First cycle
degree courses
Second cycle
degree courses
Single cycle
degree courses
School of Medicine
MEDICINE AND SURGERY
Course unit
NEUROLOGY (Logistica Padova)
SF01106235, A.A. 2019/20

Information concerning the students who enrolled in A.Y. 2015/16

Information on the course unit
Degree course 6 years single cycle degree in
MEDICINE AND SURGERY (Ord. 2015)
ME1727, Degree course structure A.Y. 2015/16, A.Y. 2019/20
Sf0101
bring this page
with you
Number of ECTS credits allocated 4.0
Type of assessment Mark
Course unit English denomination NEUROLOGY
Department of reference Department of Medicine
Mandatory attendance
Language of instruction Italian
Branch PADOVA
Single Course unit The Course unit CANNOT be attended under the option Single Course unit attendance
Optional Course unit The Course unit is available ONLY for students enrolled in MEDICINE AND SURGERY (Ord. 2015)

Lecturers
Teacher in charge ELENA PEGORARO MED/26
Other lecturers LUCA DENARO MED/27
GIANNI SORARU' MED/26

ECTS: details
Type Scientific-Disciplinary Sector Credits allocated
Core courses MED/26 Neurology 4.0

Course unit organization
Period Second semester
Year 5th Year
Teaching method frontal

Type of hours Credits Teaching
hours
Hours of
Individual study
Shifts
Group didactic activities 0.0 16 0.0 No turn
Lecture 4.0 32 68.0 No turn

Calendar
Start of activities 02/03/2020
End of activities 12/06/2020
Show course schedule 2019/20 Reg.2015 course timetable

Examination board
Examination board not defined

Syllabus
Prerequisites: Basic neuroanatomy and neurophysiology knowledge
Target skills and knowledge: To learn the clinical and instrumental approaches and the basic principles to recognize, diagnose and treat neurological diseases and systemic diseases neurological complications. Learning goals of the course for the students will be the ability to examine a neurological patient and to describe in a systematic way neurological signs and symptoms.
Procedural skills:
• To obtain an accurate and focused neurological history
• To be able to perform a neurological examination
• To be able to perform a neurological examination in a comatose or not responsive patient
• To be able to present a neurological clinical case
Competence:
• To be able to recognize signs and symptoms of neurological diseases
• To be able to recognize and tell apart normal from abnormal neurological findings
• To be able through the identification of signs and symptoms derived from neurological exam to localize the lesion
• To be able to make a diagnosis and to discuss other differential diagnosis
• To identify emergency warning signs
• To make an accurate assessment plan
• To define a pharmacological or not pharmacological treatment and to express a prognosis
Examination methods: The reaching of learning objectives will be conducted by oral examination. The oral examination will be on the topics of the neurology course. In particular the basic and procedural knowledge will be evaluated also using clinical cases.
The final student’s evalution will be done on the following:
- the neurological knowledge
- the appropriate use of medical terms
- the ability to present and discuss clinical cases
- the ability to fit the neurological findings into the general context of patient assessment
Assessment criteria: The student should have acquired the knowledge of the neurological diseases and the ability to perform a neurological examination.
Course unit contents: 1. General history and neurological examination
• Mental status
• Cranial nerves (visual assessment, visual field defects, ophthalmoscopic exam, pupillary responses, extraocular movements, hearing, muscle strength examination, facial sensation, blink and gag reflexes).
• Motor exam ( gait, coordination, motor function and strength)
• Muscle tono and trophism
• Reflexes: deep tendon reflexes and plantar responses
• Sensory exam: pain, temperature, light touch, vibration

Neurological exam in patients with abnormal mental status:
• Level of consciousness
• Sensory, acustic, visual and pain stimulus responses
• Pupillary responses
• Oculocephalic and vestibulo-ocular reflex
• Corneal reflex
• Gag reflex
• Motor function: spontaneous movements, withdrawal movement, involuntary movements, muscle tone
• Deep tendon reflexes and plantar response
• Pain stimulus response

2. Anatomical localization of nervous system lesion
• Central or peripheral nervous system lesion
• Cerebral hemisphere
• Posterior fossa
• Spinal cord
• Plexuses and spinal nerve roots
• Peripheral nerves
• Neuromuscular junction
• Muscle

3. Systematical approach to chief neurological complaints
To be able to make a neurological differential diagnosis in patients presenting with:
• Generalized of focal muscle weakness
• Involuntary movements
• Gait abnormalities
• Dizziness
• Vision abnormalities, visual field defects, diplopia
• Dysarthria and dysphagia
• Acute mental status alteration
• Dementia
• Aphasia, apraxia, agnosia
• Headache
• Facial, neck , back and neuropathic pain
• Hypoesthesia and paresthesia
• Transient or focal symptoms
• Transient impairment of consciousness
• Sleep related disorders

4. How to prescribe and interpret laboratory or instrumental testing
To be able to utilize and interpret the following testing:
• Spinal tap and spinal fluid testing
• EEG
• Evoked potentials
• Electromyoneurography
• Carotid and transcranial ultrasound
• Brain and spine computerized tomography (and angio-CT)
• Brain and spine magnetic resonance (and angio-MR)
• Functional neuroimaging: brain SPECT and PET, functional MR
• Angiography
• Muscle and nerve biopsy

5. Identification and treatment of defined neurological diseases or neurological complications of other diseases
Potential emergency neurological conditions
• Intracranial hypertension
• Toxic or metabolic encefalopathy
• Sroke (ischemic or hemmorrhagic)
• Subarachnoid hemorrhage
• Meningitis and encephalitis
• Status epilepticus
• Spinal cord or cauda equina compression
• Brain injury
• Acute respiratory insufficiency in neuromuscular diseases

Specific neurological diseases
• Stroke (ischemic and hemorrhagic)
• Epilepsy
• Alzheimer’s disease and secondary dementia
• Parkinson’s disease, Parkinsonisms and movement disorders
• Multiple sclerosis and demyelinating diseases
• Motor neuron diseases
• Cerebral and spinal tumors
• Brain and spinal injuries
• Headache
• Myopathies and myasthenia
• Cerebellar ataxias
• Polyneuropathies
• Meningitis and encephalitis
Planned learning activities and teaching methods: Lessons and bedside exercitationes
Textbooks (and optional supplementary readings)
  • Autori vari (a cura di C. Angelini, L. Battistin), Neurologia Clinica. Bologna: Esculapio, 2014. Cerca nel catalogo
  • Carlo Ferrarese, Core Curriculum: malattie del sistema nervoso. Milano: Mc Graw Hill, 2016. Cerca nel catalogo

Innovative teaching methods: Teaching and learning strategies
  • Lecturing
  • Problem based learning
  • Case study
  • Questioning
  • Video shooting made by the teacher/the students
  • Use of online videos

Sustainable Development Goals (SDGs)
Good Health and Well-Being Affordable and Clean Energy