Paediatrics
Code: 102935 ECTS Credits: 11| Degree | Type | Year | Semester |
|---|---|---|---|
| 2502442 Medicine | OB | 5 | 0 |
Contact
- Name:
- Carlos Rodrigo Gonzalo de Liria
- Email:
- carlos.rodrigo@uab.cat
Use of Languages
- Principal working language:
- catalan (cat)
- Some groups entirely in English:
- No
- Some groups entirely in Catalan:
- No
- Some groups entirely in Spanish:
- No
Teachers
- Antonio Moreno Galdo
- Susana Boronat Guerrero
- Raquel Corripio Collado
Prerequisites
The student has had to acquire basic skills in all preclinical subjects.
The student will acquire the commitment to preserve the confidentiality and professional secrecy of the data to which he / she may have access as a consequence of the learning in the assistance services. He will also maintain an attitude of professional ethics in all his actions.
Objectives and Contextualisation
This subject is programmed in the 5th year of the Degree in Medicine when the student has already acquired the basic knowledge about the structure and function of the human body, on the physiopathological bases of health and disease and has also known certain aspects of the pathology of the human body. adult in its medical and surgical aspects, particularly those related to obstetrics.
The general objective is to know the development and the nutritional, affective and social needs of the child from birth to adulthood, emphasizing the different stages of evolution: newborn, lactating, school and adolescent.
The specific objectives are to know the physical examination of the child as well as the incidence of the various pathologies, forms of clinical presentation and treatment in each of the stages discussed above.
Competences
- Accept one's role in actions to prevent or protect against diseases, injuries or accidents and to maintain and promote health, on both personal and community-wide levels.
- Convey knowledge and techniques to professionals working in other fields.
- Demonstrate understanding of the manifestations of the illness in the structure and function of the human body.
- Demonstrate understanding of the structure and function of the human organism in illness, at different stages in life and in both sexes.
- Empathise and establish efficient interpersonal communication with patients, family-members, accompanying persons, doctors and other healthcare professionals.
- 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.
- 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.
- Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
- 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.
- Organise and plan time and workload in professional activity.
- 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.
- Recognise the effects of growth, development and ageing on individuals and their social environment.
- Use information and communication technologies in professional practice.
Learning Outcomes
- Convey knowledge and techniques to professionals working in other fields.
- Convey medical information appropriately.
- Differential diagnosis of major diseases affecting children in each of the different stages of development: newborn (premature and term), breastfeeding, childhood, puberty and adolescence.
- Distinguish specific clinical manifestations of the most common diseases in each of the different stages of development: newborn (premature and term), breastfeeding, childhood, puberty and adolescence.
- Explain the diagnostic and therapeutic procedures of the most common diseases in each of the different stages of development: newborn (premature and term), breastfeeding, childhood, puberty and adolescence.
- Formulate hypotheses and compile and critically assess information for problem-solving, using the scientific method.
- Identify normal patterns of growth and development from birth to adulthood.
- Identify the main actors and insults causing disease in each of the different stages of development: newborn (premature and term), breastfeeding, childhood, puberty and adolescence.
- Identify the preventive aspects of the most common diseases in each of the different stages of development: newborn (premature and term), breastfeeding, childhood, puberty and adolescence.
- Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
- Make medical history and diagnostic orientation of the major diseases affecting children in each of the different stages of development: newborn (premature and term), breastfeeding, childhood, puberty and adolescence.
- Organise and plan time and workload in professional activity.
- Organize nutrition and child dietary.
- Perform physical examination and diagnostic orientation of the major diseases affecting children in each of the different stages of development: newborn (premature and term), breastfeeding, childhood, puberty and adolescence.
- Perform physical examination of the healthy child in each of the different stages of development: newborn (premature and term), breastfeeding, childhood, puberty and adolescence.
- Perform well-child medical history in each of the different stages of development: newborn (premature and term), breastfeeding, childhood, puberty and adolescence.
- Use information and communication technologies in professional practice.
Content
A. Growth and development, Nutrition, Social Pediatrics
1. Presentation of the subject. Growth in several stages. Pubertal development
2. Psychomotor development.
3. Nutritional needs during pediatric age. Food intolerances and allergies.
4. Accidents and poisonings. Sudden death.
5. Child abuse and abuse.
B. Neonatology, Metabolopathies, Genetics
6. Assessment of the newborn. Prematurity. Intrauterine growth retardation. Post-term.
Cardio-respiratory adaptation to extrauterine life.
