introducing the specialistic degree in medicine and surgery

INTRODUCING THE SPECIALISTIC DEGREE
IN MEDICINE AND SURGERY
The New Didactical Curriculum of the Specialistic Degree in Medicine and Surgery, due to class of
Specialistic Degrees 46/S, has been activated in the University of Studies of Pavia since academic
year 2002/2003. It has been applied to the students matriculated from that year to nowadays,
while other students are still following the old curriculum (the so-called XVIII ter-frame).
The new curriculum, elaborated according to the decrees of Area of the Class of Specialistic
Degrees in Medicine and Surgery, defines the formative objectives of the graduates which will
have a knowledge of:
• the scientifical basis and the theorical-practical preparation according to the directive
75/363/CEE to practice the medical profession; the methodology and culture needed to the
practice of the permanent formation; a level of professional, decisional and operative
authonomy derived from a formative course characterized by an olistic approach to medical
problems, to healthy or unhealthy people also in relation with the chemical-physical, biological
and social surrounding.
• the essential theorical knowledges derived from the base sciences, in the prospective of the
professional future application; the ability to notice and evaluate critically with a clinical point
of view, and with a unitary vision, the etical and storical dimensions of medicine; the ability to
communicate clearly and with humanity with the patient and his family; the ability of
collaborating with the different professional figures in the sanitary group activities; the ability
to apply the principles of sanitary economy in medical decisions,too; the ability to recognize
sanitary problems of the community and to act with competence.
ADMISSION TO THE DEGREE IN MEDICINE AND SURGERY
In order to sign in for the Specialistic Degree in Medicine and Surgery, the candidates should have
a High School Certificate or an equivalent foreign diploma.
The number of students admitted is established according to the national programme and the
disponibility of professors, didactical structures (classrooms, laboratories) and assistential
structures, to do clinical rotations in the wards according to the raccomandations of the Advisory
Committee on Medical Training of the European Union, applying parameters and directives
predisposed by the Ateneo and the Department.
The established number of matriculation in the first year is defined under the provision of the Law
264, August 1999 (about the access to university courses according to the law).
The Academic Authorities have decided to matriculate for the academic year 2003/2004, 200
communitary and 15 foreign students. The access is determined by the results of the entry test,
based on a merit graduation obtained by the score of the tests.
The entry test is the same in all italian public Universities and takes place on the same date; it is
given by the Minister of Education, of the University and Research, with a commission composed
by experts thet have a ministerial assignment.
The entry test consists of 80 multiple choice questions to solve, and only one out of five answers is
correct. Topics: logic, general culture, biology, chemistry, physics and mathematics. The expiry
date to sign in for the first year of Specialistic Degree is fixed unbreakably by the annual
announcement of examination.
FORMATIVE CREDITS
The unit of measure of the work requests to the student to carry out formative activities according
to the didactical Order for the graduation is the University Formative Credit (CFU).
Every CFU is worth 25 hours of working activity of the student, including:
- hours of lessons
- hours of interactive didactical activities in laboratories, ward, outpatients departments, day
hospital
- hours of seminars
-
hours spent by the student in the other formative activities according to the Didactical Order
hours of autonomous study needed to achieve proper formation.
DIDACTICAL ORGANIZATION OF THE SPECIALISTIC DEGREE
By the ministerial law about Determination of the Class of Specialistic Degrees (November 2000),
the Course of Specialistic Degree in Medicine and Surgery provides 360 CFU, divided in six years
of Course, comprehensive of 60 CFU in professionalizing apprenticeship, to get in formative
activities aimed to the development of specific professional abilities.
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The Specialistic Degree is articulated in 12 terms, 14 weeks each, aiming to a didactical
progression from the knowledge of the base sciences, worked up in the first two years, to
the medical and clinical methodology, of the sanitary organization on the territory, and of the
etical and forensic aspects of medicine.
Courses are articulated in modules according to the logic of didactical integration, which
allows to achieve the interrelations existing between the contents of all the subjects. The
total number of exams is 37 in the six years of Course; for the subjects lasting two terms is
possible to undergo “in itinere” written examinations. If more than a teacher holds modules
in the same integrated course, a course coordinator is elected, so the students can have a
point of reference.
The Professionalizing Internship (60 credits) has an important role as it gives the student the
possibility to get more and more integrated in his future profession. Students are asked to do
Internships - one per year – since the second year of Course, and each internship lasts one
year. Student can attend wards such as Internal Medicine, General Surgery, Paediatrics,
Obstetrics and Ginecology and so on. The Internship is a tutorial didactical activity which
establishes the execution of practical activities under control of a Professor in charge, who
plays the role of Tutor.
Elective Activities (“Attività Didattica Elettiva”, ADE) chosen by the students are worth 15
CFU, and there aren’t examinations at the end.
The global amount of credits for “Other” activities is 18 CFU: part of these are included in the
integrated subjects Human Science, Clinical Methodology, English, Preventive Medicine, while
5 CFU are reserved to other linguistic knowledges, computer science, working stages.
Final thesis is worth 15 CFU.
TEACHING MODALITIES
The didactical typologies of the subjects can be distinguished in: frontal lessons, seminars,
interactive activities.
Frontal Lesson means the development of a specific topic, defined by the formative curriculum
according to the Study Course, made by a professor on the basis of a predefined calendar, and
given to the students that are regularly matriculated.
Seminar is a didactical activity with the same characteristics of the frontal lesson.
Conferences on clinical-pathological topics, eventually established according to the clinical
lessons, are recognized as seminar activity as well.
Seminar activities can be interuniversitary and developed as videoconferences.
The Interactive Activity is carried on by little groups of students, each of them with a teachertutor, who helps students to learn competences and behaviour. Learning is carried out by
analysing problems through methodologic competences essential to be worked out, as practical
activities, frequence in the wards, outpatients departments and research laboratories.
EXAMINATION MODALITY
To be admitted to examination, Students must attend at least 70% of frontal lessons and
interactive – practical activities according to any formative plan. In case of subjects lasting two
terms, this criterium is applied to each term. Every teacher establishes his way to check
students’ frequency to his course.
Credits corresponding to each subject are gained by students with the following methods:
-
passing the examination of curriculum subjects;
obtaining the frequency signature by responsible professor in case of Elective Activities;
in case of internships, obtaining the frequency signature released by professor and
verifying abilities and attitudes in the examination of the different clinical subjects.
In case Students do not comply with their frequency duties or fail their exams for more than an
academic year, a request for the evaluation of their university career must be proposed to the
Didactical Council of Medicine. Credits obtained before will be confirmed in case these are
obsolete.
PROPAEDEUTICITY AND BLOCKAGES
To make sure a progressive and equilibrated culture growth of students, propaedeutic steps
have been established as follows:
The exam Chemistry and propaedeutic Biochemistry is propaedeutic for Biochemistry.
The exam Histology and Embriology is propaedeutic for Human Anatomy.
The Exams Physics, Biochemistry, and Human Anatomy are propaedeutic for Human
Physiology.
Physiology is propaedeutic for all clinical exams.
Physiology and Human Pathology are propaedeutic for Laboratory Medicine.
Medical and Surgical Semeiotics are propaedeutic for all clinical exams.
PASSING FROM THE FIRST TO THE SECOND YEAR
To matriculate to the second year, students must have gained 30 Credits, including credits
given for examinations “in itinere” at the end of the classes; a maximum of 2,5 credits acquired
according to the elective didactic activities, chosen between those offered from the first
academic year, and a maximum of one credit acquired with the frequency and with one of the
elective activities chosen by the students.
Passing from the second to the third year:
To matriculate to the third year students must have gained a total of 60 credits in the two
years before, including elective and “others” activities credits, according to curricular rules (a
maximum of 2,5 CFU for the ADE and 1 CFU for the “others” per academic year) and eventual
examination in itinere that needs ability at the end of the Course.
Passing from the third to the fourth year:
To matriculate to the fourth year students must undergo all the exams of the first and second
year and must have succeeded in the exam of General Pathology.
Crossing from the fourth to the fifth year:
All the Students regularly matriculated to the fourth year cross to the fifth year and can undergo
the exams.
Crossing from the fifth to the sixth year:
Students regularly matriculated to the fifth year cross to the sixth year and can undergo the
exams.
Crossing from a year to the next is possible ony for students that have acquired the minimum
number of CFU by september 30th, according to the rules.
Students who haven’t obtained the regular frequency signature of each teacher and who weren’t
able to gain the minimum number of CFU, are matriculated as “repeating”.
Students that have attended the Courses for the number of years required by the curriculum and
haven’t been gaining all the necessary credits to the Degree Exam are matriculated as “Out of
Course”.
CHECKING OUT LEARNING SKILLS
Learning skills evaluation may be developed through formative evaluation and certificative
evaluation.
Formative evaluations (“idoneità”, abilities) are used to verify the efficacy of the learning process
and also of the teaching about determined contents with an examination without mark.
Certificative evaluations (profits exams) are instead aimed to verify and quantify with a mark the
achievement of aims of subjects, certifying the level of individual learning of the Students.
Exams may be done only at established times, called “exams sessions”.
Evaluations can’t take place along with lessons time, neither with other activities, just to let the
Students attend courses and related interactive – practical activities.
There are three exams sessions per year: the first is in January-February, the second is in JuneJuly, the third is in September.It is possible to add one more session, identified by the Didactic
Council in the month of December.
The Last Exam consists of a discussion of the Thesis made by the candidate.
ELECTIVE DIDACTIC ACTIVITY
The Elective Didactic Activity (ADE) is about teaching-learning freely chosen by Students with the
aim to personalize their own formation through a special development of the most interesting
subjects.
Electives can be proposed in terms of Internship, Monographic Courses and Seminars; once
chosen, the frequency signature is mandatory to obtain credits: at the end of each event
professors have to sign on the special booklet of the personalized formative courses.
The Didactic Council yearly gives the list of the ADE about integrated subjects and the schedules
that must not be the same of the schedules of the curriculum activities.
In the six years of the Course, students must obtain 15 credits in total, spread in the years
according with the plan of study, attending ADE, chosen between following typologies:
Elective Internship: 1,5 Credits
Monographic Course: 1 Credit
Seminar: 0,25
Elective Internship: the Elective Internship requires a frequency of not more than 30 hours; it
offers students the chance to develop many activities and can take place in research laboratories
or in the Hospital. In both structures the intership activities must be useful to better Students’s
knowledges in a specific structure, to develop cultural interests about their future job, apart from
interactive activities, that are fundamental as well. To apply for internship, students must submit
a written request to the professor in charge, along with a short curriculum vitae, to allow the
selection of candidates in case the number of the requests are more than available places.
Students can attend just one Elective Internship per year.
Monographic Course: the Monographic Course gives the chance to deeply analyse the
theorical topics explained in the Course and can take place through six frontal lessons, or with
the ADE in small groups. Offered monographies change every year; students should follow at
least one per year. It is necessary to obtain the final signature and/or a certificate, attending not
less than 70% of lessons.
Seminary: didactic activities with the same features of frontal lessons. Can be followed
individually (students aren’t supposed to follow a complete cycle of lessons like monography),
obtaining each time the related credits.
“OTHER” ELECTIVE DIDACTIC ACTIVITIES
The activities indicated as “Others” of the New Curriculum of the Specialistic Degree in Medicine
and Surgery, consist in many activities that are expected to enrich students’ global culture and to
help professional choices through a direct knowledge of working possibilities. “Other” Activities
can be computer science (e.g. the ECDL computer’s driving licence), language courses, courses
and seminars organized by University Colleges and approved by the Council of Faculty, working
stages. According to the curriculum, students should achieve at least five credits through “Other”
Activities; at the end they must gather the professor’s signature on their personal booklet.
The “Other” activities that can be chosen along the six years of Medical Degree are:
- Practical Course to the achievement of computer science: 1 credit (activated from
the 1° to the 6° year).
- Course of foreign language: 1 credit (activated from the 1° to the 6° year).
-
Monographic Course organized by the University Colleges: 1 credit (activated from
the 1° to the 6° year).
Orienting Course in the world of job: 1 credit (activated from the 4° to the 6° year)
Seminars, frequency to congresses: 0,25 (activated from the 1° to the 6° year).
The Didactic Council may approve credits for language courses followed in European
Community’s States, on the basis of official certificates produced by University of Pavia itself but
also by other structures.
PROFESSIONALIZING INTERNSHIPS
The professionalizing internships are particular activities that provide Students a specific
professional knowledge in the field of Internal Medicine, General Surgery, Paediatrics, Obstetrics
and Ginecology and other medical and surgical specialities. These activities must be carried out
by Students themselves, under direct control of a tutor professor and must have a sort of
autonomy, to make Students able to pratically apply their knowledge.
The aim of professionalizing activities is to give to Students the ability of analyzing the signs and
the symptoms, to match each others and make reasoning, diagnosis, and proposal of therapy.
The 60 credits of professionalizing activities are obtained from the 2° year and are indicated on
the study programme during the integrated courses, they are aquired passing subject’s
examination that include the Professionalizing internships.
THESIS-RELATED FORMATIVE ACTIVITIES
Students are given 15 credits (365 hours) just to carry out the work on their Thesis, inside
University’s structures, clinical structures or biology Institutes. These activities have been defined
as “Degree Internship”. Students who want to attend a Degree Internship in a structure must
submit a formal request to the Director, adding a curriculum vitae (a list of passed exams with
marks together with a list of optional activities followed, stages in laboratories or clinic or
whatever they did in their career). The Director of the structure, with other teachers, examines
the request; if the student is allowed to enter the structure, the director nominates a Tutor,
eventually indicated by the Students themselves, who has the responsability to control and
certificate the activities carried on by Students.
Degree Examination
To be allowed to the Final Degree Examination Students must:
- Have followed all the courses and have passed all the related exams;
- have obtained a total of 360 CFU articulated in the six years of Course;
- have delivered Student’s Office the following documents:
a. request to the Rector of the University at least 30 days before the discussion of the
Thesis;
b. a copy of the Thesis at least 10 days before the discussion of the Thesis.
The Degree Examination’s sessions take place in summer and autumn and there may be an
extraordinary session according to the established calendar.
GENERAL INFORMATION
SOCRATES/ERASMUS PROGRAMME
Official link of the european community website:
http://europa.eu.int/comm/education/programmes/socrates/erasmus/erasmus_en.html
Socrates is Europe’s education programme involving 31 countries and its main objective is to build
up a Europe of knowledge, thus providing a better response to the major challenges of this new
century: to promote lifelong learning, encourage access to education for everybody, and help
people to acquire recognised qualifications and skills. In more specific terms, Socrates tries to
promote language learning, and to encourage mobility and innovation. It supports the education of
the least advantaged groups of people. It endeavours to counter social exclusion and
underachievement at school. Erasmus is one of the eight actions of the European Community’s
SOCRATES Programme, and it involves higher education. Since it was started in 1987, it has
become stroger and stronger and 700 000 students have been able to take advantage of the
mobility arrangements within Erasmus. Today, nearly all European universities take part in the
project. Erasmus gives students the opportunity to study for a period of 3-12 months at a
university or higher education establishment in another participating country. As a matter of
principle, the time spent in the host country must be fully recognised by the home institution. The
European credit transfer system (ECTS) is the major instrument to facilitate academic recognition
of periods of study in partner establishments.
It should be clear that there must be an agreement between the universities concerned before a
person can take benefit from the Erasmus scheme.
Socrates Erasmus director of the Faculty of Medicine is Professor Giovanni Ricevuti; he deals with
partner Universities coordinators to ensure the feasibility of each student’s learning agremeement,
and he takes care of the students themselves, making sure they have understood the aims of the
programme.
PARTNER UNIVERSITIES
MALTA
DANIMARCA
FINLANDIA
UNIVERSITY OF MALTA
AARHUS UNIVERSITET
SYDVAST POLYTECHNIC (YRKESHOGSKOLAN)
UNIVERSITY OF TAMPERE
FRANCIA
UNIVERSITÉ CATHOLIQUE DE LILLE
UNIVERSITÉ DE LA MEDITERRANEE AIX MARSEILLE
UNIVERSITÉ JOSEPH FOURIER GRENOBLE I
UNIVERSITÉ PAUL SABATIER- TOULOUSE III
UNIVERSITÉ PIERRE ET MARIE CURIE (PARIS VI)
UNIVERSITÉ RENÉ DESCARTES (PARIS V)
GERMANIA
JOHANNES-GUTENBERG-UNIVERSITAT MAINZ
RHEINISCHE FRIEDRICH-WILHELMS UNIV. BONN
UNIVERSITAT LEIPZIG
GRAN BRETAGNA UNIVERSITY OF LIVERPOOL
PORTOGALLO
UNIVERSIDADE DE COIMBRA
UNIVERSIDADE DE LISBOA
UNIVERSIDADE DO PORTO
SLOVACCHIA
UNIVERZITA KOMENSKEHO V BRATISLAVE (Comenius Faculty of Medicine)
Univerzita Komenskeho v Bratislave Martin (Jessenius Faculty of Medicine)
UNIVERZITA P.J. SAFARIKA V KOSICIACH
SPAGNA
UNIVERSIDAD COMPLUTENSE DE MADRID
UNIVERSIDAD DE VALLADOLID
UNIVERSIDAD MIGUEL HERNANDEZ DE ELCHE
UNIVERSIDAD DE ZARAGOZA
UNIVERSIDAD DE CATALUNYA
UNIVERSIDAD DE BARCELONA
UNGHERIA
SVEZIA
UNIVERSITY OF PECS
GOTEBORGS UNIVERSITEIT
CENTRO LINGUISTICO
CENTRO LINGUISTICO is a interdepartmental center of services addressed to italian and foreign
students and to the teaching and technical-administrative staff of the University of Pavia, with the
aim to promote the learning of the foreign languages.
It has three centers currently: Laboratories (Palazzo Centrale, Sforzesco Courtyard), Cravino
Center (Faculty of Engineering, G1 classroom), Offices (Main Building, Teresiano Courtyard).
The Center carries out many activities; in particular, it organizes courses of languages for Italian
and foreign students in mobility; it is the center of examination for the certifications of English
language of the University of Cambridge (PET, First Certificate, Proficiency) and for the
Certification of Italian as Foreign Language of the “Università per Stranieri di Siena” (CILS); the
service of auto-apprenticeship of the foreign languages and the Italian for foreigners.
The CENTRO LINGUISTICO has many means of auto-apprenticeship: classrooms with listening
facilities; a wide range of approximately 1000 courses with audio, video and cd-rom supports,
about almost 47 various languages; around 350 videotapes of famous movies in their mothertongue. Technicians with Language Degree can help the students in the choice of learning means.
Customers can moreover gather information and material on the main international certifications
of foreign languages (apart from the ones mentioned before, the TOEFL for English language, the
DELF/DALF for French language, the ZdaF/ZMP for German language, the DBE/DSE for Spanish
language).
Opening times: Laboratories monday-friday 9,00 a.m. - 6,00 p.m.
Cravino Center: please call one of the number below or visit the website:
http://www.unipv.it/cenling
Useful numbers:
Laboratories tel. and fax: +39 0382 984476
Offices tel. and fax +39 0382 984383
Cravino Center tel. +39 0382 985758 fax Center Cravino 0382 - 505760
CENTRO ORIENTAMENTO STUDENTI (C.OR.)
This Center has the aim to follow and help students during their study career.
The C.OR. organizes activities to support the students, from the last two years of the secondary
School to the University, with particular attention to matriculation, first year of course and terminal
phase leading to the job world.
The center is located in via S. Agostino 8, phone 0039 0382 984218.
Apart from the pre-university guidelines, the Center activity consists of two fields:
- INTER-Universitary field
- POST-Universitary field
INTER-Universitary guideline
C.OR. promotes activities to increase the effectiveness of the formative process and, at the same
time, to make the student more aware of the choices and opportunities that are offered. To reach
this goal, there are some kind of activities like: meetings with the freshers; promotion of
propaedeutic courses; meetings with the Council of Faculty; services of “tutorato”, with the aim to
support students during their academic career, helping them to face the most common problems
(e.g. lessons and elective-optional activities attendance). The in use projects offered by Faculties
are about one hundred and belong to three different typologies:
• Informative “tutorato”: information on timetables, programs, courses and learning
agreement choices.
• Cognitive “tutorato”: organization of laboratories and seminars on specific topics, interactive
activities in small groups (10-20 students), basic courses to approach new difficult subjects,
choice of the method of study, simulation of written examination tests;
• Psychological “tutorato”: it helps to solve problems in relational and learning field, using
counseling (individual and in groups).
POST-Universitary guideline
C.OR. has a specific role in making students aware to choose and find their future job. The aim of
the orienting program is to facilitate the work search, through meetings with important factories
managers, post-graduated databases, information about stages, scholarship, courses. The
University of Pavia, in collaboration with ISU, has created a postgraduated and researchers
Database which may contain their CV, possibly to be linked to the major companies.
Integration and servicing for disabled students (S.A.I.S.D.)
Since 1999-2000, the University of Pavia has founded the “Servizio di Assistenza ed Integrazione
Studenti Disabili” (S.A.I.S.D.), aimed to offer to the students with a disability an host service in
order to integrate them in the university world. The Service coordinator and administrative
manager, professor Sandro Meloni, with his team gives support to the students with disabilities.
The Service operates in collaboration with the Service of Guideline of the I.S.U. in the attempt to
realize for those students an integrated offer, with human and material resources.
This Service offers various typologies of intervention for those students who matriculate as
disabled: scholarships for students with 66% of invalidity; interpreters for deaf students;
propedeutical courses of Italian Language of Signs LIS, in collaboration with Segretariato Italiano
Studenti di Medicina; courses of orientation and mobility for blind students, in collaboration with
Unione Italiana Ciechi; computer equipment for deaf students, as a support during the didactical
activities; support to reach the lessons rooms inside the university structure; attendance during
the hours of lesson;attendance at the university canteen; didactical material, recording and
reading of lessons for blind students; computer equipments for blind and blind-deaf students.
The S.A.I.S.D. has moreover disposed a braille handbook in order to teach those student how to
use the computer equipment.
Opening time: from monday to friday, 8,00 a.m. to noon.
Deliveries Service Attendance and Integration of Disabled Students (S.A.I.S.D.):
Address: Palazzo del Majno – Piazza Leonardo da Vinci
Phone: +39 0382 984953 fax: 0382 984954 email: [email protected]
Delegated of the Chancellor for the attendance to disabled people: prof. Sandro Meloni
Phone +39 0382 987337 fax: 0382 528544 email: [email protected]
Responsible for the Service Attendance and Integration of Disabled Students (S.A.I.S.D.):
Sig. Enza Sciascia Phone +39 0382 984953 fax: 0382 984954 email: [email protected]
BRIEF HISTORICAL INTRODUCTION:
http://www.unipv.it/erasmus/incoming/index.html
HIGHER EDUCATION IN ITALY:
Link to the official website of the Ministero dell’Istruzione, dell’Università e della Ricerca about the
rules of Higher Education. http://www.miur.it/guida/guide.htm
PROGRAMMES OF THE COURSES
1st YEAR
First year – 1st term
INTEGRATED COURSE
TOTAL CFU
Physics (E)
Physics
5
Chemistry and Propedeutical Biochemistry (E)
Chemistry and Propedeutical Biochemistry
Biochemistry
7
Medical – Scientific Metodology 1 (V)
Statistics
Hygiene
Internal Medicine
5
Biology and Genetics (E)
General Biology
Molecular Genetics
Human Genetics
CytoGenetics
9
English (V)
total
2
28
UNIT CFU
5
5
2
3
1
1
2,5
2
2,25
2,25
Second year – 1st term
INTEGRATED COURSE
Tot.CFU
Biochemistry (E)
Biochemistry
Molecular Biology
Cellular Biochemistry
11
Histology and Embriology (E)
Histology
Embriology
Citology
9
Human Anatomy 1 (V)
Human Anatomy 1
Topographic Anatomy 1
9
Elective Activities
“Other” Activities
TOTAL
2,5
1
32,5
Unit CFU
8
1
2
4,5
3
1,5
8
1
2nd YEAR
2 nd Year – 1st TERM
CODE
BIO/16
M-PSI/08
MED/02
MED/02
BIO/09
INTEGRATED COURSE
Human Anatomy 2 (E)
Human Anatomy 2
Topographic Anatomy 2
Human Sciences (V)
Bioetics
History of Medicine
Psychology
Human Physiology
Nervous System Physiology
Cellular Physiology
Cardiovascular system Physiology
Endocrine System Physiology
Science of Nutrition
TOTAL
CFU
CFU
CFU
Tot.
C.I.
Profes.
11
9
2
6
2
2
2
3
1,5
2,5
1,5
1,5
27
2ND YEAR – 2ND TERM
Sett. Disc.
BIO/09
MED/04
MED/04
MED/09
MED/09
MED/18
MED/18
MED/45
PSI/08
INTEGRATED COURSE
CFU
CFU
CFU
Tot.
C.I.
Profes.
Human Physiology (E)
REspiratory Physiology
Muscle Physiology
Digestive Apparatus Physiology
Kidney Physiology
20
Immunology and General Pathology 1 (V)
Immunology
General Patology
8,5
Methodology and clinical Propaedeutics (V)
Medical Propaedeutics
Apprenticeship
Surgical Propaedeutics
Apprenticeship
Nursing Sciences
Psychology and doctor-patient relationship
Elective Activities
“Other” Activities
TOTAL
7
3
2
2
3
5,5
3
1,5
1
1
1
1,5
1
2,5
1
29
3RD YEAR
3RD YEAR – 1ST TERM
INTEGRATED COURSE
Immunology and General Pathology 2 (E)
General Pathology
General physiopathology
Pharmacology 1 (V)
Pharmacology
MicroBiology (E)
MicroBiology
Medical-surgical Semeiotics 1
Internal Medicine
Apprenticeship
General Surgery
Apprenticeship
Instrumental Semeiotics– Image based diagnosis
TOTAL
CFU
CFU
CFU
Tot.
7
C.I.
Profes.
