Denumirea disciplinei FIŞA DISCIPLINEI Numărul total de ore (pe semestru) din planul de învăţământ 177 MEDICAL SEMIOLOGY Anul de studiu 3 Semestrul * Tipul de evaluare finală (E / V / C) E Regimul disciplinei (Ob obligatorie, Op opţională, F - facultativă) Ob Numărul de credite 7 Total ore din planul de învăţământ 177 Titularul disciplinei Facultatea Departamentul Total ore de studiu individual Conf. Dr. Vasile DRUG 5 Total ore pe semestru * Dacă disciplina are mai multe semestre de studiu, se completează câte o fişă pentru fiecare semestru Total C** S L P Medicina Medicala I 0 177 56 11 Profilul Specializarea Semiologie medicala engleza ** C curs, L activităţi de laborator, P proiect sau lucrări practice Cunoştinţe minime necesare studenţilor pentru parcurgerea noţiunilor de curs/stagii/lucrări practice Physiology, Physiopathology Obiectivele disciplinei Learning clinical examination of a patient with medical disorders Programa analitică a cursului Bronchial syndrome: acute and chronic bronchitis, bronchiectasis. Pulmonary hyperinflation syndrome: pulmonary emphysema. Pulmonary consolidation syndrome - non-retractile (bacterial and viral acute pneumonia) - retractile (lung cancer) Pleural effusion syndrome: serofibrinous pleuritis, purulent pleuritis, haemorrhagic pleuritis, pachypleuritis. Pneumothorax and hydropneumothorax. Nr ore
Cavitary syndrome (lung abscess) Mediastinal syndrome Pathological EKG - I Pathological EKG - II Ischaemic heart disease. Pectoris angina. Myocardial infarction. Rheumatic fever. Rheumatic endocarditis. Bacterial endocarditis. Mitral stenosis. Mitral regurgitation. Aortic stenosis. Aortic regurgitation. Other valvular heart diseases Acute and chronic pericarditis. Diseases of myocardium. Arterial Hypertension. Arterial Hypotension. Acute and chronic peripheral ischaemic syndrome. Clinical syndromes in thrombophlebitis. Heart failure. Congenital heart diseases. a. Mouth b. Esophagus semeiology. Esophageal syndromes. c. Gastroesophageal reflux disease. Esophageal motility disorders. Esophageal cancer. a. Stomach and duodenum. b. Dyspeptic syndrome. c. Peptic ulceration syndromes. Gastric ulcers. Duodenal ulcers. Complications (upper gastrointestinal bleeding, pyloric stenosis) d. Gastric cancer a. Small intestine diseases b. Diarrhea c. Constipation d. Malabsorbtion a. Irritable bowel syndrome b. Inflammatory bowel disease (Crohn Disease and Ulcerative colitis) c. Colorectal cancer Chronic hepatitis Liver Cirrhosis Cirrhosis complications a. Portal hypertension syndrome. Gastointestinal bleeding. b. Hepatorenal syndrome. c. Hepatic coma d. Hepatocellular carcinoma Jaundice
a. Gallbladder and bile ducts diseases b. Gallstones. Gallbladder cancer. c. Cholangiocarcinoma. a. Acute and chronic pancreatitis. Pancreatic cancer. b. Spleen a. The nephritic syndrome. The nephrotic syndrome. b. Acute and chronic pyelonephritis. c. Nephrolithiasis. d. Renal cell carcinoma Renal failure (acute and chronic) Anaemia. Polycythaemia. Acute and chronic leukaemia. Lymphomas. Platelets disorders. Coagulation disorders Programa analitică lucrări practice/stagii Bronchial syndrome. Acute and chronic bronchitis. Bronchial asthma. Clinical syndrome in bronchiectasis. Pulmonary consolidation syndrome. Non-retractile pulmonary consolidation syndrome. Clinical syndromes in bacterial and viral acute pneumonia. Clinical syndromes in pulmonary infarction Lung Cancer. Retractile pulmonary consolidation syndrome. Cavitary syndrome. Lung abscess. Pulmonary hyperinflation syndrome. Clinical syndrome in pulmonary emphysema. Pleural syndrome (Pleuritis and pleural effusion syndrome). Serofibrinous pleuritis. Purulent pleuritis. Haemorrhagic pleuritis. Chyliform pleurisy. Non-inflammatory pleural diseases. Pleural syndrome in spontaneous pneumothorax. Hydropneumothorax.. Pleural syndrome in pachypleuritis. Medistinal syndrome. 1 Revision of respiratory pathology. 1 Acute and chronic peripheral ischemic syndrome. Symptoms and signs in thrombophlebitis. Pathological EKG. Mitral stenosis. Mitral regurgitation. 4 Aortic stenosis. Aortic regurgitation. 4 Tricuspid stenosis. Pulmonary artery stenosis. Tricuspid regurgitation. Pulmonary 4 artery regurgitation. Ischaemic heart disease. Pectoris angina. Myocardial infarction. Unstable angina. 4 Acute and chronic pericarditis. Diseases of myocardium. 4 Rheumatic endocarditis. Bacterial endocarditis. 4
