Medicine and Surgery III
Code: 103607 ECTS Credits: 13| Degree | Type | Year | Semester |
|---|---|---|---|
| 2502442 Medicine | OB | 4 | 0 |
Contact
- Name:
- Manuel Armengol Carrasco
- Email:
- Manuel.Armengol@uab.cat
Use of Languages
- Principal working language:
- catalan (cat)
- Some groups entirely in English:
- No
- Some groups entirely in Catalan:
- Yes
- Some groups entirely in Spanish:
- No
Teachers
- Carlos Guarner Aguilar
- Javier Serra Aracíl
- Víctor Vargas Blasco
- Ramón Miralles Basseda
- Eduardo María Targarona Soler
- Javier Calvet Calvo
- María Isabel Troya Saborido
- David Pares Martínez
- Olga Herminia Torres Bonafonte
Prerequisites
Students taking this subject must to have basic knowledge of general pathophysiology, digestive, urinary system and the anatomo-physiological bases of the organism to understand the process of aging. It is also essential to have knowledge of human anatomy, genetics, molecular biology, pharmacology. Sufficient knowledge about the psychological basis of health status and disease is recommended. as well as an adequate level of knowledge in interpersonal communication and professional behavior
Objectives and Contextualisation
Digestive system
The fundamental purpose is to study of the sick person of pathologies of the digestive system: knowing and achieve the general competences for assistance in the main surgical and medical diseases of the digestive system in the aspects of physiopathological mechanisms, forms of clinical presentation, differential diagnosis, complementary explorations and therapeutic options.
Nephro-urology
The fundamental purpose is to study of nephro-urological pathologies and supposes, therefore, the knowledge of the general and basic aspects of these diseases. The subject provides a global vision and systematized of the patient. It also covers idiopathic renal diseases, as well as systemic pathology that affect the kidney, to make known the repercussion that causes renal pathology on the rest of the organism.
Geriatrics
The fundamental purpose is to study of the sick elderly person, emphasizing those aspects differentials that appear especially in very advanced stages of life, which includes knowledge of physiological changes that occur in this stage: concept of fragility, main geriatric syndromes, impact of surgery in the elderly and convalescence, more prevalent diseases and health organization
Competences
- Demonstrate understanding of the manifestations of the illness in the structure and function of the human body.
- Demonstrate, in professional activity, a perspective that is critical, creative and research-oriented.
- Establish a diagnostic approach and a well thought-out strategy for action, taking account of the results of the anamnesis and the physical examination, and the results of the appropriate complementary tests carried out subsequently.
- Formulate hypotheses and compile and critically assess information for problem-solving, using the scientific method.
- Give the patient and/or accompanying persons the relevant information about the disease process, its bases and consequences, including bad news, in an appropriate way.
- Indicate the basic diagnosis techniques and procedures and analyse and interpret the results so as to better pinpoint the nature of the problems.
- Indicate the most suitable treatment for the most prevalent acute and chronic processes, and for the terminally ill.
- Obtain and prepare a patient record that contains all important information and is structured and patient-centred, taking into account all age and gender groups and cultural, social and ethnic factors.
- Perform a general and a system-by-system physical examination appropriate to the patient's age and sex, in complete and systematic way, and a mental evaluation.
Learning Outcomes
- Assess modifications to clinical parameters in the different age groups.
- Demonstrate, in professional activity, a perspective that is critical, creative and research-oriented.
- Describe the effects on all organs and systems of diseases of the blood, the cardiovascular system, the digestive system, the respiratory system, the endocrine system, the nervous system, the genitourinary system, infectious pathologies and diseases of the elderly.
- Describe the main pathological situations of the musculoskeletal system, the blood, the cardiovascular system, the digestive system, the respiratory system, the endocrine system, the nervous system, the genitourinary system, infectious pathologies and diseases of the elderly.
- Design the treatment for the main infectious diseases, diseases of the blood, of the elderly, and of the hematopoietic system, the cardiovascular system, the digestive system, the respiratory system, the endocrine system, the nervous system, the renal and genitourinary system, the retroperitoneal system and the musculoskeletal system.
- Explain the mechanisms by which illness affects the structure and function of the human body.
- Formulate hypotheses and compile and critically assess information for problem-solving, using the scientific method.
- Give patients the maximum possible information about their health, diagnostic steps, complementary examinations and treatments in an appropriate way.