4,5
2,5
5
5
7
7
5
2
2,5
0,5
24
3RD YEAR – 2nd TERM
INTEGRATED COURSE
Laboratory Medicine (E)
Clinical Biochemistry
Apprenticeship
Molecular Biology
Apprenticeship
Clinical MicroBiology
Apprenticeship
Medical-surgical Semeiotics 2 (E)
Internal Medicine
Apprenticeship
General Surgery
Apprenticeship
Instrumental Semeiotics– Image based diagnosis
Diseases of the Endocrine System and of the
Metabolism (E)
Internal Medicine
Apprenticeship
Endocrinology
Apprenticeship
Medical-Scientific Methodology 2 (E)
Hygiene and Epidemiology
Medical Statistics
Clinical Epidemiology
Elective Activities
Other activities
TOTAL
CFU
CFU
CFU
Tot.
8
C.I.
3
Profes.
1
1,5
0,5
1,5
0,5
5
2
2,5
0,5
5,5
1
1
2,5
1
5
2
1,5
1,5
2,5
1
27
4th YEAR
4th YEAR – 1ST TERM
INTEGRATED COURSES
Diseases of the Cardiovascular Apparatus (E)
Cardiology
Apprenticeship
Cardiosurgery
Vascular surgery
Pathologic Anatomy
Pharmacology
Diseases of the Respiratory system (E)
Pneumology
Apprenticeship
Thoracic Surgery
Apprenticeship
Image-based diagnosis
Pathologic Anatomy
Pharmacology
Diseases of the Digestive Apparatus (E)
Gastroenterology
Apprenticeship
Digestive surgery
Pathologic Anatomy
Image-based diagnosis
Pharmacology
Diseases of the Blood (E)
Hematology
Apprenticeship
Oncohematology
Pathologic Anatomy
TOTAL
CODE
CFU
Tot.
CFU
C.I.
CFU
Profes.
8,5
MED/11
3,5
MED/23
MED/22
MED/08
BIO/14
1
1
0,5
0,5
2
8
MED/10
3,5
MED/21
1
MED/36
MED/08
BIO/14
0,5
0,5
0,5
2
8
MED/12
3,5
MED/18
MED/08
MED/36
BIO/14
1
0,5
0,5
0,5
2
6,5
MED/15
3
MED/15
MED/08
1
1,5
1
31
4th YEAR – 2nd TERM
INTEGRATED COURSES
Internal Medicine and General surgery (E)
Internal Medicine
Apprenticeship
General Surgery
Apprenticeship
Diseases of the Immunitary System and
Rheumatology (E)
Clinical Immunology
Apprenticeship
Rheumatology
Apprenticeship
Diseases of the Kidney and of the Urinary
Apparatus (E)
Nephrology
Apprenticeship
Urology
Apprenticeship
Pathologic Anatomy
Diseases of the Locomotor Apparatus (E)
Orthopaedics
Apprenticeship
Physical Medicine and Rehabilitation
Apprenticeship
Image-based Diagnosis (E)
Image – based diagnosis
Apprenticeship
CODE
CFU
Tot.
CFU
C.I.
CFU
Profes.
8
MED/09
2,5
1,5
MED/18
2,5
1,5
5,5
MED/09
1
MED/16
2,5
1
1
8
MED/14
3,5
MED/24
1
MED/08
0,5
2
1
5,5
MED/33
2,5
1
MED/34
1
1
MED/36
4,5
2,5
2
Elective Activites
2,5
Other Activities
TOTAL
1
35
5th YEAR
5th YEAR – 1ST TERM
INTEGRATED COURSE
Diseases of The Sensory system (E)
Oftalmology
Apprenticeship
Otolaringology
Apprenticeship
Audiology
Apprenticeship
Dentistry
Maxillo-facial surgery
Dermatology and Plastic surgery (E)
Dermatology
Apprenticeship
Plastic surgery
Apprenticeship
Infectious diseases (E)
Infectious diseases
Apprenticeship
Pharmacology
Neurologic ssciences (E)
Neurology
Apprenticeship
Neuroradiology
Neurosurgery
Pathologic Anatomy
Pharmacology
Preventive Medicine (E)
Hygiene
Sociology
Sanitary Economy
TOTAL
SSD
CFU CFU
Tot. C.I.
CFU
Profes.
10,5
MED/30
2,5
MED/31
2,5
MED/32
1
1
1
0,5
MED/28
MED/29
1
1
5
MED/35
2,5
1
MED/19
MED/08
1
0,5
5
MED/17
2,5
2
BIO/14
0,5
9,5
MED/26
4,5
MED/26
MED/27
MED/08
BIO/14
0,5
1
0,5
0,5
2,5
5
MED/42
SPS/07
SECS-P/07
3,5
0,5
1
35
5TH YEAR 2ND TERM
INTEGRATED COURSES
Pharmacology 2 (E)
Pharmacology
Internal Medicine and Medical Therapeutics
Psychiatry (E)
Psychiatry
Apprenticeship
Pharmacology
Public Medicine (E)
Forensic Medicine
Apprenticeship
Work Medicine
Apprenticeship
Communitary Medicine
Pathologic Anatomy (E)
Pathologic Anatomy
CODE
CFU
CFU
CFU
Tot.
C.I.
Profes.
5,5
BIO/14
MED/09
5
0,5
5
MED/25
3,5
1
BIO/14
0,5
9
MED/43
3,5
MED/44
2
MED/42
1
0,5
2
MED/08
6,5
6,5
Elective Activities
2,5
Other Activities
TOTAL
1
29,5
6th YEAR
6th YEAR – 1ST TERM
INTEGRATED COURSE
CREDITS SUBJECTS
INTERNAL MEDICINE
15
GENERAL SURGERY
14
GENERAL AND SPECISALISTIC
PAEDIATRICS (E)
21
11
WORK MEDICINE (E)
GYNAECOLOGY AND OBSTETRICS
(E)
16
Internal Medicine
Medical Therapeutics and Thermal
Medicine
Medical Genetics
General surgery
Oncological Surgery
Paediatrics
Preventive and Social Paediatrics
Paediatric Surgery
Paediatric Neuropsychiatry
Work Medicine
Industrial Hygiene
Preventive Medicine and
Psychotechnique of the Work
Industrial Toxicology
Gynaecology and Obstetrics
Human Reproduction
Physiopathology
Gynaecologic Oncology
Prenatal Age Medicine
6th YEAR – 1ST TERM
INTEGRATED COURSE
CREDIT
SUBJECTS
S
INTERNAL MEDICINE (E)
15
MEDICAL-SURGICAL EMERGENCIES
(E)
26
GENERAL SURGERY (E)
13
FORENSIC MEDICINE (E)
10
Internal Medicine
Emergency Medicine
Emergency Surgery
Intensive Therapy
Surgery
Forensic Medicine
Deontology and Medical Ethics
Forensic Toxicology
Forensic Psychopathology
Social Medicine
DESCRIPTION OF THE COURSES
First year – 1st term
INTEGRATED COURSE
TOTAL CFU
Physics (E)
Physics
5
Chemistry and Propedeutical Biochemistry (E)
Chemistry and Propedeutical Biochemistry
Biochemistry
7
Medical – Scientific Metodology 1 (V)
Statistics
Hygiene
Internal Medicine
5
Biology and Genetics (E)
General Biology
Molecular Genetics
Human Genetics
CytoGenetics
9
English (V)
total
2
28
First Year – 2nd term
INTEGRATED COURSE
UNIT CFU
5
5
2
3
1
1
2,5
2
2,25
2,25
Tot.CFU
Biochemistry (E)
Biochemistry
Molecular Biology
Cellular Biochemistry
11
Histology and Embriology (E)
Histology
Embriology
Citology
9
Human Anatomy 1 (V)
Human Anatomy 1
Topographic Anatomy 1
9
Elective Activities
“Other” Activities
TOTAL
2,5
1
32,5
Unit CFU
8
1
2
4,5
3
1,5
8
1
FIRST YEAR – FIRST TERM
Medical – Scientific Methodology
Coordinator
A. Marinoni
Statistics
M. Grassi, A. Marinoni
Hygiene
G. Pellissero
Internal Medicine
C. Balduini
Unit:
Teachers:
Unit:
Teachers:
Unit:
Teachers:
AIMS:
Students must learn fundamental notions of statistics, to be able
biomedic field. By the end of the course, students must know
methodology and statistic theories; they must be able to describe
statistic inference (significativity – confidence ranges) to common
comparing two groups and critically discussing the results.
Recommended
books
to apply statistic techniques in
general elements of research
biomedic studies data applying
problems of medical literature,
Grassi M., Statistica in medicina: un approccio basato sulla verosimiglianza.
McGraw-Hill, Milano, 1994.
PHYSICS
Coordinator
Unit:
Teachers:
Interactive Exercitation
Teachers:
D. Scannicchio
Physics
D. Scannicchio
A. Ottolenghi, E. Giroletti, L. Piazzi, P. Montagna
AIMS:
The course’s goal is to provide students a comprehension of physics phenomena applied to life
sciences – to Medicine but also to Chemistry, Human Physiology, Biomedical Techniques and so
on. Students must learn notions about energy, fluid mechanics, transport means in biological
systems; they must be aware of onset and propagation of bioelectric phenomena and of the
fundamental principles that are the bases of laboratory analyses and clinical diagnosis. Students
have to learn basic elements of Mechanics, Thermology, Thermodynamics, Electricity, Ondulatory
Phenomena.
Recommended
F. Borsa e D. Scannicchio, Fisica con applicazioni in Biologia e in Medicina, 2a
books:
edizione, UNICOPLI (1997).
Biology and Genetics
Coordinator
Unit:
Teachers:
Unit:
Teachers:
Unit:
Teachers:
Unit:
Teachers::
M. Scappaticci
General Biology
M. Scappaticci
Human Genetics
P. Maraschio
Molecular Genetics
G. Camerino
CitoGenetics
O. Zuffardi
Aims:
Students should learn the fundamental mechanisms regulating biologic processes in living
organisms; they must know the modalities of gene transmission, their structure and the bases of
mutation; know the different genic mapping in the human being; learn the risk of genetic diseases
transmission and the prevention means; know the most relevant syndromes caused by
chromosomic alterations.
Recommended books
Genetics, Peter J. Russell, Ed.Edises
CHEMISTRY AND PROPEDEUTICAL BIOCHEMISTRY
Coordinator
M. Galliano, L. Minchiotti
Unit:
Chemistry and propedeutical Biochemistry
Teachers:
M. Galliano, L. Minchiotti
Interactive exercitation
A. Rossi, A. Bardoni
Teachers
AIMS:
Students must learn fundamental chemical notions that are strictly necessary to understand the
molecular point of view of all biologic phenomena. They must know the structure and the chemical
– physical properties of living organisms elements. The course will deal with electronic
configuration, inorganic compounds nomenclature, thermodynamic Chemistry and its concepts,
chemical reactions and so on. Students must learn the features and classification of all the basic
elements (glycosidic ligand, carbohydrates, amines and so on) and their main reactions.
Recommended
books
Dickerson & Geis, Chimica materia e universo
Raggi, Chimica Generale
Binaglia, Giardina, Chimica e Propedeutica Biochimica
Anastasia et al, Chimica di base per le scienze della vita - vol. 1
Hart, Chemistry organica
Anastasia et al, Chimica di base per le scienze della vita - vol. 2
2nd TERM
Biochemistry
Coordinator
Unit:
Teachers:
Unit:
Teachers:
Unit:
Teachers:
Interactive
exercitation Teachers
G. Cetta
Biologic Chemistry
G. Cetta , M. L. Speranza
Molecular Biology
G. Cetta
Cellular Biochemistry
M. Valli
S. Rindi, R. Salvini, L. Visai, A. Forlino
Aims: Students should acquire the knowledge of structure and functions of bio-molecules and
aggregation of molecules. They should learn the structure and function of glucides, lipids, proteins,
nucleic acids, and all the relations between those elements. They should also learn the interaction
mechanisms between proteins and nucleic acids in the regulation of genic expression and the
mechanism of action of principal hormones and most common vitamins. Students should also
know the laboratory techniques mostly used to study the biochemical processes.
Topics: Thermodynamics and bioenergetics. Proteins. Enzymes. Lipids. Biological membranes.
Biosignals and regulation of the genic expression. Carbohydrates and Glicobiology. Nucleotides and
nucleic acids. Metabolism (production of energy). Electrons transfer and oxydative phosphorylation
of carbohydrates. Lipids biosynthesis. Amino-acides metabolism. DNA replication. RNA transcription
and translation.
Interactive activites: spectrometry; chromatography; electrophoresis; determination of enzymatic
activity; recombinant DNA; restriction enzymes; DNA cloning, sequential DNA.
Recommended
books
D. Nelson, M. cox “Principi di biochimica del Lehninger”, ed. 2002 Zanichelli
D. Voet, J. Voet, C. Pratt “Fondamenti di Biohimica”, ed. 2001 Zanichelli
Histology
Coordinator
Unit:
Teachers:
Unit:
Teachers:
Unit:
Teachers:
Interactive exercitation Teachers
A. Calligaro
Histology
A. Calligaro
Cytology
A. Casasco
Embriology
M. Casasco
A. Icaro Cornaglia
Aims: Students should know how to identify tissues, cells and subcellular structures, describing
their microscopic features and the functional aspects related to their specific morphologic
organization. Through the study of gametogenesis, fecundation and embryonal development,
students should know how to describe the modifications from primitive layers to organs. The
integrated study of Histology and Embryology has the aim of teaching students how to identify and
describe the subtle mechanisms of cellular differentiation, hystogenesis and embryogenesis.
Recommended
books
Monesi – Istologia Ed. Piccin
Alberts et al. – Biologia Molecolare della cellula Ed. Zanichelli
Casasco – Citologia e Istologia Ed. La Goliardica pavese
Casasco – Embriologia Generale Ed. La Goliardica Pavese
Sadler – Embriologia Medica Ed.Masson
Human Anatomy 1
Coordinator
Unit:
Teachers:
Unit:
Teachers:
Interactive exercitation Teachers
A. Tazzi
Human Anatomy
E. Gaeta
Topographic Anatomy
L. Baratta
P. Micheletti
Aims: Locomotor Apparatus: students should achieve a general idea of the skeleton, concerning
the external and internal conformation of the bones, with detailed description of different bones.
They should describe, referring to embryologic features, the different types of joints, skeletal
muscles and annexa, their conformation and their relationship with other structures, in particular
their macroscopical relation with tendons, in order to describe their function.
Cardiocircolatory apparatus: students should know how to describe the micro and macroscopical
structure of the heart, its configuration and its relationship with nearest structures, pointing out its
anatomical features and its functions. They should describe the arterial system, how it works and
the names of arteries, their internal structure, their morphology and the circulatory system. They
should describe the venous system, the lymphatic system and the lymphatic glands.
Recommended
books:
Tazzi, Gaeta, Anatomia Umana, Ed. Cirano
Petra Kopf Mayer: Anatomia Umana – Atlante Ed. Edi Ermes
Sobotta: Atlante di Anatomia
MONOGRAPHIC COURSES – 1 C.F.U.
ELECTIVE ACTIVITIES – 1ST YEAR
Title of the Elective Activity
Integrated course
Responsible
The use of energy among biological systems
Chemistry - Prop. Bioch.
Minchiotti L.
Structure and functions of biologically interesting
Chemistry - Prop. Bioch.
molecules
Tenni R.
Citogenetics and prenatal diagnosis
Biology & Genetics
Zuffardi O.
Citogenetics of instability syndromes
Biology - Genetics
Maraschio P.
Internship
Integrated course
Responsible
Internship in Biology: cell cultures
Biology - Genetics
Scappaticci M.
Internship in Molecular Genetics
Biology - Genetics
Camerino G.
Internship in CitoGenetics
Internship in Molecular CitoGenetics
Maraschio P.
Zuffardi O.
Marinoni A. Grassi M.
Internship in Human Anatomy
Internship in Biochemistry
Biology -Genetics
Biology - Genetics
Metodologia Medico
Scientifica
Human Anatomy
Biochemistry
Internship in Histology
Histology
Calligaro A.
Internship in Statistics
Gaeta E.
Valli M.
Biochemistry of connettival matrix
Biochemistry
Rindi S.
Histological techniques
Histology
Calligaro A.
Anatomy of principal joints through new imagine
techniques
Human Anatomy
Cusella M. G.
Organogenesis of the heart and blood vessels
Human Anatomy
Gioglio L.
Methods of study of proteins
Biochemistry
Galliano M.
Methods of Molecular Biology to study nucleic
acids
Biochemistry
Rossi A.
Medical Instruments (Imaging)
Physics
Scannicchio D.
INTERNSHIP 1,5 CFU
OTHER ELECTIVE ACTIVITIES: ATTIVITA’ “ALTRE” :
Monographic courses organized by Universitary Colleges
1 CFU
ECDL
Foreign language courses
1 CFU
1 CFU
Objectives and aims of the 2nd year
CODE
INTEGRATED COURSE
CFU
CFU
CFU
Tot.
C.I.
Profes.
2 nd Year – 1st TERM
BIO/16
M-PSI/08
MED/02
MED/02
BIO/09
CODE
Human Anatomy 2 (E)
Human Anatomy 2
Topographic Anatomy 2
11
Human Sciences (V)
Bioethics
History of Medicine
Psychology
6
Human Physiology
Nervous System Physiology
Cellular Physiology
Cardiovascular system Physiology
Endocrine System Physiology
Science of Nutrition
TOTAL
Integrated course
9
2
2
2
2
3
1,5
2,5
1,5
1,5
27
CFU
CFU
CFU
Tot.
C.I.
Profes.
2 nd Year – 2nd TERM
Human Physiology (E)
Respiratory Physiology
Muscle Physiology
Digestive Apparatus Physiology
Kidney Physiology
20
8,5
MED/04
Immunology and General Pathology 1 (V)
Immunology
MED/04
General Patology
BIO/09
Metodologia e Propedeutica Clinica (V)
3
2
2
3
5,5
3
7
MED/09
MED/09
MED/18
MED/18
MED/45
PSI/08
Medical Propaedeutics
Apprenticeship
Surgical Propaedeutics
Apprenticeship
Nursing Sciences
Psychology and doctor-patient relationship
Attività Elettive
Attività Altre
TOTALE SEMESTRE
1,5
1
1
1
1,5
1
2,5
1
29
2nd year – 1st term
Human Anatomy
Coordinator
Unit:
Teachers:
Unit:
Teachers:
Teachers didattica interattiva:
A. Tazzi
Human Anatomy
A. Tazzi
Topographic Anatomy
L. Baratta
P. Poggi, G. Cusella, L. Gioglio
Objectives: Central Nervous System, encefalic nerves and organs of sense: to know in general
terms the constitutive elements, the organogenesis and, approximately, the philogenesis of the
central nervous system. To supply a macrocospic anatomical vision of the central nervous system.
To describe the differences of the localization and anatomical constitution of the several types of
meninges (dura madre, arachnoid, pia madre and spinal meninges), describing their functional
aspects. To represent spatially the system of the cerebral ventricles in their relationships with the
remaining encephalic structures and to describe the chorioid plexuses also in relation to the
production of cerebrospinal liquid, outlining the functional aspects of the ventricular system. To
illustrate the fundamental characteristics of the arterial vascular System and the venous-drainage
of the brain, delineating the functional aspects of the vascularization of the SNC. To describe the
structural and functional characteristics of the sensitive receptors and the peripheral nerves. To
supply a macrocospic anatomical vision of the spinal medulla, describing its internal configuration,
the general organization, the vascularization and the functional aspects; to define the structural
and functional differences between grey substance and white substance; in particular to indicate
the anatomical bases of the neurological phenomenon of the reflexes and the functions of the
vegetative nervous system. To describe the macrocospic anatomy, the internal structure and the
vascularization of the brain, indicating the functional aspects . To represent and to recognize the
origin, the distribution and the function of the cranial nerves. To supply an anatomical outline of
the visual system about its functional aspects, describing in their characteristics the several
structures of the organ of the sight. To supply a general anatomical vision, topographical and
functional, of the organ of the hearing in its components external, medium and internal, in relation
to the acoustic and vestibular functions. To delineate the structure of the vegetative nervous
system, to characterize localization of the ganglia and their relationships with the nearby
structures.
Splancnology: Splancnology has two aims: on one hand to teach the anatomical constitution of
the several Systems and organs, according to the vision of the relationships with the surrounding
organs (topographical anatomy gives a remarkable aid); on the other, to study the microscopical
architecture of the several (to realize also through the study at the microscope) organs for being
able to lead back the shape, the structure and the function.
Peripheral nervous system: To know the origin, the constitution, the spacial relationships with
the contiguous structures, the path and the distribution of the cranial and spinal nerves, and of
preganglial and postganglial fibers. To characterize the modalities of formation and topographical
localization of the nervous plexuses with the knowledge of the distribution of collaterals of the
several plexuses.
TOPICS:
(epidermis, dermis, hairs, nails, sudoriparous glands, sebaceous glands) mamma: (feminine
mamma, male mamma) glandular system.
Spinal medulla: external conformation of the spinal medulla, internal structure of the spinal
marrow, grey substance of the spinal marrow, white substance of the spinal marrow, central
channel of the spinal marrow. Brain: medulla oblongata: external conformation of the medulla
oblongata, internal structure of the medulla oblongata. Pons: external conformation of pons,
internal structure of the pons. Cerebellum: external conformation of the cerebellum, subdivision of
the cerebellum, internal structure of the cerebellum, constitution of the cerebellar pedunculus,
afferent and efferent systems of the cerebellum, IV ventricle; Mesencephalon: external
conformation of the mesencephalon, internal structure of the mesencephalon, cerebral aqueduct
(of the Silvio), Diencephalon: hypothalamus, thalamus, epithalamus, III ventricle, telencephalon:
external conformation of the cerebral hemispheres, constitution of the cerebral hemispheres,
lateral ventricle, interhemispherical formations; Main sensitive and motility nervous ways:
sensitive ways: spino-bulb-thalamus-cortical way, spino-thalamus-cortical way, trigeminale
sensitive way, ways of the somatic sensitivity passing for the cerebellum, taste way, vestibular
way, acoustic way, optical way, olfaction way; motility ways: pyramidal way, extrapyramidal way;
Meninges: dura madre, arachnoid, pia madre, subarachnoidal space and cephal-rachidian liquid.
Apparatus of the sight: eye, fibrous tunica of the eye, uvea, retina, crystalline lens, zonula ciliare,
rooms of the eye and aqueous humour, vitreous humour) motility system of the eye: muscles of
the eye, orbital bands, protecting apparatus of the eye: eyelashes, eyelids, congiuntiva, tear
apparatus. Apparatus of the hearing and the equilibrium: external ear: auricular pavilion, external
acoustic meatus, medium ear: cavity of the eardrum, mastoideo apparatus, auditive tuba, internal
ear: bony labirynth, membranous labirynth, perilymph and endolymph. Circulatory apparatus Mediastinum
Digestive Apparatus - Lodges of the neck and bands of the neck - Main topographical regions of
the abdomen. Oral cavity - oral Vestibulum (Lips, Cheeks, Dental Arch) oral Cavity properly said
(hard palate, soft palate, tongue, sublingual furrow) Pharynx: Structure of the pharynx (mucosa
tunica of the pharynx, Pharyngo-basilar band, muscular tunica of the pharynx, peripharyngeal
band). Esophagus (Structure of the esophagus) Stomach: Inner conformation of the stomach,
structure of the stomach, tunica mucosa of the stomach, submucosa lyer of the stomach, muscular
tunica of the stomach, sierosa tunica of the stomach. Little Bowel: Duodenum, mesentericum
bowel, inner Conformation of the little bowel, Structure of the little bowel, mucosa tunica of the
little bowel, submucosa layer of the little bowel, muscular tunica of the little bowel, sierosa tunica
of the little bowel. Large Bowel: Blind intestine and vermicular appendix, Colon, rectum, Structure
of the large bowel, Structure of the vermicular appendix, structure of the rectum. Large annexed
glands to the digestive apparatus: Main salivary glands, Parotide, submandibolar gland, sublingual
Gland, structure of the main salivary glands. Liver: tunicas of the liver, Structure of the liver.
Biliary system: Biliary canaliculus, hepatic canal, cisticus and coledocus canals. Cholecystis.
Pancreas: Structure of the pancreas.
Respiratory apparatus: Nose - external Nose, nasal Cavity, tunica mucosa of the nasal fossa.
Larynx: Cartilages of the larynx, Articulations and ligaments of the larynx, Articulations of the
larynx, ligaments of the larynx, Muscles of the larynx, inner Conformation of the larynx, Tunica
mucosa of the larynx. Trachea and broncus: Trachea, Broncus, Structure of the trachea and the
broncus. Lungs: External conformation of lungs, Structure of lungs, Intrapulmonary part of the
bronchial tree, pulmonary Parenchima. Pleura: Mediastinal cavity.
Kidneys - inner Constitution of the kidney, Structure of the kidney, excretory Apparatus of the
kidney, Structure of the excretory apparatus of the kidney. Urinary bladder, inner Conformation of
the urinary bladder, Structure of the urinary blister. Feminine Urethra: Structure of the feminine
urethra.
Testicle - external Conformation and coverings of the testicle, inner Constitution of the testicle,
Structure of the testicle. Spermatic ways: Spermatic cord. Male Urethra: Inner conformation of the
urethra of male, Structure of the male urethra. Annexed glands to the male urethra: Prostate,
bulb-uretral glands. Penis: Constitution of the penis.
Ovary - Structure of the ovary. Uterine Trombae. Uterus: Inner conformation of the uterus,
Structure of the uterus, Endometrium, Miometrium, Perimetrium. Vagina. Vulva: Great lips, Small
lips, erectile organs of the vulva, Glands of vulva. Perineum - pelvic Diaphragm - uro-genital
trigone- Superficial lay of the perineum. Peritoneum - omental borsa - Great omentum.
Endocrine apparatus - Thyroid: Structure of the Thyroid; Parathyroid glands: Structure of the
parathyroid glands; Adrenal glands: Structure of the adrenal glands. Paraganglion; hypophysis:
Structure of the neurohypophysis and the adenohypophysis; Epiphysis: Structure of the epiphysis.
Spinal nerves: cervical plexus(cutaneous and muscular collaterals of the cervical plexus). Brachial
Plexus: collateral and terminal nerves of the brachial plexus. Intercostal N. Lumbar Plexus. Sacral
Plexus: n. of the pelvic zone, N. of the free part of the inferior limb. Plexus pudendum. Coccigeum
Plexus; Cranial Nerves: Olfactive N., optical N., oculomotor N., Troclear N., Trigeminal N.,
abducens N., facial N., acoustic N., glosso-pharingeal N., vagal N., accessory N., hypoglossal N..
