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2022/2023

Pathological Clinical Concepts Diagnosis Techniques

Code: 103015 ECTS Credits: 6
Degree Type Year Semester
2500892 Physiotherapy FB 2 1

Contact

Name:
Roser Belmonte Martinez
Email:
roser.belmonte@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

Miguel Angel Rubio Perez

External teachers

Cindry Ramirez Fuentes

Prerequisites

Students taking this subject should know basics of Biochemistry, Physiology and Human Anatomy in order to interpret the concepts of diseases that are susceptible to physiotherapy treatment.

Objectives and Contextualisation

The basic objectives are that students are able:

-        To understand the most prevalent physiological and functional changes of the organs and systems in order to understand the basic concepts of medical and surgical diseases.

-        To recognize and interpret the symptoms and the alarm signs derived from illnesses in the field of knowledge involved in physiotherapy.

Competences

  • Act with ethical responsibility and respect for fundamental rights and duties, diversity and democratic values.
  • Analyse and synthesise.
  • Display knowledge of the morphology, physiology, pathology and conduct of both healthy and sick people, in the natural and social environment.
  • Make changes to methods and processes in the area of knowledge in order to provide innovative responses to society's needs and demands.
  • Take account of social, economic and environmental impacts when operating within one's own area of knowledge.
  • Take sex- or gender-based inequalities into consideration when operating within one's own area of knowledge.

Learning Outcomes

  1. Analyse a situation and identify its points for improvement.
  2. Analyse and synthesise.
  3. Analyse the sex- or gender-based inequalities and the gender biases present in one's own area of knowledge.
  4. Consider how gender stereotypes and roles impinge on the exercise of the profession.
  5. Critically analyse the principles, values and procedures that govern the exercise of the profession.
  6. Explain the explicit or implicit code of practice of one's own area of knowledge.
  7. Explain the physiopathology of the principal diseases that can be treated by physiotherapy and identify the symptoms that appear during the process.
  8. Identify situations in which a change or improvement is needed.
  9. Identify the social, economic and environmental implications of academic and professional activities within one?s own area of knowledge.
  10. Propose new methods or well-founded alternative solutions.
  11. Propose new ways to measure success or failure when implementing innovative proposals or ideas.
  12. Propose projects and actions in accordance with the principles of ethical responsibility and respect for fundamental rights, diversity and democratic values.
  13. Propose projects and actions that incorporate the gender perspective.
  14. Weigh up the impact of any long- or short-term difficulty, harm or discrimination that could be caused to certain persons or groups by the actions or projects.
  15. Weigh up the risks and opportunities of suggestions for improvement: one's own and those of others.

Content

Dr. Miguel Angel Rubio

miguelangel.rubiop@e-campus.uab.cat

 

UNIT 1 GENERALITIES

General Pathology, concept and relationship with other disciplines. The sick human being. Concepts of health and illness. Concepts of nosology, nosothagia, pathocronia, etiology, pathogenesis, semiology, physiopathology, semiotics.

 

UNIT 2 PATHOLOGICAL MECHANISMS AND AGING

The living, mechanical, physical and chemical agents as a cause of illness. Endogenous factors of the disease: general principles of genetics. Types of genetic diseases. Constitution and illness. Immunological mechanisms of the disease.

Cell injury and cell death. Aging: physiological and pathological aspects.

 

UNIT 3 SEMIOLOGY

General symptoms. Pathophysiology of pain, definition, type and general semiology. Fever: concept, causes and mechanisms. Febrile syndrome.  Inflammation: concept, causes, types, mediators and clinical manifestations. Edema: concept, pathogenesis and semiology.

 

UNIT 4 RESPIRATORY PATHOLOGY

Anatomical and functional aspects of the respiratory system. Ventilation control mechanisms. Ventilation disorders. Disorders of obstructive and restrictive ventilation. Diffusion disorders. Alveolar-capillary exchange disorders. Perfusion disorders and their relationship of ventilation / perfusion.

Hypoxia. Types of hypoxia. Hypoxia compensation mechanisms. Consequences of hypoxia. Concept and physiopathology of cyanosis. Types of cyanosis: central or arterial and peripheral or venous. Hypercapnia: concept, mechanisms, causes and consequences.

Pathophysiology of dyspnea and respiratory rhythm disorders. Concept, evaluation and mechanisms of dyspnea.  Dyspnea more frequent causes and clinical implications.

Main symptoms of the respiratory system pathology. Mechanisms and causes, semiology meaning of cough, sneeze, expectoration and hemoptysis. Thoracic pain. Clubbing and asterixi.

Pathophysiology of pulmonary circulation. Thromboembolism and pulmonary infarction. Pulmonary hypertension: concept, mechanisms, causes and consequences. Pulmonary edema: concept, mechanisms, causes and consequences.