Symptoms and signs in arterial hypertension. Arterial hypotension. Clinical 4 syndrome in heart failure. Congenital heart diseases. Revision of cardiovascular diseases. 6 Esophageal motility disorders. Achalasia. Diffuse esophageal spasm. 4 Gastroesophageal reflux disease. Hiatus hernia. Esophagitis. Esophageal stenosis 4 Esophageal cancer. Esophageal diverticulosis. Dyspepsia. Clinical syndromes in acute and chronic gastritis. Peptic ulcer. 4 Symptoms and signs in gastric cancer. Symptoms and signs of delayed gastric 4 emptying. Acute peritoneum syndrome. Diarrhoea. Constipation. Malabsortion. Revision of digestive disease. Severe hepatic failure : hepatic coma Chronic hepatitis: definition, classification, etiopathogenesis, symptoms, 4 investigations. Liver cirrhosis: definition, classification, etiopathogenesis, symptoms, 4 investigations. Evolution. Complications. Biliary cirrhosis (primary and secondary). Haemochromatosis. Wilson s disease. Liver cirrhosis: complications Biliary dyspeptic syndrome. Biliary colic. Pancreatic syndromes. Acute pancreatitis. Chronic pancreatitis. Pancreatic cancer. Revision of liver, gallbladder and pancreatic diseases. Anaemia: definition, classification. 1 Macrocytic anaemia. Normocytic anaemia. Microcytic anaemia. 1 Primary polychytemia syndrome. 1 Acute leukemia. 1 Chronic leukemia: myeloid and lymphocytic. 1 Lymph proliferative syndrome. Hodgkin s disease. 1 Hemorrhagic syndromes. Bleeding syndrome in coagulation disorders. Hemophilia. 1 Disseminated intravascular coagulation. Syndromes in acute glomerular nephropathy. Post-streptococcal acute glomerulonephritis. Acute infectious segmental glomerulosclerosis. Syndromes in chronic glomerular nephropaty. Nephrotic syndrome. Syndromes in pyelonephritis. Acute pyelonephritis. Chronic pyelonephritis. Acute renal failure. Chronic renal failure. Urinary tract lithiasis. Renal cell carcinoma. Revision of renal diseases.
Competenţe practice dobândite la finalul anului/semestrului 1.Clinical evaluation of a patient (general and system clinical examination) and completing the clinical file..clinical evaluation of a patient with altered state of consciousness. 3. To know the criteria and methods to identify the clinical signs in order to establish coma ethiology. 4. Eye exam: indications and significance of obtained data. 5. To know the symptomes of meningeal syndrome and methods to identify it. 6. To know the indications, restrictions, technique of lumbar punction and the significance of bio-umoral tests, cythology and bacteriology of cerebrospinal fluid. 7. Emergency algorytm in hypoglicemic coma. 8. Recognising medical emergencies and gravity criteria: - bronchial asthma crisis and status asthmaticus; - pulmonary embolism; - pneumothorax; - pneumonia and bronchopneumonia; - pleural effusion; - hypertensive crisis; - angina and acute myocardial infarction; - acute pulmonary edema; - upper tract digestive bleeding; - acute pancreatitis; - glomerulonephritis and acute pyelonephritis. 9. Recognising clinical signs and gravity criteria in acute peripheral circulatory failure (shock). 10.Recognising the signs of peritoneal syndrome. 11.Recognising clinical signs of acute peripheral ischemia syndrome (arterial embolism). 1. Recognising clinical signs of deep venous trombosis. 13. Recognising clinical signs of heart failure. 14. Recognising acute urine retention (identifying globe bladder). 15. Recognising acute renal failure. 16. Recognising clinical signs of occlusive syndrome. 17. To know the parameters of patient surveillance and their significance: temperature, pulse, blood pressure, breathing, diuresis, stool, vomiting, sputum. 18. Clinical evaluation of a patient with fever. 19. Clinical evaluation of a patient with jaundice. 0. Recognising viral acute hepatitis.recunoaşterea hepatitei acute virale. 1. Clinical evaluation of a patient with fluid retention syndrome.. Clinical evaluation of a patient with anemia. 3. Clinical evaluation of a patient with weight deficit. 4. Clinical evaluation of a patient with dysphagia. 5. Clinical evaluation of a patient with impaired gastric evacuatory. 6. Clinical evaluation of a patient with transit disorders. 7. Executing rectal examination: method, signs. 8. Knowledge of indications, contraindications, techniques, post-procedural surveillance and diagnostic significance in toracocentesis, pericardiocentesis and paracentesis. 9. Knowledge of exploring possibilities by biologic analysis (blood, urine, sputum, pleural fluid,