Sympathetic:
orthosympathetic,
Parasympathetic
(encephalic
Parasympathetic,
sacral
Parasympathetic).
Human Science:
Coordinator
Subject:
Teachers:
Subject:
Teachers:
Subject:
Teachers:
G. Ruberto
Bioethics
G. Ruberto
History of Medicine
P. Mazzarello
Psychology
P.L. Politi
Objectives: The integrated course of Human Sciences, through History of Medicine, Bioethics and
Clinical Psycology, has the aim to introduce the student to the past of the medicine in order to
understand the present, to illustrate the process of transmission of the Western Countries’s
medical knowledge in connection with the various cultures, to follow the evolution of the concept
of disease in the scientific medicine, analyzing in detail some conceptual fundamental points that
are the basis of the origins of the contemporary biomedicine (the birth of neuroscience, Genetics
and microBiology and so on) and introducing the student to the knowledge of the advances of
Molecular pathology and the biomedical technology; to introduce the student to the knowledge of
the main methodologies of practical bioethical approach to clinical aspects, through the study and
discussion of cases (ethical dilemmas), with particular reference to problems strictly related to the
use of new technologies (genetic tests, use of staminal cells, regenerative medicine, problems
connected with terminal diseases, ecc.) also through the analysis of laws and codes elaborated at
national and international level; to introduce the student to main thematic about the relationship
between doctor and patient, with particular reference to the aid relation, to the relationship with
the patient in difficulty, the difficult patient and the terminal patient. Approximately the lessons will
try to give particular prominence to a continuous comparison with the prejudgments, the dogmatic
sideboards and the fideistical intellectual automatism that characterize the common perception of
contemporary medicine.
Human Physiology
Coordinator:
U. Ventura
Subject:
Physiology of the Nervous System
Teacher:
U. Ventura
Subject:
Cellular Physiology
Teacher:
R. Bottinelli
Subject:
Physiology of the Cardiovascular System
Teacher:
G. Gastaldi
Subject:
physiology of the endocrine system
Teacher:
G. Gastaldi
Subject:
science of nutrition
Teacher
G. Turconi
Objectives: The integrated course of human Physiology is aimed to teach the student the vital
processes that are carried out at cellular level when different groups of cells differentiate to form
specific tissues and organs in the human species. By the end of the lessons of the integrated
course, the student will have acquired fundamental knowledge about the function of the most
important organs and apparatuses of the human body, their complex mutual relations and the
control systems that regulate their activity. The course also deals with the human nutrition and the
energetic metabolism and topics of sanitary physics.
Topics:
Cellular physiology: cellular functional morphology; movements of molecules through the
membrane by diffusion and systems of transport. Homeostatic control systems: homeostasis at
cellular level and of the total organism; chemical messengers and cellular receptors;
postreceptorial events. Excitable tissues: Ionic equilibrium and cellular membrane voltage.
Physiology of the nervous system: Characteristics and functions of the neurons; the property of
the nervous fiber; the genesis of the nervous impulse; the conduction of the nervous impulse. The
general principles of the sensory systems; the receptors of the somatosensitive system; conversion
of the stimulus (generator voltage and receptor voltage) and coding of the electrical activity of the
receptors. Adaptation of the receptors. The transmission of the nervous impulse among the
neurons: electrical and chemical synapsis (inhibiting and excitating type). Inhibition and facilitation
in the synapsis. Main neurotransmitters. Anatomo-functional organization of the spinal marrow.
Function of the nervous system as one of the two control systems of the body functionality; main
integrative activities like memory and language. The analysis of the nervous system and its
functions will lead the student to understand that motorial and sensory function (reflected and
voluntary type) are at the basis of the social life of man. Finally, the analysis of vegetative
functions of the nervous system and of the multiple relations between nervous system and
endocrine system will point out that the two control systems (nervous and endocrine), although
through different modalities, can be considered as a whole control system, the so-called neuroendocríne system, responsible for the peculiar organization of the human body.
Physiology of the cardiocircolatory system: blood: composition and chemical-physical
characteristics of the plasma; plasmatic proteins and functions, figured elements of the blood and
their functions; hematopoiesis, erythropoiesis and hemocateresis, haemostasis and coagulation.
Cardiac function: described in its electrical and mechanical aspects and then analyzed in its
possibilities to supply the different needs of the organism; function of the vascular system:
illustrated in the basical principles (hemodynamics) and in the complex organization and regulation
of the vessels of the systemic circulation and of the district circles that constitute it; Physiology of
the endocrine system: endocrine function: illustrated in its peculiar aspect of one of the two
control systems of multiple organic functions. In the description of the functions of the several
endocrine glands, several modalities of endocrine control will be illustrated to the students.
Science of nutrition: the functions of the aliments (energetic, plastic or structural, bioregolator of
the organism), illustrated in relation to the biological and energetic requirements,in relationship
with the principles of an healthy and corrected balanced nutrition
IMMUNOLOGY AND PATHOLOGY – 1
Coordinator
G. Gherardi
Subject:
Immunology
Teachers:
G. Gherardi
Subject:
General Pathology
Teachers:
G. Roveta, L.A. Stivala
TOPICS: Immunology: to describe the experimental models of immunology analyzing the
contribution to the location of the cells and molecules of the immune system, to the interpretation
of the reaction of rejection of the transplants, to the understanding of the biology of the blood
transfusions, to the fabrication and the use of the vaccine. To define the property of responsible
molecules of the immunity: antibodies, TCR and proteins MHC. To define the responsible genetic
mechanisms of the diversity and specificity of the immune answer. To illustrate the molecular
bases of the specificity and the affinity of the antigen-antibody reactions. To illustrate the use of
antigen-antibodies reactions in the diagnostical practice. To illustrate the procedures of monoclonal
murine antibodies preparation and their diagnostic applications. To analyze the problems
associated to the monoclonal murine antibodies use in therapy and the strategies of genetic
engineering that obviate to these difficulties and allow the monoclonal antibodies use in therapy.
To illustrate the sperimental phenomenon of the immunity tolerance and to analyze its importance
in the Biology of the organ transplants. To illustrate the procedures that allow the typification of
the tissues for their use in the transplants. To describe the genetics of the blood groups and their
importance for the blood transfusions. To illustrate the effector mechanisms of the immune answer
and in particular the system of complement. To illustrate genetic manipulations of the system of
complement to eliminate the hyperacute rejection of xenotransplants and their impact for
transplants of organ from animal to man. To describe the main categories of vaccines(killed,
attenuated , in subunity and based on toxoids) and to illustrate their protecting property. To
illustrate the impact of genetic engineering in the field of the vaccination. To describe the Koch’s
phenomenon especially for the contribution that it has given to the understanding of the cellularmediated immunity. General Pathology: to Illustrate the concepts of lesion, pathology, pathologic
process and pathologic state and to define the General Pathology discipline.
Aetiology: To analyze the relative contribution of the genetic and environmental factors in the
determination of human pathologies, including in the genetic factor also the phenomena of the
penetrative capacity and the espressivity of the genes. To define the multifactorial ereditariety,
citing some examples, and to distinguish the poligenic factors from the environmental factors.
Considering the predisposition to become ill, to analyze system MHC and the pathology tied or
associated to it.
RECOMMENDED BOOK: CHOOSE ONE FROM THE LIST BELOW
Le Basi patologiche delle malattie (Vol. I) – Robbins, Piccin , 2003
Guida allo studio della Patologia General- V. Vannini, La Goliardica pavese
Kuby’s Immunology. Patologia e Fisiopatologia General
W.H. Freeman Co. 4th ed., (2000)
Cellular and Molecular Immunology.
Abbas A.K.et al. . W.B. Saunders Co., 3rd ed., (1997).
Immunology. Klein J. & Horejsi V. 2nd ed. Blackwell Scientific Publications., (1997)
Essential Immunology.
Roitt I. Blackwell Scientific Publications., 9th ed., (1997)
Immunobiology (http://www.immunobiology.com)
Janeway. CA, Jr., Walport M & Capra JD. Churchill Livingstone. 4th ed. (1999)
Immunology. Roitt I., et al. 5th ed. Mosby Inc., (1998)
Immunology. Elgert K.D. Wiley-Liss (1996)
Methodology and Clinical Propedeutics
Coordinator
G. Ricevuti
Subject:
Medical Propedeutics
Teachers:
G. Ricevuti
Subject:
Surgical Propedeutics
Teachers:
L. Bonandrini
Subject:
Nursing Science
Subject:
Psicology and Relationship beetween doctor and patient
Objectives: The integrated course of Clinical Methodology is aimed to teach the student the basic
concepts of the characteristics of the medical action and the organization of the sanitary
structures. The most Elementary procedures of the medical activity will be discussed and
experienced: in particular the measurement of the arterial pressure, the manoeuvres of Basic Life
Support, the puncture of a blood vessel.
The student will have to assimilate the basic theorical knowledges and the elementary procedures
for pharmacological, instrumental and technical management of surgical lesions and most common
pathologies owning to the surgical area.
The student will have to achieve the basic concepts for the psychical and psychological evaluation
of the patient, in order to learn the behaviour of Patient and Doctor during the discovery and the
evolution of the disease. Moreover they will be introduced to the principles of doctor-patientnurses relationship and the disease, and the team work, in order to learn the correct modalities to
speak to the patients.
The student moreover will be introduced to the concepts of the clinical medicine, owning to
medical and surgical area.
Students will be introduced to the role of the nurse in the doctor-patient-disease relationship, and
they will experience the basic manoeuvres to approach the patient and to manage/move the
patient in different phases of diseases, through the execution of elementary nursing manoeuvres.
The course will consist of theorical frontal lessons and practical training, using computer means as
well.
ELECTIVE DIDACTICAL ACTIVITIES (ADE): II year
Internships are carried out in the period indicated from the Teachers and it’s possible to follow
only an Intership per year. In the first year students should at least acquire 2,5 CFU from ADE and
1 CFU from "other"activities. All the proposed Elective Activities can also be attended in the
following years.
Monographic Course 1 CFU
Title of the Optional Course
Integrated Course
Teacher
Deepening of the Anathomy of the Digestive
Apparatus
Human Anathomy
Poggi P.
Deepening of the Anathomy of the
Tegumental Apparatus
Human Anathomy
Baratta L.
Deepening of the Anathomy of the
Urogenital Apparatus
Human Anathomy
Gaeta E.
Deepening of the Anathomy of the Sensitive
Organs: Eye
Human Anathomy
Tazzi A.
Deepening of the Anathomy of the Sensitive
Organs: Ear
Human Anathomy
Tazzi A.
Internship 1,5 CFU
Title of the Optional Course
Internship of Human Anathomy
Internship of Human Physiology
Internship of Immunology
Integrated Course
Human Anathomy
Human Physiology
General Pathology,
Immunology
Teacher
Tazzi A.
Bottinelli R.
E. Gherardi
Elective Activities “Others”
Monographic Course organized by university Colleges
1 CFU
ECDL
Additional courses of foreign language
1 CFU
1 CFU
AIMS AND PROGRAMMES – 3RD YEAR
3RD YEAR – 1ST TERM
INTEGRATED COURSE
Immunology and General Pathology 2 (E)
General Pathology
General physiopathology
Pharmacology 1 (V)
Pharmacology
MicroBiology (E)
MicroBiology
Medical-surgical Semeiotics 1
Internal Medicine
Apprenticeship
General Surgery
Apprenticeship
Instrumental Semeiotics– Image based diagnosis
TOTAL
CFU
CFU
CFU
Tot.
7
C.I.
Profes.
4,5
2,5
5
5
7
7
5
2
2,5
0,5
24
3RD YEAR – 2nd TERM
INTEGRATED COURSE
Laboratory Medicine (E)
Clinical Biochemistry
Apprenticeship
Molecular Biology
Apprenticeship
Clinical MicroBiology
Apprenticeship
Medical-surgical Semeiotics 2 (E)
Internal Medicine
CFU
CFU
CFU
Tot.
8
C.I.
3
Profes.
1
1,5
0,5
1,5
0,5
5
Apprenticeship
General Surgery
Apprenticeship
Instrumental Semeiotics– Image based diagnosis
Diseases of the Endocrine System and of the
Metabolism (E)
Internal Medicine
Apprenticeship
Endocrinology
Apprenticeship
Medical-Scientific Methodology 2 (E)
Hygiene and Epidemiology
Medical Statistics
Clinical Epidemiology
Elective Activities
Other activities
TOTAL
2
2,5
0,5
5,5
1
1
2,5
1
5
2
1,5
1,5
2,5
1
27
FIRST TERM
Immunology and General Pathology 2
Coordinator
V. Vannini
Unit:
General Physiology and Physiopathology
Teachers:
V. Vannini, G. Roveta
Interactive activities Teachers
L. Stivala
AIMS: The course will provide students the fundamental notions to define risk indicators in
preventive medicine, to approach laboratory medicine and to be able to set up a clinical reasoning.
Students must learn the evaluation of genetic and environmental elements in the onset and
evolution of diseases, and the analysis of pathologic agents and mechanisms, using Experimental
Pathology notions.
TOPICS:
Ionized radiations and tissues radiosensitivity: flogogenous, mutagenous, teratogenous and
cancerogenous effects. Exciting radiations: immediate and late effects and cancerogenous
potential. Define biotransformation and differentiate detoxification and activation reactions,
pointing the attention on induction phenomena. Know the mechanism turning xenobiotics into
biologically active metabolites, analyzing from the molecular point of view the relationship between
biologic activity and chemical reactivity. Analyze the relationship between the mutation of a single
gene and metabolic errors, including genetic sensibility to drugs and natural substances. Identify
different types of chromosomic anomalies (numeric and structural alteraltions) and multifactorial
ereditariety (differentiating environmental and poligenic elements). Analyze monozigous twins to
determine environmental and genetic elements. Describe structure-function of DNA and
pathologies caused by its alteration. Using genetics consult, prenatal diagnosis and genetic
sgreening, describe principal molecular biology techiniques and their application in diagnosing and
therapy of some genetic pathologies. Analyze apoptosis, its onset and its difference from necrosis.
Students must be able to use optical microscope by means of principal histochemical and
cytochemical techniques. Analyze the differences between fibrosis and cyrrhosis in terms of cells
proliferation. Analyze the differences between acute immediate and late inflammatory response,
evaluating the role of chemical mediators (hystamine, prostaglandines, cytokines, and so on) and
their features. Know the differences between chronic and acute inflammatory states, illustrating
monocyte-monophage system and its role. Individuate the function of granulation tissue in relation
to healing, regeneration, reconstruction and resolution phenomena. Analyze hyperplasia and
neoplasia and the differences between benign and malignant evolution. Describe immunitary and
inflammatory cells and their role in cancerous cells killing. Define cachexy and its mechanisms.
Describe blood clots formation; atherosclerotic lesions – onset and features; Sanarelli and
Schwartzman phenomena. Analyze homeostasis concept. Analyze the concept of stress and the
psycho-neuro-endocrine-immunitary response leading to stress. Describe hypoxia; osmotic
regulation; extracellular volume regulation; hyperosmolarity and hyposmolarity; natriemy and its
role. Calculate plasmatic osmolarity and water amount in the body. Describe mechanisms that lead
to oedema in congestive heart failure, pulmonary oedema, nephrosic syndrome, ascitis. Ilustrate
mechanisms of potassium balance and its alterations. Recognize respiratory and metabolic acidbase unbalance evalualting pH, pCO2, HCO3- . Analyze the role of lungs, kidneys and liver in
mantaining acid-base balance. Analyze from the physiopathologic point of view the notion of
hypertension, considering risk factors and pathogenetic mechanisms. Analyze hypotension and
metabolic-functional alterations. Describe shock: hypodynamic and hyperdynamic phases,
hemodynamic response to shock and its effects on brain, heart, lung, kidney and digestive system,
evaluating the possibility of irreversibility.
Describe thermoregulation system, hyperthermia and hyperpirexia, hypothermia and metabolicfunctional effects from physiopathologic point of view.
Recommended books
Le Basi patologiche delle malattie(Vol. I) – Robbins, Piccin , 2003
Guida allo studio alla patologia General – V . Vannini, La Goliardica Pavese
MICROBIOLOGY
coordinator
E. Romero
Unit
Microbiology
Teachers
E. Romero, L. Pagani, M. Debiaggi
AIM:
The course will provide the main notions and methodology to acquire fundamental basis of
microbiology, to be able to correlate composition, structure and physiology of microrganisms with
onset and evolution of infectious diseases; to apply the knowledge of microrganisms biology to the
choice of correct therapy and antibiotic drugs, and to prevention strategies; to gain diagnostic
methodology to approach infectious diseases; to learn the role played by each microrganism in
human pathology; to understand infections epidemiology.
Recommended I. Covelli, L. Spandrio, M. Zatti, C. Lechi, E. Nani: Medicina di Laboratorio, Ed.
books
Sorbona – Milano
J.F.Zilva, P.R., Pannall, P.D. Mayne: Biochemistry Clinica in diagnosi e terapia,
Ed. Soc. Ed. Universo – Roma
J. Baynes, M. H. Dominikzac: Medical Biochemistry, ed. Mosby, London
L. Thomas: Clinical Laboratory Diagnostics, ed TH Books, Frankfurt
R. Cevenini: MicroBiology Clinica Ed. Piccin
A.M. Molina: MicroBiology Clinica Ed Utet
PHARMACOLOGY 1
Coordinator
Unit
Teachers
Unit
Teachers
P.Richelmi
General Pharmacology
P.Richelmi M.P.Vairetti
Cellular and Molecular Pharmacology
A.Bianchi A.Di Nucci
AIMS Students must learn the fundamental principles of biological drug effests, under the
different points of views: pharmacodynamic (mechanism of action, drug-receptor interaction,
receptorial theories), pharmacokinetic
(diffusion of drugs through biologic membranes,
absorption, delivery and escretion), pharmacometabolism (biotransformation of drugs, enzimatic
inhibition and induction), pharmacometric (evaluation and measure of pharmacologic effect) and
toxicologic (mechanism and features of drug toxicity; side effects).
TOPICS:
Drugs: nature, origin, features; pharmacologic experimentation; drugs absorption; drug delivery;
drug metabolism; enzimatic induction and inhibition; excretion; general toxicology.
Pharmacokinetics: general principles, absorption and delivery, interactions; notions on antibiotic
therapy; mechanism of drugs action; structure-action relationships, drug-receptor interaction,
receptorial theories; agonism-antagonism; drug tolerance; not conventional therapies;
pharmacogenetics; drug monitoring.
RECOMMENDED Goodman & Gilman’s : Le Basi Farmacologiche della Terapia, 8a edizione,
BOOKS
Zanichelli.
Fulgraff G: Farmacologia General e Clinica, Edizioni Mediche Scientifiche
Internazionali.
M.J. Neal: Farmacologia medica in uno sguardo, 1999 La Goliardica Pavese.
Richelmi e Berté : Farmacologia General, 1996, La Goliardica Pavese.
B:G: Katzung: Farmacologia General e Clinica Ed. Piccin
2 ND TERM
MEDICAL AND SURGICAL SEMEIOTICS
Coordinator
S. Tinozzi
Unit:
Medical semeiotics
Teachers:
E. Marchesi
Unit:
Surgical semeiotics
Teachers
S. Tinozzi, C. Bianchi
L. Bernardi, G. Ricevuti, G. Gamba,S. Perlini, R. Invernizzi, P. Gobbi, P.
Noris, F. Recusani, C. Falcone, M. Previtali, E. Vanoli, A. Dal Canton, C.
Interactive activities
Esposito, C. Libetta, C. Bianchi, G. Volpato, P. Colombo, R. Moia, M.
Teachers
Cugnasca, G. Fraipont, R. Alessiani, A. La Rosa, F.Calliada,
AIMS: At the end of the course the student should know the general principles to carry out a
medical examination and apply metodologies and tecniques of anamnesis, medical examination,
instrumental exams; know the processes of diagnostic classification (tassonometry, classifications,
identifications of the case); know the principles of metodology of scientific research in clinics and
on general population, and the means of epidemiological approach; know the prevention and the
risk factors for infectious or not infectious diseases; be able to read and to do a critical
interpretation of medical literature; be able to communicate with the patient and his relatives, and
with the members of the medical equipe.
LABORATORY MEDICINE
Coordinator:
R. Moratti
Unit:
Clinical Biochemistry
Teachers:
R. Moratti
Unit:
Molecular Diagnostic Methodology
Teachers:
G. Merlini
Unit:
Clinical MicroBiology
Teachers:
L. Pagani
AIMS:
Students must learn most important laboratory analyses, their physiopathologic bases, their
interpretation (related to measure factors and biologic variability); they must learn how to evaluate
laboratory tests reliability, and to evaluate the results in relation to the patient’s pathologic
conditions; to programme routine and specialistic exams both in ward and outpatients department;
they must know how to correctly interpretate analyses and how to use them in screening,
diagnosis, staging and therapy of diseases; they must gain the ability to choose the most
appropriate exams in relation to diagnostic hypothesis, and have notions of quality control and
sensibility-specificity. They should know the diagnostic potential of new technologies such as
proteomics, pharmacogenomics, cell-sorting and micro-arrays. They must know microbiologic
diagnostic principles, executive protocols rules, and appropriate diagnosing protocols to identify
organs and systems infections and to interpretate results of laboratory tests. They must know the
relation between pathological frames and possible etiologic agents.
TOPICS:
Clinical Biochemistry: total plasmaproteins and specific sieroproteins; lipids and lipoproteic
classes, structures, atherosclerotic risk parameters; enzimatic activities in the serum: rating
methods, organ and tissue profiles; parameters to determinate hepatic and renal functionality;
most recent markers of myocardial damage in order to do a differential diagnosis of acute
coronary syndromes; glycemic homeostasis: its regulation, tests and study methods; uric acid and
notions of plasmatic aminoacids and aminoacid-related pathologies; hydroelectric and acid-base
balance; normal and pathologic hemoglobins: structure and diagnostic elements; bilirubine and
porphirine; sideremy, cupremy and clinically interesting oligoelements; notions on coagulation and
hemorrhage risk tests; laboratory monitoring of thrombotic risk; urine analysis; Old and new
hemocromocytometric test; hypophysis study methods, tyroid profile; surrenal cortex and
corticosteroids synthesis; gonadotropins and ovarian-testis function; laboratory tests and diagnosis
in pregnancy; neoplastic markers; autoimmunity laboratory diagnosis; drugs monitoring and
notions of pharmacogenomics.
Molecular Diagnostic Metodology: preanalytic step, means to take biologic liquids; analytic
and biological variability; range values, refertation; errors measure, security quality in the
laboratory; diagnostic logic path of laboratory medicine: predictive values, critical differences,
decisional levels; electrophoretic methods and bidimensional electrophoresis, and study of biologic
liquids proteins; clinical applications of capillar electrophoresis; diagnostic application of
spectrometry and proteomics; immunochemical quali-quantitative methods; different study
methods in blood cells: cytofluorimetry and cell-sorting; study and clinical importance of apoptosis;
nucleic acid analysis technique and diagnostic application; "microchip technology" and potential
diagnostic applications.
Clinical MicroBiology: principles of microbiologic diagnosis; gathering and transportation of
pathologic materials; direct examination and coltures; microbial macromolecules findings and
sierologic diagnosis; microbiology of the infections of respiratory ways, ear, eye, genito-urinary
apparatus, digestive system, foetus and newborn. Microbiology of the infections of cardiovascular
apparatus, central nervous system, skin, bones, junctures; microbiology of nosocomial infections.
Role of microbiology in control and prevention..
RECOMMENDED I. Covelli, L. Spandrio, M. Zatti, C. Lechi, E. Nani: Medicina di Laboratorio, Ed.
BOOKS
Sorbona – Milano
J.F.Zilva, P.R., Pannall, P.D. Mayne: Biochemistry Clinica in diagnosi e terapia,
Ed. Soc. Ed. Universo – Roma
J. Baynes, M. H. Dominikzac: Medical Biochemistry, ed. Mosby, London
L. Thomas: Clinical Laboratory Diagnostics, ed TH Books, Frankfurt
R. Cevenini: MicroBiology Clinica Ed. Piccin
A.M. Molina: MicroBiology Clinica Ed Utet
MEDICAL-SCIENTIFIC METODOLOGY
Coordinator:
Unit:
Teachers:
Unit:
Teachers:
Unit:
Teachers:
A. Marinoni
Clinical Epidemiology
A. Marinoni
Medical Statistics
M. Grassi
Epidemiology and Hygiene
M. T. Tenconi, F. Sottocornola
Objectives: At the end of the course the student should know the general principles for execution
of a medical exam and apply metodologies and tecniques of anamnesis, objective exam,
instrumental exams; know the processes of diagnostic classification (tassonometry, classifications,
identifications of the case); know the principles of methodology of scientific research in clinics and
in the general population, means of epidemiological approch; know the protectional and risk
factors for infective or not infective disease; be able to read and to do a critical interpretation of
medical literature; be able to talk to the patient and his relatives, and to the members of the
assistential equipe.
Topics: Classification of the researches in medicine; the casual evaluation in the observational and
experimental studies; the logic of the diagnostic reasoning; exercitation on: interpretation and
validation of the diagnostic data; the theorical basis of clinical experimentation and the scientific
method; organization and planning of a experimentation: the programmation of the protocol;
exercitation: how to read a scientific article; controls, blindness and placebo (A. Marinoni);
exercitation on some examples; randomization (A. Marinoni); exercitation on some problems;
drawings of sperimental studies (A. Marinoni); reading an article; discussions of a research (A.
Marinoni); exercitation on pratical problems; drop-out and deviations from protocol. Analysis of
data; programmed and explicative approch; evidence-based medicine.
DISEASES OF THE ENDOCRINE SYSTEM AND OF METABOLISM
Coordinator:
L. Chiovato
Module:
Endocrinology
Teachers:
L. Chiovato
Module:
Metabolic diseases
Teachers:
D. Geroldi, B. Solerte
Interactive activities teacher:
F. Magri
Objectives:
Endocrinology: The Course aim is to provide Students the basic notions of physiopathology and
clinics of endocrine diseases. The systematic approach to main endocrine diseases is dealt from
the point of view of internal medicine, with a particular attention on multidisciplinarity of endocrine
diseases. Interesting clinical cases are discussed along with virtual ones, and there is also the
possibility of pratical activity in outpatients department.
