Small Animal and New Companion Animal Clinics

A.Y. 2024/2025
12
Max ECTS
128
Overall hours
SSD
VET/08 VET/09 VET/10
Language
Italian
Learning objectives
The course aims to provide the students with a basic, practical education for the correct clinical management of the main soft tissue surgical diseases, of orthopedic and trauma patients, the main dermatological and internal medicine diseases, the main reproductive diseases, of contraception, and the neonate patient in dogs and cats, as well as of the exotic pet's main diseases. In detail, students should learn, apply, deal autonomously, and communicate efficiently, basic knowledge about etiopathogenesis, clinical workup, and clinical management of the main soft tissue surgical diseases, orthopedics, and traumatology, of the main internal medicine diseases, of the main reproductive diseases, of contraception and of neonatal diseases in dogs and cats, as well as of exotic pets' diseases.
Expected learning outcomes
At the end of the course, the students should be able to recommend the correct clinical workup to make a diagnosis and to plan the adequate treatment for the main soft tissue surgical diseases, orthopedic and trauma patients, for the main dermatological and internal medicine diseases, for the main reproductive diseases, for contraception and neonatal diseases in dogs and cats, as well as for exotic pets' diseases.
In detail, they should demonstrate:
1) Knowledge and understanding:
The student should demonstrate to have learned etiopathogenesis, clinical workup, and clinical management of the main soft tissue surgical diseases, orthopedics, and traumatology, the main dermatological and internal medicine diseases, the main reproductive diseases, of contraception and neonatal diseases in dogs and cats, as well as of exotic pets' diseases.
2) Applying knowledge and understanding:
The student should demonstrate the ability to apply knowledge to make a correct diagnosis and to manage the main soft tissue surgical diseases correctly, the orthopedic and trauma patient, the main dermatological and internal medicine diseases, the main reproductive diseases, contraception, and the neonate patient in dogs and cats, as well as the exotic pets' main diseases.
3) Making judgements:
The student should demonstrate to have acquired the ability to deal autonomously with the clinical management of the main soft tissue surgical diseases, orthopedics, and traumatology, the main dermatological and internal medicine diseases, the main reproductive diseases, contraception and neonatal diseases in dogs and cats, as well as of exotic pets' diseases.
4) Communication skills:
The student should demonstrate to have learned to efficiently communicate to owners, colleagues, and public or private institutions, in oral or written form, using correct medical terms, the clinical workup and the clinical management of the main soft tissue surgical diseases, the orthopedic and trauma patient, the main dermatological and internal medicine diseases, the main reproductive diseases, contraception and the neonate patient in dogs and cats, as well as the exotic pets' main diseases.
5) Ability to continue the study autonomously throughout life:
Thanks to a schematic and repetitive approach of the frontal lessons in which explicit reference is made to the recovery of iconographic, video, and bibliographic sources, the student is taught a method of studying diseases' main surgical pathologies of soft tissues, orthopedics, and traumatology, of the main metabolic, infectious and dermatological medical pathologies and the main pathologies of reproduction, contraception and management of the newborn in dogs and cats, as well as exotic pets. The theoretical information and the same process of elaboration of the reasoning for the study will be used in carrying out the practical exercises for the clinical-diagnostic and therapeutic framework of the clinical case.
Single course

This course can be attended as a single course.