pericardic fluid, biopsy): hematologic, bio-umoral, bacteriological, histopathological assay (significance of changing evaluated parameters). 30. Knowledge of biological samples harvest. 31. Knowledge of EKG technique, EKG interpretation, recognising electrical changes in SVPT, atrial and ventricular flutter and fibrilation, acute miocardial infarction, coduction disorders, chronic myocardial ischemia, atrial and ventricular hypertrophy. 3. Knowledge of imagistic exploring possibilities, indications, contraindications and preparing the patient for radiologic examination, echography, CT, MRI. 33. Knowledge of endoscopic exploring possibilities, indications, contraindications and preparing the patient for the investigation. 34. Knowledge of attitude in medical emergencies (acute obstruction of upper respiratory tract, bronchial asthma and status asthmaticus, hypertensive crisis, acute coronary syndrome, acute pulmonary edema). 35. Preparing and technique of parenteral treatment (intradermic, subcutaneous, intramuscular, intravenous, perfusion, transfusion). La stabilirea notei finale se iau în considerare Ponderea în notare exprimată în procente (Total = 100%) - răspunsurile la examen / colocviu (evaluarea finală): - răspunsurile finale la lucrările practice de laborator - testarea periodică prin lucrări de control - activităţile gen teme / referate / eseuri / traduceri / proiecte etc. - alte activităţi (PRECIZAŢI) : colocviu Descrieţi modalitatea practică de evaluare finală E/V (de exemplu: lucrare scrisă (descriptivă şi / sau test grilă şi / sau probleme etc.), examinare orală, colocviu individual ori în grup, proiect, etc.) Teste scrise semestriale, răspunsuri la lucrările practice Examen final: examen practic şi test grilă unic (60 întrebări cu răspunsuri multiple) - Seminarii şi evaluări pe parcurs - Evaluare finală 1. examen practic 40%. probă scrisă (grilă unică) 50% 3. evaluarea asistentului in timpul anului 10%
Estimaţi timpul total (ore pe semestru) al activităţilor de studiu individual pretinse studentului (completaţi cu 0 activităţile care nu sunt cerute) 1. Descifrarea şi studiul notiţelor de 8. Pregătire prezentări orale curs. Studiu după manual, suport de curs 9. Pregătire examinare finală 3. Studiul bibliografiei minimale indicate 4. Documentare suplimentară în bibliotecă 5. Activitate specifică de pregătire SEMINAR şi / sau LABORATOR 6. Realizare teme, referate, eseuri, traduceri, etc. 0 10. Consultaţii 5 11. Documentare pe teren 1. Documentare pe Internet 13. Alte activităţi... 7. Pregătire lucrări de control 14. Alte activităţi... TOTAL ore studiu individual (pe semestru) = minimum 5 Bibliografie obligatorie : 1. Stanciu C Semiologie medicală de bază, vol.1, Editura Junimea, Iaşi, 1989. Stanciu C Semiologie medicală de bază, vol., Editura Junimea, Iaşi, 1990 3. Stanciu C, Balan Gh- Curs de Semiologie Medicală, Semiologie generală Editura Junimea Iaşi, 00 4. Curs de Semiologie medicală. Aparatul respirator, Editura Junimea, Iaşi, 00 5. Stanciu C, Stan M, Curs de Semiologie Medicală, Aparatul cardio-vascular Editura Junimea Iaşi, 00 6. Stanciu C, Trifan A, Ionescu D. Curs de Semiologie Medicală, Aparatul digestiv Editura Junimea Iaşi, 00 7. Stanciu C A Guide to Clinical Examination, Editura Gr. T. Popa, Iaşi, 00 8. Stanciu C Clinical Examination, Editura Gr. T. Popa, Iaşi, 00 9. Macleod's Clinical Examination, 1 th edition: Churchill Livingstone, Elsevier 009. 10. Barbara Bates, Lynn S. Bickley (Revised by), Robert A. Hoekelman (Revised by) Guide to Physical Examination and History Taking (Lippincott Williams and Wilkins), Hardcover (1999)
Bibliografie suplimentară pentru materia de curs şi lucrări practice-e Data completării: Semnătura coordonatorului de activitate didactică Conf dr Vasile DRUG