• Topics: Endocrinology: Hypothalamic disease. Insipid diabete; global and selective
hypopithuitarisms; hypofisis releasing and not releasing tumors; thyreotossicosis:
nosography, clinics, diagnosis and therapy; hypothyroidism: nosography, clinics, diagnosis
and theraphy; nodular diseases of thyroid; hypoparathyroidism and hyperparathyroidism;
acute and chronic hyposurrenalism; Cushing syndrome; (mentioned) male and female
hypogonadism.
Diseases of metabolism goals: To provide students the physiopathologic knowledge of
diseases of the metabolism; to develop a methodology for their clinical recognition: to provide the
elements for an integrated view of metabolic diseases.
• Topics: physiopathology of glicoregulation; diabetes mellitus and cronical-acute related
complications; hypoglicemia. Obesity; general physiopathology of purine metabolism; gout;
hemocromathosis; general physiopathology of lipid metabolism; lipidosis; endocrine
pathologies-related metabolic alterations.
Recommended Harrison’s Principles of Internal Medicine, Braunwald et al. (eds), McGraw-Hill,
bibliography:
2001.
Endocrinology and Metabolism, eds. McGraw-Hill
Clinical Medicine Series, Pinchera et al. (Eds.), McGraw-Hill, 2001.
Basic & Clinical Endocrinology, Greenspan et al. (Eds.), Appleton & Lange, 2000
Cecil "Trattato di Medicina Interna"
3RD YEAR’S OPTIONAL ACTIVITES (ATTIVITÀ di DIDATTICA OPZIONALE: A.D.E.)
Monographic corse 1 CFU
Title of the optional course
Biology of antimicrobic drugs
Integrated corse
Microbiology
Responsible
L. Pagani
Molecular Microbiologic Diagnostics
Microbiology
M. Debiaggi
Biologic defense: from the biology to clinic and
Semeiotics and Clinical methodology. G. Ricevuti
pathology
Physiopathologic circulatory widener
Surgical and medical semeiotics
C. Falcone
Sanitary Demographic Issues
Surgical and medical semeiotics
Applicated Clinical Ethics
Surgical and medical semeiotics
Microscopic observation Training in General
Immunology and General Pathology
Pathology
F Sottocornola
G. Ruberto
V. Tannini
Internship 1,5 CFU
Title of the Optional Corse
Integrated Corse
Responsible
Generic Pathology Internship
Immunology and Generic Pathology V. Vannini
Medical Genetics Internship
Medical Scientific Methodology Internship
Genetic and Biology
C. Danesino
Endocrinal System and Metabolism
L. Chiovato
Diseases
Medical Scientific Methodology
A. Marinoni
Microbiology Internship
Microbiology
L. Pagani
Medical Semeiotics Internship
Medical and Surgicalal Semeiotics
E. Marchesi
Surgical semeiotics Internship
Medical and Surgicalal Semeiotics
S. Tinozzi
Laboratory Medicine Internship
Laboratory Medicine
R. Moratti
Endocrinology Internship
Programs and Objectives of IV Year
4th YEAR – 1ST TERM
INTEGRATED COURSES
Diseases of the Cardiovascular Apparatus (E)
Cardiology
Apprenticeship
Cardiosurgery
Vascular surgery
Pathologic Anatomy
Pharmacology
Diseases of the Respiratory system (E)
Pneumology
Apprenticeship
Thoracic Surgery
Apprenticeship
Image-based diagnosis
Pathologic Anatomy
Pharmacology
Diseases of the Digestive Apparatus (E)
Gastroenterology
Apprenticeship
Digestive surgery
Pathologic Anatomy
Image-based diagnosis
Pharmacology
Diseases of the Blood (E)
Hematology
Apprenticeship
Oncohematology
Pathologic Anatomy
TOTAL
CODE
CFU
Tot.
CFU
C.I.
CFU
Profes.
8,5
MED/11
3,5
MED/23
MED/22
MED/08
BIO/14
1
1
0,5
0,5
2
8
MED/10
3,5
2
MED/21
1
MED/36
MED/08
BIO/14
0,5
0,5
0,5
8
MED/12
3,5
2
MED/18
MED/08
MED/36
BIO/14
1
0,5
0,5
0,5
6,5
MED/15
3
MED/15
MED/08
1
1,5
1
31
4th YEAR – 2nd TERM
INTEGRATED COURSES
Internal Medicine and General surgery (E)
Internal Medicine
Apprenticeship
General Surgery
Apprenticeship
Diseases of the Immunitary System and
Rheumatology (E)
Clinical Immunolgoy
Apprenticeship
CODE
CFU
Tot.
CFU
C.I.
CFU
Profes.
8
MED/09
2,5
MED/18
2,5
1,5
1,5
5,5
MED/09
1
1
Rheumatology
Apprenticeship
Diseases of the Kidney and of the Urinary
Apparatus (E)
Nephrology
Apprenticeship
Urology
Apprenticeship
Pathologic Anatomy
Diseases of the Locomotor Apparatus (E)
Orthopaedics
Apprenticeship
Physical Medicine and Rehabilitation
Apprenticeship
Image-based Diagnosis (E)
Image – based diagnosis
Apprenticeship
MED/16
2,5
1
8
MED/14
3,5
2
MED/24
1
MED/08
0,5
1
5,5
MED/33
2,5
MED/34
1
1
1
MED/36
4,5
2,5
2
Elective Activites
2,5
Other Activities
TOTAL
1
35
DISEASES OF THE CARDIOVASCULAR APPARATUS
Coordinator
M. Vigano
Module
Cardiology
Teachers
P. Schwartz, F. Recusani, S. Priori, C. Falcone
Interactive activities teachers
E. Vanoli
Module:
Cardiosurgery
Teachers
M. Viganò, A.M. D'Armini
Module:
Vascular Surgery
Teachers:
A. Odero
Module:
Patological Anatomy
Teachers:
E. Silini, R. Scelsi
Module:
Pharmacology
Teachers:
G.M. Frigo
OBJECTIVES: At the end of the course students will have to know how:
• to do a clinical examination of the patient with formulation of diagnostic suspicion;
• which are the most common instrumental examinations to support clinical examination and
their diagnostic meaning;
• for each clinical frame the student should know: what it is (definition); how much is
important (epidemiology); why and how it happens (etiology, physiopathology); which are
the clinical and instrumental features and how the diagnosis is made; to what it may lead
(natural history, complications); what to do and where (notes of therapy, domiciliar and
hospital therapy); possible phases of the disease needing urgent participations (how to
recognize emergencies, how to deal with them);
• which are the stages leading to surgical solutions;
• which are the fundamental methodologies for the open heart operations (extra corporeal
circulation, myocardial protection, hypothermia);
•
fundamental knowledge for the management of the patient with lung and heart transplant;
fundamental knowledge for the management of the respiratory insufficiency
TOPICS:
CARDIOLOGY:
• Endocarditis (acute articular rheumatism and rheumatic endocarditis, bacterial endocarditis)
• Acquired valvular pathologies (mitralic valvulopaties, aortic valvulopaties, the secondary
pulmonary hypertension, tricuspidal insufficiency). Other valvular pathologies (prolapses of
the mitral valve). Pathologies concerning the left atrium (endoatrial thrombosis, mixoma);
• Myocardiopathies (primitive and secondary dilatative myocardiopathies, secondary and
primitive hypertrophic myocardiopathies, obstructive hypertrophic myocardiopathies, signs
of restrictive myocardiopathies),
• Mechanisms of heart compensation;
• Heart failure (acute pulmonary oedema, chronic venous system congestion, cardiogenic
shock: differential diagnosis with other kinds of shock);
• Acute and chronic pericarditis (benign acute pericarditis, heart tamponation, chronic
pericarditis with or without constriction);
• Ischemic cardiopathy (atherosclerosis of the coronaries, acute and chronical coronary
syndromes: myocardium infarction and its acute and chronic complicances, unstable angina
pectoris, stable chronic angina);
• Sudden death;
• Long QT Syndrome;
• Tachicardic arrhythmies (extrasistolia, supraventricular parossistic tachycardias, atrial
fibrillation, ventricular tachycardias, ventricular fibrillation),
• Bradicardic arrhythmies (atrioventricular blocks, MAS syndrome: other syncopes);
• Preexcitation ventricular syndrome (W-P-W);
• Main congenital cardiopathies (the valvular aortic stenosis and the cohartation, the isolated
pulmonary stenosis, the shunts, the defects of the septum, the overload of pulmonary
volume, the pulmonary hypertension, the Eisenmenger, the cyanosis, signals on Fallot’s
disease);
• Acute pulmonary heart (pulmonary niggle) and signals on the chronic pulmonary heart.
CARDIOSURGERY:
• Extra corporeal circulation;
• Myocardial protection;
• Surgical valvular pathologies and main protesic models;
• surgery of the coronaries and the complicances
• Heart and heart-lungs transplantation
• Surgical treatment of the main congenital cardiopathies.
VASCULAR SURGERY:
• Chronic obstructive arteriopaties of the inferior limbs
• Obstructive visceral vessels pathology
• Acute ischaemia of the limbs (arterial emboli, arterial thromboses, traumas of the arteries);
• Aneurisms (of the thoracic aorta, of the abdominal aorta, the visceral arteries, of peripheral
vessels)
• Cerebral vascular insufficiency
• Varicosis of the inferior limbs (primitive and secondary)
• Inflammatory chronic angiopathies (Buerger’s disease, Takayasu’s disease, Horton’s
disease)
• Venous thrombosis, post -phlebitic syndrome
• Vascular pathologies-related oedemas of the limbs (phleboedema, lymphoedema).
Recommended books
Vascular Surgery and Angiology:
Cardiology:
Cardiosurgery:
Elementi di Patologia e Chirurgia Vascolare. P. Fiorani, GR Pistolese, C. Spartera,
V. Faraglia. Ed. Antonio Delfino, Roma.
Manuale di Cardiologia. Di G. Specchia
Medicina interna. Di Rugarli
Il cuore: arterie e vene. Di Will Hurts. Ed Mc Graw Hill
MALATTIE DEL CUORE E DEI VASI. Vol. I e II. Di S. Dalla Volta. Ed. Mc Graw Hill
La chirurgie des aneurysmes de l’aorte. Dubost – Guilmet. Masson 1970.
Cardiac surgery. Kirklin – Baratt Boyes. Churchill Livingstone 1988.
Surgical treatment of congenital heart diseaseS. Hallman – Cooley.
Nouveau traitè de technique chirurgicale. Coeur
Gros vaisseaux pericarde Blondeau – Herry. Masson 1970.
TRANSPLANTATION D’ORGANES. Carpentier –Farge. Flammarion 1992.
DISEASES OF THE RESPIRATORY APPARATUS
Coordinator:
Module:
Teachers:
Module:
Teachers:
Module:
Teachers:
Module:
Teachers:
E. Pozzi
Respiratory Apparatus Diseases
E. Pozzi, V. Peona, F. Meloni
Thoracic Surgery
G. Volpato
Patological Anatomy
E. Silini, R. Scelsi
Pharmacology
G.M. Frigo
OBJECTIVES: At the end of the course students will have to know how:
• to do a clinical examination of the patient with formulation of diagnostic suspicion;
• which are the most common instrumental examinations to support clinical examination and
their diagnostic meaning;
• for each clinical frame the student should know: what it is (definition); how much is
important (epidemiology); why and how it happens (etiology, physiopathology); which are
the clinical and instrumental features and how the diagnosis is made; to what it may lead
(natural history, complications); what to do and where (notes of therapy, domiciliar and
hospital therapy); possible phases of the disease needing urgent participations (how to
recognize emergencies, how to deal with them);
• which are the stages leading to surgical solutions;
• which are the fundamental methodologies for the open heart operations (extra corporeal
circulation, myocardial protection, hypothermia);
• fundamental knowledge for the management of the patient with lung and heart transplant;
fundamental knowledge for the management of the respiratory insufficiency
DISEASES OF RESPIRATORY APPARATUS:
• Pneumonias
• Acute bronchitis
• Chronic Obstructive Lung Disease and emphysema
• Bronchial asthma
• Pulmonary tuberculosis
• Pulmonary abscesses
• Pulmonary granulomatosis (sarcoidosis - allergic alveolitis - istiocitosis)
•
•
•
•
•
•
•
Pulmonary fibrosis
Vasculitis
Pulmonary oedema – ARDS
Pulmonary thromboembolism
Pleural effusion
Broncogenic carcinoma
Malignant mesothelioma.
RESPIRATORY PHYSIOPATHOLOGY:
• Structure and function of the lung
• Breath tests: indications;
• Obstructive disventilatory syndromes
• Restrictive disventilatory syndromes
THORACIC SURGERY
• Tracheobronchial pathologies of surgical interest
• Malformations and diseases of the thoracic wall
• Pneumothorax - pleural empyema;
• Tumors of the mediastinum;
• Lung transplant: indications.
Respiratory Apparatus Diseases:
MALATTIE DELL’APPARATO RESPIRATORIO. G. Monsignore, V. Bellia. Ed. Mc
Graw Hill, Milano 1995.
MANUALE DI PNEUMOLOGIA. C. Grassi, E. Pozzi, Ed. Minerva Medica, Torino
1981
DIAGNOSIS OF DISEASES OF THE CHEST. Fraser, Parè, Parè, Fraser, Gneraux.
Ed. Sauders Company.
MANUALE DI ONCOLOGIA CHIRURGICA TORACICA. Ravasi, Preda. Casa Editrice
Ambrosiana.
BLOOD DISEASES
COORDINATOR:
MODULE
TEACHERS
MODULE
TEACHERS
INTERACTIVE ACTIVITIES TEACHERS
MODULE
TEACHERS
M. Cazzola
Hemalogy
M. Cazzola, M. Lazzarino
Hematologic Oncology
P. Bernasconi
F. Passamonti
Pathological Anatomy
U. Magrini, M. Paulli
OBJECTIVES: At the end of the course the student must know: the structure and the functions of
the hematopoietic bone marrow and the functional morphology of the lymphatic system;
diagnostic criteria and classification of the anemias; pathogenetic mechanisms and clinical
characteristics of the main anemias: hemorrhagic, hypoproliferative, carential, thalassemic, chronic
disease-related, congenital and acquired haemolitic anemias, nocturnal paroxistic hemoglobinuria;
pathogenetic classification of the erithrocytosis, mechanisms and diagnostic criteria; the conditions
characterized by iron overload, and in particular the trasfusional iron overload and the genetic
hemocromathosis; the main non-neoplastic alterations of the leukocytes; classification and
molecular pathogenetic mechanisms of the leukaemias; the clinics of the myelodisplastic
syndromes and the acute myeloid leukaemias; the clinics of the acute lymphatic leukaemias;
classification and clinical features of mieloprolipherative diseases; classification and the molecular
pathogenetic mechanisms of the malignant lymphomas; the histologic classification and clinical
features of non-Hodgkin’s lymphomas and chronic linfoprolipherative diseases; hystologic
classification and clinical characteristics of Hodgkin’s diseases; the classification and the clinical
characteristics of the monoclonal gammopathies; the clinical classification and characteristics of
the istiocytosis; the physiopathologic mechanisms of the haemostasis and the pathogenesis of the
thrombosis; the classification of the thrombotic diseases, and deep venous thrombosis; the
principles of piastrinic anticoagulating therapy; classification and clinical characteristics of
thrombocytopenias; the classification and clinical characteristics of purpura vasculitica; the
classification and the clinical characteristics of von Willebrand disease; the genetic and clinical
characteristics of haemophilia, the pathogenetic mechanisms and the clinical characteristics of the
main acquired coagulopathies, with particular regard to the disseminated intravascular
coagulation; the fundamental elements of immunohaematology and the principles of the
transfusion of blood and haemocomponents; the principles of transplant of haemopoietic stem
cells and of the cellular therapy: Stem cells and haemopoietic growth factors; structure of bone
marrow; hemocromocytometric examination, definition and classification of the anemias,
hemorragic anemia; hypoprolipherative anemias, aplastic anemia and anemia from chronic renal
insufficiency; folates, megaloblastic B12 vitamin and anemias; metabolism of the iron and anemia
from iron deficiency; inflammatory cytokines and chronic inflammatory diseases anemia;
thalassemic syndromes; hemolitic anemias from disorders of the erythrocitary membrane;
congenital hemolitic anemias: erythrocitary enzymatic deficits and hemoglobinopathies;
immunological hemolitic anemias; classification of the leukaemias; molecular cytogenetic and
oncohematologic diagnosis; mechanisms of leukemogenesis; mielodisplastic syndromes; acute
myeloid leukaemia; acute lymphatic leukaemia; chronic myeloid leukaemia; policytemia rubra vera;
essential piastrinosis and thrombocytemia; idiopatic splenomegalies and myelofibrosis; morphology
of the lymphatic system; lymphoadenopathies; molecular pathogenetic mechanisms of
lymphomas; Hodgkin’s disease: histopathology and clinical aspects; non Hodgkin’s lymphoma:
histopathology; indolent non Hodgkin’s lymphomas; aggressive non Hodgkin’s lymphomas; chronic
lymphatic leukaemia and other chronic lymphoproliferative diseases; monoclonal gammopathies
and multiple myeloma; amyloidosis; tumors of the thymus; macroglobulinemia of Waldenström,
crioglobulinemia; physiopathology of the haemostasis; genetic factors and their role in the
pathogenesis of the thrombosis; deep venous thrombosis and pulmonary embolism, anticoagulant
therapy; thrombotic vascular thrombocytopenic purpura and other purpuras; thrombocytopenia
and idiopatic thrombocytopenic purpura; von Willebrand’s disease; haemophilia; disseminated
intravascular
coagulation;
amyloidosis;
hemochromatogenesis;
nocturnal
parossistic
haemoglobinuria; non-neoplastic disorders of the granulocytes and monocytes; leucocytes and
leukopenia; blood groups; transfusion of blood and hemocomponents; transplant of hemopoietic
stem cells.
Recommended Texts
Harrison Principi di Medicina Interna, XV Edizione, Ediz. Mc Graw -Hill
2° TERM
DISEASES OF THE DIGESTIVE APPARATUS
coordinator:
G. R. Corazza
unit:
Illnesses of the digestive system
Teacher:
G. R. Corazza
unit:
Surgery of the digestive system
Teacher:
P. Colombo
unit:
Pathological anatomy
Teachers:
E. Solcia, E. Silini
unit:
Imagiology
Teachers:
F. Calliada
unit:
Pharmacology
Teachers:
G.M. Frigo
Aims
Gastroenterology:
• To supply the necessary physiopathological elements to understand the main syndromes of
gastroenterological area (dyspepsia, malabsorption, diarrhoea and constipation, abdominal
pain and acute abdomen, hepatic and pancreatic insufficiency)
• To supply the essential knowledge to the development of the main diagnostic algorithms,
oriented to problems and bound to a positive cost-effectiveness relationship;
• To supply the rational bases for the treatment of the main gastroenterical syndromes.
Surgery of the digestive apparatus:
The Integrated Course of Surgery of the Digestive Apparatus aims to introduce the essential
aspects (aetiological, pathogenetic, pathological and clinical) and the fundamental bases of the
gastroenteric diseases of surgical pertinence in order to allow the successive clinical and
diagnostical/therapeutical approach.
Anatomy and pathological histology:
The course aims to teach fundamental pathological bases of diseases
• To know the anatomo-pathological patterns associated to jaundice
• To know the classification of pathologies of the intra- and extra-hepatic biliary ducts and
their main clinical and laboratory correlations
• To know the anatomo-pathological patterns, the clinical-pathological correlations and the
natural history of the primitive biliary cirrhosis and the sclerosing cholangitis
• To know the anatomo-pathological patterns associated with hepatic steatosis and their
aetiopathogenesis
• To know the natural history and the clinical and laboratorial correlations of alcoholic and
non-alcoholic steato-hepatitis
• To know the various types of accumulation pathologies of the liver and their criteria of
classification
• To know how to describe the anatomo-pathological patterns, the natural history and the
clinical and laboratorial correlations of the hereditary hemocromatosis and Wilson’s disease;
• To know the aetiology, the histopathological expressions, the clinical-laboratorial
correlations and natural history of acute and chronic, viral and non-viral hepatitis; to know
the staging criteria and histopathological grading of chronic hepatitis;
• To know the aetiology, the classification and the anatomo-pathological patterns of the
hepatic cirrhosis; to know the natural history and the complications of the hepatic cirrhosis;
• To know the classification of the hepatic and biliary ducts tumors
• To know how to describe the anatomo-pathological patterns and the diagnostic criteria of
the main forms of hepatocellular tumor and of cholangiocarcinoma
• To know the indications for the execution and the modalities of making an echoguided
hepatic biopsy and hepatic needle-aspiration with a thin needle.
Farmacology
Referring to the knowledge acquired during the course of General Farmacology (pharmacokinetics,
pharmacodynamics, clinical trials of drugs), the module of Pharmacology has the aim to supply the
information of clinical pharmacology that are necessary for the use of drugs in gastroenteric
diseases, with particular attention to drugs acting on digestive system.
Topics
Gastroenterology:
• Objective examination of the patient of gastroenterological pertinence
• Acknowledgment and interpretation of the main gastroenterological symptoms
• Criteria of differential diagnosis of the main digestive syndromes.
• The digestive hemorrhages.
•
•
•
•
•
Esophagus: Anatomo-functional principles. The disphagic syndrome. GERD. Barrett’s
esophagus. Cancer of the esophagus. Esophagus diverticola.
Stomach. Anatomo-functional principles. The dyspeptic syndrome. Gastritis and peptic
disease. Zollinger-Ellison syndrome. Cancer of the stomach. Post-gastrectomy and resection
syndromes.
Intestine. Anatomo-functional principles of the small intestine and the colon. Diarrhoeas
and constipation. Classification of malabsorption syndromes. The immunological answer of
the intestine. The coeliac disease. Whipple’s disease. The bacterial contamination of small
intestine. The minor malabsorption syndromes. Alimentary intolerances and allergies. The
irritable intestine. Physiopathogenesis of chronic intestinal diseases. Crohn’s disease.
Chronic ulcerative colitis. The new colitis. Diverticular disease. Cancer of the colon.
Liver. Anatomo-functional principles. Jaundice. Hepatic insufficiency syndrome. The
alcoholic hepatopathy. Acute and chronic viral hepatitis. Hepatic cirrhosis and
complications. The thesaurismosis. Cancer of the liver. The biliary lithiasis.
Pancreas. Anatomo-functional principles. The acute and chronic pancreatitis. Cancer of the
pancreas.
Surgery of the digestive apparatus:
• Semeiology and objective examination in the diseases of the digestive apparatus.
• Acute and chronic abdominal pain (physiopathological, semeiological and clinical approach).
• Surgical acute abdomen: general nosographic classification(peritonitical, occlusive, vascular
acute abdomen). Most frequent and significant patterns of acute abdomen.
• Acute and chronic intestinal occlusion.
• The abdominal hernias. Hernia incarceration.
• Celiac-mesenteric acute insufficiency.
• Acute appendicitis: classic form and some variants.
• Tumors of the esophagus, in particular esophageal carcinoma.
• Gastric precancerosis. Tumors of the stomach. Gastric carcinoma.
• Inflammatory and neoplastic pathology of the mesenteric small intestine.
• Intestinal polyps.
• Intestinal precancerosis.
• Tumors of the colon-rectum. Carcinoma of the colon-rectum.
• Acute and chronic inflammatory pathology of the pancreas.
• Malignant tumors of the pancreas: pancreatic carcinoma.
• Endocrine tumors.
• The jaundice. General treatment and aetiopathogenetic aspects. Medical and surgical
jaundice.
• Inflammatory pathology of the biliary ducts. Malignant tumors of the biliary ducts.
• Secondary and primitive tumors of the liver.
• The portal hypertension.
• The hepatic cirrhosis.
• Diseases of the anus of surgical interest.
Pathological anatomy: E. Solcia
• Gastritis from Helicobacter pylori and peptic ulcer
• autoimmune gastritis and associated pathologies. Gastric lymphoma
• Reflux esophagitis, Barret’s esophagus and pathology of the cardial mucosa
• Risk lesions and precancerosis of the gastric and esophageal mucosa. Gastric
carcinogenesis
• Gastric carcinoma: histological and anatomo-clinical patterns
• The precancerosis of the colon-rectum
• Colorectal carcinoma
• Chronic ulcerative colitis
• Crohn’s disease
•
•
•
•
•
•
Tumors of the exocrine pancreas; tumors of the endocrine pancreas.
Pancreatic pathology of the diabetes
Gastroenterical endocrine tumors
Tumors of the thyroid. Chronic thyroiditis
General treatment on the tumors of the hypophysis, parathyroid and adrenal gland.
Multiple endocrine neoplasias (MEN Syndrome)
Pathological anatomy: E. Silini
• diseases of the intra- and extra-hepatic biliary ducts
• Alcoholic and non-alcoholic steatohepatitis
• Accumulation diseases (classification; hemochromatosis; Wilson’s disease)
• Chronic hepatitis
• Cirrhosis
• tumors of the liver and of the biliary ducts.
Pharmacology
• Diseases of the digestive system and pharmacokinetics
• Drug therapies in acid – related diseases
• Drugs to increase gastrointestinal motility and peristalsis-related problems
• Drugs in inflammatory bowel diseases
• Antiemetic drugs
Recommended
Books:
Harrison’s Principles of Internal Medicine, Braunwald et al. (eds), McGraw-Hill,
2001.
Endocrinology and Metabolism, eds. McGraw-Hill
Clinical Medicine Series, Pinchera et al. (Eds.), McGraw-Hill, 2001.
Basic & Clinical Endocrinology, Greenspan et al. (Eds.), Appleton & Lange, 2000.
Cecil "Trattato di Medicina Interna"
Coordinamento Unigastro "Malattie dell’Apparato Digerente", UTET
G.R. Corazza, V. Ziparo "Manuale di Fisiopatologia Medica e Chirurgica", Pensiero
Scientifico Editore.