Course syllabus and organization

Single session

Lesson period
First semester
Prerequisites for admission
According to the Veterinary Medicine CdS regulation, students must have acquired competencies in the following courses: Obstetrics, reproductive pathology, and artificial insemination; Diagnostic imaging; Regional anatomy and radiological physics; Veterinary medical and surgical pathology and genetic diseases in domestic animals; Veterinary clinics propaedeutics; Companion animals and horse infectious and parasitic diseases; Veterinary anesthesiology, surgical techniques, and intensive care.
Assessment methods and Criteria
The Small Animal and Exotic Pets Clinics course exam provides a single grade resulting from the arithmetic mean of the grades obtained from the exam tests passed for each module. Each module will offer its exam session within the same session. The number of exam sessions available per academic year will be 8. The student must pass the entire exam, including all modules, within 3 consecutive exam sessions. Each module will set the time allocated to each test. Times and methods of carrying out the tests will be calibrated in the presence of compensatory requests compliant with law no. 104 of 1992 and/or a disability certification according to law no. 118 of 1971; law no. 170 of 2010 currently valid. The exams will be held in Italian.
All the modules within this Integrated Course include a written test with a quiz with multiple choice questions followed by an oral exam aimed at verifying the student's ability to manage a clinical case. The exam tests necessary to pass the exam will be as follows:
- Module Small animal obstetrics-gynecology and andrological clinics and neonatology
- Module Small animal internal medicine
- Module Small animal surgery, small animal orthopedics and traumatology, and exotic pets' clinics.
For each module, the student must pass both the written test and the oral exam.
The examination of the integrated course of Small Animals Internal Medicine provides a single grade resulting from the arithmetic average of the results obtained from the examination tests passed for each module. Each module will propose its own independent examination session within the same appeal. The number of examinations available per academic year will be 8.
The exam will be held in Italian.
Times and methods of carrying out the tests will be calibrated in the presence of compensatory requests conforming to: Law No. 104 of 1992 and/or a certificate of invalidity pursuant to Law No. 118 of 1971; Law No. 170 of 2010 under validity.
The examination of the Module of Small Animal Internal Medicine, includes a written test and an oral test. To pass the exam the student must pass both tests. The final grade of the Module of Small Animal Internal Medicine, will be determined according to the results of the oral and written test, and will compete, together with the votes acquired in the tests of the remaining modules, to the final test result.
Written Test: the student will be evaluated on the notional knowledge related to internal medicine, infectious diseases and dermatology of small animals
· written exam with multiple choice quiz (4 possible answers of which only one exact) for a total of 15 questions: to pass the test the student must correctly answer 10/15 questions.
· Time allotted for the written test: 30 minutes.
Oral Test: The student will be evaluated on knowledge, skills in the management, discussion and resolution of clinical questions related to internal medicine , infectious diseases and dermatology of small animals
The oral exam will assign a 30/30 grade according to the criteria established by rubrics attached to the Syllabus of the course.
The oral test will not exceed 20 minutes.
The oral test is considered to have been passed by a vote equal to or greater than 18/30.
The vote obtained in the module of the Small Animal Medical Internal Medicine will be kept valid and may participate in the final vote of the exam for 3 consecutive appeals.
The examination of the Small Animal Gynaecologic-Obstetrical and Andrological clinics, and Neonatology module takes place with a first written test and a second oral exam.
The written test, lasting 30 minutes, preliminary to the oral exam, consists of 10 multiple choice questions (4 answers of which only 1 is correct), which will focus on obstetric-gynecological and andrological clinics and neonatology.
Passing the written test, when at least 6/10 questions are correctly answered, is mandatory to access the oral exam and does not provide the assignment of a mark. Students will be informed of the possible access to the oral exam through a communication published on the MyAriel portal.
In the oral exam, the students will be assessed on the ability to deal with and manage a clinical case relating to the small animal obstetric-gynaecological and andrological clinics, and neonatology with the correct clinical reasoning, diagnostic procedure, including collateral tests and diagnostic imaging, and formulating the differential diagnoses. They must also be able to propose an appropriate medical/surgical therapeutic procedure and issue a prognosis. The exam is aimed at ascertaining the acquisition of the knowledge and skills acquired by students for the correct clinical management of the most frequent reproductive diseases, including elective interventions, of the newborn patient, and for the control of the reproduction of small animals.
The oral exam will assign a grade, expressed in thirtieths, defined based on the criteria of the rubric available on MyAriel site. To pass the exam, students must pass both written test and oral exam.
The Small Animal Surgery module includes a joint written and oral exam with the Small Animal Orthopedics and Traumatology and Exotic Animal modules. The exam score for these modules will be unique and determined by the arithmetic mean of the oral and written exams. This score will then be averaged with the grades obtained in the exams of the remaining modules, "Small Animal Obstetrics-Gynecology, Andrology, and Neonatology" and "Small Animal Internal Medicine."
Written Exam:
· Written exam with multiple-choice questions (5 possible answers, only one correct) for a total of 60 questions: 30 Small Animal Surgery; 15 Small Animal Orthopedics and Traumatology; 15 Unconventional Animal Clinic.
· Each correct answer is worth 0.5 points. No answer or incorrect answer is worth 0 points.
· Time allotted for the written exam: 90 minutes.
· The written exam allows access to the oral exam with a score equal to or greater than 18/30.
Oral Exam:
· The student will be evaluated on knowledge, skills in management, discussion, and resolution of clinical questions related to small animal surgical clinic, orthopedics, and traumatology.
· The oral exam will assign a grade according to the criteria established through rubrics available on the course MyAriel web site.
· The oral exam will have a maximum duration of 20 minutes.
· The oral exam is considered passed with a grade equal to or greater than 18/30.
· In case the oral exam is not passed, the student will have to retake both the written and oral exams
· A score of 18/30 or higher ( written and oral exam passed) in the Small Animal Surgery Module of Small Animal Orthopedics and Traumatology and Unconventional Animal Clinic will be kept valid and may count toward the final exam score for 3 consecutive appeals.
Rubrics for assessment and evaluation oral exam of Small Animal Surgery is available on MyAriel web Site
Small animal internal medicine
Course syllabus
Dermatology (4 hours): diagnostic approach to pruritus, pyoderma in the dog, otitis
Metabolic diseases (4 hours): Polyuria polydipsia: hyperadrenocorticism and diabetes mellitus in dogs. Hypothyroidism in dogs, hyperthyroidism in cats
Infectious diseases in dogs and cats (7 hours): Vector-borne disease: Canine leishmaniosis, canine babesiosis and canine ehrlichiosis, parvovirosis in dogs, respiratory diseases in cats, feline infectious peritonitis.
Transfusion medicine (1 hour): blood groups in dogs and cats and blood products
Pratical rotation clinical course (16 h)
Practical activities will be carried out in small groups of students at the facilities of the University Teaching Veterinary Hospital (consultation rooms, clinical skill lab, laboratories). At the Hospital, under the teacher's supervision, students will manage the clinical cases related to the main dermatological, metabolic and infectious diseases of the dog and cat. During the exercises the students will collect the history, carry out the clinical visit, they will perform rapid diagnostic tests, set up and read dermatological cytology slides and draw up reports and recipes always under the supervision of the teacher.
Teaching methods
The Module, divided into 3 CFU, includes 16 hours (2CFU including 34 hours of independent study by the student for the completion of the timetable) of lectures held in the classroom with the use of slides based mainly on the presentation of clinical cases. Some of the topics described in the program will be discussed through the discussion of clinical cases. The student will be guided to complete the acquisition of the program through hours of self study. Assessment of learning, obtained in the classroom and based on self study, will be stimulated with the help of questionnaires. The practices (1CFU - 16 hours) will take place in groups of 5-6 people at the University Veterinary Hospital of Lodi (clinical skill lab, consultation rooms, laboratories). Under the teacher's supervision, the students will be involved in the clinical activity and actively participate in the clinical management of the patients by taking charge of the collection of clinical history, carrying out the clinical visit, discussing all together the possible need for additional investigations to be able to make the diagnosis, and setting, the most correct therapy in cases of internal and dermatological patients.
Small Animals Internal Medicine : Examination Methods
The examination of the integrated course of Small Animals Internal Medicine provides a single grade resulting from the arithmetic average of the results obtained from the examination tests passed for each module. Each module will propose its own independent examination session within the same appeal. The number of examinations available per academic year will be 8.
The exam will be held in Italian.
Times and methods of carrying out the tests will be calibrated in the presence of compensatory requests conforming to: Law No. 104 of 1992 and/or a certificate of invalidity pursuant to Law No. 118 of 1971; Law No. 170 of 2010 under validity.
The examination of the Module of Small Animal Internal Medicine, includes a written test and an oral test. To pass the exam the student must pass both tests. The final grade of the Module of Small Animal Internal Medicine, will be determined according to the results of the oral and written test, and will compete, together with the votes acquired in the tests of the remaining modules, to the final test result.
Written Test: the student will be evaluated on the notional knowledge related to internal medicine, infectious diseases and dermatology of small animals
· written exam with multiple choice quiz (4 possible answers of which only one exact) for a total of 15 questions: to pass the test the student must correctly answer 10/15 questions.
· Time allotted for the written test: 30 minutes.
Oral Test: The student will be evaluated on knowledge, skills in the management, discussion and resolution of clinical questions related to internal medicine , infectious diseases and dermatology of small animals
The oral exam will assign a 30/30 grade according to the criteria established by rubrics attached to the Syllabus of the course.
The oral test will not exceed 20 minutes.
The oral test is considered to have been passed by a vote equal to or greater than 18/30.
The vote obtained in the module of the Small Animal Medical Internal Medicine will be kept valid and may participate in the final vote of the exam for 3 consecutive appeals.
Teaching Resources
The teacher will make the PDF of the lectures available on the Ariel website (https://dproverbiocmpa.ariel.ctu.unimi.it/v5/home/Default.aspx) and the main guidelines and reviews on the dermatology and internal medicine of dogs and cats (available in PDF online).
The material updated for each new academic year will be available from the first day of class
3. Textbook of Veterinary Internal Medicine 9th Editiond: SJ Ettinger, EC Feldman, E Cote. Saunders Ed.2024
4. Small Animal Dermatology 7th Edition: WH Muller, CE Griffit, KL Campbell. Elsevier Ed.2012

