First cycle
degree courses
Second cycle
degree courses
Single cycle
degree courses
School of Medicine
MEDICINE AND SURGERY
Course unit
MEDICAL CLINIC 1 (Logistica Padova)
MEP5071231, 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)
ME1729, Degree course structure A.Y. 2015/16, A.Y. 2019/20
Sf0101
bring this page
with you
Number of ECTS credits allocated 11.0
Type of assessment Mark
Course unit English denomination MEDICAL CLINIC 1
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 PAOLO SIMIONI MED/09
Other lecturers MARCO DI PASCOLI MED/09
ANDREA ERMOLAO MED/09
CLAUDIO PAGANO MED/09

ECTS: details
Type Scientific-Disciplinary Sector Credits allocated
Core courses MED/09 Internal Medicine 7.0
Core courses MED/09 Internal Medicine 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 44 0.0 No turn
Lecture 11.0 88 187.0 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: Students should have a good knowledge of the principles of anatomy, physiology, pathology and general physiopathology, pathological anatomy, pharmacology, laboratory medicine, medical-surgical specialties, clinical and semeiotic medical methodology.
Target skills and knowledge: The Course of MEDICAL CLINIC 1 represents the passage from the phase of semeiological, methodological and pathophysiological knowledge to the phase of diagnostic formulation and clinical decision-making procedure; it represents the student's first approach to the patient in its clinical complexity.
The student will learn to complete the information obtained from the anamnesis and patient examination, to interpret the laboratory and instrumental data of each pathology and to set the clinical-diagnostic reasoning, to complete, keep and store the medical data up to the formulation of clinical diagnosis.
Examination methods: At the end of the course of MEDICAL CLINIC 1 there will be a final oral exam about the program in order to verify the clinical-diagnostic skills acquired during the course.
Assessment criteria:  Participation in class and in training activities in small groups
 Presentation and discussion of clinical cases
 Evaluation of the final oral exam
Course unit contents: LECTURES (all students in the classroom)
PROF. SIMIONI
Presentation of the course, educational program and topics of the lectures.
Lectures with discussion of clinical cases (not necessarily in the sequence indicated below, also based on the availability of clinical cases):
 Chest Pain
 Abdominal Pain
 Back Pain
 Headache
 Sepsis and DIC
 Enlargement of Lymph Nodes and Lymphoadenopathies
 Bleeding disorders
 Thrombotic disorders
 Coagulation diseases
 Thrombocytosis and thrombocytopenias
 DVT and PE
 Anaemias
 Patient blood management
 Leukemias
 Lymphomas
 Chronic Myeloproliferative Diseases
 Amyloidosis
 Valvular Heart diseases
 Endocarditis
 Pericarditis
 Myocarditis and Cardiomyopathies
 Angina
 Myocardial Infarction
 Left ventricle failure and pulmonary oedema
 Heart failure
 Hypertension
 Cardiac arrythmias
 Atrial Fibrillation
 Portal vein thrombosis and other splanchnic thromboses
 COPD
 Pneumonia
 Pleuritis
 Lung cancer
 Tubercolosis
 Meningitis
 Encephalitis
 Ischemic stroke
 Hemorrhagic stroke
 Peptic ulcer disease and related disorders
 Diseases of the Gallbladder and Bile Ducts
 Gastrointestinal Cancers
 HCC
 Pancreatic Tumors
 Hepatitis
 Inflammatory bowel disease
 Rheumatoid Arthritis
 Systemic Lupus Erythematosus
 Antiphospholipid syndrome
 Gout and other Crystal-associated Arthropathies
 Autoimmune Diseases
 Autoinflammatory Diseases
 Sarcoidosis
 Vasculitis
 Acquired immunodeficiency and AIDS
 Acute Kidney Injury
 Chronic Kidney Disease
 Kidney tumors
 Nephrolithiasis
 Urinary tract infections
 Bacterial Diseases
 Viral Diseases
 Fungal, Protozoal, Helminthic Infections


PROF. DI PASCOLI
 Complications of liver cirrhosis
 Cardiogenic shock
 Neurologic syndromes in internal medicine
 Acute and chronic renal failure
 Electrolytes imbalance


PROF. ERMOLAO
 Physical function and the effects of exercise in different chronic diseases.
 Clinical-functional assessment in sports and exercise medicine, cardiovascular risk stratification. Principles of exercise prescription in clinical practice.
 Health protection in competitive and non-competitive sports: legislative, organizational and clinical aspects.
 Internal medical disorders of physical exercise related, clinical and diagnostic aspects: gastrointestinal complaints, athlete's anemia, the female athlete triad, hypogonadism and Relative Energy Deficiency in sports (RED-S), asthma and exertional bronchospasm.
 Clinical conditions and diseases related to high altitude exposure: clinical, diagnostic and therapeutic aspects.