7. Neonatal infection.
8. Digestive obstruction of the NN. Necrotizing enterocolitis. Hirschprung's disease.
9. Maternal diseases during pregnancy with influence on perinatal health. Secondary injuries in childbirth.
10. Neonatal respiratory distress.
11. Neonatal jaundice. Newborn metabolic disorders.
12. Developmental and family-focused neonatal care. Strategies to ensure the safety of the newborn.
13. Introduction to pediatric minority diseases. Hereditary metabolic diseases. Early neonatal diagnosis.
14 .. Chromosomal and genetic alterations. Genetic counseling. Congenital malformations.
C. Immunity, Infections, Rheumatology
15. Congenital and acquired immunodeficiencies
16. Vertically transmitted infections
17. Exanthematous viral infections; herpesvirus infections; enterovirus infections. Encephalitis.
18. Meningitis. Sepsis and septic shock. Toxic shock
19Mycobacterial infections. Osteoarticular infections
20. Pediatric rheumatic diseases. Juvenile idiopathic arthritis.
21. Rheumatic fever. Kawasaki disease. Other rheumatic diseases.
D. Cardiology, Digestive, Respiratory, Nephro-Urology, Hematology and Oncology, Neurology, Endocrinology
22. Generalities of congenital heart diseases. Heart failure. Functional buff.
23. Congenital heart diseases with cyanosis and without cyanosis.
24. Cardiomyopathies. Pericarditis. Endocarditis. Arrhythmias and driving disorders.
25. Nutritional disorders. Malnutrition and malnutrition.
26. Obesity.
27. Prolonged diarrhea. Celiac disease. Chronic inflammatory bowel disease in childhood.
28. Vomiting. Gastroesophageal reflux. Pyloric stenosis.
29. Acute gastroenteritis. Dehydration.
30. Acute and chronic liver diseases. Bile duct pathology.
31. Upper respiratory tract infections.
32. Infections of the lower respiratory tract (bronchiolitis, pneumonia). Lung malformations
33. Chronic pneumonia. Cystic fibrosis.
34. Bronchial asthma.
35. Urinary tract infection. Congenital pathology of the kidney and urinary tract.
36. Glomerulopathies. Nephrotic syndrome and nephritic syndrome.
37. Renal tubular alterations. High blood pressure.
38. Acute and chronic renal failure. Hemolytic-uremic syndrome.
39. Anemic syndrome. Causes of anemia. Iron deficiency anemia in childhood.
40. Neutropenia.
41. Coagulopathies and platelet alterations.
42. Leukemias in childhood. Transplantation of hematopoietic progenitors.
43. Lymphomas. Diseases of the monocytic-macrophage system.
44. Infantile solid tumors.
45. Epilepsy and paroxysmal neurological disorders.
46. Malformations of the central nervous system. Neurocutaneous diseases. Neurodevelopmental disorders. Intellectual disability. Autism.
47. Acquired brain damage. Static encephalopathy. Endocranial hypertension. Coma.
48. Genetically based neurological and neurodegenerative minority diseases.
49. Neuromuscular diseases.
50. Growth problems. Pituitary pathology.
51. Early puberty. Pubertal delay.
52. Hypoglycemia. Diabetes.
53. Sexual differentiation disorders. Problems related to gender identity.
54. Thyroid pathology in childhood.
55. Congenital adrenal hyperplasia. Adrenal insufficiency. Hypercortisolisms.
Specialized seminars (SESP typology) Scheduled sessions: 10 sessions of1hour
1. Healthy Child Health Reviews. Food in childhood.
2. Identification, stabilization and initial treatment of the child in serious condition. Pediatric life support
3. Neonatal cyanosis
4. Acute respiratory failure.
5. Abdominal pain. Acute abdomen. Digestive hemorrhage.
6. Immunizations in pediatrics
7. Acute febrile syndrome.
8. Febrile recurrence syndrome. Prolonged febrile syndrome.
9. Main infectious syndromes and use of antibiotics.
10. Weight and stature retardation.
Clinical practices
Clinical care practices. They will be done in groups of 2 students. Total: 58.75 hours (3 hours x 19 days, 1.75 hours x 1 day). The students will go to the facilities of the hospitalization rooms, external consultations or examination cabinets.
Week 1:
Practical introduction seminar
0.75 hours
Classroom Service
Week 1 (1 hour x 1 Day + 3 hours x 4 Days): Neonatology and General Pediatrics
13 hours
Pediatric Hospitalization Room
Week 2 (3 hours x 5 Days): General Pediatrics
15 hours
Hospitalization room pediatric. Unit of Pediatric External Consultations
Week 3 (3 hours x 5 Days): General Pediatrics and Emergencies
15 hours
Hospitalization room pediatric.
