MEDICINA INTERNA

Degree course: 
Corso di Long single cycle degree (6 years) in School of Dentistry
Academyc year when starting the degree: 
2016/2017
Year: 
3
Academyc year when helding the course: 
2018/2019
Course type: 
Compulsory subjects, characteristic of the class
Credits: 
4
Period: 
First Semester
Standard lectures hours: 
40
Detail of lecture’s hours: 
Lesson (40 hours)
Requirements: 

According to the regulation of this course, having passed examinations of the previous years is required to take the examination of this course. To optimize learning, persistent knowledge of the human anatomy and physiology provided in the previous years is important.

Assessment: 
Voto Finale

Provide the student with adequate knowledge of the diseases in internal medicine, cardiology, gastroenterology, and endocrinology. At the end of the course the student should be able to define the clinical work-up for these diseases with particular focus for emergencies and the diseases that have direct implications for the clinical practice in dentistry

ENDOCRINOLOGY
-Hypothalamus and pituitary: regulation of pituitary function; hypopituitarism, pituitary tumors, diabetes insipidus
-Thyroid gland: thyroid physiology, hyperthyroidism, hypothyroidism, thyroiditis, thyroid nodules and tumors
-Parathyroid glands: Physiology of parathyroids and calcium metabolism, primary and secondary hyperparathyroidism, hypoparathyroidism and pseudohypoparathyroidism, osteoporosis
-Adrenal glands: Adrenal physiology, Cushing’s syndrome, Addison’s disease, Hirsutism, Conn disease, pheochromocytoma and paragangliomas
-Male gonads: Physiology of the testis, male hypogonadism, erectile dysfunction, male infertility, tumors of the testis
-Female gonads: Physiology of ovaries, amenorrheas, female hypogonadism, menopause
-Neuroendocrine tumors: carcinoid syndrome, Zollinger-Ellison syndrome, insulinoma, multiple endocrine neoplasia (MEN)
-Diabetes mellitus: classification and pathogenesis, clinical features, laboratory diagnosis, acute and chronic complications
-Hypoglycemic syndromes
-Obesity
-Autoimmune polyglandular syndromes

CARDIOVASCULAR DISEASES
Mentions of cardiac anatomy and physiology. Non invasive and invasive diagnostic evaluations in cardiovascular medicine, with particular emphasis on implications for odontology: rest electrocardiogram, Holter monitoring, effort test, transthoracic, transesophageal, and stress echocardiography, cardiac CT and MRI scan, myocardial scintigraphy, hemodynamic evaluation and coronary angiography, electrophysiology study and endomyocardial biopsy. Definition, etiology, mentions of pathophysiology, symptoms, diagnostic workup, and prognosis of the following cardiovascular diseases and clinical settings: ischemic cardiomyopathy, cardiac arrhythmias, sudden cardiac death, syncope, cardiomyopathies, valvular heart diseases, congestive heart failure and inflammatory cardiovascular diseases.

GASTROENTEROLOGY
achalasia, hiatal hernia, gastroesophageal reflux disease, dyspepsia, gastritis, gastric and duodenal ulcers, acute and chronic hepatitis, hyperbilirubinemia, liver cirrhosis, portal hypertension, acute and chronic pancreatytis, malabsorption syndromes, celiac disease, inflammatory bowel diseases, gastrointestinal tract cancer, liver and pancreatic cancer

INTERNAL MEDICINE
Diseases of the kidney, lungs and hemopoietic system. Clinical aspects of cancer with specific focus on the most common tumors.

Slides of the lessons
For further learning:
-"Manuale di Malattie Cardiovascolari on line" found on the website www.sicardiologia.it accessible after free registration
-Endocrinologia Clinica (Lenzi A, Lombardi G, Martino E, Vigneri R; Ed. Minreva Medica, Torino 2011
-Harrison’s Principi di Medicina Interna - McGraw-Hill
-C. Rugarli - Medicina Interna Sistematica - Ed. Masson

Professors

Parent course