9386 - DISEASES OF THE RESPIRATORY SYSTEM AND THE CARDIOVASCULAR APPARATUS
Academic Year 2021/2022
Free text for the University
ROBERTA MONTISCI (Tit.)
- Teaching style
- Lingua Insegnamento
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Aim of the integrated course of respiratory and cardiovascular diseases is to offer to the students the following knowledges and skills:
BASIC KNOWLEDGE AND COMPREHENSION CAPACITY: The student is required to know the epidemiology, risk factors and principal clinical manifestations of respiratory and cardiovascular diseases. Moreover, the student is required to know the major diagnostic tools and therapeutic approaches for such diseases.
APPLICATION CAPACITIES: the student should be able to apply both diagnostic and therapeutic strategies in the principal respiratory and cardiovascular diseases. In addition, he is required to critically analyze and evaluate alternative hypotheses and differential diagnoses. The student should therefore be able to rationally and efficiently choose among the available diagnostic tools in order to reach a final and correct diagnosis and to subsequently choose the right therapy.
AUTONOMY JUDGEMENT: The student will learn to acquire and integrate anamnestic and instrumental data in order to formulate a diagnostic judgement in the context of respiratory and cardiovascular diseases.
COMMUNICATION CAPACITY: The student will learn to present relevant data regarding a specific clinical case and to properly expose the development of diagnostic pathways and the results of therapeutic interventions.
COMPREHENSION CAPACITY: The student will learn to acquire new information and to enforce his cultural background in a critical way through the consultation and interpretation of recent scientific literature.
The students should know anatomy and pathophysiology of respiratory and cardiovascular systems as well as the principles of semiotic indispensable to learn those specific to these systems. It would be useful to have already passed the examination of “Patologia e Fisiopatologia” and “Metodologia clinica”
All the topics have been treated on the basis of the following pattern:
- Evaluation of patients suffering respiratory diseases
- Physiopathology and indications of the diagnostic investigations and measures to evaluate pulmonary function, particularly pulmonary function test, bronchial challenge test, DLCO, arterial blood gas test,
- Definition, physiopathology, classification, diagnosis and treatment of acute and chronic respiratory failure
Acute and chronic obstructive pulmonary diseases
Obstructive Sleep Apnea Syndrome (OSAS)
Environmental lung diseases
Lung and mediastinal tumors
Diffuse interstitial lung disease
Lung role in the systemic autoimmune diseases (IPAF)
Atherosclerotic disease: epidemiology, risk factors, clinical presentation, primary and secondary prevention.
Angina pectoris and acute myocardial infarction. Coronary angioplasty and intracoronary stents
Valvular heart diseases. Interventional therapies. Prosthetic valves.
Congenital heart diseases
Infective endocarditis. Population at risk and prevention.
Acute and chronic heart failure. Cardiogenic shock. Mechanical circulatory support and cardiac transplantation
Thromboembolic venous disease. Population at risk and prevention
Arrhythmias. Interventional therapies. Syncope, sudden cardiac death and resuscitation
Peripheral obstructive arterial disease
Acute arterial ischemia
Acute and chronic mesenteric ischemia
Aortic abdominal and thoracic aneurysms
Peripheral arterial aneurysms: subclavian and popliteal aneurysms
Visceral arterial aneurysms: splenic, hepatic, renal and mesenteric aneurysms
Dissecting aortic aneurysm
Extracranial carotid and vertebral disease
Thoracic outlet syndrome
Chronic venous disease
Deep venous thrombosis and its complications
Brief notes of congenital pulmonary diseases
Pneumothorax: spontaneous and secondary; open, closed and tension pneumothorax
Lung abscess, pleural empyema
Brief notes of cardiac surgery
CABG procedures and pump
Heart valve surger
Teachers base the lectures on the presentation of different topics and clinical cases using slides and video. Moreover, the students are involved in the lessons and this interactive teaching is more evident during the optional programs organized by each teacher. In agreement with the Manifesto degli Studi of Cagliari University for the AA 2020-2021 (pag.12): “teaching will be contemporary held both by frontal lesson and online, delineating a joint teaching that could be held both in university classrooms or through online education activities. Each student is required to choose between frontal or distance lessons at the beginning of the semester. This will be a binding choice for the entire semester. If the number of the students exceeds the maximum classroom seating capacity, determined by the state sanitary regulations to fight the Covid-19 pandemics, the access to the didactic units will be regulated though a rounding system that will be communicated in time to the interested students.