Day One Competences provided by the course: 1.1 1.2 1.4 1.5 1.6 1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.15 1.16 1.17 1.18 1.20 1.21 1.22 1.23 1.24 1.25 1.26 1.27 1.31 2.1 2.5 2.7 2.10 2.11 2.12
Small animal gynaecologic-obstretical clinic, andrology and neonatology
Course syllabus
The course is scheduled for 16 hours of lectures and 16 hours of practical rotations.
LECTURES (16 h)
Principles of diagnosis and medical and surgical therapy of the main pathologies of the female genital system (1.5h):
clinical approach to the main ovarian, uterine and vaginal pathologies
Principles of diagnosis and medical and surgical therapy of the main pregnancy pathologies (1.5h):
clinical approach to the main pathological conditions in pregnancy
Principles of medical and surgical diagnosis and therapy of the main pathologies of the parturition and puerperium (2h):
clinical approach to the main pathological conditions of peri-partum
Principles of medical and surgical diagnosis and therapy of the main pathologies of the mammary gland (1.5):
clinical approach to the main neoplastic and non-neoplastic mammary diseases
Principles of female contraction in dogs and cats (1.5h):
surgical and pharmacological management of fertility and complications of gonadectomy
Basic concepts for contraception in male dogs and cats (1 h):
Pros and cons of surgical contraception, and pharmacologic contraception
Basic concepts for the clinical management of the main male genital system diseases in male dogs and cats (3 h):
clinical management of the most common testicular diseases; clinical management of prostatic diseases; clinical management of penile diseases
Basic concepts for the clinical evaluation and assessment of the newborn puppies and kittens at birth (2 h):
newborn clinical assessment and basics for assistance at birth
Basic concepts for the clinical management of orphan newborn puppies and kittens (1 h):
Basics for the nutritional, environmental, and medical management of orphan puppies and kittens
Basic concepts for the clinical management of the diseased puppies and kittens (1 h):
Basics for the nutritional, environmental, and medical management of diseased newborn puppies and kittens

