Fundamentals of clinical medicine 1 (Clerkship)
A.A. 2024/2025
Obiettivi formativi
Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Risultati apprendimento attesi
Students are expected to:
a) take the history of the patient
b) perform a clinical examination of the thorax: inspection, palpation, percussion, auscultation
c) perform a clinical examination of the precordial region: palpation, auscultation
c) examine the arterial pulses - measure blood pressure
d) perform a clinical examination of the abdomen: inspection, auscultation, percussion, palpation ((liver, spleen)
d) perform an ECG recording - describe ECG recordings: depicit pathological signs
e) describe and analyse blood gas analysis
f) describe and analyse urinary sediment
a) take the history of the patient
b) perform a clinical examination of the thorax: inspection, palpation, percussion, auscultation
c) perform a clinical examination of the precordial region: palpation, auscultation
c) examine the arterial pulses - measure blood pressure
d) perform a clinical examination of the abdomen: inspection, auscultation, percussion, palpation ((liver, spleen)
d) perform an ECG recording - describe ECG recordings: depicit pathological signs
e) describe and analyse blood gas analysis
f) describe and analyse urinary sediment
Periodo: Primo semestre
Modalità di valutazione: Giudizio di approvazione
Giudizio di valutazione: superato/non superato
Corso singolo
Questo insegnamento non può essere seguito come corso singolo. Puoi trovare gli insegnamenti disponibili consultando il catalogo corsi singoli.
Programma e organizzazione didattica
Edizione unica
Responsabile
Prerequisiti
To take the Fundamental of Clinical Medicine 1 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
Modalità di verifica dell’apprendimento e criteri di valutazione
Students' assessment is based on an oral examination. 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 5 disciplines: internal medicine, general surgery, cardiovascular diseases, nephrology, and respiratory diseases, weighted for the number of credits in each discipline.
The examination is deemed passed if the mark for each of the 5 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.
Registration to the exam through SIFA is mandatory.
The examination is deemed passed if the mark for each of the 5 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.
Registration to the exam through SIFA is mandatory.
General surgery
Programma
GENERAL SURGERY
Surgeon's behavior in the Operating room, basic principles of asepsis and patient's preparation to surgery
Physical examination and clinical signs of the abdomen, chest, breast (surgery related), and genito-urinary apparatus, vascular system, lump, masses, and ulcer
Surgeon's behavior in the Operating room, basic principles of asepsis and patient's preparation to surgery
Physical examination and clinical signs of the abdomen, chest, breast (surgery related), and genito-urinary apparatus, vascular system, lump, masses, and ulcer
Metodi didattici
Clerkship attendance and sufficient exposure to practice (i.e. simulation lab, formal patients examination at bedside, training of basic medical-surgical techniques etc.) will be registered, as clinical teaching will be based also on direct participation of the students to different aspects of the hospital life.
Materiale di riferimento
GENERAL SURGERY
Hamilton Bailey's Physical signs: Demonstrations of physical signs in clinical surgery. 19th Edition. CRC Press, 2016
Hamilton Bailey's Physical signs: Demonstrations of physical signs in clinical surgery. 19th Edition. CRC Press, 2016
Internal medicine
Programma
History taking: a comprehensive health history, the techniques of skilled interviewing, the sequence and context of the interviewing, cultural and cognitive contest, exploring patients' perspective
Signs and symptoms. Beginning the physical examination: general survey, vital signs and pain.
Overview of general examination
The thorax, lung, and cardiovascular system: techniques of examinations
The abdomen examination related to medical approach (liver, spleen, and pancreas problems)
Signs and symptoms. Beginning the physical examination: general survey, vital signs and pain.
Overview of general examination
The thorax, lung, and cardiovascular system: techniques of examinations
The abdomen examination related to medical approach (liver, spleen, and pancreas problems)
Metodi didattici
Clerkship attendance and sufficient exposure to practice (i.e. simulation lab, formal patients examination at bedside, training of basic medical-surgical techniques etc.) will be registered, as clinical teaching will be based also on direct participation of the students to different aspects of the hospital life.
Materiale di riferimento
Lynn Bickley. Bates' Physical examination and history taking. Lippincott
Harrison's Principles of Internal Medicine, 21th Edition, McGraw Hill, 2021 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
Goldman's Cecil Medicine L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
Harrison's Principles of Internal Medicine, 21th Edition, McGraw Hill, 2021 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
Goldman's Cecil Medicine L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
Respiratory diseases
Programma
Pulmonary function tests
Clinical approach to: Chronic Obstructive Pulmonary Disease, Asthma, Diffuse parenchymal lung diseases, Obstructive and Restrictive lung diseases, Respiratory infections, Pleural diseases, Acute and chronic respiratory failure (RF)
Examination of laboratory tests
Clinical approach to: Chronic Obstructive Pulmonary Disease, Asthma, Diffuse parenchymal lung diseases, Obstructive and Restrictive lung diseases, Respiratory infections, Pleural diseases, Acute and chronic respiratory failure (RF)
Examination of laboratory tests
Metodi didattici
Students' assessment is based on an oral examination. 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 5 disciplines: internal medicine, general surgery, cardiovascular diseases, nephrology, and respiratory diseases, weighted for the number of credits in each discipline.
The examination is deemed passed if the mark for each of the 5 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.
