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CODE 67520
ACADEMIC YEAR 2023/2024
CREDITS
SCIENTIFIC DISCIPLINARY SECTOR MED/09
LANGUAGE Italian
TEACHING LOCATION
  • GENOVA
SEMESTER 2° Semester
SECTIONING Questo insegnamento è diviso nelle seguenti frazioni:
  • A
  • B
  • PREREQUISITES
    MODULES Questo insegnamento è un modulo di:
    TEACHING MATERIALS AULAWEB

    AIMS AND CONTENT

    AIMS AND LEARNING OUTCOMES

    At the end of the course, the student must be able to know the first approach to the patient with all the diseases of internal medicine and to define the subsequent diagnostic pathway, both clinical and laboratory, and the prognosis. 

    Among the specific skills he/she has to be able to:

    - Treat the differential diagnosis of the main features of the diseases of internal medicine, such as pain, fever, central nervous system alterations, circulatory, respiratory and gastrointestinal problems, blood and endocrine problems, immunological and rheumatological manifestations.

    - Discuss in an interactive way the differential diagnosis of real or simulated clinical cases

    - Evaluate all the laboratory results

    - Evaluate the results of radiological, scintigraphic and ultrasound imaging

    - Define a short and/or long-term strategy of the main illnesses with an addition of a therapeutic approach

    - Discuss in an interactive way the possible diagnostic and therapeutic decisions (decision making) in real or simulated clinical cases

    - Prepare a rational request of imaging and laboratory exams, and of a specialist visit

    - Prepare a clinical report and a discharge letter

    - Discuss with a patient the advantages and risks of a treatment

    - Inform the patient and the relatives about diagnosis of serious illnesses and related treatments

    - Collect the clinical history and make the clinical exam in outpatients or patients at home in the setting of the general practitioner. Identify the active problems in an outpatient.      

    TEACHING METHODS

    The learning contents will be provided through:

    Lessons in the lecture hall

    Seminars about clinical cases

    Practices for groups of students

    Weekly periods in wards

    Presentation of clinical cases by the students

    Overall teaching will be organized in 40 hours of lessons, 20 hours of seminars and practices for small groups, 40 hours of attendance in the wards

     

    SYLLABUS/CONTENT

    To deal with the differential diagnosis of the main features of diseases in internal medicine:

    - Pain

    - Fever

    - Weight decrease

    - Central nervous system manifestations (syncope, confusion, coma)

    - Changes in circulatory and respiratory functions (dyspnea, hypoxia, cough, haemoptysis, oedema, arrhythmias, shock)

    - Changes in gastrointestinal functions (hyporexia, dysphagia, constipation, dyarrhea, gastrointestinal bleeding, jaundice, ascites) and haemotology (problems at the 3 lines of blood cells, lymphoadenomegaly, splenomegaly)

    - Changes in kidney functions and electrolyte levels

    - Rheumatological diseases

    - Bone diseases, endocrine and metabolic diseases, nutrition problems

    - Neoplastic syndromes

    - Main infectious diseases

    To evaluate the laboratory exams

    To evaluate imaging, endoscopic, cardiological and respiratory results

    RECOMMENDED READING/BIBLIOGRAPHY

    AA.VV.-Goldman’s Cecil Medicine. Saunders (24thEdition, 2012)

    AA.VV.-Harrison’s. Principi di Medicina Interna. McGraw -Hill (19° Edizione, 2015)

    Rugarli C.-Medicina Interna Sistematica. Ed. Masson (5aEdizione, 2005)

    Bartoli E.-Medicina Interna: Metodologia, Semeiotica, Fisiopatologia, Clinica,

    Terapia medica. RAHP (1aEdizione, 2010)

    TEACHERS AND EXAM BOARD

    Exam Board

    GILBERTO FILACI (President)

    ALESSIO NENCIONI (President)

    FRANCESCO TORRE (President)

    FEDERICO CARBONE

    MASSIMO CASU

    ANNA DA COL

    FABIO FERRANDO

    ROBERTA GONELLA

    GIOVANNA LEONCINI

    LUCA LIBERALE

    FABRIZIO MONTECUCCO

    GIUSEPPE MURDACA

    SIMONE NEGRINI

    NICOLA TRAVERSO

    GABRIELE ZOPPOLI

    ALDO PENDE (President and Coordinator of Integrated Course)

    LESSONS

    LESSONS START

    In agreement with the calendar of the School

    Class schedule

    L'orario di tutti gli insegnamenti è consultabile all'indirizzo EasyAcademy.

    EXAMS

    EXAM DESCRIPTION

    Oral discussion of clinical cases. Usually 2 questions from different teachers.

    ASSESSMENT METHODS

    The assessment of the preparation of the students occurs with a final exam which aims to evaluate the real acquisition of the necessary knowledges.

