CLINICAL METHODOLOGY I (NO EXAM)
Academic year and teacher
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- Versione italiana
- Academic year
- 2022/2023
- Teacher
- ROBERTO DE GIORGIO
- Credits
- 6
- Didactic period
- Primo Semestre
Training objectives
- Integrated teaching aims to provide students with the tools, conceptual and methodological, which characterize the recognition of signs and symptoms of disease, the interpretation of clinical contest.
Some topics will be updated according to the sex/gender approach.
It is also proposed to promote the ability to use, within the framework of clinical reasoning, the information provided by laboratory medicine and by anatomical-pathological diagnostics.
Furthermore, the teaching aims at the development of interpersonal skills such as to guarantee an effective doctor-patient relationship.
At the end of the course students will be able to:
- recognize the clinical manifestations of the main cardiovascular diseases,
respiratory, abdominal, nephrological, endocrine and hematological;
- understand the main laboratory and instrumental diagnostic procedures, as well as
the logical sequence in which they must be performed;
- know the principles and purposes of the main anatomical investigation methodologies
pathological;
- understand how to integrate the general information provided by immunohistochemistry e
from molecular biology;
- interpret information obtained from the history and physical examination;
- interpret and contextualize the main parameters of liver and kidney function,
electrolytes, markers of inflammation, markers of lipid and glucose metabolism
in a blood test report;
- interpret the p-value and distinguish sensitivity/specificity from the predictive value
positive negative;
- distinguish the confidence interval from the clinical significance;
- estimate the probabilistic significance of a clinical test and a clinical trial;
- collect the patient's clinical history and perform the semeiological manoeuvres;
- use the main laboratory and instrumental diagnostic procedures. Prerequisites
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Modulo: 005987 - CHIRURGIA GENERALE
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GENERAL SURGERY:
Adequate knowledge of anatomy, physiology and physiopathology of the circulatory, respiratory, endocrine, gastroenteric and renal systems and basic elements of general psychology, epidemiology, microbiology, general pathology, genetics and molecular biology. Passing the exam of Physiology II and Pathophysiology and Pathology.
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Modulo: 24441 - MEDICINA INTERNA
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INTERNAL MEDICINE:
Adequate knowledge of anatomy, physiology and physiopathology of the circulatory, respiratory, endocrine, gastroenteric and renal systems.
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Modulo: 63696 - MEDICAL HUMANITIES
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MEDICAL HUMANITIES (DIAGNOSTIC METHODOLOGY):
Basic notion in medical statistics Course programme
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Modulo: 005987 - CHIRURGIA GENERALE
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GENERAL SURGERY
Cycle of exercises. For a description, see the second semester (see course programme for Clinical Methodology II)
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Modulo: 24441 - MEDICINA INTERNA
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INTERNAL MEDICINE
General physical examination. Anamnesis preparation.
Inspection, palpation and percussion of the precordial and abdominal regions. Identification of outbreaks auscultation, heart rhythm, heart sounds and their variations, the added tones systolic and diastolic, systolic murmurs. Exploration of peripheral pulses. Inspection, palpation and percussion of the abdomen and chest. Interpretation of the appearance of a jaundiced condition, particularly non-obstructive jaundice. Search for signs of portal hypertension and ascites.
Anamnesis and clinical evaluation of the possible causes of proteinuria; identification of symptoms and signs of hyperglycemia, ketoacidosis and hypoglycemia. Indicative signs of dyslipidemia: Evaluation of medical history and objective elements that militate for a condition of anemia or polycythemia.
Particular attention to possible specific sex/gender factors in an integrated diagnostic-therapeutic pathway.
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Modulo: 63696 - MEDICAL HUMANITIES
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MEDICAL HUMANITIES (DIAGNOSTIC METHODOLOGY)
- Sensibility and specificity
- Bayes theorem and clinical relevance of a test result
- ROC curves
- The meaning of the p-value
- Confidence interval, statistical relevance and clinical relevance Didactic methods
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Modulo: 005987 - CHIRURGIA GENERALE
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The course provides frontal lectures and online assisted teaching. The on-line teaching hours of moodle platform certification service consist in the deepening of some topics presented during the frontal lessons.
The module of Surgery provides lectures, frequency of the surgical ward and clinics alongside staff, with focus on methodological and diagnostic aspects, and on-line assisted teaching.
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Modulo: 24441 - MEDICINA INTERNA
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The course provides frontal lectures and online assisted teaching. The on-line teaching hours of moodle platform certification service consist in the deepening of some topics presented during the frontal lessons.
The teaching activity is also integrated by practical activity with tutor which consists in physical visit and instrumental diagnosis of chronic venous insufficiency and of arterial diseases.
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Modulo: 63696 - MEDICAL HUMANITIES
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The course provides frontal lectures and online assisted teaching. The on-line teaching hours of moodle platform certification service consist in the deepening of some topics presented during the frontal lessons. Learning assessment procedures
- The verification of learning will take place through two different types of written tests: test a
multiple choice, without penalty for incorrect or missing answer, open-ended questions
open.
The final grade will be the weighted expression of the results obtained in the various tests. Reference texts
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Modulo: 005987 - CHIRURGIA GENERALE
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GENERAL AND VASCULAR SURGERY
Dionigi, Chirurgia generale e specialistica, Masson
Oxford Textbook in Vascular Surgery, Oxford University Press 2016
Setacci C. Chirurgia Vascolare, Minerva Medica 2015
Files with lecture slides will be also provided by the lecturer to the students
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Modulo: 24441 - MEDICINA INTERNA
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INTERNAL MEDICINE
Amoroso A, Rossi Fanelli F, Afeltra A, Basili S, Manfredini R, Sasso FC, Semeiotica Medica e Metodologia Clinica, 2.a edizione, Antonio Delfino Editore, 2017.
Fradà, Semeiotica Medica, Piccin Ed.
Rasario, Manuale di Semeiotica Medica, Idelson
Wilms, Manuale di Semeiotica Medica, Mc Graw-HillHarrison's, Principles of internal medicine, Mc Graw-Hill
Harrison's, Principles of internal medicine, Mc Graw-Hill
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Modulo: 63696 - MEDICAL HUMANITIES
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MEDICAL HUMANITIES (DIAGNOSTIC METHODOLOGY)
H. Motulsky, Intuitive biostatistics, Oxford University Press. Chapters 1-21, 42, 44.
