System Diseases 3 (clerkship)
A.Y. 2023/2024
Learning objectives
Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures
Expected learning outcomes
GASTROINTESTINAL DISEASES: at the end of the clerkship, students should have learned: - how to perform a clinical examination of the abdomen (inspection, auscultation, percussion, palpation) - how to research rebound tenderness (Blumberg's sign) - how to research Murphy's sign - the semeiology of ascites - how to research signs of cirrhosis Furthermore, they should have observed: - how to perform upper and lower gastro-intestinal endoscopy - how to perform an abdominal ultrasound ENDOCRINOLOGICAL DISEASES: at the end of the clerkship, students should have learned: - how to perform a clinical examination of the neck: inspection, thyroid palpation - how to perform the examination of arterial pulses - how to measure blood pressure - how to determine blood glucose (glucometer, Homa index, ) - how to perform a physical examination of obese patients (waist circumference, ) - how to examine patients with short stature (determination of target height, growth charts, ) - how to detect hypocalcemia (Chovostek and Trousseau signs) - how to interpret key radiological examinations (thyroid US & scintiscan, pituitary MRI, )
Lesson period: First semester
Assessment methods: Giudizio di approvazione
Assessment result: superato/non superato
Single course
This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.
Course syllabus and organization
Single session
Responsible
Prerequisites for admission
To take the System Diseases 3 exam, students must have already passed all the exams of the first and second year (Fundamentals of Basic Sciences, Cells, Molecules and Genes 1 and 2, Human Body, Functions and Mechanisms of Diseases).
Assessment methods and Criteria
Student assessment is based on a combination of written and oral examinations. The written exam is a multiple-choice test with 30 questions focused on the topics of the modules: Clinical Biochemistry, Microbiology, Pathology (10 questions each). Only students who successfully pass the written tests of all subjects (threshold 7/10) are allowed to take the oral examination, focused on the following modules: Diagnostic Imaging, Endocrinology and Gastroenterology. The result of the written exam is communicated immediately after the end of the test.
The oral examination must be passed in the same session as the written examination. The students must undergo both written and oral examination on the same day. Examinations on two consecutive days are seldom possible depending upon the availability of teachers or rooms. If the student does not successfully pass the oral examination, the positive result at the written test is valid only within the same session.
The final mark is the weighted average of the marks obtained during the oral examinations.
Attendance is required to be allowed to take the exam. Unexcused absence is tolerated up to 34% of the course activities. University policy regarding excused illness is followed.
Registration to the exam through SIFA is mandatory.
The oral examination must be passed in the same session as the written examination. The students must undergo both written and oral examination on the same day. Examinations on two consecutive days are seldom possible depending upon the availability of teachers or rooms. If the student does not successfully pass the oral examination, the positive result at the written test is valid only within the same session.
The final mark is the weighted average of the marks obtained during the oral examinations.
Attendance is required to be allowed to take the exam. Unexcused absence is tolerated up to 34% of the course activities. University policy regarding excused illness is followed.
Registration to the exam through SIFA is mandatory.
Pathology
Course syllabus
Pathology: examination of Non-neoplastic diseases of the Gastro intestinal, tumours of the gastrointestinal tract including liver and pancreas.
Molecular pathology of tumours of the gastrointestinal tract and pathology report in gastrointestinal pathology
Molecular pathology of tumours of the gastrointestinal tract and pathology report in gastrointestinal pathology
Teaching methods
Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Teaching Resources
Robbins and Cotran. Pathologic basis of Disease (9th Edition)
Gastroenterology
Course syllabus
Gastroenterology: clinical approach to the patient with dysphagia and gastric symptoms, patients with Gastrointestinal bleeding, stomach diseases, pancreas and liver disease (clinical consequences of Liver diseases), metabolic and toxic liver diseases, biliary tract diseases, Small and Large Intestine diseases, Appendix and the anal canal diseases.
Clinical approach to the patients with chronic diarrhea.
Examination of laboratory tests, with special reference to neoplastic markers, diagnosis of viral, fungine and bacterial diseases of gastrointestinal tract including the liver
Clinical approach to the patients with chronic diarrhea.
Examination of laboratory tests, with special reference to neoplastic markers, diagnosis of viral, fungine and bacterial diseases of gastrointestinal tract including the liver
Teaching methods
Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Teaching Resources
Sleisenger And Fordtran's Gastrointestinal And Liver Disease, 10th edition
Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill, 2018 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill, 2018 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
Endocrinology
Course syllabus
Endocrinology: clinical approach to Hypothalamus and Pituitary diseases, Thyroid diseases (hypothyroidism and hyperthyroidism), Adrenal function and diseases. Neuroendocrine tumors.
Clinical approach to obesity, disorders of lipid metabolism and nutrition disorders, Diabetes Mellitus,
Hypoglycemia, Disorders of calcium homeostasis
Adrenal imaging and Pathology
Examination of laboratory tests.
Clinical approach to obesity, disorders of lipid metabolism and nutrition disorders, Diabetes Mellitus,
Hypoglycemia, Disorders of calcium homeostasis
Adrenal imaging and Pathology
Examination of laboratory tests.
Teaching methods
Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Teaching Resources
Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill, 2018 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
· Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
· Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
Radiology
Course syllabus
Diagnostic Imaging. Sonography, Computerized Tomography - CT, Magnetic Resonance Imaging - MRI applied to endocrine and gastrointestinal diseases.
Teaching methods
Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Teaching Resources
Core Radiology. J. Mandell. Cambrige University Press. (ebook)
Endocrinology
MED/13 - ENDOCRINOLOGY AND METABOLISM - University credits: 1
Clerkship (professional training): 25 hours
Shifts:
Group 1
Professor:
Cangiano BiagioGroup 2
Professor:
Colombo CarlaGroup 3
Professor:
Chiodini IacopoGroup 4
Professor:
Bonomi Marco
Gastroenterology
MED/12 - GASTROENTEROLOGY - University credits: 2
Clerkship (professional training): 50 hours
Professors:
Dioscoridi Lorenzo, Mazzarelli Chiara
Shifts:
Group 1
Professor:
Mazzarelli ChiaraGroup 2
Professor:
Dioscoridi Lorenzo
Pathology
MED/08 - PATHOLOGY - University credits: 1
Clerkship (professional training): 25 hours
Professor:
Fusco Nicola
Shifts:
Group 1
Professor:
Fusco Nicola
Radiology
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 1
Clerkship (professional training): 25 hours
Professor:
Vanzulli Angelo
Educational website(s)
Professor(s)
Reception:
Friday 14-15 (appointment requested)
IRCCS Istituto Auxologico Italiano - Ospedale San Luca (5°piano) - Piazzale Brescia 20 - 20149 Milano
Reception:
Monday and Friday 9-10 AM
Niguarda Hospital, Piazza Ospedale Maggiore 3, 20162, Milan; Blocco Nord, III Floor, Room N 14