SURGERY AND LOCOMOTOR SYSTEM DISEASES
Surgery course 2 (first semester of 6th year) includes:
in the field of general surgery: pathologies of surgical interest in the gastrointestinal tract (from fasting to anus), endocrine system.
in the field of specialized surgery:
the vascular pathology
the pathology of the locomotor system
After the acquisition of nosography, etiology, pathophysiology, signs and symptoms of the disease, the course is aimed at the development of specific clinical skills through the presentation of clinical cases, diagnostic-therapeutic problems, concerning the most important morbose cases most commonly found in surgical practice.
At the end of the course, the student must be able to address the discussion on issues of clinical relevance, showing that he is able to set the differential diagnosis reasoning based on observation, knowledge of epidemiological data, rational use of instrumental and laboratory, on the possibilities of preventing the most common pathologies.
The student must demonstrate the ability to make correct therapeutic indications, to be generally oriented on the most common surgical techniques, surgical timing and prognosis, taking into account the psycho-physical and social characteristics of the patient. It is also required to have adequate knowledge of pre and post-operative problems related to both day-surgery and major surgery.
AIMS AND LEARNING OUTCOMES
Surgery is one of the most engaging, fascinating and exciting medical branches. The evolution of knowledge and operating techniques has led to the progressive identification of various surgical specialties.
The technological evolution of surgical devices has led to a radical progress of procedures: today there's a tendency to operate surgery without large incisions, thanks to the introduction of miniinvasive techniques, or even with only one access (single port technique) or through natural orifices (NOTES) that does not provide any abdominal access, achieving no scar surgery.
In addition, the evolution of pain therapy techniques along with pharmacological progress allows you to approach "painless surgery".
General Surgery Program
Differential diagnosis between adenocarcinoma, GIST and neuroendocrine tumor
Diagnosis and therapy of neuroendocrine tumors: carcinoid
Diagnosis and therapy of neuroendocrine tumors: insulinoma, glucagonoma, etc.
Differential diagnosis between mechanical ileum and paralytic ileum.
Differential diagnosis in a patient with intestinal obstruction
Principles of treatment of syndromes
Differential diagnosis of arterial and venous intestinal infarction
Therapeutic possibilities in the event of intestinal arterial and venous intestinal infarction
Clinical presentation of the patient with chronic ischemia
Patient framing and stabilization with lower digestive hemorrhage
Diagnostic procedure and patient therapy with inferior digestive hemorrhage
Differential diagnosis of the patient with pain in the fossa iliaca
Principles of therapy in case of appendicitis
Diagnostic pathway in a patient with acute pain in the fossa iliaca
Staging, therapeutic options (medical, radiological, surgical) in patients with acute diverticulitis
Differential diagnosis in sub-occluded patients between colon cancer, chronic inflammatory disease and complications of diverticular disease
Colon cancer polyp: when advanced colon neoplasms: therapeutic strategy
General Diagnosis, Diagnostics procedures in proctorragie
Stage and multimodal treatment of rectum carcinoma
Follow-up of rectum carcinoma
Differential diagnosis of a perianal mass
Anal epidermoid carcinoma, adenocarcinoma, cloacogenic tumors: differences in therapeutic strategy compared to rectum carcinoma
Hemorrhoids: Indications for medical and surgical treatment
Anal rags: treatment and its pathophysiological bases
Differential diagnosis of acute pain in the perianal region
Abscess and perianal fistulas: classification and treatment
Tumors of peritoneum and of retroperitoneal space: classification
Mesothelioma and retroperitoneal sarcomas
Differential diagnosis of intra-abdominal masses
Jaundice: differential diagnosis
Cholestatic jaundice: radiological, endoscopic and surgical therapy
Differential diagnosis of cholangitis (with particular attention to suppurative colangitis and primitive colangitis)
Abdominal suppression and amebic abscesses
Differential diagnosis of hepatic cysts and in particular between simple cysts, cysts from echinococcus and M. of Caroli
Liver and biliary neoplasms: classification
Differential diagnosis of liver nodules in the healthy and cirrhotic liver
Hepato-cell carcinoma: principles of multidisciplinary treatment (radiological, surgical, medical)
Intraepathic cholangiocarcinoma: differential diagnosis and treatment principles
Secondary colorectal and neuroendocrine liver tumors: multimodal treatment principles. Directions and Limits of Surgery
Principles of Hepatic Surgery: Anatomy of surgical and radiological anatomy
Complexions of portal hypertension and their treatment
Acute pancreatitis: differential diagnosis, severity classification
Principles of medical and surgical treatment of acute pancreatitis
Acute pancreatitis complications: septic complications, pancreatic pseudocysts.
Directions for surgery
Diagnosing chronic pancreatitis
Chronic pancreatitis: principles of treatment
Exocrine pancreas tumors: classification
Differential diagnosis of solid and cystic pancreas masses at head and tail levels
Staging and prognosis of carcinoma
Principles of radical and palliative treatment in exocrine pancreas neoplasms. Complications of surgical therapy
Indications for splenectomy in thesaurismosis, in Wehrlof's disease, in hematopoietic diseases
General principles of organ transplants
Indications, technique and results of kidney and liver transplantation
Complications of chronic inflammatory diseases: abscesses, visceral and cutaneous fistulas, toxic megacolones
Differential diagnosis in a patient with enterorragia.
Differential diagnosis between Crohn's disease and ulcerative colitis
Surgical indications in Crohn's Mash and ulcerative colitis
Ricevimento: Done by appointment. Please contact Ms. Daniela Baroni (Segreteria Radiologia Universitaria, tel. +39 010 555 5248) or send me an email at: firstname.lastname@example.org
MICHELE MINUTO (President)
MARCO FRASCIO (President)
MARCO CASACCIA (President)
FRANCESCO BOCCARDO (President)
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