PRACTICAL ROTATIONS (16 h/student)
Practical rotations will be held for small groups of students at the facilities of the University Teaching Veterinary Hospital (clinical skill lab, consultation rooms, surgical rooms, nursery, hospitalization, and laboratories). At the clinical skill lab, students will perform the main medical-surgical manual skills on models and mannequins that they will then perform in the hospital on obstetric-gynecological, andrological, and neonatal patients. In the hospital, under the supervision of the teacher, the students will manage clinical cases relating to the main obstetric-gynecological, andrological, and neonatal pathologies and the management of male and female contraception. During the exercises, the students will carry out gynecological, obstetric, andrological, and neonatal examinations, blood samples, and the execution of laboratory or instrumental investigations of obstetric-gynecological, andrological or neonatal expertise, the surgical management of obstetric-gynecological, andrological and neonatal patients, always under the supervision of the teacher.
Teaching methods
Lectures (16 h + 34 h of individual independent study) will be held in the classroom, also using slides. The topics described in the program will be covered in the classroom, with moments of discussion that stimulate active learning, such as problem-solving and the study of clinical cases, also through conscious consultation of scientific literature, and based on the acquired propaedeutic knowledge.
Practical rotations (16 h + 9 h of individual independent study) will be performed in small groups of students, at the facilities of the Veterinary Teaching Hospital (clinical skill lab, consultation rooms, surgery rooms, hospitalization rooms, nursery, and laboratories). In the clinical skill lab, the students, under the supervision of the teacher, will get familiar with the more common medical and surgical practices that they will perform at the Hospital. In the Veterinary Teaching Hospital, under the teacher's supervision, the students will be actively involved in the clinical management of male and female patients, as well as neonate patients, with the collection of the clinical history, performing the clinical examination, discussing all together the possible need for supplementary investigations to get a diagnosis and all together suggesting the possible treatment(s) in gynecological, obstetrical, andrological and neonatal patients. Moreover, the students will perform, under the supervision of the teacher, the most common medical and surgical procedures in gynecological, obstetrical, andrological and neonatal patients, and will write the medical report.
The examination of the integrated course of Small Animals Internal Medicine provides a single grade resulting from the arithmetic average of the results obtained from the examination tests passed for each module. Each module will propose its own independent examination session within the same appeal. The number of examinations available per academic year will be 8.
The exam will be held in Italian.
Times and methods of carrying out the tests will be calibrated in the presence of compensatory requests conforming to: Law No. 104 of 1992 and/or a certificate of invalidity pursuant to Law No. 118 of 1971; Law No. 170 of 2010 under validity.
Small Animal Gynaecologic-Obstetrical and Andrological clinics, and Neonatology - Assessment
The examination of the Small Animal Gynaecologic-Obstetrical and Andrological clinics, and Neonatology module takes place with a first written test and a second oral exam.
The written test, lasting 30 minutes, preliminary to the oral exam, consists of 10 multiple choice questions (4 answers of which only 1 is correct), which will focus on obstetric-gynecological and andrological clinics and neonatology.
Passing the written test, when at least 6/10 questions are correctly answered, is mandatory to access the oral exam and does not provide the assignment of a mark. Students will be informed of the possible access to the oral exam through a communication published on the MyAriel portal.
In the oral exam, the students will be assessed on the ability to deal with and manage a clinical case relating to the small animal obstetric-gynaecological and andrological clinics, and neonatology with the correct clinical reasoning, diagnostic procedure, including collateral tests and diagnostic imaging, and formulating the differential diagnoses. They must also be able to propose an appropriate medical/surgical therapeutic procedure and issue a prognosis. The exam is aimed at ascertaining the acquisition of the knowledge and skills acquired by students for the correct clinical management of the most frequent reproductive diseases, including elective interventions, of the newborn patient, and for the control of the reproduction of small animals.
The oral exam will assign a grade, expressed in thirtieths, defined based on the criteria of the rubric available on MyAriel site. To pass the exam, students must pass both written test and oral exam.
Teaching Resources
PDF files about PP presentations used in the classroom for lectures will be available to students on the MYARIEL platform. Main guidelines and reviews relating to small animal reproduction (available in PDF format online).
Johnston SD, Root Kustritz MV, Olson PNS: Canine and Feline Theriogenology. Elsevier, 2001
Fossum T: Chirurgia dei Piccoli Animali. Edra, 2021
Slatter D: Trattato di chirurgia dei piccoli animali. Delfino, 2005
Noakes DE, Parkinson TJ, England GC: Arthur's Veterinary Reproduction and Obstetrics. Elsevier, 2018
Peterson ME, Kutzler MA: Small animal pediatrics: the first 12 months of life. Saunders, 2011
Day One Competences provided by the module: 1.1,1.2,1.3,1.4,1.5,1.6,1.7,1.8,1.9,1.11,1.12,1.13,1.15,1.16,1.17,1.18,1.19,1.20,1.21,1.22,1.23,1.25,1.26,1.28,1.29,1.31,1.32,2.1,2.4,2.5,2.8,2.11,2.12
New companion animals clinic
Course syllabus
FRONTAL TEACHING
Rabbit Medicine - 2 hours
Introduction to the Course + Overview of Anatomy, Physiology; Management and Clinical Examination
Infectious and Parasitic Diseases
- Myxomatosis
- Viral Hemorrhagic Disease
- Encephalitozoonosis
- Endoparasites
- Ectoparasites
Gastrointestinal Diseases
- Dental Disease
- "Ileus"
- Typhlitis
Respiratory, Urogenital, Oncological, and Miscellaneous Diseases
- Rhinitis
- Pneumonia
- Urolithiasis
- Uterine Diseases and Neoplasms
- Thymoma
- Otitis
Ferret and Rodent Medicine - 2 hours
Ferret: Biology, Clinical Examination, and Main Diseases
- Biology and Clinical Examination
- Gastrointestinal and Infectious Diseases
- Endocrine Diseases
- Oncological Diseases
- Cardiopulmonary Diseases
Guinea Pig and Chinchilla: Biology, Clinical Examination, and Main Diseases
- Biology and Clinical Examination
- Gastrointestinal Diseases
- Cardiopulmonary Diseases
- Urogenital Diseases
Cutaneous Diseases Rat and Hamster, African Hedgehog: Biology, Clinical Examination, and Main Diseases
- Biology and Clinical Examination
- Respiratory Diseases
- Cutaneous Diseases
- Tumor Diseases
- Miscellaneous

Avian Medicine - 2 hours
Biology, Clinical Examination, and Main Diseases
- Biology and Clinical Examination
- Diagnostic Procedures - Radiology and Endoscopy
- Infectious Diseases
- Systemic and Metabolic Diseases
- Urogenital Diseases
- Principles of Surgery

Reptile Medicine - 2 hours
Biology, Management, and Clinical Examination: Turtles; Lizards; Snakes
- Main Diseases
- Typical Diseases
- Traumatic Diseases
- Infectious and Parasitic Diseases
- Other Diseases
Teaching methods
- Lecture-based teaching (1 CFU - 8 hours - plus 17 hours of student independent study) dedicated to the clinical aspects of major surgical, medical/metabolic, infectious, and reproductive diseases of exotic pets. The primary objective of lecture-based teaching is to provide an epidemiological, pathophysiological, clinical-diagnostic, therapeutic, and prognostic framework for the main diseases.

- Hands-on classes (1 CFU - 16 hours - plus 9 hours of student independent study). These will be conducted in groups of 5-6 people directly at the Veterinary Teaching Hospital. The practical activities will take place under the supervision of the medical staff of the exotic pet clinic. Students will be directly involved in practical activities with the evaluation of clinical cases presented at the Veterinary Teaching Hospital and will be required to propose and discuss the diagnostic and therapeutic decision-making algorithm, as well as participate in the activities proposed by the teacher.
Assessment methods and criteria

The Exotic pets clinics module includes a joint written and oral exam with the Small Animal Orthopedics and Traumatology and Small Animals surgery modules. The exam score for these modules will be unique and determined by the arithmetic mean of the oral and written exams. This score will then be averaged with the grades obtained in the exams of the remaining modules, "Small Animal Obstetrics-Gynecology, Andrology, and Neonatology" and "Small Animal Internal Medicine."
Written Exam:
· Written exam with multiple-choice questions (5 possible answers, only one correct) for a total of 60 questions: 30 Small Animal Surgery; 15 Small Animal Orthopedics and Traumatology; 15 Unconventional Animal Clinic.
· Each correct answer is worth 0.5 points. No answer or incorrect answer is worth 0 points.
· Time allotted for the written exam: 90 minutes.
· The written exam allows access to the oral exam with a score equal to or greater than 18/30.
Oral Exam:
· The student will be evaluated on knowledge, skills in management, discussion, and resolution of clinical questions related to small animal surgical clinic, orthopedics, and traumatology.
· The oral exam will assign a grade according to the criteria established through rubrics available on the course MyAriel web site.
· The oral exam will have a maximum duration of 20 minutes.
· The oral exam is considered passed with a grade equal to or greater than 18/30.
· In case the oral exam is not passed, the student will have to retake both the written and oral exams
· A score of 18/30 or higher ( written and oral exam passed) in the Small Animal Surgery Module of Small Animal Orthopedics and Traumatology and Unconventional Animal Clinic will be kept valid and may count toward the final exam score for 3 consecutive appeals.

