40/266 - MEDICAL SURGICAL CLINIC OF THE SENSORY SYSTEM
Academic Year 2022/2023
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FILIPPO CARTA (Tit.)
PIETRO EMANUELE NAPOLI
NICOLA ALBERTO VALENTE
- Teaching style
- Lingua Insegnamento
|[40/39] MEDICINE AND SURGERY||[39/00 - Ord. 2015] PERCORSO COMUNE||11||140|
BASIC KNOWLEDGE AND COMPREHENSION CAPACITY: The student is required to know the epidemiology, risk factors and principal clinical manifestations of ENT, dental and ophthalmic diseases, focusing mainly oncologic diseases and most common emergencies. Additionally, the student is required to know the major diagnostic tools and therapeutic approaches for such diseases.
The student must learn the essential elements of anatomy, physiology and pathology of the visual apparatus. Regarding ocular pathology, the student must be able to recognize the most common pathologies and know the most frequent ocular complications of the commonest systemic diseases.
APPLICATION CAPACITIES: The aim of the course is providing the acknowledgements about the main ENT, dental and ophthalmic diseases, with a particular focus on head and neck oncology. At the end of the course, the attending student should have learnt both diagnostic and therapeutic (either medical or surgical) work-ups of the main ENT, dental and ophthalmic diseases. A basic knowledge of audiologic and principles of ear surgery is required, given the high specialization field.
AUTONOMY JUDGEMENT: The student will learn to acquire and integrate anamnestic and instrumental data in order to formulate a diagnostic judgement in the context of ENT diseases.
COMMUNICATION CAPACITY: The student will learn to present relevant data regarding a specific clinical case and to properly expose the development of diagnostic pathways and the results of therapeutic interventions.
COMPREHENSION CAPACITY: The student will learn to acquire new information and to enforce his cultural background in a critical way through the consultation and interpretation of recent scientific literature.
It is considered indispensable to have a background knowledge in Embryology and Anatomy of the head and neck (face, jaw, ear, nasal cavity, paranasal sinuses, pharynx, larynx, orbital cavity, eyes), Pharmacology, Pathology and Pathological Anatomy.
The attendance to Otorhinolaryngology, Dental diseases and Ophthalmology classes is required.
In addition, four days of ward shadowing/e-learning for ENT (2 days), and Ophthalmology (2 days) will be scheduled for every student for at Policlinico Universitario, Monserrato.
DENTAL DISEASES AND MAXILLO-FACIAL SURGERY
Dental caries and its complications, diseases of the periodontium, traumas of face, inflammatory, benign and malignant neoplasms of the oral cavity.
The student must be aware of the main interactions between dental infections and dental treatments with the main systemic conditions (Pregnancy, pharmacologic treatments; cardiovascular pathologies, cardiac surgery, tumors, immune conditions) their prevention and possible treatments.
ANATOMY, CLINC EVALUATION, SEMEIOTIC AND ONCOLOGGY IN ENT
ORAL CAVITY, PHARYNX AND NECK DISEASES
SALIVARY GLAND PATHOLOGY
• Anatomy and physiology of statoacoustic organ
• Clinic and instrumental semeiotic for statoacoustic organ
• Acute and chronic otitis: clinic, principles of therapy and complications
• Congenital deafness/hearing impairment: diagnosis and therapy
o Auditory screening
o Congenital deafness
o Congenital deafness: acoustic rehabilitation
o Ear malformation
• Sudden sensorineural hearing loss: diagnosis and therapy
o Idiopathic sensorineural hearing loss
o Post-traumatic sensorineural hearing loss
• Facial nerve palsy
• Urgency and emergency of the statoacoustic nerve
• Vestibular pathology
1. ANATOMY OF THE VISUAL APPARATUS. (Embryology and descriptive anatomy of the eyeball and outbuildings. Vascular circulation and innervation of the eye).
2. PHYSIOLOGY OF THE VISUAL APPARATUS. (The visual function. Bright sense. Chromatic sense. Visual Acuity. Physiology of extraocular muscles. Binocular and stereoscopic vision. Accommodation.)
3. SEMEIOLOGY OF THE OCULAR APPARATUS. (Clinical inspection of eye and outbuildings. Pupillary semeiology. ophthalmoscopy. Retinoscopy. Tonometry. Campimetry.)
4. DISEASES OF THE EYELIDS. (Classification of eyelid diseases. Motility disorders of the eyelids: blepharospasm, ptosis, lagophthalmos. Altered position of the eyelid edges: entropion. Blepharitis. Eyelid tumors. Eyelid traumatism).
5. DISEASES OF THE CONJUNCTIVA (Classification of diseases of the conjunctiva. Conjunctivitis.)
6. DISEASES OF THE GLAND AND LACRIMAL PATHWAYS DISEASES OF THE CORNEA AND SCLERA.
7. DISEASES OF THE CORNEA AND SCLERA. (Congenital Alterations, Inflammatory, Degenerative.)
8. DISEASES OF THE UVEA (Inflammatory processes. Tumors.)
9. CRYSTALLINE DISEASES (Cataracts)
10. GLAUCOMA (General, Acute glaucoma, simple chronic, congenital, secondary. Glaucoma therapy)
11. REFRACTIVE DEFECTS AND ACCOMMODATION DISORDERS. (Hyperopia. myopia. astigmatism. Correction of refractive defects. Anisotropic amblyopia. Presbyopia).
