SURGERY 8745 (coorte 2020/2021) PHARMACOLOGY I 67371 MEDICINE AND SURGERY 8745 (coorte 2020/2021) PHARMACOLOGY 80794 MEDICINE AND SURGERY 8745 (coorte 2020/2021) GU TRACT AND ENDOCRINE DISEASES 67391 TEACHING MATERIALS AULAWEB OVERVIEW The course gives students the fundamental elements of pathophysiology, which are essential for the successive comprehension of clinical medical sciences. AIMS AND CONTENT LEARNING OUTCOMES Physiopathology is a branch of medicine that combines physiology and pathology especially in the study of altered bodily function in disease. The learning outcome is the knowledge of the main physiopathological mechanisms of organs and systems, in order to recognize the mechanisms and causes of their malfunction, and to be able to interpret the symptoms, which will be exposed to the students in the successive clinical courses AIMS AND LEARNING OUTCOMES Knowledge of the main physiopathological mechanisms of organs and systems, with particular regard to blood, liver, kidney, respiratory and digestive systems, some aspects of endocrinology and metabolism, and the physiopathology of neoplasms. PREREQUISITES basic knowledge in anatomy, histology, biochemistry, immunology and physiology TEACHING METHODS Lectures, with any possible dialectic interaction with students In case of sanitary emergency, lessons will switch to remote learning SYLLABUS/CONTENT Hematopoiesis The hematopoietic and mesenchymal stem cells Bone marrow transplant / HSC Erythropoiesis Anemias. Classification and general considerations Bone marrow aplasia B12 and folate deficiency anemia Thalassemia, Iron deficiency anemia Auto and alloimmune hemolytic anemias Paroxysmal nocturnal hemoglobinuria Hemostasis and bleeding diathesis Abnormalities of the vascular wall, thrombocytopenia Alterations of clotting factors The neoplastic transformation; benign and malignant tumors; metastasis Local and systemic effects, paraneoplastic syndromes Molecular basis of cancer Oncogenes and related neoplastic diseases Oncosuppressors and related neoplastic diseases Epidemiology Risk and prognostic factors, stage, grade Cancer stem cells (CSCs) Hematological neoplasms: classification and general considerations Myeloid neoplasms Lymphoid neoplasms Angiogenesis and tumor microenvironment Anti-tumor immune response Neoplasm and inflammation Atherosclerosis Ischemic heart disease Rheumatic fever Hypertension Heart failure Examples of pathologies of the grastrointestinal and respiratory systems Diabetes Pathogenesis of diabetes complications acute complications chronic complications Renal pathophysiology Kidney failure Evaluation of renal failure Hydro saline balance (water) Salt and water balance (sodium) The water and salt balance (potassium) The salt and water balance (calcium) The hydro saline balance (phosphorus) The acid-base balance: general information Metabolic disturbances of the acid-base equilibrium Dyslipidemias Alterations of carbohydrate metabolism (lactose intolerance, galactosemia) Changes in nitrogen metabolism (gout) Alterations in nitrogen metabolism (porphyrias) Alterations in nitrogen metabolism (phenylketonuria) Alterations in nitrogen metabolism (hyperhomocysteinemia) Methemoglobinemias Etiopathogenesis of liver damage Acute and chronic hepatitis Cirrhosis of the liver Hepatic insufficiency Jaundice Metabolic liver disease Non-alcoholic steatohepatitis Metal storage liver disease RECOMMENDED READING/BIBLIOGRAPHY Robbins & Cotran Pathologic Basis of Disease, Elsevier The didactic material is available in pdf format for download (https://www.aulaweb.unige.it). The aim of the course is also to familiarize students with online biomedical scientific literature (https://www.ncbi.nlm.nih.gov/pubmed) Students with SLD, disability or other special educational needs certification are strongly encouraged to contact the teachers at the beginning of the course to agree on teaching methods which, respecting the teaching objectives, take into account individual learning methods and provide suitable compensatory instruments. TEACHERS AND EXAM BOARD CRISTINA BOTTINO Ricevimento: By appointment Cristina.Bottino@unige.it NICOLA TRAVERSO Ricevimento: For appointments, contact the Professor via email at: Nicola.Traverso@unige.it. The teacher's office is located in the General Pathology Section of DIMES, Via Leon Battista Alberti 2, 1st floor, 16132 Genoa Nicola Traverso is the Coordinator of the Integrated Course of Clinical Pathology and Immunohematology CINZIA MARIA DOMENICOTTI Ricevimento: The reception of the students is agreed from time to time, according to the needs and deadlines, by e-mail to the following address: Cinzia.Domenicotti@unige.it The office is located at General Pathology Section - DIMES via LB Alberti 2- Genoa tel +39 010 3538830 Exam Board CRISTINA BOTTINO (President) NICOLA TRAVERSO (President) ANNA MARIA BASSI CINZIA MARIA DOMENICOTTI LESSONS LESSONS START 1st semester, 3rd year Class schedule The timetable for this course is available here: Portale EasyAcademy EXAMS EXAM DESCRIPTION The end-of-course exam aims to evaluate the achievement of the educational objectives of the course. The exams take place on the dates indicated in the calendar. Verification is oral, conducted by two teachers for each student. The grade is assigned as a weighted average. The teachers verify the achievement of the educational objectives by asking diversified questions relating to the programs actually carried out during the lesson hours. When the educational objectives have not been achieved, the student is invited to better verify his knowledge and to take the exam again in its entirety. There are no student reception hours, but students can contact the teachers by email in order to make an appointment for further explanations. Exam Commission: Proff. Cristina Bottino, Nicola traverso, Cinzia Domenicotti In case of changes in the sanitary and epidemiological situation, the exams will be carried out remotely (TEAMS). ASSESSMENT METHODS Verification of learning takes place only through the final exam which aims to verify the actual acquisition, by the student, of the expected learning outcomes. In order to pass the exam, with a score of not less than 18/30, the student must demonstrate that they know and connect the topics covered during the course The following contribute to the final mark expressed out of thirty: - Ability to deal with the requested topics in a transversal and critical manner; - Correctness, clarity, synthesis and fluidity of presentation; - Mastery of the subject; - Adoption of appropriate terminology The mark of 30/30 with possible honors will be awarded when the knowledge / skills of the subject are excellent. Students with SLD or other regularly certified special educational needs will be able to agree on written or oral modalities with the teacher, by contacting the teachers at least 10 days before the exam. They can also take advantage of 30% additional time. Exam schedule Data appello Orario Luogo Degree type Note 09/01/2023 09:00 GENOVA Orale 30/01/2023 09:00 GENOVA Orale 20/02/2023 14:00 GENOVA Orale 06/04/2023 09:00 GENOVA Orale 16/05/2023 09:00 GENOVA Orale 05/06/2023 14:30 GENOVA Orale 26/06/2023 09:00 GENOVA Orale 17/07/2023 09:00 GENOVA Orale 04/09/2023 09:00 GENOVA Orale 18/09/2023 09:00 GENOVA Orale 15/12/2023 09:00 GENOVA Orale FURTHER INFORMATION Attendance allows the student to better learn the contents of the course because the teacher provides detailed explanations during the lessons and frames the topics with continuous references to the most current discoveries in the field of the subject. The teaching material is available online (Teams or Aulaweb)