Registration to the exam through SIFA is mandatory.
The examination is deemed passed if the mark for each of the 5 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.
Registration to the exam through SIFA is mandatory.
Materiale di riferimento
INTERNAL MEDICINE, CARDIOLOGY, NEPHOLOGY AND RESPIRATORY DISEASES
Lynn Bickley. Bates' Physical examination and history taking. Lippincott
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/)
Lynn Bickley. Bates' Physical examination and history taking. Lippincott
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/)
Cardiovascular diseases
Programma
ECG: normal, Arrhythmias Ischemic heart disease
Clinical approach to Valvular heart disease , Pericarditis and endocarditis, Heart failure, Pulmonary hypertension
Diagnostic Cardiac and Cardiovascular imaging
Examination of laboratory tests
Clinical approach to Valvular heart disease , Pericarditis and endocarditis, Heart failure, Pulmonary hypertension
Diagnostic Cardiac and Cardiovascular imaging
Examination of laboratory tests
Metodi didattici
Clerkship attendance and sufficient exposure to practice (i.e. simulation lab, formal patients examination at bedside, training of basic medical-surgical techniques etc.) will be registered, as clinical teaching will be based also on direct participation of the students to different aspects of the hospital life.
Materiale di riferimento
INTERNAL MEDICINE, CARDIOLOGY, NEPHOLOGY AND RESPIRATORY DISEASES
Lynn Bickley. Bates' Physical examination and history taking. Lippincott
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/)
Goldman's Cecil Medicine L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
Lynn Bickley. Bates' Physical examination and history taking. Lippincott
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/)
Goldman's Cecil Medicine L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
Nephrology
Programma
Clinical approach to patients with urinary tract and renal infection, acute kidney injury / acute renal failure, chronic kidney disease, renal vascular diseases
Management of artificial kidney
Examination of laboratory tests, analysis of the urinary sediment
Management of artificial kidney
Examination of laboratory tests, analysis of the urinary sediment
Metodi didattici
Clerkship attendance and sufficient exposure to practice (i.e. simulation lab, formal patients examination at bedside, training of basic medical-surgical techniques etc.) will be registered, as clinical teaching will be based also on direct participation of the students to different aspects of the hospital life.
Materiale di riferimento
INTERNAL MEDICINE, CARDIOLOGY, NEPHOLOGY AND RESPIRATORY DISEASES
Lynn Bickley. Bates' Physical examination and history taking. Lippincott
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/)
Goldman's Cecil Medicine L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
Lynn Bickley. Bates' Physical examination and history taking. Lippincott
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/)
Goldman's Cecil Medicine L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
Moduli o unità didattiche
Cardiovascular diseases
MED/11 - MALATTIE DELL'APPARATO CARDIOVASCOLARE - CFU: 1
Clerkship (att.prof.): 25 ore
Docente:
Agostoni Piergiuseppe
Turni:
Turno
Docente:
Agostoni Piergiuseppe
General surgery
MED/18 - CHIRURGIA GENERALE - CFU: 1
Clerkship (att.prof.): 25 ore
Docenti:
Cassinotti Elisa, Domanin Maurizio
Turni:
Internal medicine
MED/09 - MEDICINA INTERNA - CFU: 1
Clerkship (att.prof.): 25 ore
Docenti:
Lombardi Rosa, Tobaldini Eleonora
Turni:
Group 1
Docente:
Tobaldini EleonoraGroup 2
Docente:
Lombardi Rosa
Nephrology
MED/14 - NEFROLOGIA - CFU: 1
Clerkship (att.prof.): 25 ore
Turni:
Group 1
Docente:
Gallieni Maurizio AlbertoGroup 2
Docente:
Cozzolino Mario GennaroGroup 3
Docente:
Cozzolino Mario GennaroGroup 4
Docente:
Cabibbe Mara
Respiratory diseases
MED/10 - MALATTIE DELL'APPARATO RESPIRATORIO - CFU: 1
Clerkship (att.prof.): 25 ore
Docenti:
Gramegna Andrea, Mondoni Michele, Morlacchi Letizia Corinna, Radovanovic Dejan, Santus Pierachille
Turni:
Group 2
Docente:
Mondoni MicheleDocente/i
Ricevimento:
previo appuntamento da concordare via e-mail
Ricevimento:
previo appuntamento da concordare via e-mail
IRCCS Fondazione Cà Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, Pad. Ponti -1
Ricevimento:
previo appuntamento da concordare via e-mail
U.O. Nefrologia e Dialisi, Ospedale Sacco oppure Ospedale Fatebenefratelli
Ricevimento:
16:00
Ospedale Maggiore Policlinico, Padiglione Granelli II Piano, Ambulatorio Epatologia e Malattie Metaboliche e del Fegato
Ricevimento:
14:00-15:00
UO Pneumologia, Ospedale San Paolo - ASST Santi Paolo e Carlo di Milano (Blocco D, piano - 2)
Ricevimento:
Da concordare previa mail
Ospedale L. Sacco, Via G.B. Grassi 74, 20157 Milano - Padiglione 51, scala A, secondo piano.
Ricevimento:
previo appuntamento da concordare via e-mail
UOC Pneumologia, Ospedale L. Sacco, Via G.B. Grassi, 74 - Milano