- Identify tumour diseases, and the diagnosis and management of these.
- Indicate the complementary examinations for diagnosing the main infectious diseases, diseases of the blood, of the elderly, and of the hematopoietic system, the cardiovascular system, the digestive system, the respiratory system, the endocrine system, the nervous system, the renal and genitourinary system, the retroperitoneal system and the musculoskeletal system.
- Perform a suitable physical examination for the main infectious diseases, diseases of the blood, of the elderly, and of the hematopoietic system, the cardiovascular system, the digestive system, the respiratory system, the endocrine system, the nervous system, the renal and genitourinary system, the retroperitoneal system and the musculoskeletal system.
- State the most probable diagnosis for the main infectious diseases, diseases of the blood, of the elderly, and of the hematopoietic system, the cardiovascular system, the digestive system, the respiratory system, the endocrine system, the nervous system, the renal and genitourinary system, the retroperitoneal system and the musculoskeletal system.
- Write a report giving guidance on diagnosing the main infectious diseases, diseases of the blood, of the elderly, and of the hematopoietic system, the cardiovascular system, the digestive system, the respiratory system, the endocrine system, the nervous system, the renal and genitourinary system, the retroperitoneal system and the musculoskeletal system.
Content
A. Digestive system B.
Theory (55 h)
1) Oral and maxillofacial pathology: most relevant diseases of the oral cavity
2) Malignant and benign tumors of the lip, mouth and tongue
3) Esophagitis, gastro-esophageal reflux and esophageal motor disorders
4) Esophageal tumors
5) Gastritis, H. pylori infection and gastroduodenal ulcer
6) Benign esophageal surgical pathology. Surgical complications of peptic ulcer
7) Gastric tumors
8) Dyspepsia and irritable bowel syndrome
9) Gastrointestinal motor pathology and constipation
10) Intestinal malabsorption syndrome
11) Inflammatory bowel disease
12) Peritonitis. Acute appendicitis
13) Intestinal occlusion
14) Intestinal ischemia
15) Diverticular disease of the colon
16) Intestinal polyposis. Tumors of the small intestine. Colon cancer I
17) Colon and rectal cancer II
18) Benign anorectal pathology
19) Pathology of the abdominal wall
20) Abdominal injuries
21) Acute hepatitis and fulminant hepatic failure
22) Chronic hepatitis: viral and autoimmune
23) Liver diseases due to drugs and toxic substances. Alcoholic liver disease
24) Liver cirrhosis. Ascitis. Spontaneous bacterial peritonitis. Hepatorenal syndrome
25) Portal hypertension. Bleeding from varicose veins Hepatic encephalopathy
26) Non-alcoholic fatty liver and metabolic liver diseases: Wilson and Hemochromatosis
27) Hyperbilirubinemia, hereditary and acquired cholestasis: primary biliary cirrhosis, sclerosing cholangitis
28) Benign and malignant hepatic tumors. Hepatocarcinoma, cholangiocarcinoma
29) Liver surgery
30) Vascular and cystic diseases of the liver. Liver abscess. Liver and pregnancy
31) Cholelithiasis and acute cholecystitis
32) Pathology of the main bile duct. Gallbladder and bile duct neoplasm
33) Acute pancreatitis and chronic pancreatitis
34) Pancreatic cancer and other exocrine tumors
35) Digestive transplants
Specialized seminars (10 h)
1) Dysphagia and pyrosis - Digestive functional examinations
2) Diarrhea/inflammatory bowel disease/malabsorption
3) Digestive hemorrhage
4) Clinical cases of digestive surgical pathology. Acute abdomen
5) Clinical cases of digestive surgical pathology. Proctology
6) Oncological digestive surgery
7) Acute and chronic hepatitis
8) Complications cirrhosis
9) Obstructive jaundice
10) Hepatic space occupying lesions
B. Nephro-urology
Theory (28 h)
1. Obstructive uropathy
2. Hematuria
3. Symptoms of the lower urinary tract
4. Benign prostatic hyperplasia
5. Prostate cancer
6. Renal masses
7. Urothelial tumors
8. Urological traumatisms
9. Urinary lithiasis
10. Benign scrotal pathology
11. Testicular tumors
