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

Clinical Methodology - SEMEIOTICA MEDICA

Course code
Name of lecturers
Luca Giuseppe Dalle Carbonare, Francesco Fantin, Mauro Zamboni
Number of ECTS credits allocated
Academic sector
Language of instruction
Lezioni 1° semestre 2°- 6° anno dal Oct 2, 2017 al Dec 21, 2017.

To show the organization of the course that includes this module, follow this link * Course organization

Lesson timetable

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Learning outcomes

At the end of the course, the student will be able to understand the importance of collecting anamnestic data, performing the semeiologic maneuvers, recording and interpreting the main objective signs.
Semeiotics (from Greek Semeion = sign) is in fact the discipline regarding the study of the patient through the relief and interpretation of symptoms and signs. The student will acquire the rational and scientific basis for clinical reasoning and the ability to apply a correct methodological process to reach the diagnosis.
At the end of the course the student will know the basics of the clinical reasoning and will be able to apply the correct methodology to approach the patient. He/she will be able to perform a clinical interview and to establish an appropriate patient-physician relationship. He/she will be able to understand and interpret the main symptoms and signs in medicine.
Through lectures and practical training, the student will be able to perform a comprehensive physical examination, to detect the main symptoms and signs of illness by using standard clinical techniques and procedures, to collect a problem-oriented medical history, to identify active and inactive problems, to identify interrelationships between events, taking into consideration the overall needs of the patients.
For this purpose, the student will learn the different stages of experimental and clinical reasoning in their logical and complexaspects, as well as the complexity (psychological, ethical, etc.) of the doctor-patient relationship.
He/she will develop interview skills to identify the patient's relevant problems in a reliable and effective way, and will increase communication skills needed to create an adequate relationship with the patient.
The student will be able to interpret the main laboratory variables related to the most important diseases (infections, inflammatory and cardiovascular diseases). He/she will also acquire the basic knowledge of instrumental diagnostics methods used in clinical practice.

By the end of the course students will be able to:
1. Perform a general and specific medical history.
2. Perform a general physical examination;
3. Measure blood pressure, perform a venous blood sample;
4. Understand the meaning and general pathophysiology of the most frequent signs and symptoms;
5. Be able to detect physical signs of disease, learn the most important laboratory parametersmodificationsand the most common diagnostic tests for studying the most relevantdiseases;
6. Have basic knowledge of the relationship between doctor, patient, family, colleagues and other health professionals.
7. Carry out an overall assessment, based on systems and organs, of the healthy and sick subject
8. Learn indications and limits of instrumental and laboratory diagnostics (first level).


at the end of the course, the student must be able to:
• set the most appropriate attitude and language in relation to the environmental conditions (outpatient clinic, ward, etc.) and to the patient's conditionto obtain a precise medical history and physical examination;
• collect accurately the medical history, quoting any medical records and listing the different symptoms, correlating them with pathophysiologic criteria.
• critically evaluate the significance of symptoms, clinical signs and laboratory and instrumental data;
• fill inthe clinical record in its various sections and update, using the appropiatesemeiological terminology;
• start applying the logical tools of clinical reasoning;
• perform a clinical interview focused on the complete collection of the patient's symptoms;
• collect physiological or pathological signs concerning different anatomical systems
In particular:
- General Physical Examination
- Head and Neck
- Thorax-Respiratory System
- Cardiovascular system
- Breast
- Abdomen
- Uro-genitalapparatus
- Locomotory apparatus
- Nervous system
- Hematopoietic organs
- Assessment of nutritional status
- Assessment of physical performance
- Pain, fever

Reference books
Author Title Publisher Year ISBN Note
Dioguardi N. , Sanna GP Moderni Aspetti di Semeiotica Medica (Edizione 6) Universo (sesta edizione) 2011
Amoroso A. & Rossi Fanelli F. Semeiotica Medica e Metodologia Clinica Antonio Delfino Editore 2013
Frada G & Frada G. Semeiotica medica nell'adulto e nell'anziano (Edizione 5) Piccin 2014
Amoroso A., Riggio O., Afetra A., Costantino S., Picardi A., Vettore L. Semeiotica pratica Antonio Delfino Editore 2013

Assessment methods and criteria

Multiple choice written test. Bedside evaluation.Oral examination focused on critical evaluation of problem-oriented medical history.

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