Rubrics for assessment and evaluation oral exam of Small Animal Surgery is available on MyAriel web Site
Teaching Resources
The teacher will provide PDF versions of the lectures through the Ariel website. The material updated for each new academic year will be available from the first day of class
1) Medicina e Chirurgia degli Animali Esotici. Selleri P, Di Girolamo N e Collarile T (eds.), Poletto Editore, 2017. (Italian)

The student, at his discretion, can consult the following texts for further information regarding each taxon:
a) Ferrets, Rabbits and Rodents Clinical Medicine and Surgery, 3rd edizione. Quesenberry KE e Carpenter JW (eds), Saunders Elsevier, 2012. (English)
b) Current Therapy in Avian Medicine and Surgery. Speer BL (ed), Saunders Elsevier, 2015 (English)
c) Mader's Reptile and Amphibian Medicine and Surgery, 3rd edizione. Divers SJ E Stahl SJ (eds), Saunders Elsevier, 2019. (English)

Day One Competences provided by the module: 1.1 1.4 1.5 1.6 1.7 1.9 1.10 1.11 1.12 1.13 1.15 1.16 1.17 1.18 1.21 1.22 1.23 1.25 1.26 1.28 1.29 1.30 1.31, 1.32 2.1 2.5 2.8 2.11 2.12
Small animal surgery
Course syllabus
FRONTAL LESSONS
Introduction Preoperative evaluation of the surgical patient 0.5 h
Introduction to the course
Material for study and its correct use
Introduction practical course in soft tissue surgery (not covered in lecture. Slides made available on Ariel)
Problem-oriented medical history (not covered in lecture. Slides made available on Ariel)
Clinical examination and laboratory data (not covered in lecture. Slides made available on Ariel)
Diagnostic approach of surgical diseases and categorization of surgical prognosis (not covered in lecture. Slides made available on Ariel)
Communication with the owner

Introduction to oncologic surgery 2 h
Definition of local, loco-regional, and distant disease
Examples of oncological staging in clinical practice
Classification of oncologic surgery techniques
Surgical biopsy for each anatomical site: techniques and equipment

Skin surgery 2h
Reconstruction of skin defects: stress release techniques; local flaps, myocutaneous axial flaps, free flaps.
Cutaneous oncological surgery: mast cell tumor and soft tissue sarcomas

Ear surgery 1h
Surgical therapy of external-medium and internal otitis
Surgical therapy of neoplasms of the external-internal ear
Surgical therapy of the pinna

Oral cavity and oropharynx surgery 1h
Congenital and acquired fistulas
Sialoceles (not covered in lecture. Slides made available on Ariel)
Oral and pharyngeal tumors (not covered in lecture. Slides made available on Ariel)

Esophagus surgery 0.5 h
Cricopharyngeal Dyshagia (not covered in lecture. Slides made available on Ariel)
Vascular Ring Anomalies (not covered in lecture. Slides made available on Ariel)
Foreign bodies and laceration
Stricture diverticula, fistulae
Neoplasia (not covered in lecture. Slides made available on Ariel)

Gastric surgery 1 h
Hiatal hernia
Gastroesophageal intussusception
Gastric Dilatation and Volvulus
Foreign bodies
Gastric Ulceration and perforation (not covered in lecture. Slides made available on Ariel)
Neoplasia (not covered in lecture. Slides made available on Ariel)

Small intestine surgery 1 h
Foreign bodies: linear and no linear
Intussusception and mesenteric volvulus
Short Intestinal Syndrome (not covered in lecture. Slides made available on Ariel)
Neoplasia (not covered in lecture. Slides made available on Ariel)

Ciecum, Colon and rectum surgery and perineal surgery 0,5 h
Surgical disease of ciecum
Megacolon
Rectal prolapse (not covered in lecture. Slides made available on Ariel)
Neoplasia of the colon and rectum (not covered in lecture. Slides made available on Ariel)
Atresia ani (not covered in lecture. Slides made available on Ariel)

Perineal surgery 1,5h
Perineal hernia
Perianal and perineal neoplasms
Perinal fistulas
Surgical diseases of the anal sacs

Upper respiratory tract surgery 2 h
Brachycephalic dog syndrome
Laryngeal collapse
Laryngeal paralysis
Tracheal collapse
Nasal planum, nasal cavity and sinuses (tumors) (not covered in lecture. Slides made available on Ariel)
Rhinitis and nasal foreign body (not covered in lecture. Slides made available on Ariel)

Low respiratory tract surgery 1h
Lung
Chest wall
Diaphragmatic hernia and Peritoneopericardial diaphragmatic hernia

Urinary and ureter bladder surgery 1 h
Ectopia ureters
Surgical management of bladder and urethral lithiasis
Urethral prolapse (not covered in lecture. Slides made available on Ariel)
Bladder rupture
Bladder and urethral neoplasms
Diseases of the cat's lower urinary tract (not covered in lecture. Slides made available on Ariel)

Abdominal surgery 1h
Ventral abdominal hernias (not covered in lecture. Slides made available on Ariel)
Inguinal, scrotal and femoral hernias (not covered in lecture. Slides made available on Ariel)
Hemoperitoneum
Peritonitis (not covered in lecture. Slides made available on Ariel)

Pratical rotation clinical course (16 h)
a) Consultation rooms ((under supervision of clinical/academic staff)
First opinion vs specialized consultation vs postoperative recheck
- Recording of the patient
- Clinical History collection ( discussion)
- Physical examination vs specialized examination ( discussion)
- Proposal of differential diagnosis ( discussion)
- Discussion with clinical staff on the decisional algorithm for diagnostic procedures
- Follow the patient in the diagnostic procedures( X-rays, ultrasonography endoscopy etc..)
- provide a diagnosis, adequate treatment and prognosis
- Write the clinical report and drug prescription ( if needed)

