Teaching code

4S000100

Credits

8

Coordinator

Elena Anselmi

Language

Italian

Moodle Seminars 0

The teaching is organized as follows:

Learning outcomes

The course focuses on care about patients with chronic medical problems during stability and instability spans (heart failure, IMA and angina, COPD and asthma). The approach considers the contents and the care ways to activate specific self-help behaviors considering that most of the patients with chronic illness live at home and the hospitalization time is very short. Patient problems will be addressed by considering their evolution, the evaluation of the patient and the choice of care interventions based on the evidence, appropriateness and patient’s needs. The instability/worsening will be approached with an assistance protocol. The disease impact and experience on patient’s and family life will be considered and the rehabilitative and palliative aspects will be explored considering the symptoms in the advanced stage (eg dyspnoea).

Program

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MM: MALATTIE CARDIOVASCOLARI
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Course table of contents Chapter 1 Anatomy of the heart and vessels Chapter 2 Cardiovascular physiology, and bases of hemodynamics The cardiac cycle Bases of electrocardiography Pulmonary gas exchange Tissue perfusion Chapter 3 Diagnostic techniques based on physiopathology Electrocardiogram, stress test and Holter-loop recorder Chest X-ray and CT scan Echocardiogram SPECT Chapter 4 Ischemic heart disease Epidemiology and risk factors Atherosclerosis and chronic coronary artery disease Acute coronary syndromes Acute myocardial infarction Myocardial revascularization techniques Chapter 5 Basis of electrocardiography Syncope and arrhythmias Syncope Brady and tachy arrhythmias Chapter 6 Heart failure, heart valve disease and cardiomyopathies Cardiac dyspnea Right and left heart failure Cardiomyopathies Valve heart disease Chapter 7 Invasive Cardiology
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MM: INFERMIERISTICA CLINICA MEDICA
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Night support and sounds’ evaluation Main problems’ supporting management or cardiovascular and respiratory diseases’ surveillance
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MM: PNEUMOLOGIA
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The course in Pulmonology for the academic year 2017/18 will be focused on the following topics: 1) Introduction to respiratory apparatus pathologies and diagnosis; 2) Acute respiratory insufficiency and nurse's role; 3) Chronic respiratory insufficiency and long-term oxygen-therapy; 4) Chronic Obstructive Bronchopneumopathy and OSAS; 5) Bronchial asthma; 6) Non-invasive ventilation support; 7) Community pneumonia and antibiotic therapy.
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MM: MEDICINA INTERNA
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Cardiovascular risk factors: arterial hypertension, dyslipidemias, obesity: physiopathology and clinical features of major clinical manifestations of diseases Arterisclerosis: physiopathology and clinical features Chronic heart failure: physiopathology and clinical features Anemias: classifications, physiopathology and clinical features of anemias due to nutritional deficiencies, hemolytic anemias, anemia of chromic diseases Oncohematologic diseases: leukemias and lymphomas, multiple myeloma, mielodysplastic syndromes Thrombotic and hemorragic diseases: physiopathology and clinical features Rheumatologic diseases: lupus erythematosus, rheumatoid arthritis, scleroderma, gout and septic arthritits and major diseases of connective tissue: physiopathology and clinical features.
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MM: ONCOLOGIA MEDICA
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Tumour growth and markers Targeted therapies Colon cancer Lung cancer Breast cancer
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MM: MALATTIE INFETTIVE
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Hospital infections: the most frequent, their epidemiological impact, how to prevent them, how to help prevent complications, which patients are at greatest risk. The importance of hand washing as a shared culture. Sepsis: correct definition of SIRS, bacteremia, sepsis andseptic shock; etiology; global and local epidemiological aspects and main risk factors; main pathogenic mechanisms; clinical aspects and principles of supportive and specific therapy. Meaning of the main laboratory markers, indication and interpretation of blood cultures. Meningitis: definition, classification and etiology of bacterial versus aseptic meningitis, epidemiology and its modifications by vaccination, main symptoms and clinical signs, diagnosis, hints of therapy, identification of isolation needs, vaccination and prophylaxis and their indications. Tuberculosis: global, national, regional and local epidemiology also in relation to the nationality and influence of HIV; epidemiology of multi-resistant TB; pathophysiology; distinction between latent infection and disease and respective measures; isolation, individual protection and their indications; outline of therapy and importance of ensuring compliance. Malaria: global, national, regional and local epidemiology also in relation to nationality; classical transmission versus cryptic malaria; biological cycle of plasmodium in the human host; the phenomenon of recrudescence; hints of pathophysiology and clinical picture with particular reference to complicated malaria; diagnosis; hints of therapy and chemoprophylaxis. HIV - AIDS: global and national epidemiological aspects and their modifications over time; main modes of transmission; screening and confirmatory diagnosis; outline of immunology and pathogenesis; main clinical aspects including opportunistic infections; HIV and TB; other coinfections; HIV and tumors; hints of antiretroviral therapy and treatment of opportunistic infections; main preventive measures and principles of post-exposure prophylaxis.

Bibliography

Examination Methods

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MM: MALATTIE CARDIOVASCOLARI
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Written multiple choice
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MM: INFERMIERISTICA CLINICA MEDICA
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Writing test
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MM: PNEUMOLOGIA
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Written multiple choice

MM: MEDICINA INTERNA
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Written multiple choice
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MM: ONCOLOGIA MEDICA
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Written multiple choice
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MM: MALATTIE INFETTIVE
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Written multiple choice