Sabiston "Text Book of Surgery", XV edizione, 1997 Saunders
Harrison’s "Principles of Internal Medicine", Mc Graw Hill Inc
Dionigi "Chirurgia", seconda edizione, Masson 2000
Kumar, Cotran, Robbins "Anatomia Patologica" VI Edizione.
Robbins, Kumar, Cotran "Le basi patologiche delle malattie", VI edizione
Rubin, Farber "Pathology", terza edizione, Lippincott Raven.
INTERNAL MEDICINE AND GENERAL SURGERY
coordinator:
UNIT
Teachers
UNIT
Teacher:
S.Tinozzi
Internal Medicine
L. Bernardi, G, Gamba
General Surgery
S. Tinozzi
Internal Medicine Objectives
Student will have to know how to describe the pathogenesis, the clinical and instrumental signs
and the evolution of hypertension, and hypotension; to describe the behaviour in case of
lypothymia; to describe the pathogenesis, the clinical and instrumental signs of neurovegetative
pathologies; to describe the diagnostic algorithm of thoracic pain and to be able to read
electrocardiography; to describe the pathogenesis of dyspnoeas and to know which pathologies
can be the underlying cause; to interpret a spyrographic examination; to describe the diagnostic
algorithm of asthenia and vertigo; to describe the pathogenesis and differential diagnosis of
jaundice; to describe the approach to vomiting and/or diarrhoeic patient; to describe the
diagnostic algorithm of lymphoadenomegalies and splenomegalies; to describe the pathogenesis,
the clinical and laboratory signs and the differential diagnosis of: haemorrhagies, tremors,
alcoholism and drug addictions, coma, oedematous syndromes; to describe and recognize clinical
signs of acid-base and ion unbalance; to describe the approach in case of polyuria, oliguria or
anuria; to describe the diagnostic algorithm of fever; to describe the pathogenesis and differential
diagnosis of the pruritus.
General Surgery:
the student should gain a slight knowledge of general surgical pathology, knowing how to describe
pathogenesis and diagnosis of affections such as: abscesses, phlegmon, fistula, forunculus, favus,
hydrosadenitis, erysipelas; to recognize, to describe and to estimate an external hernia (inguinal,
crural, umbilical or less frequent locations); to make differential diagnosis of hernias with
tumefactions in inguino-crural region; to make differential diagnosis between herniation and other
pathology of the scrotum; to identify and estimate herniae-related complications; to know the
etiopathogenesis and the clinical evolution of hydrocele, pachivaginalitis, criptorchidism; to
recognize from the anamnesis and palpation a tumor of the testis; to describe and diagnose from
clinical and instrumental picture a gastro-esophageal reflux (with presence or absence of hyatal
hernia); to characterize and differentiate organic pathologies of the esophagus from functional
ones; to recognize an acute abdomen; to differentiate the several pathologies that can lead to
acute abdomen;to describe the pathogenesis, the clinical and laboratory signs and to estimate the
evolution of acute and chronic pancreatitis; to estimate the entity and the center of digestive
hemorrhages; to describe pathogenesis, clinical signs and evolution of colon diverticulosis; to
recognize and describe gallbladder calculosis and its complications; to reach by means of manual
and instrumental semeiology the diagnosis of mammary neoplasia (differentiating from nonmalignant pathology); to estimate staging and grading of the mammary neoplasia in connection
with therapies to carry out; to recognize and to differentiate organic and inflammatory
artheriopathies; to estimate the importance of simple venous pathology (essential varicosis) from
more serious pathologies (secondary varicosis, deep thrombophlebitis); to know how to
differentiate arterial from venous gangrene; to know to classify, to estimate and to treat burns.
TOPICS:
Hernias; hydroceles; criptorchidism; tumors of the testis; diverticula and dyskinesias of the
esophagus; acute abdomen; acute and chronic pancreatitis; digestive hemorrhages; diverticula of
the colon; cholelithiasis; mammary pathologies; peripheral artheriopathies; phlebopathies;
gangrenes; burns; arterial hypertension; the arterial shock and hypotensions; main pathologies of
the vegetative nervous system; thoracic pain; dyspnoea; vertigo; asthenia; icterus; vomiting;
diarrhoea; lymphadenomegalies; splenomegalies; haemorrhagic syndromes; tremors; alcoholism
and drug addictions; comas; acid-base and ion unbalances; the oedematous syndromes; polyuria;
oliguria and anuria; fever; pruritus.
DISEASES OF THE IMMUNITARY SYSTEM AND RHEUMATOLOGY
coordinator:
C. Balduini
unit:
clinical Immunology and Allergology
Professors:
C. Balduini
unit:
Rheumatology
Professors:
C. Montecucco
Rheumatology:
• The student will learn the physiopathological bases of principal osteoarticular and
connective tissue diseases, learning to distinguish and to classify the various pathological
forms in relation to the clinical presentation and to the functional alterations.
• The student will learn in particular the epidemiology, the clinical presentation and the
prognosis of the main forms of arthritis, the systemic connective tissue disorder, the
arthrosis, the main extra-articular rheumatism and of the most frequent bone diseases.
•
Finally the student will learn the diagnostic, clinical and instrumental approach to the main
osteoarticular and connective tissue diseases with particular reference to the clinical
importance of the examination of the synovial fluid.
Clinical Immunology and allergology:
• The student will have to know how to diagnose such diseases caused by “deficiency” or
“hyperactivity” of the immunitary system;
• With regards to the first case, students will review the physiological mechanisms of
immune defence from pathogens, being able to identify patients having immunitary
deficiency; Clinical and diagnostic aspects of immunitary deficiency will be illustrated,
pointing out most common diseases of the adult age.
• With regards to diseases caused by an hyperactivity of the immune system, students will
be taught about physiopathology of immunitary disregulation, with detailed description of
clinic and diagnostic elements of most common pathologies.
• Student will be finally taught about the influence of immunitary system on pharmacologic
treatments and on organ transplant.
Topics: Primitive and acquired immunodeficiencies, pathogenic immunoreactions, vasculitides,
IgE-related allergic diseases, drug-related reactive syndromes, immunology of tumors,
immunology of transplants.
DISEASES OF THE KIDNEY AND URINARY TRACT
coordinator:
A. Dal Canton
unit:
Nefrology
Professors:
A. Dal Canton, C. Esposito, C. Libetta
unit:
Urology
Professors:
S. Tinozzi
unit:
Pathological anatomy
Professors:
R. Rosso
Aims
Nephrology:
The student will have to:
• know how to describe and recognize in the patient the clinical signs of depletion and
expansion of the extracellular volume. Know how to describe the diagnostic algorithm of
the peripheral oedema. Know the means that can modify the extracellular volume
• know how to describe and recognize in the patient the clinical signs of plasmatic hypohyperosmolarity. Be able to indicate how to correct an alteration of the plasmatic
osmolarity.
• Be able to describe the mechanisms that generate metabolic acidosis and alkalosis,
knowing how to recognize the clinical signs and indicate the correction methods.
• Be able to describe and recognize in the patient the clinical signs of hypo-hyperkaliemia.
• Be able to interpret an urinalysis; to know how to perform an urinalysis with a reagent
strip.
• Know how to describe and recognize in the patient the clinical signs of nephritic and
nephrosic syndrome.
• Know how to describe the diagnostic algorithm of the haematuria, the proteinuria, the
oliguria.
• Know how to describe the pathogenesis, the clinical and laboratory signs and the evolution
of the glomerulonephritides.
• know how to describe the mechanisms of the acute renal failure and to indicate the
diagnostic differential signs of both functional and organic sides of the problem.
•
Know how to describe the clinical and laboratorial signs of the chronic renal insufficiency.
To know the indications and the general principles of the substitutive treatment of the
renal function (dialysis, transplant).
Urology: to be able to motivate the request for an urologic or uro-andrologic specialistic visit. To
know how to perform a rectal exploration. To know how to do the palpation of the testis. To know
how to make the transillumination of the scrotum. To know how to interpret a spermiogram. To
know the catheters of common use and to know how to execute a vescical catheterism. To know
how to differentiate and to interpret the localizations of urinary infections. To know how to explain
and to define the risks and the consequences of the diseases with sexual transmission. To know
how to orientate the patient or the couple with sexual or relational problems. To know the
indication and the meaning of urethrocystoscopy and urodynamics. To know how to explain to the
patient a radiological or echografic report. To recognize the urologic urgencies (acute retention of
urine, priapism, torsion of the testis, renal colic, urologic traumas). To know the symptomatology
and the basic diagnostic of the tumors of the testis, the penis, the prostate, the bladder and the
kidney. To know how to interpret and to explain to the patient a histologic report. To know the
tumoral markers and their meaning. To know how to explain to the patient the meaning of an
oncological follow-up.
Topics
The oedema. Nephrosic syndrome. Immunodeficiencies. Notions of anatomy, histology and
embryology of the urinary apparatus. Important signs and symptoms in rheumatology. The
alterations of sodium balance. Alterations of the water balance and of osmolarity. Alterations of
kaliemia. The rheumatoid arthritis. Pathogenic immunoreactions. Cysts and cystic diseases of the
kidney. Urologic semeiotics. Instrumental and biological examinations in urology. The
spondylitides-entesoarthritis. Urolithiasis. Obstructive uropathy. Renal infectious diseases.
Alterations of the calcemia. Polyuria. Vasculitides. Tubular and tubulointerstial diseases.
Physiopathology of the micturition. Systemic Erythematous Lupus. Antiphospholipids antibodies
Syndrome. Renal pathology during systemic diseases. The urologic emergencies. Metabolic
Acidosis. Metabolic Alkalosis. Systemic sclerosis. Acute renal failure. Interstitial nephritis.
Glomerulonephritis. Polymyalgia Rheumatica. Immunology of the transplants. Hematuria.Tumors
of the kidney. The microcrystalline arthritis. The chronic renal insufficiency. Male sterility. The
Dialysis. The kidney Transplant. The extraarticular rheumatisms. Reactive syndromes to drugs.
Pathologies of the prostate. Kidney and Hypertension. Tumors of the bladder and of the urinary
tract. Monoclonal Gammopathies. Bone diseases. Pathologies of the testis. The sexual
dysfunctions.
DISEASES OF THE LOCOMOTOR APPARATUS
Coordinator:
Unit:
Teachers
Unit:
Teachers
Unit:
Teachers
F. Benazzo
Orthopaedics and Traumatology
F. Benazzo, R. Mora, L. Pedrotti
Hand Surgery
F. Benazzo
Physical Medicine and Rehabilitation
E. Dalla Toffola
AIMS
Orthopaedics and traumatology: show general issues of traumatologic care, show the clinical
aspects of traumatic shock, describe the bases of fracture repair, describe the general aspects of
the first aid and treatment of close and open fractures, show the general aspects of epiphyseal
detachment, different bone segments fracture, luxation of different articulations; show the
general aspects of capsulo-ligamentous lesions and of knee meniscus; describe general aspects of
pseudoarthrosis; describe signs of main bone congenital deformities, orthopaedics aspects of
neurologic infant disease, main aspects of orthopaedics disease of adolescence and childhood;
describe the main aspects of inflammatory, infective and degenerative diseases of bone and
articulations; describe the general aspects of muscle, tendini, peripheral nerve pathology; describe
the general aspects of systemic and neoplastic disease of the bone and soft tissues; know and
interpretate the most important laboratory and instrumental tests in orthopaedics and
traumatologic pathology (radiologic).
Hand surgery: show the main aspects of traumatic lesions of bones and soft parts of the hand,
show general issues of traumatologic care for hand lesions, know and describe the main signs in
the hand of congenital, inflammatory, infective, degenerative, neoplasic and evolutive diseases in
muscle skeletal apparatus; know and interpretate the most important laboratory and instrumental
tests in orthopaedics and traumatologic pathology of the hand.
physical medicine and rehabilitation: indicate the general aspects of functional restore in
traumatologic patient; describe the main technique of physical therapy and kinesitherapy for
articular function restore in traumatic lesions, show the main technique of therapeutic exercise for
main skeletal deformities, neurologic infant disease and orthopaedics disease of adolescence and
childhood; describe the main technique of physical therapy and kinesitherapy in articular
pathology, in outcomes of inflammatory and degenerative diseases; show the action of
kinesitherapy and physical therapy in muscle tendini and peripheral nerve pathology; show the
main tests to estimate the functional damage; know the targets of rehabilitation in most invalidant
diseases.
Topics: tumours of musculo-skeletal apparatus, osteoporosis; pathology of the foot,
lombosciatalgy and lombocruralgy, general traumatology, arm and rachis traumatology, leg
traumatology; conservative and alternative therapy in articular pathology, rachis degenerative
pathology; functional anatomy of the hand, fractures and tendini pathology; canalicular
syndromes, use of diagnostic instruments and therapy, techniques for functional restore in
different pathology; muscle training; steps of postlesional rehabilitation.
IMAGE – BASED DIAGNOSIS
coordinator:
F. Calliada
Unit
Radiologia
Teachers
F. Calliada, O. Bottinelli
Unit
Radioprotezione
Teacher
L. Biazzi
Objectives:
• The student will have to know the physical principles at the basis of image – based
diagnosis.
• What they are, how they work, which are the features of X-rays (physics of x-rays).
• Employment of X-rays in the study of human body. X-ray application in in the study of:
skeleton, cardiovascular and respiratory apparatus, urinary ways, digestive apparatus,
muscle-tendinous and ligamentous apparatus.
Topics:
• Principles of formation of the image;
• elementary semeiotics in image-based diagnosis;
• traumas; inflammatory lesions; neoplastic lesions; physiological processes and their
alterations;
• metabolic processes and their alterations;
• the imaging of geriatric patient;
• from the symptom to the demand of radiodiagnosis.
• Means of protection from x-ray potential damages (radioprotection).
4th YEAR’S OPTIONAL ACTIVITES (ATTIVITÀ di DIDATTICA OPZIONALE: A.D.E.)
Monographic Course 10 CFU
Title of the optional course
Ultrasonography diagnostics
of the periphereal vasculopathies
Molecular Oncohematology
hematological Cytomorphology
Kidney and pregnancy
Intervention plan of water and
sodium balance
Nephrotoxicity of drugs
Integrated course
Diseases of the Cardiovascular
apparatus
Blood diseases
Blood diseases
Kidney and urinary tract diseases,
Rheumatological Semeiotics
Rheumatology, Clinical immunology
Elements of Sanitarian Demography
Semeiotics and clinical methodology
Bio-rights
Human Science
Referent
Bernasconi P.
Passamonti F.
Dal Canton A.
Kidney and urinary tract diseases,
Dal Canton A.
Kidney and urinary tract diseases,
Dal Canton A.
Montecucco
M.
Sottocornola
F.
Ruberto G.
Odero A.
Internship 30 CFU
Title of the optional course
Internship in Cardiology
Integrated course
Cardiovascular diseases
Responsible
Schwartz P.
Internship in Cardiosurgery
Cardiovascular diseases
Viganò M.
Internship in vascular surgery
Cardiovascular diseases
Odero A.
Internship in Pneumology
diseases of the respiratory tract
Pozzi E.
Internship in hematology
Blood diseases
M. Lazzarino, M.
Cazzola
Internship in Endocrinology
digestive system diseases
L. Chiovato
Internship in Rheumatology
Rheumatology, Clinical immunology
M. Montecucco
Internship in hemodialisis
Kidney and urinary tract diseases,
Dal Canton A.
Internship in nephrology
Kidney and urinary tract diseases,
Dal Canton A.
Internship in digestive system
diseases
digestive system diseases
Corazza G.
Internship in pharmacology
Pharmacology
Frigo G.M.
OBJECTIVES AND PROGRAMMES OF THE FIFTH YEAR
5th YEAR – 1st term
INTEGRATED COURSE
Diseases of The Sensory system (E)
Oftalmology
Apprenticeship
Otolaringology
Apprenticeship
Audiology
Apprenticeship
Dentistry
Maxillo-facial surgery
Dermatology and Plastic surgery (E)
Dermatology
Apprenticeship
Plastic surgery
Apprenticeship
Infectious diseases (E)
Infectious diseases
Apprenticeship
Pharmacology
Neurologic ssciences (E)
Neurology
Apprenticeship
Neuroradiology
Neurosurgery
Pathologic Anatomy
Pharmacology
Preventive Medicine (E)
Hygiene
Sociology
Sanitary Economy
TOTAL
SSD
CFU CFU
Tot. C.I.
CFU
Profes.
10,5
MED/30
2,5
MED/31
2,5
MED/32
1
1
1
0,5
MED/28
MED/29
1
1
5
MED/35
2,5
1
MED/19
MED/08
1
0,5
5
MED/17
2,5
2
BIO/14
0,5
9,5
MED/26
4,5
MED/26
MED/27
MED/08
BIO/14
0,5
1
0,5
0,5
2,5
5
MED/42
SPS/07
SECS-P/07
3,5
0,5
1
35
5TH YEAR 2ND TERM
INTEGRATED COURSES
Pharmacology 2 (E)
Pharmacology
Internal Medicine and Medical Therapeutics
CODE
CFU
CFU
CFU
Tot.
C.I.
Profes.
5,5
BIO/14
MED/09
5
0,5
Psychiatry (E)
Psychiatry
Apprenticeship
Pharmacology
Public Medicine (E)
Forensic Medicine
Apprenticeship
Work Medicine
Apprenticeship
Communitary Medicine
Pathologic Anatomy (E)
Pathologic Anatomy
5
MED/25
3,5
BIO/14
0,5
1
9
MED/43
3,5
0,5
MED/44
2
MED/42
1
2
MED/08
6,5
6,5
Elective Activities
2,5
Other Activities
TOTAL
1
29,5
5° YEAR – I TERM
DISEASES OF THE SENSORY SYSTEM
Coordinator:
E. Mira
Unit:
Ophthalmology
Teachers
P. E. Bianchi
Unit:
Otolaryngology,
Teachers
E. Mira, M. Benazzo
Unit:
Audiology
Teachers
G. Precerutti
Unit:
Odontostomatology
Teachers
V. Cattaneo
Unit:
Maxillofacial surgery
Teachers
S. Galioto
Teachers
L. Grezzi, G. Bernasconi
AIMS AND TOPICS.
Ofthalmology: the student must know the anatomy and physiology of ocular apparatus. He must
recognize and describe the main ocular adnexa (eyelid, conjunctiva), lachrymal apparatus and
orbit diseases; recognize and describe the impairments of the fore segment of the eye specially
the main disease of: cornea (inflammatory, traumatic and degenerative forms); crystalline lens
(congenital and acquired cataract); fore uvea (inflammatory and neoplastic forms); identify and
describe the impairment of the hinder segment, particularly main disease of: choroids,
(inflammatory and neoplastic forms), retina (inflammatory, neoplastic, degenerative and vascular
forms); optic nerve (disease of optic disc and of the nerve tract behind globe); recognize and
describe the clinical features of congenital or acquired glaucoma with regards to physiopathology
of ocular hydrodynamics and different clinical presentations; recognize and describe the refraction
defects and main corrective therapy; know the physiopathology of extrinsic ocular movement and
of binocular vision, describe main clinical aspects of conjoin and paralytic squint.
Otolaryngology: describe pathogenic process and recognize symptoms and signs of acute and
chronic inflammatory disease of the nose (infective, allergic, pseudoallergic rinhitis), of the
pharynx (pharyngitis, tonsillitis), of the larynx (laryngitis of the adult and child), of the external ear
(external otitis, duct eczema, forunculosis of the duct) and middle ear (acute middle otitis,
secretory middle otitis, simple and colesteatomatose chronic middle otitis); identify and describe
symptoms and signs of neoplasia of cervical-facial segment (oral cavity, pharynx, larynx), their
locoregional metastases and notions of treatment. Know and describe the pathogenic process and
diagnostic techniques of bradyacousia (trasmissive and neurosensorial) and of balance disorders
(vertigo, Mènière’s disease, acute loss of vestibular function, neurinoma of acoustic nerve), know
symptoms and treatment items of otolaryngologic emergency: epistaxis, dyspnoea, foreign
esophageal tracheal-bronchial bodies, acute loss of uditive and vestibular function; know the
general characteristics of instrumental exams of this speciality (endoscopic exams, audiometrics
and impedentiometric tests, vestibular tests, nasal functionality test) and explain the answer.
Audiology: know the basic principles of ear prothesis and the pertinent laws, the law obligation in
industrial audiology and medico-legal issues; know the basics of preventive adult and child
audiology.
Odontostomatology and Maxillofacial surgery: recognize the structure of the oral cavity; know the
different pathology of thick parts of the tooth and of the pulp, parodontal and periodontal, analyse
and understand the origin and the complications of mucosal and bone tissue disease; know the
therapeutic issues of disease by a free internship in the clinic to acquire the basics of patient
approach.
DERMATOLOGY AND PLASTIC SURGERY
Coordinator:
Unit:
Teachers
Interactive
Exercitation Teachers
Unit:
Teachers
Interactive
Exercitation Teacher
G. Borroni
Dermatologia
G. Borroni
C. Del Forno, G. Orecchia, M. Mosca, M.A. Vignini
Chirurgia Plastica e Ricostruttiva
A. Faga
G. Nicoletti
Aims:
Dermatology: students must be able to recognize the most common venereal and skin diseases
and the essentials of plastic surgery, indicating the principal therapeutic addresses of the last;
students must be able to individuate the situations that, in this sphere, need the specialist’s
professional counseling.
Topics:
Dermatology: structure and development of the skin; dermatological semeiotics; viral dermatosis;
bacterial dermatosis; mycosis; parasitosis; eczema; psoriasis; skin functions; bullous autoimmune
diseases; non bullous autoimmune diseases; skin cancers; sexually transmitted diseases; skin and
internal medicine.
Plastic surgery: skin scars, skin grafts, burns and burns consequences; skin transplants and
implants; non cutaneous tissues grafts.
INFECTIOUS DISEASES
coordinator:
M. Scevola
unit:
infectious diseases
Professors:
L. Minoli, D. Scevola, A. Maccabruni, M. Mondelli
unit:
tropical diseases
Professors:
G. Filice
unit:
clinical parasitology
Professors:
M. Scaglia
unit:
clinical virology
Professors:
M. Torsellini
Aims: The integrated course has as its aim the transmission of fundamental knowledge of
pathogenesis, epidemiology, clinical presentation, diagnosis and therapy of the diseases caused by
infectious agents with particular reference to contagious diseases. The course provides frontal
lessons and interactive lessons using instruments (PC, microscope, laboratories), to allow the
student by the end of the course to establish a diagnostical, clinical and laboratoristic path of the
most common infectious forms and to set up an antibiotic therapy, a general medical treatment
and also to put into action the preventive treatments and the requested measures of Public Health.
Methodologies of laboratory to isolate and identificate of pathogenic agents, bacteria, virus,
protozoi, helminths, fungus, will be illustrated as well.
Topics: New pathogens of the last decade; AIDS; viral hepatitis; exanthematic diseases and
infectious diseases of the pediatric age; diagnosis of viral infections; infections of Central Nervous
System; tetanus and botulism; approach to the febrile syndromes; infectious endocarditis; the
septicaemias; infectious gastroenteritis; infectious diseases of the nervous system (meningitides,
BSE etc.); viral infections in pregnancy (ToRCH complex); antivirals drugs and resistances;
resistance diagnosis; infection-disease from HIV; nosocomial infections; features of Tropical
Medicine.
Recommended
Books
Mandell, Douglas, and Bennett's Principles and
Practice of Infectious Diseases.
Moroni, Esposito e De Lalla, Malattie Infettive, Masson Editore
Filice, Malattie Infettive, Mc Graw Hill editore,
NEUROLOGICAL SCIENCES
coordinator:
UNIT
Teachers
Interactive exercitations
teachers
UNIT
Teachers
UNIT
Teachers
UNIT
Teachers
UNIT
Teachers
V. Cosi
Neurology
V. Cosi, A. Moglia, L. Montalbetti, G. Sandrini
M. Ceroni, M. Versino, P. Bo, A. Costa
Neurosurgery
C. Arienta, S. Pezzotta
Neuroradiology
V. Cosi
Neurophysiopathology
A. Moglia
Neurologic Rehabilitation
G. Sandrini
AIMS
Students must promptly recognize that the patient is affected from a disorder of the central or
peripheral nervous system, and must be able to determine the emergency level that requires the
patient to be addressed to a neurologist or to a neurosurgeon or, in less severe cases, students
must be able to formulate a diagnostic and lab protocol. Students must have knowledge about the
physiopathological processes that may involve the control systems of the voluntary, involuntary
and reflex motor activity and those of the muscular tone. Students must know the
physiopathological processes of sensitivity disorders and the related clinical syndromes and must
be able to recognize and describe consciousness disorders (mental confusion), language disorders
(motory and sensory aphasia), intentional gesture disorders (apraxia), recognition disorders
(agnosia) and memory disorders. Students must be able to distinguish central and peripheral
paralysis and must be able to diagnose the anatomical site of the lesion. Students must be able to
recognize and describe symptoms and signs due to peripheral nervous system involvement
(paresis, osteotendinous reflexes disorders, subjective and objective sense disorders, fasciculations
and myokimias, trophism modifications, vegetative disorders). Students must know the principal
neurological syndromes: pyramidal, extrapyramidal and cerebellar. They must know the clinical
features of the most important pathologies, by the epidemiological point of view, as epilepsy,
cerebrovasculopathies, dementias, demyelinating diseases, headaches, traumas and tumors of the
nervous system, substance abuse pathologies, in particular alcohol abuse pathologies and the
clinical features of less frequent pathologies, but still meaningful and important (motoneuron
diseases, myopathies, myasthenia). Students must recognize the different types of epileptic
seizure and must know the causes of epileptic crisis and epilepsy. They must be able to perform
the differential diagnosis between epileptic seizure and paroxysmal non epileptic episodes
(syncopes in particular). They must know the main sleep disorders, the different types of tremors,
and the other pathological involuntary movements. They must know the problems related to
emergencies in neurology (stroke, head injury, intoxications, metabolic comas). They must know
and understand the main features of electromyographic and electroneurographic diagnostics.
Students must know when to perform a special or normal electroencephalographic exam, and
other normal neurophysiological exams as evoked motory potentials, evoked sensory potentials,
repetitive electrical stimulation strategies, and they must know when to perform the color doppler
ultrasonography of the supraaortic trunks and the transcranic doppler. They must know when to
perform rachicentesis and cerebrospinal fluid examination. Students must know the different
neuroradiologic study methods as the computed tomography, the magnetic resonance imaging,
and the digital angiography. They must be able to determine which is the most appropriate
technique for the different clinical situations. They must be able to relate the radiographic image
to the anatomical site. They must know the main evaluation scales applied for the most important
pathologies and how to cure the principal neurological diseases.