b) Surgical theatre (under supervision of clinical/academic staff)
- Recording the patient
- Clinical History collection ( Discussion)
- Clinical examination for surgical treatment and anesthesiology protocol ( Discussion)
- Explanation of surgical treatment and anesthesiology protocol and possible complications ( Discussion)
- Cooperation in the owner consent taking for surgical treatment and anesthesiology protocol
- Discussion of the surgical treatment/technique, postoperative care and potential complications
- Discussion anesthesiologic and analgesic protocol based on surgical treatment plus postoperative analgesic protocol
- Preoperative- procedures for patient:
Preparation of the surgical site involves a series of steps such as clipping of hair, removal of dirt and oils, and removal of microbes.
Draping
- Preoperative procedures- surgical staff
Scrubs, scrubs hands and applications of specific surgical dress
- Preparation of the surgical site
- Assistant at surgical procedures/ performing some surgical procedures
- Planning postoperative care and communication with hospitalization service
- Follow/ recheck the patient in hospitalization service
- Write the surgical report
- Write the form for histopathologic exam ( surgical biopsy)
- Discussion with clinical staff of the surgical case/ cases.
- Write the clinical report and drug prescription ( if needed)
Teaching methods
The teacher will provide PDF versions of the lectures through the Ariel website. The material updated for each new academic year will be available from the first day of class
1) Medicina e Chirurgia degli Animali Esotici. Selleri P, Di Girolamo N e Collarile T (eds.), Poletto Editore, 2017. (Italian)

The student, at his discretion, can consult the following texts for further information regarding each taxon:
a) Ferrets, Rabbits and Rodents Clinical Medicine and Surgery, 3rd edizione. Quesenberry KE e Carpenter JW (eds), Saunders Elsevier, 2012. (English)
b) Current Therapy in Avian Medicine and Surgery. Speer BL (ed), Saunders Elsevier, 2015 (English)
c) Mader's Reptile and Amphibian Medicine and Surgery, 3rd edizione. Divers SJ E Stahl SJ (eds), Saunders Elsevier, 2019. (English)
Assessment methods and criteria

The Small Animal Surgery module includes a joint written and oral exam with the Small Animal Orthopedics and Traumatology and Exotic Animal modules. The exam score for these modules will be unique and determined by the arithmetic mean of the oral and written exams. This score will then be averaged with the grades obtained in the exams of the remaining modules, "Small Animal Obstetrics-Gynecology, Andrology, and Neonatology" and "Small Animal Internal Medicine."
Written Exam:
· Written exam with multiple-choice questions (5 possible answers, only one correct) for a total of 60 questions: 30 Small Animal Surgery; 15 Small Animal Orthopedics and Traumatology; 15 Unconventional Animal Clinic.
· Each correct answer is worth 0.5 points. No answer or incorrect answer is worth 0 points.
· Time allotted for the written exam: 90 minutes.
· The written exam allows access to the oral exam with a score equal to or greater than 18/30.
Oral Exam:
· The student will be evaluated on knowledge, skills in management, discussion, and resolution of clinical questions related to small animal surgical clinic, orthopedics, and traumatology.
· The oral exam will assign a grade according to the criteria established through rubrics available on the course MyAriel web site.
· The oral exam will have a maximum duration of 20 minutes.
· The oral exam is considered passed with a grade equal to or greater than 18/30.
· In case the oral exam is not passed, the student will have to retake both the written and oral exams
· A score of 18/30 or higher ( written and oral exam passed) in the Small Animal Surgery Module of Small Animal Orthopedics and Traumatology and Unconventional Animal Clinic will be kept valid and may count toward the final exam score for 3 consecutive appeals.

Rubrics for assessment and evaluation oral exam of Small Animal Surgery is available on MyAriel web Site
Teaching Resources
The teacher will make the PDF of the lectures available on the Ariel website (http://dstefanelloccpa.ariel.ctu.unimi.it/). The material updated for each new academic year will be available from the first day of class
1. Veterinary Surgery: Small Animal Karen Tobias & Spencer Johnston Ed.2012 Saunders ISBN 978-1-4377-0746-5 Part Vol 1: 9996073696; Part Vol 2: 9996073637 (Lingua Inglese)
2. Small Animal Surgery 5th Edition; Theresa Fossum Hardcover ISBN: 9780323443449
Imprint: MosbyPublished Date: 29th May 2018 Page Count: 1584
The student, at his discretion, can consult the following texts for further information regarding pathophysiology and surgical therapies of small animal diseases:

- Mechanisms of Disease in Small Animal Surgery di M. Joseph Bojrab (Autore), Eric Monnet
(Autore) Editore: Teton NewMedia; 3 edizione (1 gennaio 2010) Lingua: Inglese ISBN-13: 978-
1591610380
Day One Competences provided by the course: 1.1 1.4 1.5 1.6 1.7 1.9 1.10 1.11 1.12 1.13 1.15 1.16 1.17 1.18 1.21 1.22 1.23 1.25 1.26 1.28 1.29 1.30 1.31 1.32 2.1 2.5 2.8 2.11 2.12
Small animal orthopedics and traumatology
Course syllabus
FRONTAL LESSONS (1 CFU - 8 hours + 17 hours of study by the students themselves)
Course introduction - 30 min
Study material and its correct use.
Previous students course evaluation - modifications applied according to evaluations / suggestions.
How to approach to clinical practice exercise in Small Animals Orthopedics and Traumatology.

Orthopedic clinical evaluation and recognition anatomic orthopedic landmark - 30 min
Signalment, anamnesis, general physical examination, BOA (not covered in class. Slides available on Ariel)
Specialistic physical examination, with reference to specific tests for the evaluation of orthopedic diseases.

Theoretical introduction to fractures and their resolution, general concepts, and fracture resolution by anatomical district - 1 h
Fractures: definition and classification (Not covered in class. Slides available on Ariel)
Fractures management: decision algorithm
Fractures fixation methods (Not covered in class. Slides available on Ariel)
Specific fractures: splanchnocranium, humerus, radius & ulna, Monteggia, pelvis, femur, tibia & fibula,
Salter-Harris
Specific fractures: scapula, patella, carpus/tarsus, metacarpus/tarsus, phalanges
(Not covered in class. Slides available on Ariel)

