Degree | Type | Year |
---|---|---|
2502442 Medicine | OB | 5 |
You can view this information at the end of this document.
It is recommended to have achieved the skills of the following subjects: Biochemistry and Molecular Biology, Cellular Biology, Human Anatomy (I and II), Histology, Human Genetics, Psychological Bases, General Pathology, Fundamentals of Surgery, Microbiology, Radiology and Physical Medicine, Pathology, General Pharmacology, Human Nutrition, Immunology, Epidemiology, Obstetrics and Gynecology.
A review would be advisable, for having sufficient knowledge of basic sciences since they have been completed three or four years ago. It is advisable to be fluent in pathophysiology, semiology, general propaedeutics, to face the study of these clinical matters and the indication and interpretation of complementary diagnostic tests. Knowledge of pharmacology is necessary to be able to make the appropriate prescriptions and indications in the different pathologies and to assess the iatrogenic or toxic possibilities.
The student will acquire the commitment to preserve the confidentiality and professional secrecy of the data that may have access due to the learning of the assistance services. Also by maintaining an attitude of professional ethics in all their actions.
Endocrinology:
Acquire knowledge (etiology, clinic, diagnosis, treatment and rehabilitation) of endocrinological pathologies, nutrition and metabolism, and develop attitudes and skills for the care of patients with endocrinological, metabolic and nutritional pathology.
Obtain, classify and analyze information provided by the patient and his environment, as well as use and interpret complementary tests.
Handle the specific bibliography using all the available means of information, stressing the importance of continuing education.
Establish an order of problems and resources, in order to plan and realize a scale of priorities and objectives.
Know and treat the most common endocrinological, nutritional and metabolic diseases, assessing life-threatening and urgent processes.
Apply methods of preventive medicine in order to reduce the frequency of these diseases.
Neurology:
The subject Neurology-Neurosurgery within the subject MIC V is scheduled in the fifth year of the Degree of Medicine. At the end of the training period, where the student's knowledge allows him to face the patient with discomfort involving the nervous system, to make a syndromic diagnosis, in accordance with the observed symptoms, to propose a lesional topography, which will allow d 'according to the clinic and the complementary tests, establish the etiological cause, to allow the realization of a prognosis and treatment.
This teaching guide proposes teaching and learning mechanisms aimed at obtaining pre-established and a priori defined objectives, which can and must be modified over time in order to adapt them to new needs.
The student must have acquired:
1. The knowledge, attitudes and aptitudes for the care of the patient with neurological-neurosurgical pathology.
2. Know how to obtain, classify, use and analyze the information provided by the patient and his environment, as well as use and interpret complementary tests.
3. Establish an order of problems and resources, in order to plan and realize a scale of priorities and objectives.
4. Know and treat the most common neurological diseases, evaluating life-threatening and urgent processes.
5. Apply methods of preventive medicine to reduce the frequency of neurological disease.
6. Handle the specific bibliography using all available information means, stressing the concept of continuing education.
Competencies (listed according to degree report)
Demonstrate that you understand the manifestations of the disease on the structure and function of the human body. E26
Demonstrate a basic level of research skills. T07
Demonstrate, in professional activity, a critical, creative and research-oriented point of view. T05
Appropriately give the patient and/or companion relevant information about the pathological process, the bases and consequences, including bad news. E51
Elaborate a diagnostic orientation and establish a reasoned action strategy, evaluating the results of the history and physical examination, as well as the subsequent results of the indicated complementary examinations. E40
Formulate hypotheses and collect and critically assess information for problem solving following the scientific method. T06
Indicate the most appropriate therapy for the most prevalent acute and chronic processes, as well as for terminally ill patients. E43
Indicate the basic diagnostic techniques and procedures and analyze and interpret the results to better specify the nature of the problems. E39
Obtain and prepare a clinical history that contains all the relevant information, structured and focused on the patient, taking into account all age groups, sex, cultural, social and ethnic factors. E36
Carry out a general physical examination and by systems, appropriate to the patient's age and sex, in a complete and systematic way and a mental assessment. E37
Recognize their role in multiprofessional teams, assuming leadership when appropriate, both for the provision of health care and in interventions for health promotion. E10
Recognize and act in situations that put life in immediate danger and those others that require immediate attention. E41
Learning outcomes (listed according to degree report)
Anticipate and contrast information to make decisions correctly.
