- Docente: Fabio Piscaglia
- Credits: 10
- Language: Italian
- Teaching Mode: Traditional lectures
- Campus: Bologna
- Corso: Single cycle degree programme (LMCU) in Medicine and Surgery (cod. 8415)
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from Oct 07, 2024 to Dec 12, 2024
Learning outcomes
Apply clinical reasoning to analyze and resolve common problems of medical interest. Present and critically analyze clinical cases, discuss the differential diagnosis, and formulate appropriate diagnostic and therapeutic strategies for each case. Decribe and use the principles of evidence-based medicine in the context of specific medical and clinical questions. Search, retrieve, and present published data from the scientific literature, determine its validity through critical appraisal, and evaluate its translation into everyday clinical practice.
Course contents
The topics to be presented during the lessons are reported below, however they do not include anything that can be matter of evaluation, which includes the entire Internal Medicine.
The approach of this exam to the patient is inductive, to the aim of teaching how to move from patient's clinical condition to the diagnosis to the principles of treatment of the condition (with knowledge of the specific recommended pharmacological compounds), rather than a systematic approach to diseases, which remains however very well received and recommended. Accordingly several clinical cases will be presented as exemplary, but also as relevant to discuss differential diagnoses.
The oral exams can start from the presentation of a case, reasoning with the student about clinical approcal, differential diagnosis, laboratory and instrumentale investigations, final diagnosis, treatment or asking to illustrate a disease (in the latter instance it is recommended to follow a structured modality, starting with definition and going through epidemiology, clinical manifestations, differential diagnosis, physical findings, laboratory and instrumental investigations, achievemente of diagnosis, staging and treatment.
TOPICS OF THE LESSON
Allergies
Jaundice
Autoimmune disease of the liver and biliary system
Cirrhosis and its complications
Electrolytes imbalance
Basic-Acid disturbances
Anemia
Pneumonia
Venous thrombosis
Management of anticoagulation
Paraneoplastic syndromes
Splenomegaly
Gaucher disese
Sarcoidosis
Amilodosis
Hereditary Hemorragic Teleangectasia (Rendu-Osler)
Stroke
Approach to neoplasia
Focal liver lesions
Principles of nutrition
Bedside ultrasound
Renal failure
COVID disease
Sepsis
Basic reading of EKG (including main arrhythmias and signs of myocardial ischemia).
Gaucher disease
Hereditary Hemorragic Teleangectasia (Rendu-Osler disease)
Stroke
Pleaural and abdominal fluid effusions (ascites)
Palliative care
Immunodeficiency syndromes (HIV, hypogammaglobulinemia)
Diabetes: diagnosis, complications and clinical management
Global cardiovascular risk
Lipid metabolism abnormalities
Chronic Obliterative arterial disease of the lower limbs
Vasculitis
Fever of unknown origin (FUO)
Reumatic Polymyalgia
Autoimmune polyendocrine syndrome
Celiac disease
Principles of artificlal intelligence in internal medicine
Cardiac failure,
Cain arrhythmic conditions (e.g. atrial fibrillation),
COPD etc are given for granted, but may be part of the lessons.
Readings/Bibliography
There are several volumes on Internal Medicine
A standard text for clinicians is the Harrison Principles of Internal Medicine
Electronic resources, such as UpToDate, are also valuable, but the entire approach to the exam is less systematic and organized
AMBOSS is a recent electronic resource devoted to medical students (still to be verified by out teachers).
Another eletronic resourse with a special focus on visual learninn, with schemes is osmosis.org
Teaching methods
Frontal lessons including discussion of cases
Personal reading
Assessment methods
Oral exams (apart from the few excepctions according to Unibo rules, to be preliminarily agreed).
Exams will take place in dates to be later communicated once we will have confirmation of the availability of the room (expectedly in Aula Pisi, Pav 11, S.Orsola at 14:30).
For those of the previous academic year two dates of exams are already planned.
- Tue 10 sep 2024
- Mon 7 oct 2024
Office hours
See the website of Fabio Piscaglia