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

Medical-surgical emergencies - MEDICINA D'URGENZA

Course code
4S01142
Name of lecturer
Domenico Girelli
Number of ECTS credits allocated
3
Academic sector
MED/09 - INTERNAL MEDICINE
Language of instruction
Italian
Location
VERONA
Period
Lezioni 1° semestre 2°- 6° anno dal Oct 1, 2018 al Dec 21, 2018.

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

Lesson timetable

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Learning outcomes

To give to the students a basic knowledge on the main medical urgencies and emergencies, including early recognition of life-threatening conditions, and flow-charts regarding the main acute syndromes.

Syllabus

APPROACH TO ACUTE CHEST PAIN IN THE EMERGENCY ROOM.
Rapid recognition of life-threatening conditions (Acute Coronary Syndromes, Pulmonary Embolism, Hypertensive Pneumothorax, Mediastinitis, Aortic Dissection, Pericardial Tamponade). Differential diagnosis (principles).
ACUTE CORONARY SYNDROMES (ACS)
ST-Elevation Myocardial Infarction (STEMI), Non ST-Elevation Myocardial Infarction (NSTEMI), Unstable Angina (UA).
Definitions, pathophysiology, symptoms. Principles of treatment of ACS. Recognition and management of the main complications, like cardiogenic shock and arrhythmias (particularly Ventricular Fibrillation and III-degree Atrioventricular Block). The main drugs used for cardiovascular urgencies and emergencies (mechanism of action, indications/contraindications, adverse reactions).
PRICIPLES FOR RAPID INTERPRETATION OF THE ELECTROCARDIOGRAM.
HYPERTENSIVE URGENCIES AND EMERGENCIES.
AORTIC DISSECTION.
Definition, pathophysiology, symptoms. Principles of diagnosis and treatment.
CARDIOGENIC ACUTE PULMONARY EDEMA.
Definitions, pathophysiology, symptoms. Principles of diagnosis and treatment.
NON-CARDIOGENIC ACUTE PULMONARY EDEMA (Acute Respiratory Distress Syndrome, ARDS)
Definition, pathophysiology, symptoms. Principles of diagnosis and treatment.
VENOUS THROMBOEMBOLISM (VTE).
Deep Venous Thrombosis (DVT) and Pulmonary Embolism. Definition, pathophysiology, symptoms. Risk factors. Strategies for VTE prevention. Diagnostic algorithms. Role of the Well’s score (or other similar scores) and of the D-dimer. Principles of VTE treatment.
MAIN ACUTE ORGAN FAILURES. ACUTE LIVER FAILURE.
Definition, pathophysiology, symptoms. Porto-Systemic Encephalopathy.
Main acute complications in the cirrhotic patient. Principles of diagnosis and treatment. MAIN METABOLIC URGENCIES. MAIN ACUTE COMPLICATIONS IN THE PATIENT WITH DIABETES MELLITUS. DIFFERENT TYPES OF DIABETIC COMA.
Classification. Definition, pathophysiology, symptoms. Principles of diagnosis and treatment.
MAIN INTOXICATIONS/POISONING.
Approach in the emergency room. Clinical recognition based on physical examination (vital signs, ocular signs, body temperature, halitosis, cutaneous discoloration). Acetaminophen intoxication. Acute alcoholic intoxication. Opioid intoxication. Cocaine intoxication. CO intoxication.

Reference books
Author Title Publisher Year ISBN Note
Kasper Gl, et al. Harrison's Principles of Internal Medicine, 19th Edition, Mc Graw Hill, 2018
Corazza Gino Roberto, Perticone Francesco, Violi Francesco SIMI Handbook Terapia Medica (Edizione 1) EDRA 2017
Maurizio Chiaranda Urgenze ed emergenze. Istituzioni PICCIN 2016

Assessment methods and criteria

oral interview

STUDENT MODULE EVALUATION - 2017/2018






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