Demonstrate a basic level of research skills.
Demonstrate, in the professional activity, a critical, creative and research-oriented point of view. Describe the affectation by organs and systems of the locomotor system, of blood diseases, of the cardiocirculatory system, of the digestive system, respiratory system, infectious diseases, endocrine, nervous, genitourinary systems and the elderly.
Describe the main pathological situations of the locomotor system, the blood, the organs of the cardiocirculatory system, the digestive system, the respiratory system, infectious diseases, the endocrine systems, the nervous system, the genitourinary system and of the old man
Describe the main pathological situations of nutrition.
Detail the steps and procedures to follow to communicate bad news.
Design the treatment in the main pathologies of the blood and hematopoietic system, the cardiocirculatory system, the digestive system, the respiratory system, infectious diseases, the endocrine system, the nervous system, the nervous system, the nephrogenitourinary system and retroperitoneal, of the elderly and of the locomotor system.
Give information in an understandable and prudent way, including preventive measures to avoid contagion and the spread of the disease.
Carry out an adequate physical examination for the main pathologies of the blood and hematopoietic system, of the cardiocirculatory system, of the digestive system, of the respiratory system, of infectious diseases, of the endocrine system, of the nervous system, of the nephrogenitourinary system and retroperitoneum, of the elderly and of the locomotor apparatus.
Explain the mechanisms by which disease affects the structure and function of the human body.
Explain the multidisciplinary intervention during the patient care process.
Express the most likely diagnosis in the main pathologies of the blood and hematopoietic system, of the cardiovascular system, of the digestive system, of the respiratory system, of infectious diseases, of the endocrine system, of the nervous system, of the nervous system, of the system nephrogenitourinary and retroperitoneal, of the elderly and of the locomotor system.
Formulate hypotheses and collect and critically evaluate information for problem solving following the scientific method.
Identify the basics of palliative medicine.
Identify the tumor disease, its diagnosis and management.
Identify the pathologies of the immune system, their diagnosis and their management.
Indicate the appropriate complementary examinations for the diagnosis of the main diseases of the blood and hematopoietic system, the cardiovascular system, the digestive system, the respiratory system, infectious diseases, the endocrine system, the nervous system, the nephrogenitourinary system and retroperitoneal, of the elderly and of the locomotor system.
Inform the patient, adequately and with as much information as possible, about the state of health, the diagnostic steps, complementary examinations and treatments.
Perform basic and advanced life support maneuvers.
Carry out a history that guides the diagnosis of the main diseases of the blood and hematopoietic system, the cardiocirculatory system, the digestive system, the respiratory system, infectious diseases, the endocrine system, the nervous system, the nephrogenitourinary system and retroperitoneum, of the elderly and of the locomotor apparatus.
Assess the changes in clinical parameters at different ages.
Endocrinology: Surgical doctor
Endocrine system:
Fundamentals of Medical Endocrinology and Endocrine Surgery. Diseases of the anterior pituitary and hypothalamus. Neurohypophysis and pineal diseases. Thyroid and parathyroid gland diseases. Diseases of the adrenal glands (cortex and medulla). Endocrinological diseases of the reproductive function. Endocrinological Oncology.
Multiglandular syndromes of an autoimmune nature.
Metabolism:
Diabetes Mellitus and hypoglycemia. Hyperlipidaemias and other alterations of lipoprotein metabolism. Metabolic syndrome and cardiovascular risk. Alterations of bone and mineral metabolism.
Nutrition:
Nutritional risk assessment. Obesity, anorexia and malnutrition.
Diet therapy of the most common diseases. Artificial nutrition: enteral nutrition and parenteral nutrition.
Theory
Diseases of the anterior pituitary and hypothalamus I.
Diseases of the neurohypophysis
Diseases of the adenohypophysis II. Functional tests.
