Medical Science Specialties 1
A.Y. 2024/2025
Learning objectives
The course aims to:
- Identify clinical aspect of metabolic disease and describe their physiopathology
- Find clinical problems in patients with polymorbidity
- Know interactions between pathology and the possible nutritional consequences, to find the nutritional corrective actions
- Know physiopathology and describe the dietetic-behavior action specific for patient and for the possible disease, if they need to
- Identify clinical aspect of metabolic disease and describe their physiopathology
- Find clinical problems in patients with polymorbidity
- Know interactions between pathology and the possible nutritional consequences, to find the nutritional corrective actions
- Know physiopathology and describe the dietetic-behavior action specific for patient and for the possible disease, if they need to
Expected learning outcomes
At the end of the course students will know bases of main metabolic, cardiovascular, renal and gastrointestinal disease, to understand and elaborate the correct dietetic treatment.
Lesson period: Second semester
Assessment methods: Esame
Assessment result: voto verbalizzato in trentesimi
Single course
This course can be attended as a single course.
Course syllabus and organization
Single session
Responsible
Prerequisites for admission
None
Assessment methods and Criteria
Multiple Choice Test
Internal medicine
Course syllabus
Approach to the patient with liver disease
Metabolic liver diseases and alcoholic liver disease
Liver cirrhosis and its complications
Nutrition in liver diseases Galbladder disease
Prediabetes
Hypoglycaemic syndromes
Heart failure and diabetes
Hyperglycaemia and the heart
NAFLD - non-alcoholic liver disease
Lecture 1: Physiology and Pathophysiology of pancreatic endocrine secretion and gastrointestinal tract endocrine secretion, and methods to evaluate Insulin secretion and sensitivity in humans.
Lecture 2. Obesity: Classification, pathogenesis and pathophysiology. Clinical evalution and instrumental methods for the evalution of body mass and body composition.
Lecture 3: Obesity 2: The role of dietary approaches in the treatment and prevention of obesity and morbid obesity. Pharmacological and novel surgical approaches to obesity
Lecture 4: Plurimetabolic Syndrome X of Insulin resistance. Pathophysiology and pathogenesis. Incidence and Diagnosis. The role of the dietary approach in the prevention and treatment.
Lecture 5: Diabetes Mellitus. Classification (old and new), Incidence and pathogenesis.
Lezione 6: Type 1 and type 2 diabetes mellitus. Pathogenesis and pathophysiology. The role of multiple dietary approaches and physical activity/sport/life style modification in the prevention and treatment.
Lecture 7: Chronic complications (micro and macrovascular) of Diabetes Mellitus.
Lecture 8: Polyendocrine autoimmune syndromes. Pathogenesis and pathophysiology of multiple endocrine defects. Lecture 9: Anorexia and Bulimia.
Lecture 10: Atherosclerotic Cerebro-vascular Diseases and Alzheimer Disease. Principles and ethics of Clinical Research in Humans and Clinical Trials.
Metabolic liver diseases and alcoholic liver disease
Liver cirrhosis and its complications
Nutrition in liver diseases Galbladder disease
Prediabetes
Hypoglycaemic syndromes
Heart failure and diabetes
Hyperglycaemia and the heart
NAFLD - non-alcoholic liver disease
Lecture 1: Physiology and Pathophysiology of pancreatic endocrine secretion and gastrointestinal tract endocrine secretion, and methods to evaluate Insulin secretion and sensitivity in humans.
Lecture 2. Obesity: Classification, pathogenesis and pathophysiology. Clinical evalution and instrumental methods for the evalution of body mass and body composition.
Lecture 3: Obesity 2: The role of dietary approaches in the treatment and prevention of obesity and morbid obesity. Pharmacological and novel surgical approaches to obesity
Lecture 4: Plurimetabolic Syndrome X of Insulin resistance. Pathophysiology and pathogenesis. Incidence and Diagnosis. The role of the dietary approach in the prevention and treatment.
Lecture 5: Diabetes Mellitus. Classification (old and new), Incidence and pathogenesis.