    The student to pass the exam must be able to obtain a numerical evaluation not lower than 18/30 demonstrating:

    - The knowledge of the main diseases in internal medicine

    - The ability to propose a diagnosis, to suggest the necessary exams and to evaluate the results

    The final vote is the sum of:

    - Skills in differential diagnosis

    - Clearness and synthesis of the reasoning

    - Fluency of exposition and knowledge of the correct terms

    The maximum vote is 30/30 cum laude

    Exam schedule

    Data Ora Luogo Degree type Note
    10/01/2024 14:30 GENOVA Orale 10/01/2024 ore 14.30 Aule Antognetti e Fieschi 31/01/2024 ore 14.30 Aule Antognetti e Fieschi 21/02/2024 ore 14.30 Aule Antognetti e Fieschi 05/06/2024 ore 14.30 Aule 5 e 6 Polo Alberti (aule da confermare) 19/06/2024 ore 14.30 Aule Antognetti e Fieschi anche per il 20/06 10/07/2024 ore 14.30 Aule Antognetti e Fieschi anche per 11/07 18/09/2024 ore 14.30 Aula 6 Polo Alberti
    31/01/2024 14:30 GENOVA Orale 10/01/2024 ore 14.30 Aule Antognetti e Fieschi 31/01/2024 ore 14.30 Aule Antognetti e Fieschi 21/02/2024 ore 14.30 Aule Antognetti e Fieschi 05/06/2024 ore 14.30 Aule 5 e 6 Polo Alberti (aule da confermare) 19/06/2024 ore 14.30 Aule Antognetti e Fieschi anche per il 20/06 10/07/2024 ore 14.30 Aule Antognetti e Fieschi anche per 11/07 18/09/2024 ore 14.30 Aula 6 Polo Alberti
    21/02/2024 14:30 GENOVA Orale 10/01/2024 ore 14.30 Aule Antognetti e Fieschi 31/01/2024 ore 14.30 Aule Antognetti e Fieschi 21/02/2024 ore 14.30 Aule Antognetti e Fieschi 05/06/2024 ore 14.30 Aule 5 e 6 Polo Alberti (aule da confermare) 19/06/2024 ore 14.30 Aule Antognetti e Fieschi anche per il 20/06 10/07/2024 ore 14.30 Aule Antognetti e Fieschi anche per 11/07 18/09/2024 ore 14.30 Aula 6 Polo Alberti
    17/04/2024 14:50 GENOVA Orale Appello riservato agli studenti fuori corso ore 14.30 cpresso l'Aula B del DIMI
    05/06/2024 14:30 GENOVA Orale 10/01/2024 ore 14.30 Aule Antognetti e Fieschi 31/01/2024 ore 14.30 Aule Antognetti e Fieschi 21/02/2024 ore 14.30 Aule Antognetti e Fieschi 05/06/2024 ore 14.30 Aule 5 e 6 Polo Alberti (aule da confermare) 19/06/2024 ore 14.30 Aule Antognetti e Fieschi anche per il 20/06 10/07/2024 ore 14.30 Aule Antognetti e Fieschi anche per 11/07 18/09/2024 ore 14.30 Aula 6 Polo Alberti
    19/06/2024 14:30 GENOVA Orale 10/01/2024 ore 14.30 Aule Antognetti e Fieschi 31/01/2024 ore 14.30 Aule Antognetti e Fieschi 21/02/2024 ore 14.30 Aule Antognetti e Fieschi 05/06/2024 ore 14.30 Aule 5 e 6 Polo Alberti (aule da confermare) 19/06/2024 ore 14.30 Aule Antognetti e Fieschi anche per il 20/06 10/07/2024 ore 14.30 Aule Antognetti e Fieschi anche per 11/07 18/09/2024 ore 14.30 Aula 6 Polo Alberti
    10/07/2024 14:30 GENOVA Orale 10/01/2024 ore 14.30 Aule Antognetti e Fieschi 31/01/2024 ore 14.30 Aule Antognetti e Fieschi 21/02/2024 ore 14.30 Aule Antognetti e Fieschi 05/06/2024 ore 14.30 Aule 5 e 6 Polo Alberti (aule da confermare) 19/06/2024 ore 14.30 Aule Antognetti e Fieschi anche per il 20/06 10/07/2024 ore 14.30 Aule Antognetti e Fieschi anche per 11/07 18/09/2024 ore 14.30 Aula 6 Polo Alberti
    18/09/2024 14:30 GENOVA Orale 10/01/2024 ore 14.30 Aule Antognetti e Fieschi 31/01/2024 ore 14.30 Aule Antognetti e Fieschi 21/02/2024 ore 14.30 Aule Antognetti e Fieschi 05/06/2024 ore 14.30 Aule 5 e 6 Polo Alberti (aule da confermare) 19/06/2024 ore 14.30 Aule Antognetti e Fieschi anche per il 20/06 10/07/2024 ore 14.30 Aule Antognetti e Fieschi anche per 11/07 18/09/2024 ore 14.30 Aula 6 Polo Alberti