CLINIC AND SURGERY SEMIOLOGU

Massimo TRIGGIANI CLINIC AND SURGERY SEMIOLOGU

1060100082
DEPARTMENT OF MEDICINE, SURGERY AND DENTISTRY "SALERNITANA MEDICAL SCHOOL"
EQF7
MEDICINE AND SURGERY
2024/2025

OBBLIGATORIO
YEAR OF COURSE 3
YEAR OF DIDACTIC SYSTEM 2016
AUTUMN SEMESTER
CFUHOURSACTIVITY
1METODOLOGIA CLINICA MEDICO-CHIRURGICA - MOD MEDICINA INTERNA
336LESSONS
2METODOLOGIA CLINICA MEDICO-CHIRURGICA - MOD CHIRURGIA GENERALE
336LESSONS
3METODOLOGIA CLINICA MEDICO-CHIRURGICA - MOD CHIRURGIA GENERALE
112LESSONS
4METODOLOGIA CLINICA MEDICO-CHIRURGICA - MOD MEDICINA INTERNA
112LESSONS
5METODOLOGIA CLINICA MEDICO-CHIRURGICA - MOD PSICOLOGIA CLINICA
112LESSONS
6METODOLOGIA CLINICA MEDICO-CHIRURGICA - MOD PSICOLOGIA SOCIALE
112LESSONS
7METODOLOGIA CLINICA MEDICO-CHIRURGICA - AFP METODOLOGIA CLINICA
375INTERNAL STAGE
Objectives
KNOWLEDGE AND UNDERSTANDING
CAPTURE CRITICAL FEATURES FOR FORMULATION
OF THE ANAMNESIS AND ITS INTERPRETATION FOR THE FORMULATION OF DIAGNOSTIC HYPOTHESES. ACQUISITION OF
MAIN SIGNS AND SYMPTOMS AND OF THE FUNDAMENTAL SEMEIOLOGICAL MANOEUVRES FOR THE CONSTRUCTION OF PATHS
HYPOTHESIS-BASED DIAGNOSTICS CONSIDERING SEX/GENDER AND POPULATION DIFFERENCES.

ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING
TEACHING THROUGH THE PRACTICAL ACTIVITY OF THE DEPARTMENT
THE INDUCTIVE-DEDUCTIVE CAPACITY OF THE CLINICAL PATHWAY TO ARRIVE AT HYPOTHESES THROUGH DATA COLLECTION
DIAGNOSTIC.

MAKING JUDGEMENTS
THE STUDENT MUST DEMONSTRATE THE ABILITY TO INTEGRATE KNOWLEDGE AND MANAGE COMPLEXITY, AS WELL AS TO MAKE JUDGMENTS BASED ON LIMITED OR INCOMPLETE INFORMATION, INCLUDING REFLECTION ON THE SOCIAL AND ETHICAL RESPONSIBILITIES RELATED TO THE APPLICATION OF THEIR KNOWLEDGE AND JUDGMENTS.

COMMUNICATION SKILLS
THE STUDENT WILL BE ABLE TO COMMUNICATE IN A CLEAR AND UNAMBIGUOUS WAY THEIR CONCLUSIONS, AS WELL AS THE KNOWLEDGE AND RATIONALE UNDERLYING THEM, TO SPECIALIST AND NON-SPECIALIST INTERLOCUTORS.

LEARNING SKILLS
THE STUDENT MUST DEVELOP THOSE LEARNING SKILLS THAT ALLOW THEM TO CONTINUE STUDYING MOSTLY IN A SELF-DIRECTED OR AUTONOMOUS WAY.