Respiratory system syndromes. Respiratory insufficiency: concept and pathophysiologic classification. Respiratory insufficiency with and without hypercapnia. Ethiopathogenic classification.

Pathophysiology of main pulmonary syndromes: emphysema, atelectasis, condensation, fibrosis and cavitation. Aerial hyperactivity syndrome. Bronchitis. Bronchial asthma. Chronic obstructive pulmonary disease (COPD).

Physical examination of the respiratory system. Other diagnostic procedures: radiology, and pulmonary function tests.

 

UNIT 5  CARDIO CIRCULATORY PATHOLOGY

Anatomical and functional basis of the cardiovascular system. The heart cycle. Heart output: influential factors. Mechanisms of compensation for heart failure: Hypertrophy. Tachycardia Increased contractility.

Pathophysiology of cardiac rhythm and heart rate disorders. Mechanisms and causes of arrhythmias. Pathophysiology of blood pressure. Hypertension: mechanisms, causes and consequences. Hypotension: mechanisms, causes and consequences.

Chronic widespread circulatory insufficiency syndrome: congestive heart failure. Acute generalized circulatory insufficiency syndrome: shock and syncope.

LocalizeAL PATHOLOGYd circulatory insufficiency syndrome: coronary insufficiency. Circulatory insufficiency of limbs.

Physical examination of the circulatory system. Diagnostic tests: electrocardiography, echocardiography, cardiopulmonary exercise testing.

 

UNIT 6 NEUROLOGICAL PATHOLOGY

Anatomic and functional basis of the nervous system. Pathophysiology of the cerebrospinal fluid. Meningeal syndrome. Endocraneal hypertension syndrome.

Pathophysiology of consciousness. The sleep. The coma. Pathophysiology of the vegetative nervous System.

Pathophysiology of the peripheral nervous system. Main disorders of the peripheral nervous system.

Pathophysiology of the neuromuscular junction.  Muscle and neuromuscular junction disorders. Signs and symptoms of muscular pathology: weakness, fatigue, muscle atrophy, sarcopenia. Myasthenia and myopathy syndromes.

 

 

Dra. R Belmonte; Roser.Belmonte@uab.cat

 

UNIT 7 ONCOLOGICAL PATHOLOGY

General pathology of neoplasms. Carcinogenesis and neoplasm invasion. Cancer syndrome Paraneoplastic syndrome

Main cancer types: breast, prostate, colon, lung.

 

UNIT 8 URINARY SYSTEM PATHOLOGY

Urinary semiology: dysuria, polaquiuria, urinary retention. Pathophysiology of the urinary tract.

Anatomical and functional basis of urinary continence. Pathophysiology of urinary incontinence. Clinical classification and evaluation of urinary incontinence. Child urinary incontinence: enuresis.

 

UNIT 9 HEMATOLOGICAL PATHOLOGY

Pathophysiology of red blood cells (erythrocytes). Anemic syndrome and polycythemic syndrome.

Pathophysiology of white blood cells (leukocytes) and lymphocytes. Leukemia Myeloproliferative syndromes.

Pathophysiology of hemostasis. Hemorrhagic diathesis. Thrombotic diathesis.

 

UNIT 10 

Pathophysiology of the endocrine system. Pathophysiology ofthe hypothalamus pituitary axis. Pathophysiology of growth and development.

Physiopathology of glucide metabolism. Diabetes. 

Complications of diabetes.

Pathophysiology of lipid metabolism. Dyslipidemia. Pathophysiology of the metabolism of proteins. Obesity and malnutrition

 

UNIT 11 DIGESTIVE PATHOLOGY

General pathophysiology of digestive motility, digestion and absorption of the digestive tract. Diarrhea.  Constipation.

Main symptoms of the digestive system: pain, dysphagia, nail biting, heartburn, ptyalism, sialorrhea, vomiting, regurgitation. Hematemesis and melena. Gastrointestinal bleeding.

Hepatocellular failure syndrome. Portal hypertension syndrome.

Jaundice and cholestasis. Diagnostic exam and test of the digestive system.

 

UNIT 12 ARTICULAR OSTEO PATHOLOGY

Pathophysiology of bone tissue. Congenital bone diseases. Acquired bone diseases: nutrition, metabolism, osteoporosis, Paget's disease.

Pathophysiology of the joints. Inflammatory and degenerative disorders: arthritis and arthrosis.

Complementary explorations of the locomotive system: radiology, computerized tomography, magnetic resonance, ultrasound.

Methodology

The subject contains theory, classroom practices and self study. 

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      
CLASSROOM PRACTICES 6 0.24 2, 7
THEORY 39 1.56 2, 7
Type: Autonomous      
PREPARATION OF WRITTEN WORKS 30 1.2 2, 7
READING ARTICLES / REPORTS OF INTEREST 13 0.52 2, 7
SELF-STUDY 60 2.4 2, 7

Assessment

Tipology

Duration 

Description of the evaluation tests 

Evaluation criteria 

% of final Grade

 Written exam 1

30 minutes 

Objective test of item selection. Test of 25 questions, with 4 options per question, of which 1 is correct.