The professional training is performed in different clinical units and in laboratories where students learn symptoms, physical examination and their interpretation on the basis of the patients’ medical history; pulmonary functional tests, non-invasive and invasive diagnostic examinations in thoracic as well as in cardiovascular diseases. Students attend diagnostic examinations and, when possible, thoracic and vascular surgical procedures.
Verification of learning
The inscription for the exam will take place through ESSE3 platform.
The exam could be sustained by all the students who attended at least 70% of the total frontal lecture hours and at least 50% of each lesson module and after a complete attendance of all hours required for the practical professionalizing activity.
The examination is based on an oral question of each teaching unit of the course that allows to evaluate the readiness of the students (knowledges, ability to link them using proper terminology) in each teaching unit.
The final grade is decided by all the teachers and it represents the student’s comprehensive knowledge in all matters of the integrated course.
The final grade will take into account:
Manifested quality of the knowledge, capacities and competences:
a) Knowledge pertinence, accuracy and consistency
b) Capacity pertinence, accuracy and consistency
c) Competences pertinence, accuracy and consistency
a) Expressive capacity.
b) Appropriate and correct use of specific discipline-related language.
c) Logic reasoning capabilities in contents connection.
e) Ability to create links between different topics focusing on common points, and to make a general coherent speech, taking care of the structure, organization and logic connections of the speech.
f) Ability to synthetize information.
The final grade can be:
a) Sufficient (18 to 20/30)
Scarcity of acquired notions, superficial level of knowledge with numerous gaps, simple expressive capacities but sufficient to sustain a coherent speech. The capacity to link different topics lays at an elementary level. Scarce ability to synthetize and to interact with the professor during the interview.
b) Decent (21 to 23)
Reasonable quantity of acquired notions, but scarce in-depth analysis. Few knowledge gaps. Expressive capacities adequate to sustain a coherent speech and acceptable scientific language fluency. The ability to logically link different topics lays at a moderate complexity level. Adequate ability to synthetize and to interact with the professor during the interview.
c) Good (24 to 26)
Wide knowledge, moderate in-depth analysis, with little gaps; satisfying expressive capacities and significative scientific language fluency; well recognizable ability to dialog and acceptable critical sensibility. Good ability to synthetize and to interact with the professor during the interview.
d) Very good (27 to 29)
Extensive and deeply analyzed knowledge, with only negligible gaps; notable expressive capacities and high scientific language fluency; remarkable ability to dialog and inclination to synthetize and to interact with the professor during the interview.
e) Excellent (30)
Exceptionally extensive and deeply analyzed knowledge, eventually with irrelevant gaps. Very high expressive capacities and scientific language fluency, excellent ability to dialog, exceptional inclination to create links between different topics, outstanding ability to synthetize and to interact with the professor during the interview.
The laude will be awarded to the candidates that demonstrate to be remarkably above the average, whose eventual expressional, conceptual, logical and notional limits result to be mainly irrelevant.
Cardiologia per studenti e medici di medicina generale - Edizioni Idelson Gnocchi"2020
Core curriculum – Cardiologia.Autori A. Branzi e FM Picchio McGrawHill Education – 2013
Renzo Dionigi-Chirurgia Generale
Rutherford- Chirurgia Vascolare
E.M. Clini; G. Pelaia - Manuale di Pneumologia - EdiSES
At the end of the course teachers will give to the students slides /video used during the lessons
Students will be received after an e-mail to the teachers