Diseases of the thyroid gland (I) (physiological bases, , thyroiditis, hypothyroidism, myxedematous coma, thyroid nodules)
Diseases of the thyroid gland (II) (Hyperthyroidism. Thyrotoxic crisis, Thyroid carcinoma)
Diseases of the thyroid gland (III) (Thyroid surgery)
Diseases of the parathyroid glands (hyperparathyroidism, hypoparathyroidism) and bone metabolism
Parathyroid gland surgery
Diseases of the adrenal gland (I) (physiological bases, adrenal insufficiency, hypoaldosteronism, congenital adrenal hyperplasia, autoimmune pluriglandular disease, incidentaloma, adrenal carcinoma)
Diseases of the adrenal gland (II) (Cushing's syndrome, hyperaldosteronism, pheochromocytoma, paraganglioma
Diseases of the adrenal gland (III) (Adrenal surgery)
Diabetes mellitus (I) (Diagnostic criteria, Classification; pathophysiology of type 1 diabetes, ,
Diabetes mellitus (II). (Physiopathology of type 2 diabetes, Insulin secretion and resistance; glycemic control, dietary treatment, exercise and healthy habits; oral agents and insulin therapy)
Diabetes mellitus (III). Clinic, diagnosis and treatment of diabetic microangiopathy (retinopathy, nephropathy) and diabetic neuropathy. Diabetic dermopathy. Hypertension and diabetes. Diabetic heart disease. Coronary heart disease and diabetes. Cerebrovascular disease and diabetes. Peripheral vascular disease. diabetic foot
Diabetes mellitus (IV). (Acute complications of diabetes mellitus. Non-ketotic hyperosmolar crisis. Ketoacidosis. Hypoglycemia).
Diabetes mellitus V: continuous glucose monitoring, insulin pumps, automatic insulin infusion control systems
Morbid obesity and associated morbidity. Bariatric surgery
Dyslipidemias I (Classification of dyslipidemias. Hypertriglyceridemia. Hypercholesterolemia. Mixed hyperlipidemias)
Dyslipidemias II Treatment
Endocrinology of reproduction I (Male and female hypogonadism. Late-onset male hypogonadism and menopause).
Endocrinology of reproduction II. Hirsutism, hyperandrogemism, virilization
Neuroendocrine tumors of the gastrointestinal and pancreatic tract. Multiple Endocrine Neoplasia. (Genetic diagnosis; clinic and treatment).
Nutrition and diet therapy
enteral nutrition
parenteral nutrition
Clinical simulation (N=1). List of eligible topics (among others):
Thyroid nodule: fine needle aspiration (FNA)
Recent diagnosis DM 1
obesity
Hyperthyroidism
Treatment of diabetic ketoacidosis
Classes with simulation methodology will be implemented in each UDH depending on teaching possibilities.
Clinical case seminars (N=18). List of eligible topics based on clinical cases:
Thyroid nodule
Approx. thyroid
BUT
Functional tests
Pituitary pathology. Panhypopituitarism
Endocrinological effects of immune checkpoint inhibitors
Endocrinology of aging
Thyroid ultrasound
Gender identity disorders
gestational diabetes
MIR questions
Graves' orbitopathy
Hospitalized diabetic patient
Diagnosing process and initiation of treatment DM 1
Interpretation of the continuous glucose record
Obesity surgery
Sd autoimmune polyglandular I and II
Thyroid and parathyroid surgery
Cardiovascular risk assessment
Endocrine disruptors
Diabetic retinopathy
Hypercorticism Central vs ectopic Cushing
Endocrinopathies and pregnancy
Adrenal surgery
Automatic insulin infusion control systems
Enteral nutrition
Nutritional status assessment
Parenteral nutrition
Neurology Neurosurgery:
Theoretical program
1. Headaches: Concept, definition, epidemiology, pathophysiology, clinic and classification-diagnostic criteria of the different primary headaches.
Migraine, tension headache, trigeminal-autonomic headaches.
Secondary headaches. Intracranial hypertension syndrome, neuralgia.
Therapeutic management of headaches.
Acute, preventive, chronic treatment. Pharmacological groups.
