GASTROINTESTINAL AND HEPATIC DISEASES

Alessandro PUZZIELLO GASTROINTESTINAL AND HEPATIC DISEASES

1060100089
DEPARTMENT OF MEDICINE, SURGERY AND DENTISTRY "SALERNITANA MEDICAL SCHOOL"
EQF7
MEDICINE AND SURGERY
2024/2025

OBBLIGATORIO
YEAR OF COURSE 4
YEAR OF DIDACTIC SYSTEM 2016
AUTUMN SEMESTER
CFUHOURSACTIVITY
1MALATTIE DEL SISTEMA ENDOCRINO E DELL’APPARATO DIGERENTE - MOD. GASTROENTEROLOGIA
448LESSONS
2MALATTIE DEL SISTEMA ENDOCRINO E DELL’APPARATO DIGERENTE - MOD. MALATTIE DEL SISTEMA ENDOCRINO
336LESSONS
3MALATTIE DEL SISTEMA ENDOCRINO E DELL’APPARATO DIGERENTE - MOD. CHIRURGIA GENERALE
112LESSONS
4MALATTIE DEL SISTEMA ENDOCRINO E DELL’APPARATO DIGERENTE - MOD. SOCIOLOGIA
112LESSONS
5MALATTIE DEL SISTEMA ENDOCRINO E DELL’APPARATO DIGERENTE AFP - MOD GASTROENTEROLOGIA
125INTERNAL STAGE
6MALATTIE DEL SISTEMA ENDOCRINO E DELL’APPARATO DIGERENTE AFP - MOD ENDOCRINOLOGIA
125INTERNAL STAGE
Objectives
APPROACH TO GASTROINTESTINAL AND HEPATIC DISEASES, ENDOCRINE DISEASES, THE INDICATIONS TO SURGERY AND THE SOCIOLOGICAL ASPECTS

THE COURSE AIMS TO PROMOTE THE UNDERSTANDING AND LEARNING OF THE PATHOPHYSIOLOGY OF THE ENDOCRINE AND METABOLIC SYSTEM AND ITS CORRELATIONS WITH CLINICAL PRACTICE. THE STUDENT WILL LEARN TO PLACE THE KNOWLEDGE OF PATHOPHYSIOLOGY OF THE ENDOCRINE SYSTEM IN THE CLINICAL CONTEXT. IT WILL LEARN TO RECOGNIZE THE CLINICAL ELEMENTS OF ENDOCRINE DISEASES AND TO APPLY AND EVALUATE THE APPROPRIATE DIAGNOSTIC PROCEDURES, ACCORDING TO THE STANDARDS OF GOOD CLINICAL PRACTICE.

ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING

- ABILITY TO INTERPRET THE MAIN DYNAMIC TESTS: ARGININE TEST, HYPOGLYCEMIA AND GHRH, OGTT, RHTSH X TG, DEXAMETHASONE, THIRST TEST
- ABILITY TO INTERPRET THE MAIN IMAGING AND INSTRUMENTAL STUDIES: THYROID ULTRASOUND, PARATHYROID, ADRENAL, OVARIAN, THYROID SCINTIGRAPHY, PARATHYROID, ADRENAL, MR AND PITUITARY, ADRENAL CT,
- ABILITY TO DIAGNOSE ON THE BASIS OF THE ANAMNESIS AND FAMILIARITY
- ABILITY TO DIAGNOSE BASED ON SYMPTOMS AND SIGNS
- ABILITY TO DIAGNOSE ON THE BASIS OF BIOCHEMICAL-HORMONAL FRAMEWORKS
- DIAGNOSTIC ORIENTATION SKILLS BASED ON INSTRUMENTAL IMAGING AND FUNCTIONAL FINDINGS
Prerequisites
GOOD KNOWLEDGE OF ANATOMY AND PATHOLOGY.