12. RETINAL DISEASES. (General. General classification of retinopathies. Diabetic and Angiosclerosis retinopathy. Retinal detachment. Retinal degenerations. Retinal tumors.)
13. PATHOLOGY OF THE OPTIC NERVE AND OPTIC PATHWAYS. (Optic neuritis, Vascular papillary edemas, mechanical phlogistics, optical atrophies, Hemianopsies, Chiasmatic syndrome).
14. ORBITAL DISEASES. (Exophthalmos) PATHOLOGY OF OCULAR MOTILITY (Concomitant and paralytic strabismus; Amblyopia)
15. PATHOLOGY OF OCULAR MOBILITY. (Concomitant Strabismus/ Squint, Paralytical, Amblyopia
The entire course will include both frontal lectures presented thought PowerPoint presentations and clinical practice though the attendance of clinical ward, day hospital, clinic at Otorhinolaryngology Clinic (AOU di Cagliari – P.O. Duilio Casula). The frontal lecture may be integrated by innovative teaching routes (active learning) through the analysis and interpretation of clinical cases. In agreement with the Manifesto degli Studi for the AA 2020-2021 (pag.12): “teaching will be contemporary held both by frontal lesson and online, delineating a joint teaching that could be held both in university classrooms or through online education activities. Each student is required to choose between frontal or distance lessons at the beginning of the semester. This will be a binding choice for the entire semester. If the number of the students exceeds the maximum classroom seating capacity, determined by the state sanitary regulations to fight the Covid-19 pandemics, the access to the didactic units will be regulated though a rounding system that will be communicated in time to the interested students.
Verification of learning
The final exam will be based on a written or oral test.
The written exam will be composed of multiple-choice questions.
The oral exam will include 1-2 open questions on 3 different topics present on the program that could be also presented as clinical cases. Every answer will be evaluated with a score ranging from 0 to 10.
In both cases, the maximum final grade that could be achieved is 30. The exam will be considered as passed if at least a grade of 18/30 has been achieved.
The comprehension of course covered topics, as well as the ability to formulate valid diagnostic hypothesis and to verify them through an opportune and valuable diagnostic planning, will be evaluated. The knowledge of non specialistic therapies for the examinated pathologies will also be evaluated. Finally, the expression capacity, the use of appropriate scientific language and the ability to synthetize information will be assessed.
The final grade will take into account:
Manifested quality of the knowledge, capacities and competences:
a) Knowledge pertinence, accuracy and consistency
b) Capacity pertinence, accuracy and consistency
c) Competences pertinence, accuracy and consistency
a) Expressive capacity.
b) Appropriate and correct use of specific discipline-related language.
c) Logic reasoning capabilities in contents connection.
e) Ability to create links between different topics focusing on common points, and to make a general coherent speech, taking care of the structure, organization and logic connections of the speech.
f) Ability to synthetize information.
The final grade can be:
a) Sufficient (18 to 20/30)
Scarcity of acquired notions, superficial level of knowledge with numerous gaps, simple expressive capacities but sufficient to sustain a coherent speech. The capacity to link different topics lays at an elementary level. Scarce ability to synthetize and to interact with the professor during the interview.
b) Decent (21 to 23)
Reasonable quantity of acquired notions, but scarce in-depth analysis. Few knowledge gaps. Expressive capacities adequate to sustain a coherent speech and acceptable scientific language fluency. The ability to logically link different topics lays at a moderate complexity level. Adequate ability to synthetize and to interact with the professor during the interview.
c) Good (24 to 26)
Wide knowledge, moderate in-depth analysis, with little gaps; satisfying expressive capacities and significative scientific language fluency; well recognizable ability to dialog and acceptable critical sensibility. Good ability to synthetize and to interact with the professor during the interview.
d) Very good (27 to 29)
Extensive and deeply analyzed knowledge, with only negligible gaps; notable expressive capacities and high scientific language fluency; remarkable ability to dialog and inclination to synthetize and to interact with the professor during the interview.
e) Excellent (30)
Exceptionally extensive and deeply analyzed knowledge, eventually with irrelevant gaps. Very high expressive capacities and scientific language fluency, excellent ability to dialog, exceptional inclination to create links between different topics, outstanding ability to synthetize and to interact with the professor during the interview.
The laude will be awarded to the candidates that demonstrate to be remarkably above the average, whose eventual expressional, conceptual, logical and notional limits result to be mainly irrelevant.
Odontoiatria: F. Gombos – R. Serpico “Clinica Odontoiatrica e Stomatologica”. Piccin Editor
Otorinolaringoiatria: Trattato di otorinolaringoiatria ed audiologia – Pignataro
Oftalmologia: Oftalmologia essenziale, Frezzotti - Guerra - 2006
The exam registrations will take place through ESSE3 platform.
The exam could be sustained by all the students who attended at least 70% of the total frontal lectures hours and at least 50% of each lesson module and after a complete attendance of all hours required for the practical professionalizing activity.
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