Common joint pathologies in dogs and cats - 3 h
Arthropathies - non-surgical (degenerative, septic, parasitic arthropathy, polyarthritis, synovitis)
(Not covered in class. Slides available on Ariel)
Scapulohumeral joint: OCD humerus, traumatic dislocation
Scapulohumeral joint: shoulder dislocation/instability, tenopathies mm. biceps brachii and supraspinatus,
of the infraspinatus m. contracturem, glenoid dysplasia (congenital dislocation) (Not covered in class.
Slides available on Ariel)
Elbow joint: elbow dysplasia, traumatic and congenital dislocation
Carpal joint: dislocation with hyperextension, subluxation due to collateral ligament trauma, carpal laxity
syndrome (Not covered in class. Slides available on Ariel)
Coxofemoral joint: hip dysplasia, traumatic dislocations
Coxofemoral joint: aseptic necrosis of the femoral head (Not covered in class. Slides available on Ariel)
Stifle joint: cranial cruciate ligament rupture, medial patellar dislocation (stifle dysplasia)
Stifle joint: collateral ligament injury, stifle OCD (Not covered in class. Slides available on Ariel)
Tarsal joint: ligament injuries, tarsal OCD (Not covered in class. Slides available on Ariel)

Thoracic traumatology - 30 min
Diagnosis and therapeutic bases of thoracic trauma
Flail chest
Centesis and chest drainage

Wound management - 30 min
Wound management

Skeletal neoplasms - 30 min
Osteosarcoma
Other primary or metastatic neoplasms of the bone

Neuromuscular disorders - 30 min
Definitions
Swimmer puppy syndrome
Carpal hyperflexion syndrome
Muscle-tendon tears (Not covered in class. Slides available on Ariel)
Achilles tendon rupture
Quadriceps m. contracture
Masticatory mm. myositis

Neurologic evaluation and common neurologic pathologies in dogs and cats - 1 h
Signalment, anamnesis, general physical examination, BOA (not covered in class. Slides available on Ariel)
Specialistic physical examination, with reference to specific evaluation of reflexes and postures associated to neurologic deficits.
Intervertebral discs disease
Wobbler syndrome (not covered in class. Slides available on Ariel)
Atlanto-epistropheal instability (not covered in class. Slides available on Ariel)
Degenerative and vascular/ischemic myelopathy (not covered in class. Slides available on Ariel)
Discospondylitis (not covered in class. Slides available on Ariel)
Vertebral fractures and luxations (not covered in class. Slides available on Ariel)
Cauda equina Syndrome (not covered in class. Slides available on Ariel)

Practical lessons (1 CFU - 16 hours + 9 hours of study by the students themselves)
a) Clinic evaluation room (under clinical / academic personnel supervision) - Clinical evaluation as first or second opinion:
- Patients recording
- Anamnesis (discussion)
- General and specialistic physical examination (discussion)
- Differential diagnosis proposal (discussion)
- Discussion with the clinical personnel about the decision-making algorithm on diagnostic procedures
- Following the patient during diagnostic procedures (X-ray, CT, RM)
- Diagnosis emission, treatment proposal and prognosis emission
- Writing of the medical report and drugs prescription (if necessary)
b) Operating rooms (under clinical / academic personnel supervision)
- Patients recording
- Anamnesis (discussion)
- General and specialistic physical examination for the surgical and anesthesiologic protocols (discussion)
- Surgical and anesthesiologic protocols and possible complications (discussion)
- Participation to the explanation of the informed consent to surgical and anesthesiologic procedures to the
pet's owner
- Discussion on the surgical treatment and technique, postoperative treatment and potential short-, mid-
and long-term complication
- Discussion on the anesthesiologic and analgesic protocol according to the surgical treatment elected, and
discussion / choice of the postoperative analgesic protocol
- Preoperative procedures for the patient: preparation of the surgical field (hair clipping, skin cleaning and
disinfection)
- Preoperative procedures - surgery personnel (specific surgical hands cleaning and suites application)
- Surgical field preparation
- Assisting in performing surgical procedures / executions of some surgical procedures
- Postoperative assistance plan and communication with hospitalization service
- Following / rechecking the patient during hospitalization
- Writing of the surgical report
- Discussion of surgical cases
- Writing of the medical report and drugs prescription (if necessary)
Teaching methods
The Module, divided into 2 CFU, includes:
- Frontal lessons (1 CFU - 8 hours plus 17 hours of study by the students themselves) dedicated to orthopedic, neurological and traumatological disease of dogs and cats. The main objective of frontal lessons is to provide the epidemiological, physio-pathological, clinical diagnostic, therapeutic and prognostic framework for each surgical disease.
- Practical lessons (1 CFU - 16 hours plus 9 hours of study by the students themselves)
The practical training activities will be carried out in groups of 5-6 people directly at the University Veterinary Hospital of the Department of Veterinary Medicine. The practical activity will take place under the supervision of the teacher and with the possible collaboration of the structured and non-structured medical staff of the surgical clinic. Students will be directly involved in practical activities with the evaluation of clinical cases reported at the University Veterinary Hospital of Lodi and will have to propose and discuss the diagnostic and therapeutic decision-making algorithm, participate in the diagnostic activities and subsequently in the surgical procedures carried out on patients.
Assessment methods and criteria

The Small Animal Orthopedic and traumatology module includes a joint written and oral exam with the Small Animal Surgery and Exotic Animal modules. The exam score for these modules will be unique and determined by the arithmetic mean of the oral and written exams. This score will then be averaged with the grades obtained in the exams of the remaining modules, "Small Animal Obstetrics-Gynecology, Andrology, and Neonatology" and "Small Animal Internal Medicine."
Written Exam:
· Written exam with multiple-choice questions (5 possible answers, only one correct) for a total of 60 questions: 30 Small Animal Surgery; 15 Small Animal Orthopedics and Traumatology; 15 Unconventional Animal Clinic.
· Each correct answer is worth 0.5 points. No answer or incorrect answer is worth 0 points.
· Time allotted for the written exam: 90 minutes.
· The written exam allows access to the oral exam with a score equal to or greater than 18/30.
Oral Exam:
· The student will be evaluated on knowledge, skills in management, discussion, and resolution of clinical questions related to small animal surgical clinic, orthopedics, and traumatology.
· The oral exam will assign a grade according to the criteria established through rubrics available on the course MyAriel web site.
· The oral exam will have a maximum duration of 20 minutes.
· The oral exam is considered passed with a grade equal to or greater than 18/30.
· In case the oral exam is not passed, the student will have to retake both the written and oral exams
· A score of 18/30 or higher ( written and oral exam passed) in the Small Animal Surgery Module of Small Animal Orthopedics and Traumatology and Unconventional Animal Clinic will be kept valid and may count toward the final exam score for 3 consecutive appeals.

