Bachelor's degree in Physiotherapy (to qualify as a physiotherapist) (Rovereto)

FUNDAMENTALS OF MEDICAL CLINIC IN PHYSIOTHERAPY (2019/2020)


Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
MEDICINA INTERNA E TERAPIA MEDICA 1 MED/09-INTERNAL MEDICINE FISIO ROV 2A1S Anna Maria Fratta Pasini
FARMACOLOGIA 1 BIO/14-PHARMACOLOGY FISIO ROV 2A1S Guido Francesco Fumagalli
MICROBIOLOGIA 1 MED/07-MICROBIOLOGY AND CLINICAL MICROBIOLOGY FISIO ROV 2A1S Caterina Signoretto
PATOLOGIA GENERALE 2 MED/05-CLINICAL PATHOLOGY FISIO ROV 2A1S Patrizia Scapini

Learning outcomes

Fornire conoscenze di base riguardanti la farmacologia, patologia generale, microbiologia, medicina interna e terapia medica di interesse fisioterapico.

MODULO: FARMACOLOGIA Comprendere le azioni dei farmaci sui processi fisiopatologici dei pazienti con particolare riferimento ai farmaci usati nelle aree principali di intervento del fisioterapista.

MODULO: PATOLOGIA GENERALE Acquisire gli strumenti concettuali e scientifici per spiegare le cause e i meccanismi delle malattie umane. Conoscere i principali fattori patogeni, i principi generali dei disordini dell’omeodinamica dei sistemi complessi, le reazioni al danno biologico con particolare riferimento all’infiammazione, ai processi di guarigione o di cronicizzazione.

MODULO: MICROBIOLOGIA Acquisire le informazioni essenziali sui processi infettivi sostenuti da virus e batteri, sulle modalità di crescita e di diffusione di questi microrganismi e sulle misure preventive.

MODULO: MEDICINA INTERNA E TERAPIA MEDICA Inquadrare le patologie internistiche sapendone individuare i principali aspetti clinici e riconoscerne le possibili complicanze di interesse per il fisioterapista. Individuare le terapie farmacologiche più frequenti conoscendo le principali indicazioni e gli effetti collaterali. Conoscere le principali tecniche e procedure riabilitative relative alle principali disabilità viscerali.

Syllabus

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MM: MEDICINA INTERNA E TERAPIA MEDICA
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- Epidemiology of cardiovascular diseases - Definition of global cardiovascular risk - Overview of physiopathology of atherosclerosis - Arterial hypertension: definition, classification, associated organ damage - Metabolic syndrome: epidemiology, definition, importance as a cardiovascular risk factor - Hypercholesterolemia and hypertriglyceridemia: definition and importance as a cardiovascular risk factor - Type 2 diabetes mellitus: epidemiology, definition, importance as a cardiovascular risk factor
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MM: FARMACOLOGIA
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Analysis of drug/receptor interaction and the generation of drug effect(s). Terminology related to drug use, the methodologies of drug identification and clinical development. Adverse reactions: classification and reporting Analysis of the pharmacokinteic properties of drugs applied to patient treatment with detailed knowledge and understanding of : 1- drug absorption with emphasis on differences between routes of administration;2- drug distribution and elimination; 3- drug metabolism ; 4- quantitative approach to pharmacokinetics and the definition of a therapeutic regimen Mechanims of action, classification, therapeutic effects and adverse reactions and clinical uses of antiinflammatory drugs Mechanims of action of drugs active on the neuromuscular system
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MM: MICROBIOLOGIA
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Aims of microbiology. Classification of microorganisms in the world of the living. Structure and characteristics of fungi and protozoa. The architecture of the bacterial cell: differences between gram positive and gram negative bacteria. Pathogenicity and virulence of the bacteria. Bacteria pathogens conventional and opportunists bacteria Mechanisms of pathogenic bacteria: exotoxins and endotoxin bacterial Bacteria of clinical interest: streptococci, staphylococci, enterobacteri, neisserie. Batteria anaerobe obligate and spore-forming (clostridia) Virus: architecture, classification and mechanisms of replication. Mechanisms of pathogenic viruses. infections localized, generalized, silent, persistent, slow, latent. The Herpesviruses: HSV-1/2, VZV, EBV, CMV. The Retrovirus: HIV1 and 2 Virus causes of hepatitis: HAV, HBV, HCV, HDV. Polioviruses General characteristics of antimicrobial drugs.
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MM: PATOLOGIA GENERALE
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I. Introduction: - general concepts - the pathological process as an alteration of homeostasis - adaptation, compensation and responsiveness - pathogenesis - etiology II. Cellular Pathology: -cell death: necrosis and apoptosis - pathogenetic processes implicated in cellular damage III. Natural immunity and acquired immunity: - innate immune cells - adaptive immune cells IV. Tissue responses to cell damage: - acute inflammation: changes in flow and vascular permeability; - inflammatory exudates (types, composition, localization); - mechanisms controlling phagocyte migration to the inflammatory sites - effector functions of phagocytes: oxygen-dependent and oxygen-independent bactericidal mechanisms, phagocytosis V. Mediators of acute inflammation: plasma-derived mediators and cell-derived mediators - coagulation system, complement system, vasoactive amines - cytokines VI. Evolution of the acute inflammatory response: -tissue repair, regeneration and fibrosis -chronic inflammation: chronic systemic diseases that affect the joints and connective tissues VII. Neoplasms

Assessment methods and criteria

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MM: MEDICINA INTERNA E TERAPIA MEDICA
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Written text followed by oral examination
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MM: FARMACOLOGIA
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Written exam with multiple choice questions
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MM: MICROBIOLOGIA
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Writing test: 10 multiple choice questions
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MM: PATOLOGIA GENERALE
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The assignment of General Pathology consists of a written test with 21 multiple choice questions. The evaluation criteria are the following: 1,5 points for correct answers; 0,75 points for partially correct answers; 0 points for missing/wrong answers. The exam in considered valid when the student achieves a minimal overall grade of 18 points.

Reference books
Author Title Publisher Year ISBN Note
Pontieri G.M. Elementi di Patologia generale Piccin 2018
Clementi Fumagalli Farmacologia Generale e Molecolare (Edizione 5) Edra 2018 978-88-214-4436-4
A. Conforti, L. Cuzzolin, R. Leone, U. Moretti, G. Pignataro, M. Taglialatela, M. Vanzetta Farmacologia per le professioni sanitarie (Edizione 1) Idelson-Gnocchi 2015 978-88-7947-592-1
Cevenini R., Sembri V. Microbiologia e Microbiologia Clinica Piccin Editore, Padova 2004
Emanuel Rubin, Howard M. Reisner Patologia Generale. L'essenziale Piccin 2015 978-88-299-2740-1
Pontieri G.M. Elementi di Patologia generale Piccin 2018




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