Learning outcomes of the course unit
To learn how to conduct a general or specific medical anamnesis.
2 To learn how to perform a full physical examination.
3. To learn how to check blood pressure, take a venous blood sample and perform a standard electrocardiogram.
4. To recognize the significance and general physiopathology of the most frequent signs and symptoms of disease.
5. To learn the normal levels of basic laboratory tests of general medical/surgical interest.
6. To know how to detect objective pathological signs, to learn the most important variations in laboratory analysis parameters, the most common basic tests used for studying the principal organs of the body and other general procedures used in medicine and surgery.
Course contents summary
Familial, physiological, work-related, past and present pathological, pharmacological.
General medical check-up
Nutritional state, skin, linfonodes, head and neck, eyes, nose, mouth and throat, chest, breasts, pulses, abdomen, rectal exploration, uro-genital apparatus, arms and legs, muscular system, nervous system, deambulation.
Signs and symptoms of disease
Fever, cough, dyspnea, cyanosis, asthenia, anorexia, vomiting, diahrrea, constipation, meteorism, intestinal occlusion, jaundice, edema, ascites, palpatations, chest pain, abdominal pain, cefalea, dysuria, oliguria, anuria, polyuria, hematuria, pruritus and internal disease related dermatosis, malnutrition
Lungs and bronchi: current objective findings on thoracic effusion, pneumothorax, atelectasis, pneumonia, pulmonary emphysema, acute and chronic bronchitis, bronchial asthma, acute pulmonary edema, pulmonary embolia and pleuritis, respiratory function exploration, expectorant analysis, thoracentesis and pleural liquid exam, standard chest X-rays, significance and usefulness of computerized axial tomography, pulmonary scintigraphy, bronchoscopy.
Digestive tube: common examination methods for esophagus, stomach, duodenum, jejunum, ileum, colon and rectum, intestinal malabsorption, feces analysis and coproculture, rectal exploration.
Liver, biliary tract and pancreas: objective findings, hepatic, biliary and pancreatic tests, sierological markers for viral hepatitis , ecography and computerized axial tomography, paracentesis, physiopathology of hepatic circulation and of portal hypertension.
Kidneys and urinary tract: objective medical findings, complete urine analysis and uroculture, kidney function evaluation, radiological and endoscopic investigations.
Nuti – Caniggia: “Metodologia Clinica” Edizioni Minerva Medica 2002
Novarini: “Argomenti di Semeiotica: basi fisiopatologiche e significato clinico” Edizioni CUSL 1982
Okolicsanyi – Peracchia: “Malattie dell’Apparato Gastro Intestinale” Edizione MCGRAW –HILL 1998
Barbuti – Bellelli: “Igiene e Medicina Preventiva” Vol. I - 4° Edizione, Editore Monduzzi
Didactic activity will consist both in collective formal lectures and in practical exercises for small groups in the medical and surgical wards; in the latter case, Professors of the integrated course will be the tutors