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Endocrine, Metabolic and Gastroenteric Diseases - Module of General Surgery

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Endocrine, Metabolic and Gastroenteric Diseases - Module of General Surgery

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Academic year 2022/2023

Course ID
SCB0211D
Teacher
Prof. Maurizio Degiuli (Lecturer)
Year
3rd year
Teaching period
To be defined
Type
Basic
Credits/Recognition
1
Course disciplinary sector (SSD)
MED/18 - general surgery
Delivery
Formal authority
Language
English
Attendance
Mandatory
Type of examination
Written and oral
Type of learning unit
modulo
Modular course
Endocrine, Metabolic and Gastroenteric Diseases (SCB0211)
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Sommario del corso

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Course objectives

The course aims to provide elements of a decision-making process that leads to the diagnosis of the main gastrointestinal, endocrinological and metabolic diseases, as well as to the rational setting of both medical and surgical therapy.

The means proposed for this purpose include:

  • The collection of anamnestic data structured by problems;
  • The patient's physical signs;
  • The knowledge of the biotechnological and instrumental resources that can be used, and of their predictive value according to the different contexts of use;
  • The knowledge of the pathophysiological mechanisms involved in the individual diseases;
  • The critical evaluation and the ability to correlate clinical symptoms, physical signs and functional alterations with pathological lesions, interpreting their production mechanisms and understanding their clinical significance;
  • The concept of etiopathogenetic therapy.

 

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Results of learning outcomes

x

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Program

General Surgery Teaching

  • ESOPHAGUS:
    • Physiopathology;
    • Gastro-oesophageal reflux disease and its complications;
    • Primary and secondary motility disorders;
    • Traction and drive diverticula;
    • Dysphagia;
    • Achalasia;
    • Pre-neoplastic lesions and carcinomas.
  • STOMACH:
    • Physiopathology;
    • Dyspepsia;
    • Peptic ulcer, Complicated ulcer disease;
    • Acute and chronic gastritis;
    • Helicobacter Pylori infection;
    • Early gastric cancer;
    • Gastric neoplasias;
    • Acute and chronic upper digestive bleedings.
  • GUT:
    • Physiopathology and clinical manifestations of gut malabsorption;
    • Coeliac disease;
    • Chronic diarrhea;
    • Meckel’s diverticulum;
    • Obstruction;
    • Mesenteric Ischemia.
  • COLON and RECTUM:
    • Physiopathology;
    • Complicated diverticular disease, appendicitis;
    • Appendicular mucocele;
    • Obstruction;
    • Constipation;
    • Colon polyps;
    • Inflammatory bowel diseases: Crohn disease and ulcerative colitis;
    • Colon and rectum neoplasias.
  • PANCREAS:
    • Acute and chronic pancreatitis;
    • Pancreatic cancer.
  • LIVER and GALLBLADDER:
    • Diagnostic flow-chart of liver diseases;
    • Differential diagnosis of jaundice;
    • Acute hepatitis and their evolution;
    • Symptomatic gallbladder calculosis;
    • Liver cirrhosis;
    • Chronic liver failure (ascites, porto-systemic encephalopathy, olyguric liver failure, portal hypertension, etc.);
    • Primary and secondary liver tumors.

main surgical topics: upper and lower GI bleeding; jaundice; bowel obstruction, gallstones, choledocholithiasis, acute and chronic pancreatitis, benign and malignant diseases of the thyroid, acute abdomen, colonic diverticultis, appendicitis, pelvic inflammatory disease, inflammatory bowel diseases, colorectal polyps and polyposis

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Course delivery

lectures will be delivered in classroom

 

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Learning assessment methods

As permitted by the University and the MedInTO Degree Course, from March 2022 all teaching activities and exams will take place in person. On-line exams are guaranteed only in case there are health reasons directly linked to the pandemic (certified fragile subjects, subjects in home isolation). Students must sign-up for the exam on Esse3 and indicate their request for remote examination in the "Notes" field.
The self-certification of the reasons for taking online exams may be subject to verification by the University / Degree Course and the result of the exam may be cancelled in the absence of documentation proving the self-certification.

Unless otherwise specified, the oral examination will be scheduled in the second date of the session. Students have to sign up for both dates by the earlier deadline. As soon as the the final number of Students enrolled to the exam is defined, a detailed calendar and timetable will be provided.

It is not allowed to split the exam. The exam for all the subjects of the course must be taken in the same exam session (i.e. all subjects in January; all subjects in February; all subjects in April and so on).

 

There will be a written test with 100 multiple choice questions (1 correct answer out of 3 or 4 possibilities) divided by discipline:

  • Endocrinology: 30
  • Gastroenterology: 30
  • Internal Medicine: 30 (10 for each module)
  • General Surgery: 10

1 point for correct answer, no penalty for wrong answers.

With a score equal to or greater than 59 (60% overall) the test will be considered passed and the student will have access to the oral exam (second of the two scheduled dates of the session). Oral exam has to be taken within the ongoing exam session.

If a student fails the oral exam or does not complete the oral exam within the ongoing exam session, then the written test must be retaken. In the event a student fails the oral exam only in one discipline, he/she has the opportunity to re-take only the insufficient part during the next exam session. A student with two or more insufficient marks has to take all the subjects in the following exam sessions.

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Support activities

videoclips, eventual Live surgery from OR

Suggested readings and bibliography



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Libro
Titolo:  
Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice
Anno pubblicazione:  
2021
Editore:  
Elsevier
Autore:  
M.D. Townsend, Courtney M, Jr
Obbligatorio:  
No
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