STUDENT MUST HAVE PASSED THE PATHOLOGY AND PHYSIOPATHOLOGY; FARMACOLOGY AND CLINICAL AND SURGICAL METHODOLOGY TEST.
Contents
GASTROINTESTINAL AND HEPATIC DISEASES

THE STUDENT WILL LEARN THE GENERAL CONCEPTS OF ENDOCRINOLOGY, THE PATHOPHYSIOLOGY OF THE MAIN ENDOCRINE GLANDS AND THE ELEMENTS OF ETIOLOGY, PATHOGENESIS, SYMPTOMATOLOGY, CLINICAL AND INSTRUMENTAL SEMEIOTICS OF THE MAIN ENDOCRINE DISEASES.

1. HORMONE SYNTHESIS AND SECRETION, REGULATION, BIOLOGICAL RHYTHMS, MECHANISMS OF HORMONAL ACTION, RECEPTORS.
2. HYPOTHALAMIC-PITUITARY DISEASES: ANTEROIPIPHYSEAL HYPERFUNCTION AND HYPOFUNCTION, HYPOPHYSEAL TUMORS. INSIPID DIABETES. SYNDROME OF INAPPROPRIATE SECRETION OF ADH. HYPERPROLACTINEMIA. ACROMEGALY, SHORT STATURE AND DWARFISM.
3. DISEASES OF CORTICOSTEROIDS: INCIDENTAL SYMPTOMS, HYPER-ADRENOCORTICAL DISEASES, ACUTE AND CHRONIC ADRENAL INSUFFICIENCY. HIRSUTISM AND VIRILISM. CONGENITAL ADRENAL HYPERPLASIA. HYPERALDOSTERONISM, PHEOCHROMOCYTOMA, ENDOCRINE ARTERIAL HYPERTENSION.
4. THYROID DISEASES: HYPO AND HYPERTHYROIDISM, BENIGN THYROID NODULES, THYROID CANCER, THYROID AUTOIMMUNITY, M. OF BASEDOW, THYROIDITIS.
5. DISEASES OF PARATHYROIDS AND CALCIUM METABOLISM: HYPER- AND HYPOPARATHYROIDISM, HYPER- AND HYPOCALCEMIA, OSTEOPOROSIS.
6. AUTOIMMUNE AND NEOPLASTIC POLYOLENDOCRINOPATHIES (MEN).
7. DISORDERS OF GROWTH AND PUBERTY. ENDOCRINE DISEASES OF THE GONADS: PRIMITIVE AND SECONDARY HYPOGONADISM. OLIGOMENORRHEA AND AMENORRHEA, MEDICAL ANDROLOGY: ERECTILE DYSFUNCTION. POLYCYSTIC OVARY SYNDROME. OVARIAN AND TESTICULAR NEOPLASMS.
8. DISORDERS OF THE PURINE AND LIPOPROTEIN METABOLISM. MONO- AND MULTIFACTORIAL GENETIC HYPERCHOLESTEROLEMIA. FAMILY AND SECONDARY HYPERTRIGLYCERIDEMIA. METABOLIC SYNDROME. DISORDERS OF EATING BEHAVIOR, OBESITY AND THINNESS.
9. HYPOGLYCEMIC SYNDROMES. DIABETES MELLITUS AND ITS ACUTE AND CHRONIC COMPLICATIONS.
Teaching Methods
ADE SEMINARS AND SMALL GROUP TEACHING - BEDSIDE TEACHING
Verification of learning
WRITTEN EXAMINATION: BASIC KNOWLEDGE OF SYSTEM AND DISEASES
ORAL EXAM. IT STARTS WITH THE DISCUSSION UPON A CLINICAL CASE, TO EVALUATE THE ABILITY OF THE CANDIDATE OF IDENTIFYING THE SYMPTOMS, TO ASK FOR DIAGNOSTIC PROCEDURES, TO FORMULATE A POSSIBLE DIAGNOSIS AND TO ENUNCIATE PRINCIPLES OF THERAPY
Texts
MANUALE DI GASTROENTEROLOGIA. UNIGASTRO 2019-2021
EDITORE: IL PENSIERO SCIENTIFICO
DATA DI PUBBLICAZIONE: 2018

More Information
EXAM: A CLINICAL CASE TO DISCUSS
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