Lezione 6: Type 1 and type 2 diabetes mellitus. Pathogenesis and pathophysiology. The role of multiple dietary approaches and physical activity/sport/life style modification in the prevention and treatment.
Lecture 7: Chronic complications (micro and macrovascular) of Diabetes Mellitus.
Lecture 8: Polyendocrine autoimmune syndromes. Pathogenesis and pathophysiology of multiple endocrine defects. Lecture 9: Anorexia and Bulimia.
Lecture 10: Atherosclerotic Cerebro-vascular Diseases and Alzheimer Disease. Principles and ethics of Clinical Research in Humans and Clinical Trials.
Teaching methods
Lectures
Teaching Resources
· Unigastro (Coordinamento Nazionale dei Docenti di Gastroenterologia): Malattie dell'Apparato Digerente-Edizione 2019-2022 (also available in English version)
Cardiovascular diseases
Course syllabus
Approach to the patient with cardiovascular disease: how to recognize the presentation syndromes of the patient with CV disease (arterial hypertension, ischemic heart disease, heart failure, main arrhythmias), how to measure heart function, which tests are useful in the diagnosis of cardiovascular diseases.
Approach to the patient with CV disease first: how to distinguish heart failure, angina pectoris, hypertensive crisis and major arrhythmia.
Principles of atherosclerosis and development of the ATS plaque Cardiovascular prevention principles
Approach to the patient with CV disease first: how to distinguish heart failure, angina pectoris, hypertensive crisis and major arrhythmia.
Principles of atherosclerosis and development of the ATS plaque Cardiovascular prevention principles
Teaching methods
Lectures
Teaching Resources
· Unigastro (Coordinamento Nazionale dei Docenti di Gastroenterologia): Malattie dell'Apparato Digerente-Edizione 2019-2022 (also available in English version)
Applied dietotherapy 1
Course syllabus
1- Methodology of the nutritional diagnostic and therapeutic procedure through the Nutrition Care Process tool; The EAT-Lancet Commission on Food, Planet, Health→ The Planetary Health Diet
2- Malnutrition: caloric, protein and marasmic caloric, hints on cachexia
3- Obesity and overwheight
4. Dietary treatment for bariatric surgery
4- Metabolic syndrome, type 1 and 2 diabetes mellitus and diabetes during pregnancy
5- Hepatopathic patient: steatosis, alcoholic and non-alcoholic liver disease, cirrhosis and liver carcinoma
7- Dyslipidemias - Atherosclerosis - stroke
8- Renal failure, heart failure
9- Dysphagia in chronic degenerative pathologies
10- Thinness and eating disorders
2- Malnutrition: caloric, protein and marasmic caloric, hints on cachexia
3- Obesity and overwheight
4. Dietary treatment for bariatric surgery
4- Metabolic syndrome, type 1 and 2 diabetes mellitus and diabetes during pregnancy
5- Hepatopathic patient: steatosis, alcoholic and non-alcoholic liver disease, cirrhosis and liver carcinoma
7- Dyslipidemias - Atherosclerosis - stroke
8- Renal failure, heart failure
9- Dysphagia in chronic degenerative pathologies
10- Thinness and eating disorders
Teaching methods
Frontal lessons
Teaching Resources
National and international guidelines of diet therapy for various pathologies (ESPEN - SINPE)
Applied dietotherapy 1
MED/49 - FOOD AND DIETETIC SCIENCES - University credits: 2
Lessons: 20 hours
Professor:
Malavazos Alexis Elias
Shifts:
Turno
Professor:
Malavazos Alexis Elias
Cardiovascular diseases
MED/11 - CARDIOVASCULAR DISEASES - University credits: 1
Lessons: 10 hours
Professor:
Guazzi Marco
Shifts:
Turno
Professor:
Guazzi Marco
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 2
Lessons: 20 hours
Professors:
Folli Franco, Manfrini Roberto
Shifts:
Professor(s)
Reception:
Wednesday 14.30-15.30
IRCCS Policlinico San Donato