12. Bladder functional pathology
13. Pathology of the penis
14. Erectile dysfunction
15. Male infertility
16. Chronic kidney disease I
17. Chronic kidney disease II
18. Acute renal failure
19. Substitute treatments in kidney failure
20. Glomerulonephritis I
21. Glomerulonephritis II
22. Vascular nephropathies
23. Interstitial nephropathies I
24. Interstitial nephropathies II
25. Nephropathies secondary to systemic diseases
26. Diabetic nephropathy
27. Other secondary nephropathies
28. Genetic and hereditary diseases
Specialized seminars (8 h)
1. Patient with nephritic colic
2. Patient with acute scrotum
3. Patient with obstructive uropathy
4. Patient with hematuria
5. Glomerular diseases
6. Management of chronic kidney disease. Clinical cases
7. Vascular and vascular pathology. Clinical cases. Practical attitude
8. Kidney transplant. Medical management and immunotherapy. Clinical cases
C. Geriatrics
Theory 20 h
1. Epidemiology of aging. Theories of aging
2. Physiological changes in aging
3. Surgical aspects of the elderly patient I
4. Surgical aspects of the elderly patient II
5. Presentation of diseases in the elderly
6. Fragility, comorbidity and disability. Importance of geriatric prevention
7. Comprehensive Geriatric Evaluation
8. Geriatric Syndromes I
9. Geriatric Syndromes II
10. Drugs in geriatrics
11. Dementias
12. Senile osteoporosis
13. Importance of geriatric prevention
14. Vascular diseases. Clinical atherosclerosis
15. Infections in the elderly
16. Other medical processes prevalent in geriatrics I
17. Other medical processes prevalent in geriatrics II
18. Ethical aspects of medical care in the elderly. Surgical treatment in the elderly
19. Sensory deficits in the elderly
20. Organization of geriatric care
Specialized seminars 6 h
1. Comprehensive geriatric evaluation
2. Screening for cancer in the elderly
3. Clinical research in geriatrics
D. Clinical care practices (40 hours: 20 hours of the Dept. of Medicine, 20 hours of the Dept. of Surgery)
Clinical care practices in medical and surgical field in hospitalization rooms, outpacient basis , operating room, emergency and cabinets.
Methodology
|
Typology |
Hours |
ECTSs |
|
Theory lecture |
83 |
3,32 |
|
Specialized seminars |
24 |
0,96 |
|
Clinical care practices |
40 |
1,6 |
|
Autonomous |
161,7 |
6,47 |
In the current exceptional circumstances, at the discretion of the teachers and also depending on the resources available and the public health situation, some of the theoretical classes, practicals and seminars organized by the Teaching Units may be taught either in person or virtually.
Activities
| Title | Hours | ECTS | Learning Outcomes |
|---|---|---|---|
| Type: Directed | |||
| Clinical care practices | 40 | 1.6 | 2, 3, 4, 5, 11, 6, 12, 7, 9, 10, 8, 13, 1 |
| Specialized seminars | 24 | 0.96 | 2, 3, 4, 5, 11, 6, 12, 7, 9, 10, 8, 13, 1 |
| Theory lecture | 83 | 3.32 | 2, 3, 4, 5, 11, 6, 12, 7, 9, 10, 8, 13, 1 |
| Type: Autonomous | |||
| Self-study/Reading articles/Reports of interest | 161.7 | 6.47 |
Assessment
|
Assesment activity |
Weight |
|
Clinical practice :Open and descriptive records and / or closed records; Narrative records. Seminars and / or problems and / or clinical cases: Evaluation written through objective tests |
30% |
|
Theory Written evaluation through objective tests: selection items; trial tests (extended questions / restricted questions). Evaluation oral |
70% |
|
|
|
Assessment Activities
| Title | Weighting | Hours | ECTS | Learning Outcomes |
|---|---|---|---|---|
| Open and descriptive records and / or closed records; Narrative records. Seminars and / or problems and / or clinical cases: Evaluation written through objective tests | 30% | 6.3 | 0.25 | 2, 3, 4, 5, 11, 6, 12, 7, 9, 10, 8, 13, 1 |
| Written evaluation through objective tests: selection items; trial tests (extended questions / restricted questions). Evaluation oral | 70% | 10 | 0.4 | 2, 3, 4, 5, 11, 6, 12, 7, 9, 10, 8, 13, 1 |
Bibliography
Bibliography can be consulted in the specific programs posted in the web of hospital unit / or in the Virtual Campus.