Fundamentals of Clinical Medicine 3 (Clerkship)
A.Y. 2024/2025
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, determination of subcutaneous fat, ) - 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, ) - how to investigate sexual development (eg Tanner stage, measurement of hirsutism, hypomasculinization) DERMATOLOGICAL DISEASE: At the end of the practical activities, students should be able to: - perform a dermatological examination - perform a dermoscopy - perform a histological session - recognize the main features of immunodermatological, pediatric dermatological and sexually transmitted diseases
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, determination of subcutaneous fat, ) - 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, ) - how to investigate sexual development (eg Tanner stage, measurement of hirsutism, hypomasculinization) DERMATOLOGICAL DISEASE: At the end of the practical activities, students should be able to: - perform a dermatological examination - perform a dermoscopy - perform a histological session - recognize the main features of immunodermatological, pediatric dermatological and sexually transmitted diseases
Lesson period: Second 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 Fundamentals of Clinical Medicine 3 exam, students must have already passed all the exams of the first year (Fundamentals of Basic Sciences, Cells, Molecules and Genes , Histology, Anatomy, Biochemistry, Fundamentals of biomedical imaging) and all the exams of second years (Functions 1 and 2, Microbiology, Genetics and Mechanisms of diseases).
Assessment methods and Criteria
Students will be assessed through an oral examination on all 4 modules of the course. Examinations on two consecutive days are seldom possible depending upon the availability of teachers or rooms.
The final mark is the average of the marks obtained in the 4 disciplines: endocrinology, gastroenterology, exercise and sport medicine and dermatology weighted for the number of credits in each discipline.
The examination is deemed passed if the mark for each of the 4 disciplines is 18/30 or higher. In the event of a full grade (30/30) honors (lode) may be granted with the consent of all the professors.
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 final mark is the average of the marks obtained in the 4 disciplines: endocrinology, gastroenterology, exercise and sport medicine and dermatology weighted for the number of credits in each discipline.
The examination is deemed passed if the mark for each of the 4 disciplines is 18/30 or higher. In the event of a full grade (30/30) honors (lode) may be granted with the consent of all the professors.
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.
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.
Clinical approach to the patients with chronic diarrhea.
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, 21th Edition, McGraw Hill, 2022 (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)
Sleisenger And Fordtran's Gastrointestinal And Liver Disease, 10th edition
Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
Sleisenger And Fordtran's Gastrointestinal And Liver Disease, 10th edition
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 sex steroid defects.
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 sex steroid defects.
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, 21th Edition, McGraw Hill, 2022 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/
Dermatology
Course syllabus
Dermatology: Clinical approach to skin inspection, examination and care, skin Infectious diseases, skin allergic, inflammatory and reactive diseases, tumors of the skin, viral exanthemas, drug induced reactions.
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
Ayala F, Lisi P, Monfrecola G, Argenziano G, Stingeni L. Malattie cutanee e veneree. Seconda Edizione, Piccin 2019
Dermatology
MED/35 - DERMATOLOGY AND VENEREAL DISEASES - University credits: 1
Clerkship (professional training): 25 hours
Professor:
Marzano Angelo Valerio
Shifts:
Turno
Professor:
Marzano Angelo Valerio
Endocrinology
MED/13 - ENDOCRINOLOGY AND METABOLISM - University credits: 1
Clerkship (professional training): 25 hours
Shifts:
Group 1
Professor:
Chiodini IacopoGroup 2
Professor:
Persani LucaGroup 3
Professor:
Bonomi MarcoGroup 4
Professor:
Colombo CarlaGroup 5
Professor:
Cangiano Biagio
Gastroenterology
MED/12 - GASTROENTEROLOGY - University credits: 1
Clerkship (professional training): 25 hours
Professor:
Dioscoridi Lorenzo
Shifts:
Group 2
Professor:
Dioscoridi LorenzoProfessor(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