2. Vascular Pathology:
Ischemia: Transient ischemic attack (TIA), cerebral infarction
Lacunar infarction - Pseudobulbar syndrome
Hypertensive encephalopathy
Venous pathology
Subarachnoid - parenchymal hemorrhages
Vascular pathology of the marrow
3. Epilepsy: Introduction. Definitions. Epidemiology. Etiology Pathophysiology Pathological anatomy.
Classification: Crisis. syndromic
Diagnosis: Complementary tests EEG, TAC, MRI
Treatment: Medical (Drugs). surgical
Differential diagnosis: Syncope. pseudocrisis
4. Infectious pathology:
Meningitis - CSF characteristics: Acute, subacute, Chronic, Viral, Bacterial, Chemical, parasitic, Fungal
encephalitis
Polioencephalitis - Leukoencephalitis - Panencephalitis
Slow viral infections
5. Myelin diseases: Concept, definitions
Multiple Sclerosis: Clinical: symptoms, signs, evolution, prognosis
Complementary tests: PL - RM - PEV
Clinical diagnostic criteria. variants
Background treatment of the outbreak
Symptomatic treatment
Concepts: Encephalomyelitis, leukodystrophies and other demyelinations.
6. Dementia: Concept, epidemiology, social impact. Physiopathology, pathological anatomy, molecular bases, genetics, etiology.
Primary: Alzheimer, Pic, Lewy, corticobasal, frontotemporal.
Secondary: stroke, hydrocephalus, others
Clinical picture, complementary tests.
Diagnosis - Treatment. Prophylaxis
7. Movement disorders:
Parkinson's disease
Parkinsonian syndromes
Tremor - Dyskinesias: Chorea - Ballismus - Dystonia - Tics - Athetosis.
8. Toxic Deficiency Metabolic Pathology:
Encephalopathies: Metabolic - Deficiency - Toxic - Teratogenic.
Metabolism disorder; liver uremic glucose - water - electrolytes
alcoholism
Vitamin deficiencies: B1 (Beri Beri / Wernicke Korsakof)- B3 (pellagra) - B6 - B12 - folic.
Toxic: Organic. inorganic Drugs, substances, abuse
Neurotoxins: Animals - Insects - Marine Plants - Physical Agents
9. Myelopathies Ataxias:
The major spinal cord syndromes. Diseases of the marrow
Ataxias: Genetic studies
Medical treatment - rehabilitation
10. Neuromuscular Pathology: Introduction, examination, EMG indications
Motor neuron diseases
Mononeuropathies - plexopathies - radiculopathies
Polyneuropathies: Acquired - hereditary - Immunomediated
Diseases of the muscle union
Acquired hereditary myopathies - Immunomediated
Neurosurgery
1. Introduction to neurosurgery. The syndrome of intracranial hypertension: etiology, pathophysiology and treatment.
2. Tumors of the central nervous system (I). Epidemiology and classification. WHO classifications. Neuroectodermal tumors of glial lineage (gliomas). Comprehensive approach to malignant tumors of the CNS.
3. Tumors of the central nervous system (II). Benign tumors of the central nervous system. Meningiomas and schwannomas. Concept of radiosurgery and its indications
4. Hemorrhagic cerebrovascular accidents. Epidemiology. Spontaneous subarachnoid hemorrhage and spontaneous intraparenchymal hematomas.
5. Cranioencephalic trauma I (TBI-I). Epidemiology, biomechanics, pathophysiology and types of injuries, clinical evaluation, diagnostic and therapeutic protocol. Scales for evaluating the severity and neurological sequelae in the patient with a TBI.
6. Cranioencephalic trauma II (TBI-II). Neuromonitoring, diagnostic protocol and treatment guidelines.
7. Hydrocephalus and changes in the dynamics of the cerebrospinal fluid. Etiology, clinical manifestations, diagnosis and treatment. Normal pressure hydrocephalus. Benign intracranial hypertension (pseudotumor cerebri)
Clinical simulation
The classes with simulation methodology will be implemented in each UDH depending on the teaching possibilities, with the intention of including a class on a medical topic of neurology and another with content corresponding to neurosurgery.