TOPICS
Motor control: organization of the motor system- Semeiotics of motricity- Central and peripheral
paralysis; Sensitivity: anatomo-physiology of sensitivity- sensitivity disorders; Main syndromes:
pyramidal syndrome- extrapyramidal syndromes- cerebellar syndrome; Cortical syndromes;
Superior functions: vigilance and disorders (mental confusion)- language and aphasias- apraxiasagnosias- memory disorders; Comas: physiopathology- general and neurological examination of
the patient in coma- evaluation scales and instrumental exams- causes- prognosis- cerebral death;
Semeiology of cranial nerves: optic nerve- oculomotion disorders- trigeminal nerve- facial nerve –
other cranial nerves; Clinical electroencephalography: definition- origin of EEG potentials: normal
and pathological activities- principal EEG pictures related to the main neurological diseasesindications and limits of EEG- activation trials- prolonged monitoring; Epilepsies: definition of
epilepsy and epileptic seizure- incidence and prevalence- classification of epileptic seizuresclassification of epilepsies: the most important syndromes; causes of epilepsy- diagnosticsdifferential diagnosis- prognosis- therapy- psychosocial and medicolegal problems; Sleep:
physiological sleep- study methods- international classification of sleep disorders- insomniashypersomnias; Headaches and face aches: the headache patient- classification and differential
diagnosis of headaches- headache syndromes and their treatment: migraine with and without
aura- tensive headache- cluster headache- trigeminal neuralgia- particular forms of headache: post
injury headache- strain headaches and dangerous headaches- diagnostics and therapy;
Cerebrovascular diseases: epidemiology- risk factors- pathogenesis: atherothrombotic brain
infarction- cerebral embolism- lacunar infarction- intracerebral haemorrhage- clinical features:
symptoms and course of the cerebrovascular diseases with reference to the lesion site –
differential diagnosis- therapy; Cerebrovascular pathology concerning neurosurgery: anatomy and
physiology of the cerebral circle- cerebrovascular haemorrhagic disease- subarachnoid
haemorrhage- neuroradiologic diagnostics in the acute and chronic cerebrovascular pathology
(ischemic lesions, haemorrhages, lacunas, hypertensive encephalopathy, leukoaraiosis and their
differential diagnosis); Primitive and secondary brain tumors- hydrocephalus: gliomasmeningiomas- acoustic nerve neurinoma- hypophysis adenomas- tumors of the sellar regionmetastatic brain tumors- therapies- Infant brain tumors: medulloblastomas, supratentorial tumorsHydrocephalus: introduction-cerebrospinal fluid circulation- etiology- clinics- diagnosticstreatment- normotensive communicating hydrocephalus- clinics- diagnostics- treatment- Diagnostic
imaging with CT, MRI and angiography of intra and extra axial brain tumors with an outline of the
physiopathology of the CSF system and of the hydrocephalus; Spinal tumors: clinics- diagnosticsextramedullary intradural tumors- intramedullary tumors- treatment; Cranial-cerebral injuries:
cranial fractures- post injury CSF losses- post injury pneumoencephalus- extradural haematomaacute and sub acute subdural haematoma- chronic subdural haematoma- post injury subdural
hygroma- post injury contusions and lacerations- post injury vascular lesions- post injury
neurological consequences; Vertebro-medullary injuries: stability/instability concept- vertebral
fractures- medullary lesions- treatment- consequences; Disc lesions and vertebral stenosis:
etiopathogenesis- anatomy and physiology- physiopathology- clinics- cervical disc lesions- thoracic
disc lesions- lumbar and sacral disc lesions- diagnosis- prognosis- surgical therapy; Spinal
dysraphism: syringomyelia; Dementias: the demential syndrome- classification of dementiasPrimary or primary degenerative dementias: histopathologic alterations, biochemical alterations,
etiopathogenesis, clinics- Multiinfarctual dementias: etiopathogenesis, clinics- PseudodementiasSubcortical dementias- Transmittable dementias (Jacob-Creutzfeldt)- therapy; Multiple sclerosis:
classification of the inflammatory demyelinating pathologies of the CNS- epidemiology- etiology
and pathogenesis: genetic susceptibility, immunology, viruses- pathological anatomyphysiopathology of symptoms and signs- symptoms and clinical features – evolutive forms, natural
history and prognosis- CSF examination- neuroradiologic diagnostics and differential diagnosis with
MRI- clinical neurophysiology- criteria for the clinical diagnosis- diagnostic clinical instrumental
protocol- differential diagnosis- Therapy of the acute phase- symptomatic therapies- treatment to
avoid relapses and progression; Extrapyramidal diseases: idiopathic Parkinson: neurotransmitter
alterations; etiopathogenesis; clinical signs (motory, neurovegetative, psychic); course;
treatments; long term levo-dopa syndrome- Degenerative parkinsonisms ( supranuclear
progressive paralysis)- Secondary parkinsonisms (neuroleptics)- Huntington’s chorea- Wilson’s
disease- Semeiotics of pathological involuntary movements; Pathology of peripheral nerves:
anatomopathological processes: wallerian degeneration, segmentary demyelination, axonal
degeneration- Features of electrophysiologic diagnostics: electromyography, conduction speeds
studies- Symptoms of peripheral neuropathies- syndromes classification of peripheral
neuropathies- compressive syndromes- toxic and metabolic neuropathies (alcoholic and diabetic)disimmune neuropathies (polyneuritis of Guillan-Barré-Strohl); Amyotrophic lateral sclerosis:
neuropathology and etiopathogenesis- clinics- course, diagnosis and treatment; Myopathies:
classification- pathological anatomy- semeiotics- muscular dystrophies- inflammatory myopathiesmyotonic dystrophy- other myopathies; Myasthenia gravis: clinics, course; thymus alterations and
other related pathologies; etiopathogenesis; diagnosis; treatment- Lambert-Eaton’s myasthenialike syndrome; Neuro AIDS: neurological syndromes in the serum conversion period- chronic
neurological syndromes- AIDS dementia complex; Alcohol related neurological problems: Delirium
tremens- Wernicke’s encephalopathy- Korsakoff’s syndrome.
RECOMMENDED
BOOKS
J. Cambier, M. Masson, H. Dehen: Neurologia, IX ed., Masson 2001
TO BE INTEGRATED WITH:
R. Dionigi: Chirurgia, III ed., Masson 2002 [Interesting sections: signs and
symptoms in neurosurgery – cranio-cerebral and vertebro-medullar traumas–
brain and spinal tumors – paediatric encephalic tumors – hydrocephalus
cerebrovascular pathologies in neurosurgery – vertebral lesions and
sthenosis]
G. Scotti: Neuroradiologia, Masson 1996
C. Loeb, E. Favale: Neurologia di Fazio Loeb, 2 volumi, Soc. Ed. Universo
2003
R.D. Adams, M. Victor: Principi di Neurologia, VII ed., Mc Graw-Hill 2001
PREVENTIVE MEDICINE
COORDINATOR
C. Meloni
UNIT
General and Special Hygiene
TEACHERS
C. Meloni
UNIT
Food and Nutrition Hygiene
TEACHER
C. Roggi
Interactive
C. Gallotti, M. Laddomada, L. Maccarini, M. Rossi
exercitation teachers
Student must be able to:
• Understand the principles and the methodology of Preventive Medicine
• Know the origin, the modalities of action and the expectable effects of the main health risk
factors, of genetic, environmental and behavioral origin.
• Acquire the knowledge, the motivations and the instruments to use the means of health
promotion and prevention of the diseases.
• Understand the methodology and the means of intervention of Health Education (promoted
by Healthcare system)
• Know the principles and the techniques of programming, organization and performance of
the activities of primary and secondary prevention of infectious and noninfectious
pathologies in the high-risk population.
• Acquire the basic notions and the effective applications of nutrition
highly summarized indication of the contents of the lessons:
• Introduction to the course: purpose and limits of the prevention, its stages or phases
• The primary prevention and its levels of participation: The prevention in nutrition
• Prevention in nutrition: The Sanitary Education: contents and means of application.
• Educational techniques
• Epidemiology and general prevention of the infections
• Active and passive immunitary protection.
• Second level of preventive medicine: environmental damage factors and their effects.
• Environmental factors of risk and damage and modality of correction of the related risk
• Behavioural risk and damage factors
• Third level of preventive medicine: appraisal and correction of the disease risk
• The premature diagnostic assessment and its usefullness in prevention of neoplastic pathologies.
• Notions of sanitary economy and management applied to prevention.
• Program and organization of healthcare services related to prevention.
RECOMMENDED
BOOKS
L. Checcacci, C. Meloni, G. Pelissero, Hygiene, 2° ed. Casa Editrice
Ambrosiana, Milano
M.J. Rosenau, public health and preventive medicine, ed.
AppletonCenturyCrofts
S. Barbuti, E. Belleli, G.M. Fara, G. Giammanco, Hygiene e Medicina
Preventiva, ed. Monduzzi Editore
5TH YEAR - II TERM
PHARMACOLOGY II (special pharmacology)
Coordinator:
G. Frigo
Unit
Special Pharmacology
Teachers
GM. Frigo, F. Crema
Unit
Neuro-psycho-pharmacology
Teachers
E. Perucca, G. Gatti
Unit
Chemotherapy
Teachers
A. M. Ferrara, A. M. Fietta
Unit
Toxicology
Teachers
L. Manzo, M. De Bernardi di Valserra
Objectives
The course will provide the student a complete survey of main drug groups, with the description of
their effect mechanisms, adverse reactions, indications and application methods. Dosage of
individual drugs and their classification within contemporary medical practice. Basic survey of the
pharmacotherapy of the most important serious clinical conditions and intoxications. Risk-benefit
of the drugs. Students will be able to:
- prescribe all the types of drugs they may come across in clinical practice in a formal and
correct manner,
- master basic principles of pharmacodynamics and pharmacokinetics,
- have basic knowledge of main drug groups,
- master basic principles of effective pharmacotherapy using these drugs,
- know the main adverse reactions to drugs and the ways of their prevention and treatment,
- orient themselves in the sources of information necessary for a doctor in clinical practice.
- Delineate desired therapeutic outcomes.
- Critique the pharmacotherapeutic regimen and modify the regimen, as necessary.
- Identify ongoing or potential drug-related problems.
- Delineate realistic and cost-effective monitoring plans and use those plans to evaluate and
change therapy.
The course provides theory (frontal lessons) and interactive activities, about the application to
therapy of general pharmacology principles through the systematic approach of drug classification.
Various drug categories will be classified in therapeutic groups, referring to the mechanism of
action and the structure-action relationships, with particular attention to therapeutic indications, to
clinical pharmacology, to administration modalities and pharmacokinetics, to drug-drug
interactions, to contraindications and side effects and also to applied criteria for polypharmacologic
approach. The applications of principles of general toxicology to most important aspects of clinical
toxicology. Subjects will be carried out in units.
Topics:
Cardiovascular pharmacology: antianginous; antihypertensive and therapy of the hypertension;
cardiac glycosides and other positive inotropic drugs; antiarrhythmics; antidislipidemic;
anticoagulants; thrombolitics; antiaggregants; diuretics.
Haemopathies pharmacology; endocrine and metabolic pharmacology: hypophisary hormones;
thyroidal hormones and anti-thyroidal drugs; corticosurrenal hormones; Diabetes
pharmacotherapy: oral insulin and hypoglicaemic agents; estroprogestinic and androgens drugs;
pharmacology of the contraception; pharmacology of the steady state of calcium; vitamins;
pharmacology of the neurovegetative system and the visceral functions: gastrointestinal
pharmacology: antiulcerants, prokinetics, lassatives, antidiarrhoeics, antispastics; antiasthmatic
and broncholytic agents; antihystaminics; anti-hemicranial; uterine motility drugs;
immunopharmacology and pharmacotherapy of inflammatory states: immunomodulators and
immunosuppressors; non-steroidal antinflammatory drugs; antinflammatory corticosteroids;
rheumatoid arthritis drugs; anti-gout; antipyretics.
Neuropsychopharmacology: antipsychotics; antidepressants; ansiolitics; hypnotics; greater
analgesics and pain pharmacotherapy; antiepileptics; antiparkinson drugs; myorelaxant drugs.
General and local anaesthetics.
Chemotherapy:
beta-lattamate
antibiotics;
aminoglycosides;
chinolones;
macrolydes;
lyncosamides;
glycopeptides;
tetracyclins;
cloramphenycol;
sulfamydes;
riphampicin;
antimychobacterial drugs and antituberculous therapy; antimycotic; antivirals; antiprotozoics;
antihelmintics; antiblastics;
Toxicology: apparatus and organ toxicity (liver, kidney, nervous system, respiratory apparatus,
riproductive apparatus); alcoholism and alcohol-related pathologies; acute poisonings (toxic gases,
mushrooms, chemical products, domestic products, psychodrugs; principles of diagnosis and
therapy); toxicological risks in pregnancy; poisonings in particular situations (pediatric and
geriatrical age); drug abuse and drug addictions; toxic effects of the environmental pollution.
Recommended
books:
Goodman & Gilman’s : Le Basi Farmacologiche della Terapia, 8a edizione,
Zanichelli.
B.G.Katzung: Farmacologia General e Clinica, Ed. Piccin
Fulgraff G: Farmacologia General e Clinica, Edizioni Mediche Scientifiche
Internazionali.
PSYCHIATRY
coordinator:
UNIT
Teachers
Interactive exercitations
teachers
UNIT
Teachers
UNIT
Teachers
F. Petrella
Psychiatry
F. Barale, F. Petrella
S. Ucelli di Nemi, P. Ambrosi, P. Ferrari, V. Berlincioni
Mental Hygiene
E. Caverzasi
Medical Psychology
F. Barale
AIMS
Students must know the essentials about the origin and the development of psychiatry and must
be able to relate this knowledge to the right historical period. Students must know the theoretical
fundamentals of psychiatry and the principal disease models in psychiatry: the medical model, the
alternative models. Students must know the fundamental principles of social psychiatry: the role of
personal interactions in the psychiatric theories; the essentials about the stress concept and the
vital event concept. Students must know the principal elements of psychiatric epidemiology and
research methodology in psychiatry. They must know the essentials about psychiatric genetics and
cerebral biochemistry. They must know the essentials about psychiatric semeiotics: physical and
psychic examination, and anamnesis. They must know the methodological fundamentals of
psychopathology and the essentials about psychic functions and their alterations: consciousness,
attention and vigilance; Memory; Perception; Thinking; Affectivity; Instincts; Will and activity;
Intelligence. They must know the principal instruments and diagnostic methods: talk, interview,
testing, neurophysiopathologic and psychoneuroendocrine examinations. They must know the
main principles that regulate the classification of psychic disorders and the essentials about the
psycho organic syndromes: Dementias; Delirium; Substance abuse related disorders. They must be
able to figure the schizophrenia problem in an historical, nosographic, and clinical perspective.
They must know the essentials about the schizophrenic disorders: clinics; diagnosis and differential
diagnosis- Etiopathogenesis; Epidemiology; Genetics; Functional and biochemical alterations;
Psychodynamic and relational problems; Therapy: pharmacotherapy; other biological therapies;
psychotherapy; institutional therapy. Students must know the essentials about delirious disorders:
nosography; clinics; particular clinical forms; course and therapy. They must figure the mood
disorders problems in their psychopathological, nosographic and clinical aspects and they must
know the essentials about their etiopathogenesis: biology; genetics; psychodynamic aspects.
Students must know the main clinical aspects of mood disorders: mania; depression; bipolar
disorders; unipolar disorders; dysthymia; cyclothymia; suicide and suicide attempt. They must
figure the neurosis problem in an historical, nosographic and anthropological perspective. Students
must know the principal clinical forms of neurosis: anxiety disorders; phobia; obsessive-compulsive
disorder; hysteria; somatoform disorders. They must focus their attention on the personality
disorders problem. Students must know the basics of psychiatric therapy: the therapeutic relation;
the pharmacological therapy: anxiolytic drugs; antipsychotic drugs; antidepressant drugs; mood
regulators; psychiatric assistance; psychiatric legislation. Students must figure the psychotherapy
problem in an historical perspective and must know the basics of the principal psychotherapy
types. Students must know the essentials about the psychotherapeutic practice: the
psychotherapeutic function of the doctor; the doctor as a medicine; the doctor and the patient that
somatizes; models, conceptions and techniques in the psychotherapeutic practice; indications for
psychotherapy; psychotherapeutic aspects in the treatment of the most important psychiatric
disorders.
TOPICS
PSYCHIATRY: history of psychiatry; the crisis of psychiatry; general psychopathology; psychiatric
nosography; psychiatric assistance; the psychoanalysis contribute; the psychotic structure;
schizophrenia; maniac depressive psychosis; morbid appetites: alcohol and substance abuse;
psychiatric therapies.
CLINICAL PSYCHOLOGY AND PSYCHOTHERAPY: the delirious experience: psychopathological,
psychological, clinical and therapeutic features; the schizophrenic experience: psychopathological,
psychological, clinical and therapeutic features; mood and mood disorders: psychopathological,
psychological, clinical and therapeutic features; anxiety and anxiety disorders: psychopathological,
psychological, clinical and therapeutic features; the human personality and its disorders; eating
habits and eating disorders; consciousness and memory disorders, delirium; human sexuality and
its disorders; the body in psychiatry and the somatoform disorders.
RECOMMENDEND BOOKS
Giberti F., Rossi R., Manuale di Psichiatria. Piccin
OTHER INFORMATION:
De Martis D., Petrella F., Ambrosi P., Fare e pensare in psichiatria,
Relazione e istituzione, Raffaello Cortina
Petrella F., Turbamenti affettivi e alterazioni dell'esperienza (Sezioni I,
II, IV, VI), Raffaello Cortina
Kapln: Psichiatria, Ed. Centro Scientifico Internazionale.
PUBLIC MEDICINE: PREVENTIVE MEDICINE + SEE 6th YEAR: WORK MEDICINE +
FORENSIC MEDICINE
PATHOLOGICAL ANATHOMY
Coordinator:
U. Magrini
Teachers:
U. Magrini, E. Solcia, E. Silini, M. Paulli, R. Scelsi, R. Rosso
AIMS:
Lymphohaematologic pathology:
- Students have to know lymphatic system (thyme, lymph nodes, MALT) and bone marrow
structure and functions;
- Most important non–neoplastic pathologies, which of them can be confused with malignant
lymphomas and how the physician can diagnose it correctly;
- Most important histological characters, natural history, prognostical factors and complications of
Hodgkin’s lymphoma and of most common non-Hodgkin’s lymphomas;
- Students must be able to explain the meaning of “staging” and “grading” during different types
of lymphomas, and they have to know how to do a correct staging;
- Diagnostic and prognostic principles of lympho-plasmacellular tumours, especially of myeloma,
and of the main thyme tumours;
-Main causes of mediastinic obstruction syndrome and how to diagnose it;
- Classification and natural history of myeloprolipherative syndromes;
- Natural history, diagnosis and classification of Langerhans’s cells Histiocytosis;
- Possibility of finding primitivity during a metastatic lymph node pathology;
- Indications to propose a needle biopsy, a lymph node and a bone marrow biopsy, how to do it,
how to interpret the results;
- How to communicate to patients or to their relatives this result, in a psychologically and
scientifically correct way.
Feminine genital apparatus and breast pathology:
- Structure of feminine genital apparatus and of the breast and their changes during menstrual
cycle, pregnancy and hormonal want of balance conditions;
- Students have to be able to define what endometriosis is, to know its principal localizations and
complications;
- Epidemiology and natural history of pre-neoplastic vulva, vagina, uterus cervix and endometrium
lesions, how to diagnose them, how they shape;
- Epidemiology, risk factors, natural history and pathological anatomy prognosis elements of uterus
tumours;
- Possibilities and limits of pap-test in diagnosis and screening;
- Localizations, evolution, complications of leiomuscular feminine genital apparatus tumours;
- Macroscopic aspects and different histological types of ovary tumours, their natural history, how
to diagnose them;
- Most important endometrium, ovary and tubes pathologies which can lead to sterility;
- Students have to be able to define ectopic pregnancy, its localizations and complications
- Most important types of trophoblastic pathology, treatment possibilities;
- Students have to be able to understand and explain to patient the results of a pap-test, or of a
cervix or endometrium biopsy;
- Epidemiology, risk factors, natural history and prognosis of different types of breast cancer;
- Most important microscopic and macroscopic aspects of benign breast tumours;
- How to diagnose mammary nodules (needle biopsy, extemporaneous biopsy, surgery and their
limits).
Locomotor apparatus and soft tissues:
- Tumours that most frequently generate bone metastasis, where this metastasis localize and
which changes they produce in that site;
- Most important histological types of bone and cartilage benign (exostosis, chondroma, osteoid
osteoma) and malignant (osteosarcoma, chondrosarcoma, Ewing’s tumour) tumours, their
localization and natural history;
- Differential diagnosis between osteolithic lesions (single and multiple);
- Possibilities and limits of histological diagnosis of bone lesions;
- How to classify the most common benign (lipoma, fibromatosis, haemangioma) and malignant
(liposarcoma, angiosarcoma, malignant fibrosis histiocytoma) tumours of soft tissues.
Nervous central system :
- Vascular alterations responsible for brain lesions, and evolution of ischaemic and haemorrhagic
lesions;
- Most important types of brain haemorrhage and stroke, and relationship between site of lesions,
symptoms and prognosis;
- Causes and most common types of meningeal inflammation, their evolution and complications;
- Most important types of brain tumours, related to age and site of lesion; student have to know
their natural history and possibilities of histological diagnosis.
Tegumentary apparatus:
- Epidemiology, sites and most common shape of cutaneous pigmentated tumours, different types
of melanoma, their natural history and relations between histology and prognosis.
Paediatric pathology:
- General characters of childhood malignant tumours and relation between different tumours and
age; Neuroblastoma, its localizations, stadiation and natural history.
Pathology of face and neck:
- Most important tumours of face and neck (benign and malignant laryngeal, rhinofaringeal,
mouth, ear and orbital tumours);
- Relations between natural history, site and stadium of different pathologies;
- How to diagnose these lesions, how to make a prognosis (histological and cytological
characters);
- Differential diagnosis between cervical tumefactions, possibilities of pre-surgical treatment
diagnosis (needle biopsy).
Topics: Lymph nodes disease; NHL classification; NHL B low and high grade; NHL T; HL; thyme
tumours; lymph node metastasis; mieloprolipherative disease; Langerhans’ cells Histiocytosis;
benign breast tumours; differential diagnosis; in situ breast cancer; infiltrated breast cancer;
esophagitis; gastroduodenal peptic ulceration; gastrointestinal endocrine tumours; ischemic bowel
disease; inflammatory bowel disease; tumours and pre-cancerous lesions of esophagus, stomach
and bowel; inflammatory and neoplastic pathology of pancreas; endocrine system disease; diffuse
endocrine system and its pathology; gonads endocrine functions; arteriosclerosis; aneurysms;
hypertension; varicose veins; endocardium pathology; congenital cardiopathy; ischemical
cardiopathy; pericardium pathology; hydrocephalus; brain tumours; brain stroke and
haemorrhage; multiple sclerosis; childhood malignant tumours; feminine genital apparatus
tumours; endometrial hyperplasia; endometriosis; acute lung failure; pneumonia; lung tumours;
pleural tumours; mediastinum pathology; chronic bronchitis; emphysema; lung interstitial disease;
lung embolism; lung haemorrhage and ischaemia; tuberculosis; chronic hepatitis; kidney
pathology; kidney stones; kidney infections; kidney vascular disease; kidney tumours; prostate and
testicle pathology; benign and malignant tumours of soft tissues (vessels, muscles, nerves,
connective tissue, skin, Ewing’s sarcoma).
Recommended Books
Robbins S.L., Le basi patologiche delle malattie, Piccin 2000
5th YEAR’S OPTIONAL ACTIVITES (ATTIVITÀ di DIDATTICA OPZIONALE: A.D.E.)
Monographies and SEMINARS : to be defined
Internship:
Optional Course Title
Integrated Course
Responsible
Dermatology Internship
Dermatology and plastic
surgery
G. Borroni
Pathologic Anatomy
Internship
Pathologic Anatomy
Magrini U.
Plastic surgery Internship
Dermatology and plastic
surgery
Faga A.
Neurosurgery Internship
Neurologic Sciences
Arienta C.
Neurology Internship
Neurologic Sciences
V. Cosi
Psychiatry Internship
Psychiatry
Petrella F., Barale F.
Ophtalmology Internship
Diseases of Sense Organs
Bianchi P.E.
OBJECTIVES AND PROGRAMMES OF THE 6TH YEAR
1ST TERM
INTEGRATED COURSE
CREDITS SUBJECTS
INTERNAL MEDICINE
15
GENERAL SURGERY
14
GENERAL AND SPECISALISTIC
PAEDIATRICS (E)
21
WORK MEDICINE (E)
GYNAECOLOGY AND OBSTETRICS (E)
11
16
Internal Medicine
Medical Therapeutics and Thermal
Medicine
Medical Genetics
General surgery
Oncological Surgery
Paediatrics
Preventive and Social Paediatrics
Paediatric Surgery
Paediatric Neuropsychiatry
Work Medicine
Industrial Hygiene
Preventive Medicine and
Psychotechnique of the Work
Industrial Toxicology
Gynaecology and Obstetrics
Human Reproduction
Physiopathology
Gynaecologic Oncology
Prenatal Age Medicine
2nd TERM
INTEGRATED COURSE
INTERNAL MEDICINE (E)
CREDITS SUBJECTS
15
MEDICAL-SURGICAL EMERGENCIES
(E)
26
GENERAL SURGERY (E)
13
FORENSIC MEDICINE (E)
10
Internal Medicine
Emergency Medicine
Emergency Surgery
Intensive Therapy
Surgery
Forensic Medicine
Deontology and Medical Ethics
Forensic Toxicology
Forensic Psychopathology
Social Medicine
INTERNAL MEDICINE
R. Fogari
Coordinator
Unit
Medicina Interna
Teachers
E. Ascari, C. Balduini, R. Fogari
Interactive
exercitation teachers
Unit
Teachers
Unit
Teachers
G. Gamba, P. Noris, A. Mugellini
Medical therapeutics and Thermal Medicine
G. Ricevuti, L. Ariati
Medical Genetics
C. Danesino
Aims: students must be able to integrate symptoms, signs and structural and functional alterations
to globally evaluate the health situation of a single adult patient with reference to the preventive,
diagnostic, prognostic and therapeutic aspects. Students must be able to analyze and solve clinical
problems concerning internal medicine by the diagnostic and therapeutic point of view, evaluating
the risks and the risk-benefit ratio of the therapeutic interventions.
