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INTERNAL MEDICINE II AND MEDICAL THERAPY

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
GIOVANNI ZULIANI
Credits
9
Didactic period
Secondo Semestre

Training objectives

The integrated course of Internal Medicine II and medical therapy includes the modules of:
Pharmacology
Internal Medicine
The course aims to acquire the diagnostic and therapeutic skills to be able to recognize and treat the main internal medicine pathologies and syndromes and to provide the student with the theoretical foundations of the drug discovery and development process as well as the methods of pharmacovigilance.

At the end of the course, students should be able to:
In terms of knowledge:
Apply the clinical approach oriented to problems or syndromes and clinical reasoning in differential diagnosis, with reference to gender differences;
develop in students the ability to deal with an ethical problem that can intersect with daily clinical work by acquiring the methodology for its analysis.
know the correct use of antibiotics to contain and reduce resistance;
increase the student's knowledge in the field of chemotherapy.

In terms of skills:
acquire the diagnostic and therapeutic skills to recognize and treat the main acute and chronic non-professional intoxications

Prerequisites

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Modulo: 000351 - FARMACOLOGIA
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Good knowledge of basic human anatomy, physiology, pathology, and pharmacology
Familiarity with general and special pharmacology. Background in cellular and molecular biology.
Basic notion in ethics and critical thinking

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Modulo: 47781 - MEDICINA INTERNA
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Good knowledge of basic human anatomy, physiology, pathology, and pharmacology
Familiarity with general and special pharmacology and microbiology. Background in cellular and molecular biology.
Basic notion in ethics and critical thinking

Course programme

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Modulo: 000351 - FARMACOLOGIA
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PHARMACOLOGY
Phases of preclinical and clinical development of a drug. Principles of pharmacovigilance. Antidotal therapy. Main acute intoxications (paracetamol, acetylsalicylic acid, benzodiazepines). Addictions. Main chronic intoxications (heroin, cocaine, amphetamines, psychedelics, alcohol).

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Modulo: 47781 - MEDICINA INTERNA
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INTERNAL MEDICINE
Presentation and discussion of the principal syndromes of internal medicine and of the principal metabolic diseases with particular focus on clinical methodology, differential diagnosis and specific treatment.
Discuss the clinical approach oriented for problems or syndromic frameworks and the clinical reasoning in the differential diagnosis, with reference to gender differences

Didactic methods

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Modulo: 000351 - FARMACOLOGIA
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PHARMACOLOGY
Lectures.

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Modulo: 47781 - MEDICINA INTERNA
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Lectures and exercises in the ward.
For discussion of ethically relevant clinical cases - Structure of a meeting:
1) 15': Presentation of the case with ethical implication by a clinician
2) 30': Discussion of the case by the students divided into groups
3) 15': Presentation of the group analysis
4) 15': Critical discussion by the teacher of the students' presentation
5) 15' General discussion

Learning assessment procedures

The learning verification will be carried out by a written exam consisting in 80 questions for a total duration of 90 minutes. The questions will be formulated with multiple choice questions (4 or 5 options for each question) relating to all the educational objectives of the course.
The questions will be prepared in order to verify the knowledge acquired by the student about the Internal Medicine (60 questions) and Pharmacology (20 questions).
No penalty for incorrect or not given answers. The exam mark is assigned in a scale out of thirty: 18/30 is the minimum for passing the exam, achieved by correctly answering to 45 questions, while the maximum mark 30 cum laude, will be attributed to those who answer correctly to 79 questions.

Reference texts

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Modulo: 000351 - FARMACOLOGIA
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PHARMACOLOGY
Goodman and Gillman's, The Pharmacological Basis of Therapeutics, XII ed.

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Modulo: 47781 - MEDICINA INTERNA
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INTERNAL MEDICINE
Harrison, Principi di Medicina Interna, Casa Ed. Ambrosiana
Rugarli, Medicina Interna sistematica, Elsevier Ed.
Papadakin, McPhee, Rabow, Current Medical Diagnosis and Treatment, Piccin editore
Harold, Medicina Interna. Compendio essenziale per la pratica clinica, Monduzzi editore
Papers suggested over the course