DISEASES OF THE KIDNEY AND THE URINARY TRACT

Massimo CIRILLO DISEASES OF THE KIDNEY AND THE URINARY TRACT

1060100031
DIPARTIMENTO DI MEDICINA, CHIRURGIA E ODONTOIATRIA "SCUOLA MEDICA SALERNITANA"
CORSO DI LAUREA MAGISTRALE A CICLO UNICO DI 6 ANNI
MEDICINE AND SURGERY
2014/2015

OBBLIGATORIO
YEAR OF COURSE 4
YEAR OF DIDACTIC SYSTEM 2011
SECONDO SEMESTRE
CFUHOURSACTIVITY
1MALATTIE DELL’APPARATO UROPOIETICO - MOD 1
216LESSONS
2MALATTIE DELL’APPARATO UROPOIETICO - MOD 2
216LESSONS
3MALATTIE DELL’APPARATO UROPOIETICO - AFP
112INTERNAL STAGE
4MALATTIE DELL’APPARATO UROPOIETICO - MOD 3
18LESSONS
Objectives
NEFROLOGY

KNOWLEDGE AND COMPREHENSION OF PHYSIOPATHOLOGY OF KIDNEY DISEASE, SYMPTOMS, SEMIOTICS, COMPREHENSION OF RESULTS OF LABORATORY TESTS AND INSTRUMENTAL EXAMINATIONS.

CAPACITY TO CHOOSE AND TO PRESCRIBE LABORATORY TESTS AND/OR INSTRUMENTAL EXAMINATIONS FOR DIAGNOSTIC WORK-UP AND STAGING OF KIDNEY DISEASE.

HOW TO CUMULATIVELY INTERPRET SYMPTOMS, SEMIOTICS, RESULTS OF LABORATORY TESTS AND INSTRUMENTAL EXAMINATIONS IN KIDNEY DISEASE.

COMMUNICATIVE SKILLS: THE COLLECTION OF AN ACCURATE MEDICAL HISTORY, THE EXPLANATION OF BENEFIT/RISK RATIO IN DIAGNOSTIC PROCEDURES AND IN THERAPEUTIC REGIMENS, THE INFORMED CONSENT IN KIDNEY DISEASE.

LEARNING CAPACITY: DIFFERENTIAL DIAGNOSIS, BASICS OF NON-PHARMACOLOGICAL AND PHARMACOLOGICAL TREATMENTS IN KIDNEY DISEASE. BASICS OF TREATMENT OF KIDNEY FAILURE: DIALYSIS AND KIDNEY TRANSPLANTATION.

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UROLOGY

KNOWLEDGE AND COMPREHENSION : PHYSIOPATHOLOGY OF DISEASES OF THE URO-GENITAL TRACT . SYMPTOMS, SEMIOTICS, RESULTS OF LABORATORY TESTS ,IMAGING AND INSTRUMENTAL EXAMINATIONS.

CAPACITY TO CHOOSE AND TO PRESCRIBE LABORATORY TESTS, IMAGING AND INSTRUMENTAL EXAMINATIONS FOR THE DISEASES OF THE URO-GENITAL TRACT , FOR DIAGNOSTIC AND STAGING PURPOSES .

HOW TO UNDERSTAND SYMPTOMS, SEMIOTICS AND RESULTS OF LABORATORY TESTS AND IMAGING AND INSTRUMENTAL EXAMINATIONS FOR THE DISEASES OF THE URO-GENITAL TRACT .

COMMUNICATIVE SKILLS: COLLECTION OF AN ACCURATE MEDICAL HISTORY, ILLUSTRATION OF BENEFIT/RISK RATIO IN DIAGNOSTIC PROCEDURES AND IN THERAPEUTIC REGIMENS . THE INFORMED CONSENT FOR THE DISEASES OF THE URO-GENITAL TRACT.

LEARNING CAPACITY: DIFFERENTIAL DIAGNOSIS, BASICS OF NON-PHARMACOLOGICAL,PHARMACOLOGICAL AND SURGICAL TREATMENTS FOR THE DISEASES OF THE URO-GENITAL TRACT .

Prerequisites
NEFROLOGY
BODY OF KNOWLEDGE ADEQUATE TO 4-YEAR MEDICAL STUDENTS IN THE FIELD OF KIDNEY ANATOMY, KIDNEY HISTOLOGY, INORGANIC CHEMISTRY, BIOCHEMISTRY, PHYSIOLOGY, AND SEMEIOTICS.