PROF. PAGANO
 Diabetic coma
 Clinical management of diabetic patients with chronic complications
 Obese patients and their complications (metabolic, respiratory, orthopaedic, cardiovascular, etc)
 Clinical cases with hypo and hyperthyroidism
 Clinical cases with hypo and hyper adrenal function
 Hypo and hypercalcemia
Planned learning activities and teaching methods: THEORETICAL-PRACTICAL LECTURES:
1) Physical examination
Symptom analysis; general objective examination and general symptoms; respiratory system and respiratory symptoms; cardiovascular system and cardiovascular symptoms; abdomen and hypochondriacal organs; digestive system and digestive symptoms; renal and genitourinary system and renal and urological symptoms; neurological apparatus and neurological symptoms; breasts, upper and lower limbs and musculoskeletal system; psychiatric symptoms.
2) Clinical interpretation of symptoms, signs, laboratory and diagnostic tests
Inflammatory and infectious function; autoimmunity; hematological function (bone marrow, peripheral); metabolic function; endocrine function (thyroid, adrenal gland, sex); renal function (ECO); liver function (ECO); respiratory function (EGA, resp function) (bronchoscopy, sputum); cardiocirculatory function (PA, ECG, ECO); gastrointestinal function (endoscopy, faeces culture).
3) Medical records
Compilation of medical records at the bedside; SVAMA record (Sheet for the Multidimensional Evaluation of Adult and Elderly People); discussion in the classroom.
4) Therapy
Collection of examples of therapy of patients in the ward related to pathology groups (treatment of heart failure and ischemic heart disease, antiarrhythmic, antithrombotic, hypolipidemic, antihypertensive, antibiotic, antidepressant, respiratory failure, antidiabetic, antipyretic). To know how to fill out requests for specialist advice, requests for diagnostic tests, medical prescriptions on SSN forms and on “blank paper”; to know the classes of drugs according to the SSN, the AIFA notes, reactions to drugs.
Ongoing tests to evaluate learning and comprehension are foreseen during the course.
Lectures and training activities in small groups.
Lectures consist in the presentation of clinical cases and the systematic classification of various pathologies. The clinical cases will concern the most important and frequent pathologies in order to provide the student with a basic knowledge of the fundamental rules of the internist approach. Dynamic and interactive lessons with the direct participation of the student in the development of the clinical case.
Students will actively participate in training activities in small groups. During this activity, students will evaluate a clinical case that will be analyzed, discussed and presented during the lecture and that will be integral part of the program. Students will be supervised by prof. Simioni and his collaborators: dr. Fabio Dalla Valle, dr. Luca Spiezia.
All Professors involved in the course (prof. Simioni, prof. Di Pascoli, prof. Ermolao and prof. Pagano) will take turns in lectures.
Additional notes about suggested reading: In addition to the recommended books, students may have slide-presentations used during the lectures. The course is supported by the Moodle platform available on the page: https://elearning.unipd.it/dimed/.
Textbooks (and optional supplementary readings)
  • JAMESON, FAUCI, KASPER, HAUSER, LONGO, LOSCALZO, HARRISON'S PRINCIPLES OF INTERNAL MEDICINE.. --: McGRAW-HILL, 2018. 20TH EDITION. VOL. 1-2. Cerca nel catalogo
  • DOROSHOW, DRAZEN, GRIGGS, LANDRY, LEVINSON, RUSTGI, SCHELD, SPIEGEL, GOLDMAN-CECIL MEDICINE. --: ELSEVIER SAUNDERS - 2016, 2016. 25TH EDITION. VOL. 1-2. Cerca nel catalogo

Innovative teaching methods: Software or applications used
  • Moodle (files, quizzes, workshops, ...)