INTERNAL MEDICINE
cod. 06881

Academic year 2017/18
5° year of course - Second semester
Professor
Academic discipline
Medicina interna (MED/09)
Field
Emergenze medico-chirurgiche
Type of training activity
Characterising
7 hours
of face-to-face activities
1 credits
hub: -
course unit
in ITALIAN

Integrated course unit module: EMERGENCY AND FIRST-AID MEDICINE

Learning objectives

The student will have to correctly address the main internal medicine clinical scenarios in an Emergency-urgency setting, and will have to know the basics of therapeutics.

Prerequisites

Knowledge of physiopathology, semeiotics and clinical methodology, basics of clinical pharmacology.

Course unit content

The most common internal medicine syndromes in Emergency setting: diagnosis, differential diagnosis, and treatment

Full programme

1) Alarm Symptoms (coma, cardiopalm, headache, motor deficiency, diarrhea, dyspnoea, pain, bleeding, fever, back pain, vomiting, etc.).

2) Cardiovascular emergencies (arrhythmias, acute coronary syndrome, pulmonary embolism, acute pulmonary edema, pericarditis, aneurysms, critical ischemia, hypertensive crises).

3) Pulmonary emergencies (bronchospasm, pneumonia, pneumothorax, respiratory failure).

4) Emergencies of the digestive system (digestive bleeding, perforation, acute appendicitis, intestinal occlusion, acute pancreatitis, acute diverticulitis, biliary colic).

5) Neurological and psychiatric emergencies (epilepsy, TIA, stroke, intracranial hemorrhage, delirium, acute psychosis, drug and / or narcotic abuse).

6) Infective illnesses (meningitis, sepsis, endocarditis).

7) Endocrinological emergencies (diabetic ketoacidosis, hyperosmolar syndromes, Addison's disease, thyrotoxicosis).

8) Hematological emergencies (coagulopathy, acute anemia, acute leukemia, acute piastrinopenia).

9) Nephro-urologic emergencies (renal colic, acute renal failure, nephritic syndrome).

10) Acute acid-base and hydro-electrolyte balance alterations.

11) Internistic polyrauma complications (Crush syndrome, compartmental syndrome, rhabdomyolysis).

12) Shock: definition, classification, clinical and therapeutic approach.

13) Healthcare Principles (triage, overcrowding in Emergency Departments: Causes, Consequences and Remedies).

Bibliography

Casagranda-Ghiselli. Medicina d'Emergenza-Urgenza. Ed Idelson-Gnocchi 2017

Teaching methods

Interactive lessons

Assessment methods and criteria

oral examination

Other information

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