Laurea Magistrale in Medicina e Chirurgia - sede di Torino

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. 

Medical data recording: medical record writing

Traditional anamnesis, problem-oriented anamnesis, and short case history

Psychosocial history

Adjustment of clinical decisions to better fit the specific condition of the patient.

Family history, physiological history, past medical history, recent medical history

Clinical diagnosis and its relationship to prognosis

Guidelines: principles and use

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

Clinical evaluation

Integration of history and physical examination

General principles, structure, and methodological approach to the physical examination

Somatic and visceral pain

Thoracic, abdominal, radicular pain.

Fever and heating curves in febrile states

Oedema

Hypovolemic, hemorrhagic, and septic shock

Dyspnea, cyanosis, cough, sputum.

Epistaxis and hemoptysis

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

Jaundice

Hematemesis, melena, enterorrhagia, proctorrhagia

Implication of signs and symptoms affecting skin, subcutis, and annexes.

Implication of signs and symptoms affecting head and neck

Pathophysiology of signs of chest and respiratory tract

Pathophysiology of signs of breast and axillary cavity

Pathophysiology of signs of the heart

Pathophysiology of signs concerning arterial vessels

Pathophysiology of signs of venous and lymphatic vessels

Pathophysiology of signs affecting the abdomen

Pathophysiology of signs and symptoms of acute abdominal syndromes

Pathophysiology of signs concerning the perineum, anus, and perianal region

Pathophysiology of external abdominal hernias

Pathophysiology of signs in the liver

Pathophysiology of signs concerning the biliary tract and pancreas

Pathophysiology of signs affecting the kidney and the excretion system

Pathophysiology of signs and symptoms in the urogenital system

Pathophysiology of signs concerning the spleen, lymph nodes, and hematopoiesis

Pathophysiology of signs and symptoms in the limbs

Pathophysiology of signs affecting the musculoskeletal system

Doctor–patient relationship

Set up a proper environment and a relationship of trust to perform a physical examination in a

situation of fairness and privacy

Adopt proper personal attitudes and use appropriate gestures to deal with the patient.

Inform the patients about diagnoses of severe, disabling, or unfavorable diseases as well as the possible related treatments.

Inform a patient about treatments, their risks and benefits and verify their comprehension.

Inform relatives or carers about the conditions of the patient as stated by laws and principles specified in the charters for the patients’ rights and in the charts for the protection of the elderlies.

Welcome a patient to a ward or to the outpatient clinic.

Apply the techniques of "counseling" and motivational interviewing. 

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).

The test consists of an in-person written test on a Moodle platform: 

30 questions from Medicine and 30 from Surgery; 30 minutes time for each test. Correct answer 1 point; incorrect -0.25 points; not given 0 points

If the written test grade is > 25/30: there is no need to take oral. The grade is recorded unless the Student wishes to decline or improve the grade with the oral.

If the written test grade is between 18 and 24/30, taking the oral for registration is necessary. The grade after the oral cannot be higher than 24/30. Notification is not necessary if you want to decline. Those who do not show up for the oral are automatically registered as "withdrawn".