Medical genetics: students must learn the rational behavior, in strict correlation with their practical
application, necessary to identify the possible genome alterations responsible for the clinical
picture. Students will learn how to integrate the medical genetics methods with those specific of
other clinical branches, to arrive to the right disease management and to the disease prevention in
other relatives.
Topics: Internal medicine: presentation and discussion about clinical cases concerning
hematological, oncological and gastroenterological pathologies; presentation and discussion about
clinical cases concerning cardiovascular and pulmonary pathologies. Treatment of malignant
neoplasms, cardiovascular diseases, haemopathies, nephropathies, connective tissue diseases,
endocrinopathies, and metabolism diseases. Presentation and discussion about clinical cases
concerning immune system pathologies. Presentation and discussion about clinical cases
concerning hepatic and renal pathologies. Presentation and discussion about clinical cases
concerning metabolism and endocrine system pathologies. Treatment of infectious diseases,
gastroenterological, hepatic, biliary, pancreatic, pulmonary diseases.
Medical genetics: cultural setting, knowledge and methodology of investigation, bibliographic up
dating, necessary for genetic counseling, for identifying the disease and the subjects that may
develop genetic pathologies.
GENERAL SURGERY
Coordinator
Unit
Teacher
Unit
Teacher
Interactive exercitation teacher
E. Forni
General Surgery
A. Zonta
Oncological Surgery
P. Dionigi
G. Fraipont
Targets: The student must be able to: recognize symptoms, signs, structural and functional
impairment of the main benign and malignant disease of surgical interest in connection with the
health status of the adult or elderly patient. He must be able to appraise prognosis, create the
correct diagnostic path, suggest the therapeutic and rehabilitative items considering the costbenefit ratio.
Topics: neoplastic growth and metastatization process. Primitive and secondary tumors of the
liver; malignant pancreas tumours; benign and malignant pathology of the skin, breast, spleen,
peritoneum and retroperitoneum, portal and mesenteric circle, kidney and urologic-gynecologic
apparatus. General notions of organs trasplantation and details of kidney, liver, pancreas, bowel,
multivisceral trasplantation. Benign and malignant pathology of endocrine glands, especially
thyroid, parathyroid gland, endocrine pancreas, suprarenal glands, carcinoid. Diaphragmatic hernia
and hernia of the abdominal wall.
RECOMMENDED Dionigi R., Chirurgia, Ed. Masson.
BOOKS:
Colombo C, Paletto AE, Trattato di Chirurgia, Ed Minerva Medica
Davis-Christopher, Sabiston, Textbook of Surgery, Ed. Saunders
GENERAL AND SPECIALISTIC PAEDIATRICS
Coordinator
G. Rondini
Unit
Pediatria
Teachers
G. Rondini, M. Bozzola, A. Marchi, G.L. Marseglia
Interactive exercitation teachers:
D. Larizza, M. Cisternino
Unit
Chirurgia Pediatrica
Teacher
G. B. Parigi
Unit
Neuropsichiatria Infantile
Teachers
G. Lanzi, E. Fazzi
Interactive exercitation teacher
F. Piazza
AIMS
General Paediatrics:
Through anamnesis collection and physical examination, students must be able to define diagnosis
and therapeutical approach of the most common pathologies of the evolution age, using wellknown notions of physiopathology.
Paediatric Surgery: Students must know most useful notions to focus on indications for surgical
treatment in paediatrics.
Paediatric Neuropsychiatry: Students must be able to use essential means to suspect a
neuropsychiatric pathology in order to request a specialistic consultation.
TOPICS
The program consists of the evolution age phisiopathologic peculiarities and the
presentation/discussion of clinical cases regarding the most frequent paediatric pathologies.
The program is made up of the following specific features:
1) Neonatal pathology-Neonatology and Intensive care - Very important topics: basic
features of intrauterine life pathology and phisiopathology; assistance to the normal and
pathologic newborn;neonatal screening;very small for gestational age newborn; newborn of
diabetic mother; hypoxic-ischaemic-haemorrhagic encephalopathy; hyaline membranes disease;
bronchopulmonary dysplasia; neonatal jaundice; gastrointestinal pathology in the newborn;
oesophageal fistula; hypertrophic stenosis of the pylorus; necrotizing enterocolitis; neonatal
infections and sepsis; neonatal convulsions; hypoglycaemia of the newborn.
Optional topics: adaptation to extrauterine life; small for gestational age newborn; cardiovascular
collapse in the newborn; nutrition of the healthy and pathologic newborn;congenital hip
dislocation; renal pathology.
2) Endocrinology - Very important topics: basic features of auxology; height deficits; precocious
and delayed puberty; hypothyroidism; hyperthyroidism;congenital adrenogenital syndrome; insulin
dependent diabetes mellitus.
3) Haematology and Oncohaematology - Very important topics: anemias; lymphomas; acute
and chronic leukemias;neuroblastoma. Optional topics: adenomegalies; spleno-hepatomegalies.
4) Gastroenterology - Very important topics: gastroesophageal refluxes and
vomiting;malabsorptions;chronic inflammatory bowel disease; gastroenteritis.
5) Chromosomal pathology - Very important topics: Klinefelter’s syndrome,Turner’s syndrome,
Down’s syndrome
6) Immunology and allergology - Very important topics: congenital and acquired immune
deficiencies;bronchial asthma.
7) Rheumatology - Very important topics: rheumatic disease; collagen pathologies.
Optional topics: vasculitis
8) Nephrology and urology - Very important topics: glomerulonephritis; glomerulonephrosis;
urinary tract infections.
9) Infectious diseases - Very important topics: fever; infectious exanthems; meningitis and
encephalitis; tuberculosis; infectious mononucleosis.
10) Vaccines - Very important topics: compulsory and optional vaccines.
11) Bronchopneumology - Very important topics: laryngitis, otitis; bronchopneumonia;
bronchiolitis. Optional topics: chronic pulmonary diseases; pleuritis.
12) Cardiology - Very important topics: congenital and acquired cardiopathies; cardiovascular
collapse.
Paediatric surgery - Very important topics: neonatal surgical pathology; general surgical
pathology: hernia, cryptorchidism, hypospadias, phimosis, intestinal intussusception; oncologic
surgical pathology; urologic surgical pathology.
Optional topics: surgical pathology of congenital malformations that can be cured with surgery;
surgical gastroenterologic pathologies; acute abdominal pain; Wilms; rhabdomyosarcoma;
teratomas; hepatoblastoma; hydronephrosis; vesicoureteral reflux; renal dysplasia and renal cysts.
Neuropsychiatry - Very important topics: neuropsychological child’s development; cerebral
palsy; epilepsies; convulsions; learning disabilities; neuromuscular disorders; psychosis; neurosis;
psychosomatic disorders; support to the child and child’s family.
RECOMMENDED
BOOKS
G.R. Burgio, G. Perinotto, A.G. Ugazio, Pediatria Essenziale, 4 ed. UTET.
Dispensa di Neuropsichiatria, La Goliardica Pavese
G. Verga, G.B.Parigi, Chir. Pediatrica in Chirurgia, R. Dionigi Masson 1°
edizione
GYNAECOLOGY AND OBSTETRICS
Coordinator
C. Zara
Unit
Ginecologia e Ostetricia
Teacher
C. Zara
Unit
Fisiopatologia della Riproduzione Human
Teacher
F. Polatti
Unit
Ginecologia Oncologica
Teacher
P. Sanpaolo
Unit
Medicina dell’età prenatale
Teacher
L. Montanari
Interactive exercitation
A. Spinillo, R. Nappi, F. Beneventi, F. Ravagni
teachers
AIMS
Gynaecology and obstetrics: The goal is to become able to recognize the most important
obstetric and gynaecological pathologies and to formulate the diagnosis through anamnesis,
medical examination, and interpretation of laboratory tests and imaging results. Students must
learn how to help the specialist in the treatment of the most complicated gynaecological
pathologies and must be able to recognize promptly symptoms and clinical features of obstetric
emergencies.
Physiopathology of reproduction: The goal is to give the elements to correctly evaluate the
physiology and pathology of the menstrual cycle and to become familiar with problems related to
sterility, contraception, and climacterium.
Gynaecological oncology: The aim is to give information about the epidemiology and risk
factors of genital malignancies and breast cancer and to explain the methods used to obtain an
early diagnosis of malignancy. The second aim is to teach how to treat the gynaecological
neoplasms in all the different localizations.
Prenatal age medicine: The goal is to become able to supervise pregnancy, delivery, and
puerperium. The study of the embryofoetal wellbeing and the knowledge about the different
methods to underline it are included in the lessons of prenatal age medicine.
.
TOPICS
Gynaecology and obstetrics
• Medical and surgical pathologies in pregnancy
• HIV infection and reproduction
• TORCH group related pathologies
• Third trimester methrorrhagies
• Obstetric emergencies in the first 90 days of pregnancy
• Obstetric emergencies in the second and third trimester of pregnancy
• Oncologic pathology and pregnancy
• Directions for physiologic delivery
• Oncologic risk and hormonal therapy
• Discharge of the afterbirth and puerperium related pathologies
• Clinical cases
Prenatal age medicine
• Physiology of pregnancy
• Physiology and pathology of the amniotic fluid
• Twin pregnancy
• Physiologic delivery and physiologic puerperium
• Lactation
• Drugs in pregnancy and lactation
• Natural abortion
•
•
•
•
•
•
Law number 194
Prenatal diagnosis
Foetal malformations
Preterm and after term births
PROM
Clinical cases
Human reproduction physiopathology
• Anatomy and physiology of the female apparatus
• Gametogenesis
• Fertilization
• Nidation
• Embryogenesis
• Steroidogenesis
• Hypothalamus hypophysis ovary axis
• Gonads differentiation and Mullerian system differentiation
• Sterility
• Climacterium
• Contraception
• Fibromas, endometriosis and benign pelvic masses
• Dysfunctional meno-methrorrhagies
• PID
• Sexually transmitted diseases
• Genital prolapse
• Pelvic pain
• Vulvar benign pathology
• Clinical cases
Gynaecological oncology
• Prevention, diagnosis and therapy in gynaecological oncology: portio carcinoma,
endometrium carcinoma, and ovarian cancer
• Vulvar and vaginal neoplasms
• Uterine sarcomas
• Benign and malignant mammary pathology
• Trophoblastic pathology
• Follow-up of gynaecological diseases
• Clinical cases
RECOMMENDED
BOOKS
Pescetto, DeCecco, Pecorari, Manuale di Ginecologia e Ostetricia, SEU ed.
Candiani, Danesino, Gastaldi, La Clinica Ginecoloca e Ostetrica, MASSON ed.
Thomas Rabe, Ginecologia e Ostetricia, CIC ed.
Work Medicine
coordinatore:
modulo:
docenti
modulo:
docenti
modulo:
docenti
A. Cavalleri
Work Medicine
A. Cavalleri, S. Candura, M. Imbriani
Working Preventive Medicine and Psychotechnique
A. Cavalleri, E. Crovato
Industrial Hygiene
M. R. Re, G. Catenacci
The aim of the course is:
• to teach the essential elements to identify and quantify risk factors in working along with the
methodologies of prevention of these risks.
• To illustrate nosographic frames of the most relevant professional diseases, underlining the
aetiopathogenesis of the technopathies.
• To delineate the epidemiology techniques in work medicine
• To comment the main laws of work hygiene, underlining the related obligations for healthcare
professionals.
Main contents:
Generality, definitions and aims of work medicine;technologic approach. Pathologies derived from
toxic agents closeness; working anamnesis. Ethical and forensic outcomes of the lack of
professional disease diagnosis; primary and secondary prevention; environmental and biological
monitoring. Validity of the tests; effect and absorption indicators; professional risk assessment;
pathologies caused by noise and electricity; pathologies from vibrations; the microclimate and its
effects; pathology from ionized and nonionized radiations; professional pneumoconiosis and BPCO
(broncopulmonary chronic obstructive disease); absorption, biotransformation, excretion of the
xenobiotics; pathology from metals; extrinsic allergic alveolitis, professional bronchial asthma;
pathology from industrial dissolvents; “oxycarbonism” and methods to measure the HbCO;
elements of industrial hygiene; importance of biological monitoring to prevent professional risks;
quali-quantitative determination of the chemical and physical factors of risk; location of the factors
of risk in some industrial technologies; professional dermopathies; the effects of the most
important pesticides; neoplastic pathologies of professional origin; the neoplasms of professional
origin; notions of ergonomics and pathologies derived from physical charge; notions of work
legislation and most important laws to be known by healthcare professionals.
Program of the oral exam:
•
•
•
•
•
•
•
•
•
•
•
•
Work medicine and prevention of the professional diseases: introduction and principles
Pathology of the respiratory ways
Industrial toxicology (e.g. metals: chromium, lead, mercury, cadmium)
Pathology from radiation (ionized and nonionized)
Pathology from dissolvents
Cancerogenous substances
Work and osteoarticular pathologies
Sanitary surveillance for VDT
Biological monitoring of the professional exposure: principles, methods, applications
Principles of Hygiene of the job
Risk factors derived from the working environment, and limit values of exposure.
Methodologies of biologic and environmental monitoring: technical and forensic aspects
Obligation of report and denunciation of professional disease
2ND TERM
INTERNAL MEDICINE
Coordinator
Unit
Teachers
Interactive
exercitation teachers
R. Fogari
Internal Medicine
E. Ascari, Balduini, R. Fogari
E. Marchesi, P. Gobbi, S. Perlini, R. Invernizzi
Aims:
Students must be able to integrate symptoms, signs and structural and functional alterations to
globally evaluate the health situation of a single adult patient with reference to the preventive,
diagnostic, prognostic and therapeutic aspects. Students must be able to analyze and solve clinical
problems concerning internal medicine by the diagnostic and therapeutic point of view, evaluating
the risks and the risk-benefit ratio of the therapeutic interventions.
Topics;
Presentation and discussion of clinical cases of different diseases: haematologic, gastroenterologic,
oncologic, cardiovascular, pulmonary, hepatic, renal, metabolic and endocrine. Medical genetics
and ereditary pathologies problems. Treatment of infectious, digestive, hepatic, renal diseases;
treatment of malignant neoplasia, cardiovascular diseases, haemopathies, nephropaties and so on.
GENERAL SURGERY
coordinator
Unit
Teachers
E. Forni
GENERAL SURGERY
E. Forni, F. Meriggi
Targets: The student must be able to aggregate symptoms, signs, structural and functional
impairments in a preventive, diagnostic, prognostic, therapeutic, rehabilitative appraisal of the
global health status of the adult or elderly patient; analyse and solve clinical problems of surgical
and oncological interest considering the patient status, the disease severity, benefit, risk and cost
ratio expected by the medical treatment.
Topics: surgical pathology of the chest A) Mediastinum: mediastinitis, mediastinic masses,
mediastinic syndrome; B) Lung and Pleura: non TBC pleural empyema, benign and malignant
tumours, endocrine paraneoplastic syndromes, pleural and lung injury; C) Esophagus: diverticula,
functional disease, (diskinesia, cardias achalasia, dilatations of esophagus) esophagitis by caustic
ingest, GERD, paraesophageal hernia, benign and malignant tumors; D) Diaphragm: injury, posttraumatic hernia. Surgical pathology of abdomen: A) Stomach: ulcerous disease of surgical
interest, benign and malignant tumours; B) Small intestine and colon: ischaemic disease,
diverticular disease, inflammatory chronic disease (Crohn’s disease, Ulcerative colitis), benign and
malignant tumours; C) Anus: benign pathology (haemorrhoids, fissures, suppurations, fistula)
benign and malignant tumors; D) Surgical problems in portal hypertension E) Hepatic lesions:
diagnoses and therapy F) surgical treatment of acute hepatitis G) Intra and extra-hepatic biliary
tract: cistic pathology, gallstone disease, benign and malignant strictures; H) Pancreas: injury,
acute and chronic pancreatitis I) Basics of laparoscopic and mini-invasive surgery.
RECOMMENDED BOOKS:
Dionigi R., Chirurgia, Ed. Masson
Colombo C, Paletto AE, Trattato di Chirurgia, Ed Minerva
Davis-Christopher, Sabiston, Textbook of Surgery, Ed. WB
Saunders
MEDICAL-SURGICAL EMERGENCIES
G. Ricevuti
Coordinator:
Unit:
Emergency Medicine
Teachers
G. Ricevuti
Unit:
Emergency surgery
Teachers
L. Bonandrini
Unit:
Intensive therapy
Teachers
A. Braschi
Targets: First aid and emergency rescue: Students must learn how to approach acute problems of
patients with most common disease of internal medicine. They should plan a diagnostic iter
considering evidence-based medicine and the cost analysis of the tests; to understand the results
of the clinical and instrumental tests in order to make differential diagnosis and afterward decide a
therapeutic, drug based, strategy for the acute stage of the disease. The students have to know
the prevention for main common diseases and the importance of day by day refresh with scientific
literature and guidelines.
The course is based on different kind of lessons (ex cathedra, seminars) and practice activity in
wards.
Surgical critical care: students must be able to treat surgical emergency in the emergency ward.
They have to recognize internal and external haemorrhage, make differential diagnosis and
diagnostic flow chart of abdominal pain; to be able to treat the acute trauma and to attend to
bladder catheter setting, endoscopic haemostasis of bleeding lesions, laparoscopic surgery in
emergency, paracentesis, thoracentesis, instrumental diagnosis, laparotomy, thoracotomy,
cervicotomy; estimate the trauma score for the main chest and abdominal lesions. Skin wound
suture and their removal, wound prophylaxis and care.
Intensive Therapy: Student must be able to treat an emergency in intensive therapy. They must
assess the shocked patient and be able to do differential diagnosis and diagnostic flow-chart of
pain. They must know basic notions of general anaesthesia, different type of anaesthesia and
related complications. The student have to attend to different steps of patient preparation for a
general anaesthesia, to a local, subarachnoid and peridural anaesthesia. The students have to
know severe dyspnoea treatment, hyperbaric oxygen therapy, artificial ventilation, first aid in
coma, drowning, burns, electric shock.
Topics:Emergency and first aid: Principles of general physiopathology; chest pain and related
syndromes; cardiopulmonary resuscitation; acute myocardial infarction: how to face the
emergency, prevention and treatment of complications; arrhythmias: how to diagnose by
symptoms and ECG, drug and instrumental treatment; temporary and permanent defibrillator;
sudden death, prevention and treatment; hypertension-related emergency; acute heart failure;
aortic dissection; physiopathology of sepsis: septicaemia and treatment of infectious disease,
exanthema and fever; lung embolism; seriously burnt patient; nuclear emergency; heart
emergency; lung and breath emergency; gastrointestinal emergency (diarrhoea, constipation,
haemorrhage); endocrine and metabolic emergency (diabetic and endocrine coma,
thyreotossicosis, neuroendocrine emergency, electrolytic alteration); neurological emergency and
consciuosness alteration; haematologic emergency (acute haemorrhage, thrombosis, neutropenia);
toxicological emergency; psychiatric emergency; neoplastic emergency; organs reject; ABE
alterations; kidney disease(i.e. acute kidney failure, kidney stone); the “crush syndrome”; general
knowledges about: burns, tetanus, drowning, poisoning, ictus cerebri; haemorrhagic and
thrombophylic diseases; syncope; diagnosis and treatment of coma; emergency drugs; the triage;
portal hypertension.
Surgical emergency and first aid: bowel ischaemia: physiopathology, diagnosis, surgical treatment,
the second look; acute appendicitis and its complications; surgical jaundice: diagnosis, treatment;
acute pancreatitis: different types, complications; acute limb embolism and thrombosis:
physiopathology, diagnosis, treatment; acute Meckel’s diverticula disease; abdomen traumas (liver,
spleen, bowel, kidney, pancreas traumas); chest traumas; limbs traumas, diagnosis and different
treatments; politraumas; acute abdomen syndrome, definition, symptoms, diagnosis and
treatment; acute complications of gastroduodenal peptic disease: haemorrhage, perforation,
stenosis; bowel obstruction: classification, symptoms, diagnosis, medical and surgical treatment, 12-3 times surgical treatment; hernial strangling, physiopathology, symptoms, taxis manoeuvre,
surgical treatment; acute diffuse and circumscribed peritonitis, physiopathology, diagnosis,
treatment; digestive haemorrhage.
Intensive treatment: general principles of anaesthesia and analgesia; how to prepare patient to a
surgical treatment; anaesthesia drugs; analgesics; general and local anaesthesia techniques;
cervical, brachial, lumbar, sacral plexus anaesthesia; emergency anaesthesia techniques;
anaesthesia equipment; most important anaesthesia complications; acute pain treatment; chronic
non-neoplastic pain, diagnosis and treatment; neoplastic pain; drugs and techniques of analgesia;
the pain clinics; shock, definition, classification, physiopathology, treatment; breathing
reanimation, acute lung failure; breathing assistance techniques; nutrition bearing; ABE;
electrolytic balance; infections in intensive treatment, antibiotic treatment; transfusions; most
important metabolic troubles; post-surgical treatment pain treatment; Multi Organ Failure
syndrome.
RECOMMENDED AA. Vari, Manuale di Emergenze Medicochirurgiche, ed. UTET Torino, Lit.
BOOKS
70.000.
ZANNINI G., Chirurgia General, ed. UTET, Torino, 1995, Lit. 298.000.
CORAGGIO F., Medicina d'Urgenza e di Pronto Soccorso, ed. Idelson, Napoli, Lit
380.000.
MAZZARELLA B., MASTRONARDI P., Manuale di anestesia e Rianimazione, ed.
Piccin, Padova, 1995, Lit. 50.000.
JOVINO R. ED ALTRI AA, Chirurgia D’Urgenza, Ed. PICCIN, Padova 1981, Lit.
250.000.
AA.VV., trad. ed adatt. di D. Lombardi, Traumatologia, ediz. EDISES Napoli
1998, Lit. 90.000 circa.
TIBERIO G., RANDAZZO A., GATTINONI L., ANDREONI B.: Emergenze
MedicoChirurgiche. Ed. Masson, seconda edizione, 2000.
Emergenze medicochirurgiche (Ed. UTET 1998)
Current Emergency Medicine (Ed. LANGE 1998)
Guida illustrata alle emergenze (Ed. PICCIN 1999)
Emergenze medicochirurgiche (Ed. MASSON 2000)
Manuale di Medicina d’Emergenza (Ed. MC.GRAWHILL 2001)
Manuale di Medicina di Emergenza F. Della Corte, F. Olliveri, F. Enrichens Edito
Mc Graw Hill, 2002
FORENSIC MEDICINE
F. Buzzi
Coordinator:
Unit:
Forensic Medicine
Teachers
F. Buzzi
Unit:
Forensic Toxicology
Teachers
M. Montagna, A. Polettini
Unit:
Forensic Psychopathology
Teachers
Luzzago
Unit:
Social Medicine
Teachers
P. Danesino
Aims:
knowledge of the legal setting of the health professions, in particular of the medical profession
with reference to the state system, the deontological rules, and the patients rights. Knowledge of
the legal duties and of the prohibitions involving doctors, knowledge of the information duties
towards the legal authority (report) and the administrative and sanitary authority (denunciation
and professional secret) and the citizen authority (social and private insurances; protection of
disability and handicaps). Knowledge of the principal offending processes (forensic pathology and
toxicology) and of the cadaverous phenomena (thanatology). Knowledge of the problem of organs
explantation for transplantations; knowledge of the problem of voluntary pregnancy interruption
and of conscientious objection, and of sexual crimes. Knowledge of the rules concerning life and
safety protection (individual and collective). Knowledge of the legal features of euthanasia, psychic
disabilities and drug addictions. Knowledge of the topics about the doctors professional fault
(individual responsibility and group responsibility) and of the related civil and penal consequences.
TOPICS:
Legal medicine as a branch of public medicine and as a legal projection of medico-biological
sciences. Crimes against persons: strokes, personal injuries, different types of homicide. The
poison as a productive tool of legally relevant damages. Principal poisonings treated in diagnostic
and medicolegal optics. Forensic psychopathology in the civil law sphere: compulsory sanitary
treatments. Sanitary arts and professions. Health and the article 32 of the Constitution.
Tanathology: the cadaverous phenomena. Certification in case of death. Autopsy and diagnostic
checks. Drugs and drugs addictions: legislative and toxicological-forensic features. Drugs related
deaths. Alcohol and drunkenness with reference to the problems related to imputability, disability
and driving. Children abuse. Sexual violence. Forensic psychiatry in the penal law sphere.
Protection of mental disable persons and crimes victims children. Legal duties of doctors.
Medicolegal traumatic pathology. Asphyxiology and others. Causality: medicolegal criteriology.
Professional fault, the deontological code. Essentials of penitentiary medicine. Abortion and
voluntary interruption of pregnancy. Assisted insemination. Terminal states, anticipated directives,
palliative care, assisted suicide and euthanasia. Expert opinion and expert’s report in the penal law
sphere. Expert opinion in the civil law sphere.
6th YEAR’S OPTIONAL ACTIVITES (ATTIVITÀ di DIDATTICA OPZIONALE: A.D.E.)
Optional Course Title
Monographic courses: 10 CFU
Integrated Course
Responsible
Chirurgia miniinvasiva videoassistita
Chirurgia generale
Forni E.
La terapia ormonale in ginecologia
Ginecologia ed ostetricia
Zara C.
Elementi di epidemiologia occupazionale
Medicina del lavoro
Candura S.
Valutazione dei fattori di rischio in ambito
professionale
Medicina del lavoro
Candura S.
Moderni orientamenti nel trattamento
chirurgico delle neoplasie ginecologiche
Ginecologia ed ostetricia
Zara C.