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UROLOGY
BODY OF KNOWLEDGE ADEQUATE TO A “4TH –YEAR” MEDICAL STUDENTS IN THE FIELD OF ANATOMY, HISTOLOGY, PHYSIOLOGY AND SEMEIOTICS OF THE DISEASES OF THE URO-GENITAL TRACT.
Contents
NEFROLOGY

CLASSES:

1. THE BASICS OF KIDNEY PHYSIOLOGY.
2. FUNCTIONAL AND MORPHOLOGICAL INVESTIGATION OF THE KIDNEY.
3. GLOMERULAR DISEASES
4.A KIDNEY AND HYPERTENSION.
4.B PREGNANCY AND KIDNEY.
5.A DIABETIC NEPHROPATHY.
5.B CYSTIC NEPHROPATHIES.
6.A TUBULO-INTERSTITIAL NEPHROPATHIES.
6.B ACUTE KIDNEY FAILURE.
7.A CALCIUM-PHOSPHORUS HOMEOSTASIS
7.B URINARY STONE DISEASE.
8.A OEDEMA: THE ROLE OF SODIUM.
8.B SODIUM-POTASSIUM HOMEOSTASIS AND ACID-BASE BALANCE
9. CHRONIC KIDNEY FAILURE.
10. DIALYSIS AND KIDNEY TRANSPLANTATION.

BEDSIDE ACTIVITIES:
THE SEARCH OF SYMPTOMS AND SIGNS IN NEPHROLOGY. THE MEASUREMENT OF BLOOD PRESSURE. THE EVALUATION OF EDEMA. THE SELECTION AND THE INTERPRETATION OF LABORATORY TESTS AND/OR INSTRUMENTAL EXAMINATIONS FOR DIAGNOSTIC WORK-UP AND STAGING OF KIDNEY DISEASE. DIAGNOSTIC APPROACH TO THE PATIENT WITH: OEDEMA; DYSURIA; HAEMATURIA; PROTEINURIA; KIDNEY PAIN; KIDNEY INSUFFICIENCY; HYPERTENSION; DISORDERS OF HYDRO-ELECTROLYTIC BALANCE; ACID-BASE BALANCE; KIDNEY MALFORMATION; KIDNEY GENETIC DISORDERS. DIALYSIS. PREPARATION AND FOLLOW-UP OF KIDNEY TRANSPLANTATION.

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UROLOGY

CLASSES :

O INTRODUCTION TO THE COURSE
O OUTLINE OF CLINICAL SEMEIOTICS, IMAGING AND INSTRUMENTAL DIAGNOSTIC PROCEDURES
O PROSTATITIS
O BENIGN PROSTATIC HYPERTROPHY
O PROSTATE CANCER
O URINARY STONES
O INFERTILITY
O ERECTILE DYSFUNCTION
O TRAUMA AND EMERGENCIES (TORSION, PRIAPISM, HEMATURIA, ACUTE URINARY RETENTION)
O URINARY INCONTINENCE
O MALFORMATIONS (VESICOURETERAL REFLUX, PUJ DISEASE, VARICOCELE, URETEROCELE, MEGAURETER, HYPOSPADIAS, EPISPADIAS, EXSTROPHY)
O NEOPLASMS OF THE UPPER URINARY TRACT
O BLADDER TUMOR
O KIDNEY TUMOR
O TESTIS TUMOR
O PENIS TUMOR
O RENAL TRANSPLANTATION: UROLOGICAL ASPECTS

BEDSIDES TRAINING ACTIVITIES :
INTERPRETATION OF SYMPTOMS AND SIGNS IN UROLOGY. SELECTION AND INTERPRETATION OF LABORATORY WORK-UP IN UROLOGY. DIAGNOSTIC APPROACH TO THE PATIENT WITH URINARY INCONTINENCE, URINARY RETENTION, DYSURIA, HEMATURIA, RENAL COLIC PAIN, ORCHIALGIA. SELECTION AND INTERPRETATION OF THE MAIN IMAGING AND INSTRUMENTAL DIAGNOSTIC TESTS IN UROLOGY.
RECTAL DIGITAL EXAMINATION . PLACING OF URETHRAL CATHETER.

SUPPLEMENTAL EDUCATIONAL ACTIVITIES: NOT PROVIDED.
Teaching Methods
CLASSES.

BEDSIDE ACTIVITIES.
Verification of learning
NEFROLOGY
WRITTEN TEST
MULTIPLE CHOICE QUESTIONS
50 QUESTIONS :
POINTS <18 = TEST FAILED
POINTS >44 = MAXIMA

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UROLOGY
WRITTEN TEST : 30 MULTIPLE CHOICE QUESTIONS / 30 MINUTES
ORAL EXAMINATION
Texts
NEFROLOGY
HARRISON'S PRINCIPLES OF INTERNAL MEDICINE
OR
GOLDMAN'S CECIL MEDICINE

UROLOGY

MANUALE DI UROLOGIA E ANDROLOGIA , ED PACINI , PISA
COST 30,00 €
FOR CONSULTATION PURPOSE :
SMITH‘S UROLOGY, MC GRAW- HILL
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