Title | Hours | ECTS | Learning Outcomes |
---|---|---|---|
Type: Directed | |||
SIMULATION PRACTICES (PCSA) | 3 | 0.12 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 |
THEORY | 52 | 2.08 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 |
WORKSHOPS | 23 | 0.92 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 |
Type: Supervised | |||
PERSONAL STUDY / READING OF ARTICLES / REPORTS OF INTEREST | 91 | 3.64 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 |
MEDICINE DEPARTMENT (ECTS 5.25 = 131.25h)
Neurology (1.75 ECTS = 43.75 h)
Theory: 7 p.m
PSCA: 1 H
Endocrinology: (3.5 ECTS = 87.5 h)
Theory: 10 h
WED: 4 h
PCSA: 1 hour
SURGERY DEPARTMENT (1.75 ECTS = 43.75h)
Neurosurgery (1.25 ECTS = 31.25 h)
Tea: 8 h
SUN: 5 h
PSCA: 1
Surgery of endocrinological pathology (0.5 ECTS = 12.5 h)
Theory: 3 h
SCC: 2h
Exceptionally and according to the criteria of the responsible teaching staff, the available resources and the current health situation in the different Teaching Units, part of the content corresponding to the theoretical lessons, practicals and seminars may be taught face-to-face or virtually.
According to the criteria of the responsible teaching staff and the resources available in each teaching unit, part of the content corresponding to the theoretical lessons and seminars may be taught and evaluated in the simulation classrooms with the corresponding methodology
Note: 15 minutes of a class will be set aside, within the calendar established by the center/degree, for students to fill in surveys to evaluate the performance of the teaching staff and to evaluate the subject/module.
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.
Title | Weighting | Hours | ECTS | Learning Outcomes |
---|---|---|---|---|
Seminars and/or clinical cases: Objective tests: Written evaluations: extended questions, restricted questions, Oral evaluations, practical cases and problem solving. | 30 | 3 | 0.12 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 |
Theory: Multiple choice tests: Written assessments using objective tests: Essay tests: written free text questions | 70% | 3 | 0.12 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 |
This subject does not provide the single assessment system
The evaluation system will be based on a theoretical part (70% of the final mark) and a part with the rest of the evaluation activities (30% of the final mark).
For the theoretical part (70%)
2 partial theoretical exams of an eliminatory nature will be programmed, one corresponding to each specialty of the subject (endocrinology and neurology). The exam will consist of a minimum of two typologies that may be:
Multiple choice theory test questions with 5 possible answers, only one true and incorrect answers will subtract 0.25 points
Multiple-choice clinical case test questions with 5 possible answers, only one true and incorrect answers will subtract 0.25 points
Short answer questions with free text
For the rest of the evaluation activities (30%)
ENDOCRINOLOGY
Seminars evaluation (30%)
NEUROLOGY
Seminars evaluation (15%): short questions related with seminars
Clinical cases discusion (15%)
Final score
The final grade is the weighted average of the theoretical knowledge (70%) and the evaluation of the seminars (30%). It will not be possible to make the average between the theoretical evaluation and the evaluation of seminars, if a minimum score of 4/10 is not obtained in both parts.
The final mark of MIC IV will be the average of the partial marks of neurology and endocrinology. In order to obtain the average for the subject, each of the two parts must have been passed separately. If a specialty is suspended at the end of the school year, the entire subject must be recovered (neurology and endocrinology). The student who has not passed the midterm exams may take the final exam. Students who have not passed the subject through partial exams and who on the day of the final exam do not appear in the exam of the parts not passed, will be qualified as "NOT EVALUABLE".
Endocrinologia
Harrison’s endocrinology 4th Edition
https://bibcercador.uab.cat/permalink/34CSUC_UAB/cugbhl/alma991010760034806709
Goodman’s Basic Medical Endocrinology, 5th Edition (4ed. 2009)
https://bibcercador.uab.cat/permalink/34CSUC_UAB/cugbhl/alma991010400155306709
Neurologia
Zarranz. Neurología. Elsevier. 2018.
https://bibcercador.uab.cat/permalink/34CSUC_UAB/cugbhl/alma991000621599706709
Victor y Adams. Principios de Neurología. Mc Graw Hill. 2017. (2020)
https://bibcercador.uab.cat/permalink/34CSUC_UAB/cugbhl/alma991010526756206709
Bradley y Daroff. Neurología Clínica. Elsevier. 2022. (Edició 2010, en paper)
Neurocirurgia
Joaquim, A. F., Ghizoni, E., Tedeschi, H., & Ferreira, M. A. T. (2019). Fundamentals of neurosurgery : a guide for clinicians and medical students. Springer Nature Switzerland AG. (no disponible al catàleg UAB)
This subject has not need an specific software
Information on the teaching languages can be checked on the CONTENTS section of the guide.