Rubrics for assessment and evaluation oral exam of Small Animal Surgery is available on MyAriel web Site
Teaching Resources
The teacher will make the PDF of the lectures available on the Ariel website (http://dstefanelloccpa.ariel.ctu.unimi.it/). The material updated for each new academic year will be available during the course period.
Books:
1. Small Animal Surgery 5th Edition; Theresa Fossum Hardcover English ISBN: 9780323443449
Imprint: MosbyPublished Date: 29th May 2018 Page Count: 1584
2. Veterinary Surgery: Small Animal Karen Tobias & Spencer Johnston Ed.2012 Saunders English ISBN 978-1-4377-0746-5 Part Vol 1: 9996073696; Part Vol 2: 9996073637

The student, at his discretion, can consult the following texts for further information regarding pathophysiology and surgical therapies of small animal diseases:

- "Brinker, Piermattei and Flo's Handbook of Small Animal Orthopedics and Fracture Repair". DeCamp CE,
Johnston SA, Déjardin LM, Schaefer SL. Editore: Elsevier; 5 edizione (2016) English ISBN: 978-1-4377-2364-9

- "Mechanisms of Disease in Small Animal Surgery". M. Joseph Bojrab, Eric Monnet Ed: Teton NewMedia; 3 eds (1 january 2010) English ISBN-13: 978-1591610380

- "Clinical Syndromes in Veterinary Neurology". Kyle G. Braund Ed: Mosby; 2 eds (1994) English ISBN: 0801673542, 9780801673542
List of day one competences in the form of list of the numbers identifying the competences provided:
Small animals' orthopedics and traumatology module: 1.1 1.4 1.5 1.6 1.7 1.9 1.10 1.11 1.12 1.13 1.15 1.16 1.17 1.18 1.21 1.22 1.23 1.25 1.26 1.28 1.29 1.30 1.31 1.32 2.1 2.5 2.8 2.11 2.12
New companion animals clinic
VET/09 - VETERINARY CLINICAL SURGERY - University credits: 1
Lessons: 8 hours
Professor: Ravasio Giuliano
Shifts:
Turno
Professor: Ravasio Giuliano
Small animal gynaecologic-obstretical clinic, andrology and neonatology
VET/10 - VETERINARY CLINICAL OBSTETRICS AND GYNECOLOGY - University credits: 3
Practicals: 16 hours
Lessons: 16 hours
Shifts:
1 TURNO PER GRUPPI DI STUDENTI
Professor: Groppetti Debora
10 TURNO PER GRUPPI DI STUDENTI
Professor: Veronesi Maria Cristina
11 TURNO PER GRUPPI DI STUDENTI
Professor: Veronesi Maria Cristina
12 TURNO PER GRUPPI DI STUDENTI
Professor: Veronesi Maria Cristina
2 TURNO PRE GRUPPI DI STUDENTI
Professor: Groppetti Debora
3 TURNO PER GRUPPI DI STUDENTI
Professor: Groppetti Debora
4 TURNO PER GRUPPI DI STUDENTI
Professor: Groppetti Debora
5 TURNO PER GRUPPI DI STUDENTI
Professor: Groppetti Debora
6 TURNO PER GRUPPI DI STUDENTI
Professor: Groppetti Debora
7 TURNO PER GRUPPI DI STUDENTI
Professor: Veronesi Maria Cristina
8 TURNO PER GRUPPI DI STUDENTI
Professor: Veronesi Maria Cristina
9 TURNO PER GRUPPI DI STUDENTI
Professor: Veronesi Maria Cristina
Small animal internal medicine
VET/08 - VETERINARY CLINICAL MEDICINE - University credits: 3
Practicals: 16 hours
Lessons: 16 hours
Shifts:
24 TURNI PER GRUPPI DI STUDENTI DA 4 ORE
Professor: Proverbio Daniela
32 TURNI PER GRUPPI DI STUDENTI DA 6 ORE
Professors: Perego Roberta, Spada Eva
Turno
Professor: Proverbio Daniela
Small animal orthopedics and traumatology
VET/09 - VETERINARY CLINICAL SURGERY - University credits: 2
Practicals: 16 hours
Lessons: 8 hours
Professor: Auletta Luigi
Shifts:
6 TURNI PER GRUPPI DI STUDENTI
Professor: Auletta Luigi
Turno
Professor: Auletta Luigi
Small animal surgery
VET/09 - VETERINARY CLINICAL SURGERY - University credits: 3
Practicals: 16 hours
Lessons: 16 hours
Professor: Stefanello Damiano
Shifts:
1 TURNO PER GRUPPI DI STUDENTI
Professor: Stefanello Damiano
10 TURNO PER GRUPPI DI STUDENTI
Professor: Stefanello Damiano
11 TURNO PER GRUPPI DI STUDENTI
Professor: Stefanello Damiano
12 TURNO PER GRUPPI DI STUDENTI
Professor: Stefanello Damiano
2 TURNO PER GRUPPI DI STUDENTI
Professor: Stefanello Damiano
3 TURNO PER GRUPPI DI STUDENTI
Professor: Stefanello Damiano
4 TURNO PER GRUPPI DI STUDENTI
Professor: Stefanello Damiano
5 TURNO PER GRUPPI DI STUDENTI
Professor: Stefanello Damiano
6 TURNO PER GRUPPI DI STUDENTI
Professor: Stefanello Damiano
7 TURNO PER GRUPPI DI STUDENTI
Professor: Stefanello Damiano
8 TURNO PER GRUPPI DI STUDENTI
Professor: Stefanello Damiano
9 TURNO PER GRUPPI DI STUDENTI
Professor: Stefanello Damiano
Turno
Professor: Stefanello Damiano
Professor(s)
Reception:
By appointment
Dipartimento di Medicina Veterinaria e Scienze Animali
Reception:
10 a.m. - 11,30 am. Every Wednesday
Ufficio-Settore didattico Palazzina Studi, I piano, Lodi (Dipartimento di Medicina Veterinaria)
Reception:
on appointment
Department of Veterinary Medicine and Animal Sciences, via dell'università 6, Lodi