Casistica clinica
Emergenze Medico Chirurgiche
Ricevuti G.
L’incidente stradale: cause, prevenzione,
lesioni, postumi
Medicina legale
Buzzi F.
Corso Teorico Pratico di BLS
Emergenze Medico Chirurgiche
Ricevuti G.
Terapia del Dolore
Emergenze Medico Chirurgiche
Braschi A.
Corso monografico di area medica
Collegio Universitario
Coordinatore
Internship: 30 CFU
Optional Course Title
Internship of General Surgery
Integrated Course
General Surgery
Responsible
Forni E.
Internship of General Surgery
General Surgery
Dionigi P.
Internship of Internal Medicine
Internal Medicine
Fogari R.
Internship of Internal Medicine
Internal Medicine
Balduini C.
Internship of Work Medicine
Work Medicine
Cavalleri A. Candura S.
Internship of Obstetrics and Gynaecology
Obstetrics and Gynaecology
Zara C., F. Polatti
Internship
Internship
Internship
Internship
Internship
Forensic Medicine
Paediatrics
Medical Surgical Emergencies
Medical Surgical Emergencies
Emergenze Medico Chirurgiche
Pierucci G., F. Buzzi
Rondini G.
Ricevuti G.
Braschi
Ricevuti G.
of
of
of
of
of
Forensic Medicine
Paediatrics
Emergency Medicine
Emergency Medicine - BLS
Family Medicine
USEFUL INFORMATION AND ADDRESSES
Preside della Facoltà di Medicina e Chirurgia
Prof. Alberto Calligaro
Dip. di Medicina Preventiva, Sezione di Istologia, Via Forlanini, 10 – 27100 Pavia, tel. +39-0382 –
987272
Presidente del Corso di Laurea in Medicina e Chirurgia
Prof. Maria Scappaticci
Dip. di Patologia Umana ed Ereditaria, Sezione di Biologia e Genetica, Via Forlanini, 14 – 27100
Pavia, tel. +39-0382 – 987721/987731
Segreteria di Presidenza
Piazzale Volontari del Sangue,
[email protected]
2
–
27100
Pavia,
tel.
+39-0382-
527053/527147.
DIPARTIMENTI
Alla Facoltà di Medicina e Chirurgia afferiscono i seguenti Dipartimenti:
BIOCHIMICA – Via Taramelli, 3/B –
Sezione di Medicina – Via Taramelli, 3/B – tel. +39-0382 987223
Direzione: tel. +39-0382 987787
Segreteria: tel. +39-0382 987223
Fax: +39-0382 423108
Sezione di Analisi Chimico Cliniche – c/o Ospedale S.Matteo – tel. +39-0382 423251
Direzione: tel. +39-0382 423251
Sezione di Scienze – via Bassi, 21
Tel. +39-0382 987236 – fax +39-0382 987240
CHIRURGIA - Via Aselli, 25
Centralino – tel. +39-0382 987560
Segreteria: tel. +39-0382 987561 – 987586
Fax : +39-0382 423504
Sezione di Chirurgica Generale “A” – c/o Policlinico S. Matteo
Direzione: tel. +39-0382 526214 – 502530 – 987585
Segreteria: tel. +39-0382 502589 – 502490
Fax: +39-0382 502999
Lab. di Chirurgia Sperimentale – Piazza Botta, 10
Centralino e Fax: +39-0382 506400
Sezione di Clinica Neurochirurgica – c/o Policlinico S. Matteo
Direzione: tel. +39-0382 422231
Segreteria: tel. +39-0382 422231 – 502780
Fax: +39-0382 422231
Sezione Terapia e Riabilitazione Organi del Movimento – c/o Policlinico S. Matteo
Direzione: tel. +39-0382 502829
Segreteria: tel. +39-0382 502083
Fax +39-0382 528495
Sezione Chirurgia Plastica – Via Aselli, 45
Direzione: tel. +39-0382 526091
Fax: +39-0382 +39-0382 423504
SCIENZE EMATOLOGICHE PNEUMOLOGICHE CARDIOVASCOLARI
Sezione di Chirurgia Vascolare – c/o Policlinico S. Matteo
Direzione: tel. +39-0382 527959
Segreteria: tel. +39-0382 527959
Fax +39-0382 527959
Sezione di Ematologia – c/o Policlinico S. Matteo
Direzione: tel. +39-0382 501284
Segreteria: tel. +39-0382 503595
Fax: +39-0382 502250
Sezione di Cardiologia – c/o Policlinico S. Matteo
Direzione: tel. +39-0382 503673
Segreteria: tel. +39-0382 526061
Fax: +39-0382 503002
Sezione Clinica Tisiologica e Malattie Apparato Respiratorio – c/o Policlinico S. Matteo
Direzione e Segreteria: tel. +39-0382 422232
Cattedra di Chemioterapia : tel. +39-0382 422232
MEDICINA INTERNA E TERAPIA MEDICA – Piazza Botta n. 10
Segreteria Dipartimento: tel. +39-0382 986355-6
Fax: +39-0382 22741
Sezione di Medicina Interna, Malattie Vascolari e Metaboliche
c/o Policlinico San Matteo Clinica Medica II’
Tel.: +39-0382/526217
Fax: +39-0382 526897
Sezione di Medicina Interna ed Oncologia
c/o Policlinico San Matteo Clinica Medica I’
Tel.: +39-0382 526284
Fax: +39-0382 526223
Sezione di Nefrologia
c/o Policlinico San Matteo Reparti Speciali
[email protected]
Tel.: +39-0382 422037
Fax: +39-0382 526341
Sezione di Farmacologia Clinica e Sperimentale
Piazza Botta n. 10
Tel.: +39-0382 986353
Fax: +39-0382 986419
Sezione di Gerontologia e Geriatria
c/o Istituto Santa Margherita Piazza Borromeo
[email protected]
Tel.: +39-0382 27769
Fax: +39-0382 28827
Sezione di Gastroenterologia
C/o Policlinico San Matteo Palazzina Clinica Medica
Tel.: +39-0382 502973-4
Fax: +39-0382 502618
Sezione di Farmacologia e Tossicologia Cellulare e Molecolare
Piazza Botta n. 10
Tel.: +39-0382 986343
Fax: +39-0382 28426
Sezione di Reumatologia e Tossicologia Clinica
C/o Fondazione Maugeri
Tel.: +39-0382 592780
Centro Interdipartimentale di Bioetica Medica
Direzione:tel. +39-0382 986367
Fax: +39-0382 22741
Dipartimenti afferenti: Medicina Interna e Terapia Medica
Patologia Human ed Ereditaria
Medicina Legale e Sanità Pubblica
MEDICINA PREVENTIVA OCCUPAZIONALE E DI COMUNITA’ - Via S. Boezio, 24
Segreteria e Direzione: tel. +39-0382 35442 – 593796
Fax: +39-0382 303987
Segreteria amministrativa: tel. +39-0382 987276
Sezione di Igiene – Via Forlanini, 2
Direzione: tel. +39-0382 987277
Segreteria: tel +39-0382 987289
Fax: +39-0382 987558
Centro di Ecologia Umana: tel +39-0382 526277
Centro Antidiabetico: tel. +39-0382 526234
Sezione di Medicina del Lavoro – Via S. Boezio, 24
Segreteria e Direzione: tel. +39-0382 592255
Fax: +39-0382 33534
Sezione di Medicina del Lavoro II e Medicina Preventiva dei Lavoratori
Via S. Boezio, 24
Segreteria e Direzione: tel. +39-0382 35442 - 593796
Fax: +39-0382 303987
Centro malattie Cardiovascolari Professionali
Segreteria: tel. +39-0382 35442
Centro Ricerche Fisiopatologia e Sicurezza del Lavoro ed Ergonomia
Segreteria: tel. +39-0382 35442
Centro Studi di Ricerche di Tossicologia Industriale
Segreteria: tel. +39-0382 303506
Centro Studi e Ricerche nell’Oncologia Professionale
Segreteria: tel. +39-0382 35442
Centro Interuniversitario di Ricerca di Medicina Preventiva dei Lavoratori
Segreteria: tel. +39-0382 35442
PATOLOGIA UMANA ED EREDITARIA – Via Forlanini, 14
Segreteria amministrativa: tel. +39-0382 987729
Sezione di Anatomia Patologica – Via Forlanini, 16
Segreteria: tel. +39-0382 528474 – 528475 – 528476 – 528476
Fax +39-0382 +39-0382 525866
Sezione di Biology General e Genetics Medica – Via Forlanini, 14
Segreteria: tel. +39-0382 987521
Fax +39-0382 525030
Sezione di Clinica Dermatologica – c/o Policlinico S. Matteo, Piazzale Golgi, 2
Direzione: tel. +39-0382 528451
II Cattedra: tel. +39-0382 527953
Fax +39-0382 526379
SCIENZE SANITARIE APPLICATE E PSICOCOMPORTAMENTALI – Via Bassi, 21
Segreteria Amministrativa: tel. +39-0382 987640 fax. +39-0382/987570
E-mail: [email protected]
Portineria +39-0382 987538
Sezione Biometria e Statistica Medica
Direzione – segreteria: tel. +39-0382 987537 E-mail: [email protected]
Sezione di Psichiatria
Direzione – segreteria: tel. +39-0382 987250 E-mail: [email protected]
Segreteria studenti: tel. 0383 987246 fax. +39-0382 526723
Sezione Scienze dell’Alimentazione
Direzione – segreteria: tel. +39-0382 987881 E-mail: [email protected]
Centro Studi e Ricerche sulla Nutrizione Umana e i Disturbi del Comportamento
Alimentale
Direzione – segreteria: tel. +39-0382 987842
Centro Interdipartimentale di Studi e Ricerche sulla Sicurezza Stradale (CIRSS)
Direzione – segreteria: tel. +39-0382 987537
Centro Interdipartimentaledi Studi sulla Sicurezza e Qualità degli Alimenti (CISQUA)
Direzione – segreteria: tel. +39-0382 987881
Centro Interdipartimentale sui Disturbi della Personalità e sullo Sviluppo dei Modelli di
Comunicazione Medico-Paziente (CIRDIP)
Direzione – segreteria: tel. +39-0382 5078422
SCIENZE MORFOLOGICHE, EIDOLOGICHE E CLINICHE – Via Brambilla, 74
Segreteria amministrativa: tel. +39-0382 523959
Fax: +39-0382 529938
Sezione di MicroBiology – Via Brambilla, 74
Centralino: tel. +39-0382 548411
Informazioni: tel. +39-0382 5484201
Segreteria: tel. +39-0382 5484202
Direzione: tel. +39-0382 54842
Sezione di Clinica Ostetrica Ginecologica – c/o Policlinico S. Matteo
Direzione: tel. +39-0382 526270
Segreteria: tel. +39-0382 526215
Fax: +39-0382 423233
Cattedra di Fisiopatologia della Riproduzione Human: tel. +39-0382 422591
Patologia Ostetrica e Ginecologica: tel. +39-0382 527974
Sezione di Radiologia – c/o Policlinico S. Matteo
Direzione: tel. +39-0382 526257
Segreteria: tel. +39-0382 525725
Fax: +39-0382 527970
Sezione Clinica Ortopedica e Traumatologica – c/o Policlinico S. Matteo
Direzione: tel. +39-0382 526294
Segreteria: tel. +39-0382 526375 – 502852
Fax: +39-0382 526319
Sezione Clinica Malattie Infettive e Tropicali – c/o Policlinico S. Matteo
Direzione: tel. +39-0382 502674
Segreteria: tel. +39-0382 502691
Fax: +39-0382 529730
MEDICINA LEGALE E SANITA’ PUBBLICA – Via Forlanini, 12
Centralino: tel. +39-0382 987800
Fax: +39-0382 528025
Segreteria amministrativa: tel. +39-0382 987830 – 987824
Segreteria direzione: tel. +39-0382 987822
SCIENZE NEUROLOGICHE – c/o Fondazione C. Mondino, Via Palestro, 3
Centralino: tel. +39-0382 3801
Fax: +39-0382 26522
Direzione: tel. +39-0382/25001
Segreteria studenti: +39-0382/380203/380291
Segreteria amministrativa: tel. +39-0382 380281 Fax+39-0382/26522
SCIENZE PEDIATRICHE – c/o Policlinico S. Matteo
Direzione: tel. +39-0382 529062 – 526228
Segreteria: tel. 0282 526269 – 502891 – 502898
Segreteria amministrativa: tel. +39-0382 502906
Fax: +39-0382 527976
MEDICINA SPERIMENTALE
Direzione: tel. +39-0382 506332
Segreteria amministrativa: tel. +39-0382 506333
Sezione di Patologia General “C. Golgi” – Piazza Botta, 10
Direzione: tel. +39-0382 506332
Segreteria: tel. +39-0382 506333
Portineria: tel. 506331
Fax: +39-0382 303673
Sezione di Istologia ed Embriologia Generale – Via Forlanini, 10
Centralino: tel. +39-0382 987272
Direzione: tel. +39-0382 987273
Segreteria: tel. +39-0382 987755
Fax: +39-0382 528330
Sezione di Anatomia Umana Normale – Via Forlanini, 8
Direzione: tel. +39-0382 987645
Segreteria: tel. +39-0382 987647
Fax: +39-0382 422117
Presidenza e Segreteria del Corso di Laurea in Scienze Motorie
Segreteria: tel. +39-0382 987646
Sezione di Fisiologia Umana – Via Forlanini, 6
Direzione: tel. +39-0382 987518
Segreteria: tel. +39-0382 987518
Fax: +39-0382 987664
DISCIPLINE ODONTOSTOMATOLOGICHE “SILVIO PALAZZI”
Direzione: tel. +39-0382 526283
Segreteria: tel. +39-0382 526221
Fax: +39-0382 423029
Presidente del C.L.O.P.D.: tel e fax +39-0382 423516
Sez. Didattica C.L.O.P.D., Viale Brambilla, 74, tel. +39-0382 529603
MALATTIE INFETTIVE
Segreteria amministrativa: tel. +39-0382 502670
Direzione: tel. +39-0382 502661 – 502669
Segreteria: tel. +39-0382422030 – 502661
Fax: +39-0382 423320
CHIRURGIA GENERALE E DEI TRAPIANTI D’ORGANO
Direzione: tel. +39-0382 526216
Segreteria: tel. +39-0382 +39-0382 502519 , Fax +39-0382 528335
SCIENZE SENSORIALI
Sezione Clinica Oculistica
Direzione e segreteria: tel. +39-0382 526213
Fax: +39-0382 527006
Sezione Clinica Otorinolaringoiatria
Direzione: tel. +39-0382 526239
Segreteria: tel. +39-0382 526218
POST-DEGREE SCHOOLS OF SPECIALIZATION
Allergologia ed immunologia clinica
Director: prof. Francesco Candura
Location: Sez. Medicina del Lavoro - Via S. Boezio, 24
Tel. +39-+39-0382 592255
Durata: anni 4
Anatomia Patologica
Director: prof. Enrico Solcia
Location: Dip. di Patologia Human ed Ereditaria - Sez. di Anatomia e Histology Patologica
- Via Forlanini ,14
Tel. +39-+39-0382 503612/502517
Durata: anni 5
Anestesia e Rianimazione
Director: prof. Antonio Braschi
Location: Serv. Anestesia e Rianimazione 1 - Dip. di Chirurgia– Policlinico S.Matteo Piazza Golgi, 2
Tel: +39-+39-0382 503477
Durata: anni 4
Biochemistry clinica
Director: prof. Remigio Moratti
Location: Dipartimento di Biochemistry - Viale Taramelli, 3b
Tel: +39-+39-0382 987226
Durata: anni 4
Cardiochirurgia
Director: prof. Mario Viganò
Location: Clinica Chirurgica – Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 503515
Durata: anni 5
Cardiologia
Director: prof. Peter Schwartz
Location: Divisione di Cardiologia - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 526061
Durata: anni 4
Chirurgia Generale I– Indirizzo Chirurgia Generale
Director: prof.Eugenio Forni
Location: Clinica Chirurgica - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 502519
Durata: anni 6
Chirurgia Generale II - Indirizzo Chirurgia d’Urgenza
Director: prof. Paolo Dionigi
Location: Sezione di Chirurgia Generale - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 502589
Durata: anni 6
Chirurgia Generale III – Indirizzo Chirurgia d’Urgenza
Director: prof. Luigi Bonandrini
Location: Dipartimento di Chirurgia
Tel: +39-+39-0382 433666
Durata anni 6
Chirurgia Pediatrica
Director: prof.
Location: Chirurgia Pediatrica - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 422966
5 Years
Chirurgia Plastica e Ricostruttiva
Director: prof. Angela Faga
Location: Dip.di Chirurgia - Via Aselli, 45
Tel: +39-+39-0382 526091
Durata: anni 5
Chirurgia Toracica
Director: prof. Eugenio Forni
Location: Clinica Chirurgica - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 502519
Durata: anni 5
Chirurgia Vascolare
Director: prof. Attilio Odero
Location: Sezione di Chirurgia Vascolare - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 527959
Durata: anni 5
Dermatologia e Venereologia
Director: prof. Giovanni Borroni
Location: Clinica Dermatologica - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 528451
Durata: anni 4
Ematologia
Director: prof. Mario Lazzarino
Location: Sez. di Ematologia - Policlinico San Matteo - Piazzale Golgi,2
Tel: +39-+39-0382 503595
Durata: anni 4
Endocrinologia e Malattie del Ricambio
Director: prof. Ettore Ferrari
Location: Sez. di Geriatria, presso Istituto Santa Margherita - P.zza Borromeo, 2
Tel: +39-+39-0382 27769 – Fax +39-+39-0382 28827
Durata: anni 5
Farmacologia
Director: prof. Gianmario Frigo
Location: Sez. di Farmacologia clinica e sperimentale- P.zza Botta, 10
Tel: +39-+39-0382 506357/506353
Durata: anni 4
Gastroenterologia
Director: prof. Gino Roberto Corazza
Location: Clinica Medica I - Cattedra ed unità operativa di gastroenterologia, Policlinico San Matteo
–
Piazzale Golgi, 2
Tel: +39-+39-0382 502973/4
Durata: anni 4
Genetica Medica
Director: prof. Orsetta Zuffardi
Location: Istituto di Biology Generale – Via Forlanini,14
Tel: +39-+39-0382 987733
Durata: anni 4
Geriatria
Director: prof. Ettore Ferrari
Location: Sez.di Geriatria presso Istituto Santa Margherita - P.zza Borromeo,2
Tel: +39-+39-0382 27769 – Fax +39-+39-0382 28827
Durata: anni 4
Ginecologia ed Ostetricia
Director: prof. Carlo Zara
Location: Clinica Ostetrica e Ginecologica - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 526215
Durata: anni 5
Hygiene e Medicina Preventiva
Director: prof. Cesare Meloni
Location: Dip. di Medicina Preventiva Occupazionale e di Comunità - Sez. di Hygiene - Via
Forlanini,1
Tel: +39-+39-0382 987289
Durata: anni 4
Malattie dell’Apparato Respiratorio
Director: prof. Ernesto Pozzi
Location: Clinica di Malattie dell’Apparato Respiratorio - Policlinico San Matteo – Piazzale Golgi, 2
Tel: +39-+39-0382 422232
Durata: anni 4
Malattie Infettive
Director: prof. Lorenzo Minoli
Location: Dipartimento di Malattie Infettive - Policlinico San Matteo – Piazzale Golgi, 2
Tel: +39-+39-0382 502661
Durata: anni 4
Medicina del Lavoro I
Director: prof. Stefano Candura
Location: Sezione di Medicina del Lavoro - Via Boezio, 24
Tel: +39-+39-0382 592255
Durata: anni 4
Medicina del Lavoro II
Director: prof. Alessandro Cavalleri
Location: Sez. di Medicina del Lavoro II e Medicina Preventiva dei lavoratori – Via Boezio, 24
Tel: +39-+39-0382 35442
Durata: anni 4
Medicina dello Sport
Director: prof. Roberto Bottinelli
Location: Istituto di Physiology Human - Via Forlanini, 6
Tel: +39-+39-0382 987518
Durata: anni 4
Medicina Fisica e Riabilitazione
Director: prof. Elena Dalla Toffola
Location: Sez. di Terapia e Riabilitazione degli organi del movimento - Policlinico San Matteo –
Piazzale Golgi, 2
Tel: +39-+39-0382 502083
Durata: anni 4
Medicina Interna
Director: prof. Roberto Fogari
Location: Sez. Medicina Interna e Oncologia Medica- Policlinico S. Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 526284/502580
Durata: anni 5
Medicina Legale
Director: prof. Fabio Buzzi
Location: Dip. di Medicina Legale e Sanità Pubblica - Via Forlanini, 12
Tel: +39-+39-0382 987284
Durata: anni 4
Medicina Tropicale
Director: prof. Gaetano Filice
Location: Clinica Malattie Infettive e Tropicali - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 502674
Durata: anni 4
Microbiologia e Virologia
Director: prof. Laura Pagani
Location: Dip. di Scienze Morfologiche, Eidologiche e Cliniche – Via Brambilla 74
Tel: +39-+39-0382 526335
Durata: anni 4
Nefrologia
Director: prof. Antonio Dal Canton
Location: Dipartimento di Medicina Interna e Nefrologia - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 422037
Durata: anni 5
Neurochirurgia
Director: prof.Cesare Arienta
Location: Clinica Neurochirurgica - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 422231 - 502780
Durata: anni 5
Neurofisiopatologia
Director: prof. Vittorio Cosi
Location: Dip. di Scienze Neurologiche - Via Palestro, 3
Tel: +39-+39-0382 380208/380291 Fax: +39-+39-0382 24714
Durata: anni 4
Neurologia
Director: prof Vittorio Cosi
Location: Dip. di Scienze Neurologiche - Via Palestro, 3
Tel: +39-+39-0382 380203/380291 Fax: +39-+39-0382 24714
Durata: anni 5
Neuropsichiatria Infantile
Director: prof Giovanni Lanzi
Location: Dip. di Scienze Neurologiche - Via Palestro, 3
Tel: +39-+39-0382 380236/380203 Fax: +39-+39-0382 24714
Durata: anni 5
Oftalmologia
Director: prof. Fernando Trimarchi
Location: Clinica Oculistica - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 526213
Durata: anni 4
Oncologia
Director: prof.
Location: - Sez. di Medicina Interna e Oncologia Medica –Policlinico S. Matto - P.le Golgi, 2
Tel: +39-+39-0382 526284/502580
Durata: anni 4
Ortopedia e Traumatologia
Director: prof.
Location: Sez. Ortopedica e Traumatologica - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 526375/502853
Durata: anni 5
Otorinolaringoiatria
Director: prof. Eugenio Mira
Location: Clinica Otorinolaringoiatrica - Policlinico San Matteo - Piazzale Golgi , 2
Tel: +39-+39-0382 526218
Durata: anni 4
Patologia clinica
Director: prof. Vanio Vannini
Location:Dip. di Medicina Sperimentale – Sez. di Patologia Generale - Piazza Botta, 10
Tel: +39-+39-0382 506333
Durata: anni 5
Pediatria
Director: prof. Giorgio Rondini
Location: Dipartimento di Scienze Pediatriche- Policlinico San. Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 526269
Durata: anni 5
Psichiatria
Director: prof. Fausto Petrella
Location: Cascina Cravino - Via Bassi, 21
Tel: +39-+39-0382 987250
Durata: anni 4
Radiodiagnostica
Director: prof.
Location: Sezione di Radiologia - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 525725
Durata: anni 4
Radioterapia
Director: prof. Vanio Vannini
Location: Sezione di Radiologia - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 503736/525725
Durata: anni 4
Reumatologia
Director: prof. Carlo Maurizio Montecucco
Location: Reparti speciali – IV piano - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 501878
Durata: anni 4
Scienza dell’alimentazione
Director: prof. Carla Roggi
Location: Dip. di Scienze Sanitarie Applicate e Psicocomportamentali - Via Bassi, 21
Tel: +39-+39-0382 987543
Durata: anni 4
Tossicologia Medica
Director: prof. Luigi Manzo
Location: Dip. di Medicina Interna e Ter. Medica – Sez. Medicina Interna e Tossicologia clinica –
Piazza Botta, 10
Tel: +39-+39-0382 26261
Durata: anni 4
Urologia
Director: prof. Stefano Tinozzi
Location: Clinica Chirurgica - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 502519 - 502504
Durata: anni 5
Idrologia Medica
Director: prof. Francantonio Bertè
Location: Dip. di Medicina Interna e Terapia Medica – Sez. di Farmacologia e Tossicologia cellulare
e Molecolare - Piazza Botta, 10
Tel: +39-+39-0382 506343
Durata: anni 4
Ortognatodonzia
Director: prof. Giuseppe Sfondrini
Location: Dip. di Discipline Odontostomatologiche - Policlinico San Matteo - Piazzale Golgi, 2
Tel: +39-+39-0382 526221
Durata: anni 3
RESEARCH DOCTORATES
CHIRURGIA SPERIMENTALE E MICROCHIRURGIA
Location: Dipartimento di Chirurgia
Durata 4 anni
PATOLOGIA E GENETICA
Location: Dipartimento di Patologia Umana ed Ereditaria
Durata 3 anni
SANITÀ PUBBLICA, SCIENZE SANITARIE E FORMATIVE
Location: Dipartimento di Scienze Sanitarie Applicate e Psicocomportamentali
Durata 4 anni
FARMACOLOGIA E FARMACOEPIDEMIOLOGIA
Location: Dipartimento di Medicina Interna e Terapia Medica
Durata 4 anni
MEDICINA INTERNA E TERAPIA MEDICA
Location: Dipartimento di Medicina Interna e Terapia Medica
Durata 4 anni
SCIENZE NEUROLOGICHE E NEUROPSICHICHE
Location: Dipartimento di Scienze Neurologiche
Durata 4 anni
MASTER
Master
Master
Master
Master
Master
Master
di
di
di
di
di
di
I livello in "Hygiene, Sicurezza e qualità degli alimenti"
I livello in “Tutoring infermieristico e ostetrico”
I livello in “Infermieristica in Area Critica”
I livello in “Infermieristica Geriatria”
II livello in "Medicina d'Urgenza e Pronto Soccorso”
II livello in “Agopuntura Medica e Fitofarmacologia Cinese”