Pediatric Emergency Unit
Week 4 (3 hours x 5 days): Pediatric specialties
15 hours
Hospitalization room pediatric. Unit of Pediatric External Consultations
AUTONOMOUS ACTIVITIES
Comprehensive reading of texts and articles, study and realization of schemes, summary and conceptual assimilation of the contents. 100 hours
Preparation of Seminars and clinical cases. 37.5 hours
Methodology
This Guide describes the framework, contents, methodology and general rules of the subject, in accordance with the current curriculum. The final organization of the subject in terms of the number and size of the groups, distribution in the calendar and dates of examinations, specific evaluation criteria and review of exams, will be specified in each of the Hospital Teaching Units (UDH), which they will make explicit through their web pages and the first day of class of each subject through the professors responsible for the subject at the UDH.
For this course, the professors appointed by the Departments as responsible for the subject at the Faculty and the UDH level are:
Department responsible: Departament of Pediatrics, Obstetrics and Gynecology, Preventive Medicine and Public Health
Faculty responsible: carlos Rodrigo Gonzalo de Liria carlos.rodrigo@uab.cat
Responsible UDH
Responsible UDHGTP: Carlos Rodrigo Gonzalo de Liria
(carlos.rodrigo@uab.cat)
Responsible UDHVH: Antonio Moreno Galdó (amoreno@vhebron.net)
Responsible UDHSP: Susana Boronat Guerrero (sboronat@santpau.cat
Responsible UDHPT: Raquel Corripio Collado (rcorripio@tauli.cat)
In certain exceptional circumstances, at the discretion of the teachers and also depending on the resources availableand 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.
Annotation: Within the schedule set by the centre or degree programme, 15 minutes of one class will be reserved for students to evaluate their lecturers and their courses or modules through questionnaires.
Activities
| Title | Hours | ECTS | Learning Outcomes |
|---|---|---|---|
| Type: Directed | |||
| CLINICAL ASSISTANCE PRACTICES | 58.75 | 2.35 | |
| SPECIALIZED SEMINARS | 10 | 0.4 | |
| THEORY | 55 | 2.2 | |
| Type: Autonomous | |||
| WORK PREPARATION / PERSONAL STUDY | 137.5 | 5.5 |
Assessment
The relative weight of the practical and theoretical evaluation is 30% and 70% respectively
1. - Evaluation of the practices. It includes:
a) Elaboration of the clinical history
b) physical examination
c) complementary explorations
d) interpretation of clinical cases
The maximum number of absences allowed not justified in order to evaluate the competences acquired during practical teaching is 2. Any other absence must be justified.
2.- Evaluation of the theory and seminars. It includes:
a) Theoretical knowledge: short questions and / or test type
b) In the partial exams to be released, 60% or more of the grade will be required.
3.- Final qualification
Weighted sum of the practical evaluation (30%) and the theoretical knowledge (70%)
Students who have not passed the course through the continuous assessment may be submitted to a recovery exam.
4.- Examination review system
The review of the exams will be done individually with the student in the established terms.
5.- The students who do not perform the theoretical and practical assessment tests will be considered as not evaluable, exhausting the rights to the registration of the subject
Assessment Activities
| Title | Weighting | Hours | ECTS | Learning Outcomes |
|---|---|---|---|---|
| Assessments written through objective tests: Multiple choice items / Tests of restricted questions | Evaluations written by means of objective tests: Multiple choice items / Essay tests: of restricted questions | 9.65 | 0.39 | 4, 5, 6, 9, 7, 8, 13, 3 |
| Practical type evaluations: Objective and structured clinical evaluation | 30% | 4.1 | 0.16 | 2, 1, 6, 10, 12, 15, 14, 16, 11, 3, 17 |
Bibliography
- Nelson Textbook of Pediatrics. 21 ed.. Elsevier Science 2019
- Nelson Tratado de Pediatría, 21 ed. Elsevier 2020
- Nelson Essentials of Pediatrics 9th ed. 2023
- Nelson Pediatría Esencial 2018
- Cruz. Tratado de Pediatría. 11ª edición. Editorial médica panamericana 2018
Internet
- http://www.aeped.es/protocolos/index.htm
- http://www.ncbi.nlm.nih.gov/omim/ (base de dades de malalties genètiques)
Software
No requiered