Prerequisites
KNOWLEDGE OF GENERAL CULTURE, LOGIC, COMPREHENSION OF THE TEXT; BASICS OF MEDICINE, SURGERY, PSYCHOLOGY
THE STUDENT IS REQUIRED TO PASS THE EXAMS OF HUMAN PHYSIOLOGY AND PATHOLOGY AND GENERAL PATHOPHYSIOLOGY, BEFORE TAKING THE EXAM OF CLINICAL MEDICAL-SURGICAL METHODOLOGY
Contents
MOD. OF INTERNAL MEDICINE (4 LECTURES AND 3 AFP)
ETYMOLOGY AND MEANING OF CLINICAL METHOD, LOGIC, DEFINITION OF SYNDROME AND DISEASE
NOSOLOGY, NOSOGRAPHY.
SIGNS AND SYMPTOMS. SEMIOTICS AND DIAGNOSIS
THE DIAGNOSTIC PROCESS
PROBABILITY AND DIAGNOSIS.
DIFFERENTIAL DIAGNOSIS.
INFERENCE
THE DEDUCTION
THE INDUCTIVE METHOD
THE DEDUCTIVE METHOD
ANAMNESIS TECHNIQUES. COMPONENTS OF THE ANAMNESIS (PHYSIOLOGICAL HISTORY, REMOTE PATHOLOGICAL HISTORY, PROXIMATE PATHOLOGICAL HISTORY)
TECHNIQUES FOR PERFORMING PHYSICAL EXAMINATION . GENERAL PHYSICAL EXAMINATION, LOCAL PHYSICAL EXAMINATION)
MEDICAL RECORDS
CARDIOLOGY SEMEIOTICS
PRINCIPLES OF ELECTROCARDIOGRAPHY
SEMIOTICS OF THE RESPIRATORY SYSTEM
PRINCIPLES OF BLOOD GAS-ANALYSIS AND ACID/BASE BALANCE
SEMIOTICS OF THE MAIN ENDOCRINOPATHIES
DIABETES MELLITUS
SEMIOTICS OF THE DIGESTIVE SYSTEM
NEUROLOGICAL PHYSICAL EXAMINATION

MOD. OF GENERAL SURGERY (4 CFU FRONTAL)
ANASTOMOSIS
ACUTE APPENDICITIS: DIAGNOSIS AND TREATMENT
GALLBLADDER STONES: DIAGNOSIS AND TREATMENT
HINTS ACUTE ABDOMEN
NOTES ON BREAST PATHOLOGY
VISCERAL AND PARIETAL PAIN
INTESTINAL HEMORRHAGES
SEMIOTICS AND PHYSICAL EXAMINATION OF THE ABDOMEN
SHOCK
LAPAROSCOPIC INSTRUMENTS
SUTURES AND KNOTS
BURNS
VOMITING, DIARRHOEA, CONSTIPATION


PSYCHOLOGY MODULE (LECTURES 2 CFU)
NOTIONS OF CLINICAL PSYCHOLOGY: DOCTOR-PATIENT COMMUNICATION, BURNOUT
PSYCHOPATHOLOGY
WORK-RELATED STRESS
PSYCHODIAGNOSTICS
Teaching Methods
CLASSROOM LESSONS WILL ALTERNATE MOMENTS OF FRONTAL TEACHING WITH SPECIFIC MOMENTS OF PRACTICAL TRAINING ACTIVITIES (AFP); IN THIS SENSE, THE COURSE HAS A THEORETICAL-PRACTICAL IMPRINT, PURSUED THROUGH PRACTICAL EXPERIENCE IN THE DEPARTMENT.
Verification of learning
THE EXAM IS AIMED AT ASSESSING THE STUDENT'S ABILITY TO HAVE LEARNED THE FUNDAMENTAL PRINCIPLES OF THE VARIOUS DISCIPLINES. THE GRADE, DECIDED COLLECTIVELY, EXPRESSED IN THIRTIETHS WITH POSSIBLE HONORS, WILL DEPEND ON THE MATURITY ACQUIRED ON THE CONTENTS OF THE INTEGRATED COURSE. FOR THE PURPOSES OF AWARDING THE HONOURS, THE QUALITY OF THE PRESENTATION WILL BE TAKEN INTO ACCOUNT, IN A COLLEGIAL MANNER, IN TERMS OF THE USE OF APPROPRIATE SCIENTIFIC LANGUAGE AND THE AUTONOMY OF JUDGMENT DEMONSTRATED.
ORAL EXAM
Texts
SEMEIOTICA MEDICA E METODOLOGIA CLINICA - AMOROSO - ROSSI FANELLI - DELFINO EDITORE
SEMEIOTICA MEDICA NELL' ADULTO E NELL' ANZIANO - METODOLOGIA CLINICA ED ESPLORAZIONE MORFOFUNZIONALE
DI FRADA' - FRADA' - PICCIN EDITORE
PRINCIPLES OF INTERNAL MEDICINE. HARRISON
TRATTATO DI MEDICINA INTERNA. TEODORI
LOTTO, RUMIATI (A CURA DI), INTRODUZIONE ALLA PSICOLOGIA DELLA COMUNICAZIONE.IL MULINO, 2013, CAP 1, 4,5,6
ROSSI N., PSICOLOGIA CLINICA PER LE PROFESSIONI SANITARIE. IL MULINO, 2004, CAP. 1, 2, 3, 7

LECTURE NOTES
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75% ATTENDANCE REQUIREMENT
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