Combined Bachelor's + Master's degree in Medicine and Surgery

Medical clinic, gerontology and medical treatment (2018/2019)

Course code
4S01141
Credits
24
Coordinator
Pietro Minuz

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
MEDICINA GENERALE, MEDICINA INTERNA E GERIATRIA 5 MED/09-INTERNAL MEDICINE Lezioni 2° semestre - 6° anno Luca Giuseppe Dalle Carbonare
Lidia Del Piccolo
Cristiano Fava
Nicola Martinelli
Pietro Minuz
Mauro Zamboni
INTERAZIONE CON ALTRE FIGURE PROFESSIONALI 1 MED/45-NURSING Lezioni 2° semestre - 6° anno Luisa Saiani
DIDATTICA PRATICA DI MEDICINA INTERNA 18 NN-- See the unit page See the unit page

Learning outcomes

The teaching program aims to deepen physiopathology, clinical and health care priority issues selected for epidemiological relevance and exemplarity. The main clinical syndromes and organ diseases presenting are considered, both through the presentation of examples as clinical cases and through that rational analysis of problems and therapy modalities. Concerning geriatric syndromes are considered in particular the problems related to clinical instability, especially in chronic illness/disability, and clinical alterations resulting from the aging population and the rise of chronic problems degenerative diseases. The overall approach focuses on the recognition and management of current and potential problems within a framework of continuity in different contexts and on the promotion and development of self-care skills and abilities. At the end of the course the student should reach adequate competence concerning the pathophysiology and treatment of geriatric syndromes, the major organ disease conditions and have a rational approach to medical therapy and the use of medications.
Professional objectives: to be able to interpret symptoms, clinical signs, structural and functional alterations for a global evaluation of personal health condition. To express differential diagnostic hypotheses. To analyze and solve clinical problems of internal medicine with a methodology taking in to account risk-benefits ratio and cost-benefits ratio. To be able of formulate a rational therapeutic programme based on pathophysiological and pharmacological knowledge. To behave kindly and to communicate correctly with patients and their relatives, with colleagues and other sanitary operators on the basis of professional code of conduct and respecting mutual functions.

Syllabus

Teaching programme:

Heart failure in the elderly with comorbidities,

Aatrial fibrillation clinic and therapy

Obesity and its management

Disorders of alimentary habits, diagnosis and treatment focuses on anorexia

Falls and hypotension in the elderly

Osteoporosis,

Hyperparathyroidism,

Thyroid dysfunctions-

Deficiency anemias

Anemia

Autoimmune hemolytic anemias

Microangiopathic anemia

Treatment monitoring

Prescription error

Treatment with oral direct anticoagulants
Resistant/secondary or otherwise problematic arterial hypertension
Hyponatremia and hypo/hyperkalemia
Peripheral ischaemia (bowel or lower limbs)
TAeatment of following diseases:
Arterial hypertension,
Heart failure,
Ischemic heart disease,
Arrhythmias,
Cerebral vascular disease,
Vasculitis,
Venous thromboembolism
Gerd,
Peptic disease,
Chronic pancreatitis,
Peripheral artery disease,
Diabetes mellitus,
Hyperlipoproteinemia,
Hyperuricemia,
Anemia,
Bronchial Asthma.
COPD and respiratory infections
Antibiotics against the main infections of other districts,
Rheumatoid arthritis,
Osteoarthritis,
Thyroid dysfunctions,
Hyeprparathyroidism,
Chrnic and acute pain,
Renal failure,
Polypharmacotherapy

Assessment methods and criteria

The exam consists of a-multiple choice written test on topics of medical treatment described during the cycle of lectures followed by an oral examination focused on: 1) critical evaluation of the results of the written test; 2) discussion of a clinical case chosen from several structured clinical cases available to teachers.

Reference books
Author Title Publisher Year ISBN Note
Kasper Gl, et al. Harrison's Principles of Internal Medicine, 19th Edition, Mc Graw Hill, 2018
Ottavio Bosello, Mauro Zamboni Manuale di Gerontologia e Geriatria (Edizione 1) 978-88-299-2094-5 2011
Dennis Kasper, Anthony S. Fauci Harrison - Principi di Medicina Interna McGraw-Hill 2016
Tammaro A., Manuale di geriatria e gerontologia Ed. McGraw Hill, Milano, ultima edizione.  
Alan J. Sinclair - John E. Morley and Bruno Vellas PATHY'S PRINCIPLES AND PRATICE OF GERIATRIC MEDICINE (Edizione 1) Wiley-Blackwell 2012
Senin Paziente anziano e paziente geriatrico EdiSes, Napoli, ultima ed.  




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