 

Each question correctly answered adds 1 point. Each question  erroneously answered subtracts 0.33 points. Unanswered questions will not score.

If the student does not present the test, it will be considered non-evaluable.

Minimum grade to pass: 50% of the possible score. 

 40%

Written exam 2

30 minutes 

Objective test of item selection. Test of 25 questions, with 4 options per question, of which 1 is correct.

Each question correctly answered adds 1 point. Each question  erroneously answered subtracts 0.33 points. Unanswered questions will not score.

If the student does not present the test, it will be considered non-evaluable.

Minimum grade to pass: 50% of the possible score. 

40%

Case studies and problem solving  

 

Case studies and problem solving that the students will answer in writing and they will work in clasroom practices.

 

 15%

Attendance and active participation

 

From attendance and attitude during clasroom theory and practices.

 Attendance

 5%

Recovery written exam  

 60 minutes

For students who have not passed exams 1 and 2.

Objective test of item selection. Test of 50 questions, with 4 options per question, of which 1 is correct.

Each question correctly answered adds 1 point. Each question  erroneously answered subtracts 0.33 points. Unanswered questions will not score.

If the student does not present the test, it will be considered non-evaluable.

80%

 Final grade

 

5 % Attendance and participation

15% Case studies and problem solving 

40% Exam 1

40% Exam 2 

It is essential to pass exams 1 and 2, or the recovery exam to pass the subject.

Minimum grade to pass the subject: 50% of the score possible.

 

 *The dates of the evaluations and exams will be according to calendar

Assessment Activities

Title Weighting Hours ECTS Learning Outcomes
Written evaluation 1: Objective tests multiple choice questions 40% 0.5 0.02 2, 7
Attendance and active participation in classroom practices 5% 0 0 5, 2, 3, 1, 6, 9, 8, 15, 10, 11, 12, 13, 4, 14
Evaluation through case studies and problem solving 15% 1 0.04 5, 2, 3, 1, 6, 7, 9, 8, 15, 10, 11, 12, 13, 4, 14
Written evaluation 2: Objective tests multiple choice questions 40% 0.5 0.02 2, 7

Bibliography

 

 

Specific bibliography

 

Introducción a la medicina clínica : fisiopatología y semiología / F. Javier Laso Gúzman

 

Laso Guzmán, F. J.

 

 Book | 2015

 

 

 

 

 

Introducción a la medicina clínica : fisiopatología y semiología / F. Javier Laso Guzmán

 

Laso Guzmán, F. Javier, autor

 

 On line book  | 2020

 

 

 

 

 

Manual de patología general / Sisinio de Castro; José Luis Pérez Arellano editor

 

Castro del Pozo, S. de, autor

 

 Book| 2020

 

 

 

 

 

Manual de patología general / Sisinio de Castro; José Luis Pérez Arellano [editor], Catedrático de Universidad, Departamento de Ciencias Médicas y Quirúrgicas, Universidad de Las Palmas de Gran Canaria, Servicio de Medicina Interna, Hospital Universitario Insular de Gran Canaria

 

Castro del Pozo, S. de, autor

 

 On line book | 2020

 

 

 

 

 

Reference bibliography

 

Medicina interna / fundado por A. von Domarus ; continuado por P. Farreras Valentí ; director (desde 1968) C. Rozman ; subdirector (desde 2003) F. Cardellach López

 

 Book | 2016

 

 

 

 

 

Medicina interna / fundado por A. von Domarus ; continuado por P. Farreras Valentí; director (desde 1968): C. Rozman; subdirector (desde 2003): F. Cardellach López

 

 On line book | 2020

 

 

 

 

 

Harrison principios de medicina interna / editores: J. Larry Jameson [i 5 més]

 

 Book | 2019

 

 

 

 

 

Harrisons Manual of Medicine, 20th Edition

 

Dennis L. Kasper;Anthony S. Fauci;Stephen L. Hauser;Dan L. Longo;J. Larry J...

 

 eBook | 2019Si us plau, autentiqueu-vos per veure més detalls

 

 

 

 

 

Robbins patología humana : décima edición / Vinay Kumar, Abul K. Abbas, Jon C. Aster [editors]

 

Book | 2018

 

Exemplars a Biblioteca Josep Laporte - Sala (616-091 Rob) i 1 més veure tot

 

 

 

 

 

Patología humana / Robbins ; [editors] Vinay Kumar, Abul K. Abbas, Jon C. Aster ; ilustrador: James A. Perkins

 

Robbins, Stanley L. (Stanley Leonard), 1915-2003, autor

 

On line book  | 2018

 

 

 

Software

No specific software required