Teachings

Select Academic Year:     2017/2018 2018/2019 2019/2020 2020/2021 2021/2022 2022/2023
Professor
ANTONELLA MANDAS (Tit.)
Period
Second Semester 
Teaching style
Convenzionale 
Lingua Insegnamento
 



Informazioni aggiuntive

Course Curriculum CFU Length(h)
[40/39]  MEDICINE AND SURGERY [39/00 - Ord. 2015]  PERCORSO COMUNE 10 145

Objectives

TRAINING GOALS: The course is composed of a part of Internal Medicine that is oriented to study "major syndromes", multidisciplinary pathologies that provide the knowledge of specific specialist pathologies. The purpose of the course is to teach diagnostic approach to particular syndrome. The course has a clinical orientation through therapeutic protocols. Course is intended to provide to the students’ knowledge and skills to interpret clinical signs, laboratory tests, and instrumental exams related to "major syndromes". Students will also have to acquire adequate knowledge of the main therapeutic protocols in use. Nephrological part is more systematic because analyzes individual nefrologic pathologies teaching the clinical-diagnostic parts and the therapeutic protocols. Training goal is to provide students adequate knowledge of etiopathogenesis, physiopathology and systematic nosography of major nephrological diseases, moreover the course provide students to use symptoms and signs in clinical diagnosis of renal diseases. Students will also have to become expert with the laboratory and instrumental diagnostic procedures in nephrology.

Prerequisites

Prerequisites: students must have gained adequate knowledge of the pathophysiology of the main internal diseases.
Students must be able to perform anamnesis and general physical examination.
Propaedeutic courses: Pathology, Physiopathology and Clinical Methodology.

Contents

Internal Medicine Frontal Lessons
Clinical approach to the patient with:
1.Fever
2.Chest pain
3.Dyspnea
4.Sistemic arterial hypertension
5.Pulmonary hypertension
6.Shock
7.Abdominal pain
8.Hepatomegaly
9.Splenomegaly
10.Lymphadenopathy
11.Musculoskeletal pain
12.Recent onset arthritis
13.Osteoporosis
14.Vasculitis
15.Anemia
16.Alterations of hemostasis
a.Bleeding
b.Thrombosis
17.Edema
18.Coma

Nephrology Frontal Lessons
1.Approach to Patients with Renal Diseases (Clinical History: Urine Examination, Evaluation of Renal Impairment, Renal Ultrasound, Immunological Study)
a) Nephrologic clinical syndromes
b) Isolated Urinary Abnormalities
2.Acute renal failure (Renal Excretion Mechanisms and Effects of Nephron Loss on this Mechanisms)
3.Chronic renal failure (Physiopathology Uremic syndrome Diagnosis and Therapy
4.Renal Disease Progression Secondary Factors and Physiopathology of Renal Adaptation.
5.Glomerulopathy: Clinical Trials (Nephritic Syndrome and Nephrotic Syndrome) Pathogenesis, Primitive Glomerulopathy; Secondary Glomerulopathy (focus on Nephritis Lupica, Amyloidosis, Type II Essential Mirage, Type II, Glomerulopathy Fibrillaries)
6.Tubular-interstitial nephropathy and evidence of tubulopathy
7.Renal Diseases of Vascular Origin (with details on Rapid Immunodeficiency Inhibitory; Related ANCA Vasculitis; Hemolithic-Uremic Syndrome)
8.Hypertension and Renal
9.Diabetic nephropathy
10.Obstructive nephropathy and findings on M. hereditary herds (including polycystic kidney and Alport Syndrome)
11.Fundamentals of renal function replacement therapy: hemodialysis, peritoneal dialysis, renal transplantation and pharmacology and drug use in the patient with renal diseases
12.Hydroelectrolytic disorders and acid-base balance: hyperactivity and hyponatremia, hyper or hypokalaemia, metabolic acidosis.

Professional internships
Discussion of clinical cases related to hospitalized patients in the internist and nephrological hospital departments

Teaching Methods

The course consists of frontal lessons (40 hours of Internal Medicine and 30 of Nephrology) distributed in the second semester IV year and practical exercises (Internal Medicine: 50 hours ; Nephrology: 25 hours) carried out in the Internal Medicine Department - Azienda Ospedaliero-Universitaria of Cagliari, and in the Renal Disease Departiment - Azienda Ospedaliera Brotzu Of Cagliari

front lessons + tutorials - credits
MED/09 Internal Medicine credits: 4 + 2 - 6
MED/14 Nephrology credits: 3 + 1 - 4
Total Credits 10

Integrated Course Internal Medicine and Nephrology Coordinator Mandas Antonella (amandas@medicina.unica.it)

LOCATIONS OF INTERACTIVE TEACHING AND PROFESSIONAL TRAININGS
•Mandas Antonella (amandas@medicina.unica.it) Cittadella Universitaria, Asse didattico, Dipartimento Scienze Mediche e Sanità Pubblica
•Pani Antonello (antonellopani@aob.it) Azienda Ospedaliera G. Brotzu Cagliari, Dipartimento Patologia Renale, S.C. Nefrologia e Dialisi

Verification of learning

The assessment involves a final oral exam during which the student must demonstrate that he has acquired theoretical and practical knowledge in the management of the diagnostic process of the major syndromes treated during the course.
In order to overcome the integrated course it is necessary to have sufficient judgment in both Internal Medicine and Nephrology

Texts

Harrison’s: Principles of Internal Medicine (Ed. Mc Graw Hill)
Cecil: Textbook of Internal Medicine (Ed. Saunders)
Rugarli: Medicina Interna sistematica(Ed. Elsevier)

More Information

LOCATIONS OF INTERACTIVE TEACHING AND PROFESSIONAL TRAININGS

Azienda Ospedaliero-Universitaria di Cagliari - Presidio di Monserrato
.Department of Medicine
UOC Medicina Interna

Azienda Ospedaliera G. Brotzu di Cagliari
. Departiment of Renal Disease
UOC Nefrologia e Dialisi

Questionnaire and social

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