Laurea Magistrale in Medicina e Chirurgia - sede di Torino

 PREREQUISITES
To possess the essential notions of anatomy, biochemistry, biology and physiology

General Teaching Objectives.

Understanding the pathophysiological basis of diseases and of the major clinical conditions

Taking a comprehensive personal and medical history and performing physical examinations.

Developing communication and interpersonal skills including both ethical and psychological aspects of the relationship with the patient. 

Knowledge of the pathophysiological basis of diseases and the major clinical conditions. Taking a comprehensive personal and medical history and performing physical examinations. Developing communication and interpersonal skills, including ethical and psychological aspects of the relationship with the patient.

PROGRAM

Registration of medical data: drafting of the medical record

Traditional anamnesis and for problems, brief anamnesis

Anamnesis of the psycho-social context

Adaptation of clinical decisions to the specific conditions of the subject

Family history, physiological history, remote pathological history, immediate pathological history

Clinical diagnosis and its relationships with prognosis

Guidelines: principles and use

Clinical and instrumental diagnostic procedures for the evaluation of clinical problems, organs and systems

Clinical examination

Integration between medical history and physical examination.

General scheme, structure and methodological approach to the objective examination

Somatic and visceral pain

Doctor/patient relationship

Prepare the environmental and relational conditions for carrying out an objective examination in a situation of correctness and privacy

Assume personal attitudes and gestures that are correct and suitable for the relationship with the sick person

SEMEIOTICS AND CLINICAL METHODOLOGY carried out in the 3rd year of the degree course should allow

1. Identify the problem (approach to the patient)
2. Research and discover the causes (diagnosis)

MEDICINE

Respiratory symptoms

Respiratory function

Asthma

COPD

EmoGasAnalysis

Fever

Dyslipidemias

Diabetes mellitus

Anemia

Diarrhea

Cirrhosis

Jaundice

Splenomegaly and adenopathy

Polycythemia and polyglobulia

Kidney

Renin-angiotensin-aldosterone system

Arterial hypertension

Cardiovascular risk

Principles of electrocardiography

Arrhythmias

Heart failure

Ischemic heart disease - AMI

DVT-TEP

Electrolyte alterations

Hypotension

Syncope

Chest pain

The shocks

Aortic dissection

Pericarditis

Left Ventricular Hypertrophy

Valvular heart disease

SURGERY

Epistaxis and haemophthosis

Anorexia, bulimia, dyspepsia and dysphagia; nausea, vomiting, regurgitation; diarrhea and constipation

Jaundice

Hematemesis, melena, enterorrhagia, proctorrhagia

Meaning of signs and symptoms affecting the skin, subcutaneous tissue and appendages.

Meaning of signs and symptoms affecting the head and neck

Pathophysiology of signs affecting the chest and respiratory system

Pathophysiology of signs affecting the breast and axillary cavity

Pathophysiology of signs affecting the heart

Arterial pathophysiology of signs affecting the vessels

Pathophysiology of signs affecting the venous and lymphatic vessels

Pathophysiology of abdominal signs

Pathophysiology of the signs and symptoms of acute abdominal syndromes

Pathophysiology of signs affecting the perineum, anus and perianal region

Pathophysiology of external abdominal hernias

Pathophysiology of liver signs

Pathophysiology of signs affecting the biliary tract and pancreas

Classes will be held in-person.

This integrated course consists of two disciplines which involve Clinical Methodology, the relationship between the physician and the patient, the clinical approach to signs and symptoms of diseases as well as the clinical examination and the clinical approach to diagnosis (Medical Semeiotics, Surgical Semeiotics).

 

Learning assessment methods:

Exam methods

8 exam sessions/year

Exam: written + oral (tied to the outcome of the written exam)

Written exam:

The exam is carried out in person, on the Moodle platform; the link is communicated to students via email the days before the exam. The exam rooms are communicated on Esse3 by the Secretariat.

Written exam method: 30 medicine questions and 30 surgery questions. 30 to 45 minutes for each module.

Before starting the exam, the teachers (or assigned staff) call the roll and check the identity documents (CI, passport) and the university card

Written exam evaluation (automatic)

Correct answer + 1 point

Incorrect answer: - 0.25 point

Answer not given: 0 points

The final grade is the weighted average based on the CFU of the 2 medicine and surgery grades. For the old system, the weighted average is calculated on 4 grades: medicine, surgery, clinical epidemiology and hygiene.

Oral Exam

1) Those who have achieved a score of 28/30 or higher in the written exam can register their grade without taking the oral exam. This possibility is not binding, as it is possible to access the oral exam (taking both medicine and surgery) even with a grade of 28/30 or higher, in case you wish to improve your grade.

2) Those who have achieved a score of between 18 and 27/30 in the written exam must necessarily access the oral exam (taking both medicine and surgery) if they wish to register their grade. Otherwise, they will be considered "withdrawn" from the exam. It is NOT necessary to notify the teachers by email, whether or not you wish to take the oral exam. Anyone who does not show up for the oral exam will be automatically considered withdrawn.

Oral exam evaluation

1) The oral exam can have a positive or negative outcome, regardless of the result of the written exam.

2) The final grade of the exam is established following the oral exam, if taken. In case of a negative outcome, the exam must be repeated in its entirety (written and oral)

3) It is necessary to take both the Medicine and Surgery exams

4) Those who have achieved a score equal to or lower than 27/30, will not be able to exceed 27/30 with the oral exam

SUPPORT ACTIVITIES

The teachers are available for any clarifications at the end of the lesson or by appointment.

RECOMMENDED TEXTS AND BIBLIOGRAPHY:

Rugarli editore Edra-Masson-medicina interna

and/or

Harrison (available english version in UNITO)

Jarvis editore Piccin -semeiotica