37223 - Internal Medicine I

Learning outcomes

Upon completion of the course, students will understand the general principles of pathophysiology as they pertain to the interpretation of future clinical practice. Specifically, knowledge of these principles allows for a thorough understanding of the underlying factors underlying the altered functioning of organs and systems, which give rise to both semiological and clinical aspects. Students will also be able to appropriately approach patients with regard to the objective physical component, with the ability to independently assess various systems and in conjunction with knowledge of investigative procedures specific to clinical methodology. The integration of knowledge of clinical pathophysiology and semiotics enables students to understand and address the basic foundations of diseases, preparatory to future study.

Course contents

Approach to the Internal Medicine Patient

Symptoms and Signs

History

Physical Examination

Vital Signs

Pulse

Blood Pressure

Body Temperature

Inspection

Palpation

Percussion

Auscultation

Chest Examination (Cardiac and Pulmonary)

Heart Sounds

Heart Murmurs

Lung Sounds

Chest Pain

Dyspnea

Chronic Obstructive Pulmonary Disease

Bronchial Asthma

Chronic Bronchitis

Pulmonary Emphysema

Bronchiectasis

Pneumonia

Pleural Effusion

Pulmonary Embolism

Ischemic Heart Disease

Valvular Heart Disease

Heart Failure

Abdominal Examination

Abdominal Pain

Diarrhea/Constipation

Abdominal Distention

Abdominal Masses

Diverticulosis/diverticulitis

Diseases of the pancreas and biliary tract

Liver semiotics and pathophysiology

Acute and chronic liver disease

Liver cirrhosis and complications

Jaundice

Nephro-urological semiotics

Dysuria

Oligo-anuria

Hematuria

Skin, appendage, and mucosal examinations

Edema

Lympho-nodular system

Bone and joint examinations

Anemia

Readings/Bibliography

• G Fradà e G. Fradà. Semeiotica medica nell’adulto e nell’anziano.VI edizione. Piccin editore. 2018
• A Amoroso e F Rossi Fanelli. Semeiotica Medica e Metodologia Clinica. II edizione. Delfino editore. 2018
• GE Gerunda. Metodologia Medica e Chirurgica. I edizione. Idselson Gnocchi editore. 2020
• G Sesti. Metodologia Medica e Chirurgica. La Semeiotica Medica. Il metodo clinico passo dopo passo. I edizione. EDRA editore. 2022
• Dioguardi-Sanna - De Luca. Moderni aspetti di semeiotica Medica- Interpretazione clinica di segni e sintomi ed elementi di diagnosi differenziale. VII Edizione. Società Editrice Universo. 2024

Teaching methods

Frontal lessons

Assessment methods

Oral exams

Office hours

See the website of Elisa Fabbri