Ateneo - UPO

- From symptoms to diagnosis: the concept of sign and symptom; clinical methodology; - Constitutional symptoms (B symptoms) and vital parameters: fever, fatigue, weight loss, night sweats; body temperature;heart rate and respiratory rate, oxygen saturation. - Main symptoms of cardiovascular diseases; shoch; heart failure; thromboembolic diseases; arterial hypertension and cardiovascular diseases; - Arthralgias, osteoarthritis and arthritis; - Sepsis - Cough; hemoptysis; COPD, asthma; smoke related health issues; - Symptoms of gastrointestinal diseases; gastrointestinal bleeding; malabsorption; celiac disease; IBD - Liver diseases; jaudice, ascites, chronic liver diseases.

Medicina Interna 4/ed. [Massini – McGraw-Hill] di Massini Renato, Izzi Donatello, Marchetti Patrizia, Passaretti Francesca, Recine Umberto ean: 9788838636660 | MCGRAW-HILL | 2009 - Infermieristica medico-chirurgica BRUNNER SUDDARTH

To learn the epidemiology and the principles of prevention of the morbid conditions related to the internist pathology; learn the classification and systematic description of the internist illnesses that are most imposing, from theirs pathogenesis to clinical presentation and therapy.

Knowledge of the mechanisms of adaptation to the disease and understanding of the most important and common symptoms and clinical signs in relation to the physiopathological process that generates them. Ability in the collection of elements of clinical evaluation of the patient such as medical history and physical examination. ability to know the most common diseases of international interest, will also be examined some main signs and symptoms.

Frontal lessons and clinical cases.

Students with physical disabilities, Learning Disabilities or Special Education Needs can request specific services and tools via the Staff Sviluppo e Coordinamento Carriere e Servizi alle Studentesse e agli Studenti, consulting the University webpage: https://www.uniupo.it/en/services/services- students-physical-or-learning-disabilities Students with disabilities, learning disabilities or special education needs, once they have contacted the University Staff, can refer to the tutor in charge of the course to define the examination modalities, concerning academic aspects

The learning evaluation will include both a written and an oral test. The written exam consists of 50 multiple-choice questions (MCQ) (just one right answer choice). 40 questions will investigate knowledge, applied understanding and independent judgment through the administration of integrated clinical cases. 10 questions will investigate the knowledge and ability to understand the discipline of pharmacology and in-depth analysis of the same. Time available: 60 minutes. Passing threshold of 60%, equivalent to 30 correct answers from the entire course. Passing the written test grants access to the oral exam, which analyzes a clinical case. The oral exam is scored out of 30 and evaluates the student's ability to understand applied, independent judgement, communication skills and the ability to learn. A score of 18/30 is considered passed, and if not passed, the whole exam must be repeated (written plus oral). Time available: 15 minutes. The final certification evaluation is determined by the average of the written and oral tests.

Doctor's tools: History and physical examination, laboratory and instrumental examinations, the medical record. The method for making diagnoses: semeiotics and clinical methodology. The relationship between doctor-nurse-patient. It starts from the symptom, to get to the diagnosis. The most common symptoms and signs and their pathophysiology: dyspnea, chest pain, fever, shock, vomiting, diarrhea, hematemesis-melena, jaundice, edema, ascites, petechiae, bruises and hematomas. The most common diseases of international relevance (epidemiology and clinical): cardiovascular diseases, infectious diseases, respiratory diseases, gastro-intestinal and hepatic diseases, immunological and rheumatological diseases.

At the end of the course the student will be able to: acquire the knowledge to identify and describe the signs and symptoms of internal disease (Knowledge and comprehension skills).