umch | universitätsmedizin neumarkt am mieresch campus …

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Adresa UMFST: Târgu Mureş, str. Gh. Marinescu nr. 38, 540139, judeţul Mureş, România

Web: www.umftgm.ro | Email: [email protected] | Tel: +40 265 215 551 ext. 246 | Fax: +40 265 210 407

FACULTATEA DE MEDICINĂ Faculty of Medicine

SYLLABUS – 5th YEAR

No.

Educational activities - Objects/Disciplines

1 Internal medicine (2)

2 Rheumatology

3 Rehabilitation, Physical Medicine and Balneology

4 ENT

5 Dermatology

6 Ophthalmology

7 Anesthesia-Intensive Care

8 Neurology

9 Pediatrics

10 Pneumology

11 Medical Oncology

12 Pediatric Psychiatry

13 Optional courses:

Interventional Cardiology

Pain Therapy

Neurosurgery

SYLLABUS

1. Data regarding the program

1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ

1.2 Faculty MEDICINE

1.3 Department M4

1.4 Field of study HEALTH SCIENCES

1.5 Study cycle LICENSE

1.6 Study program MEDICINE LE

2. Data regarding the discipline 2.1 Name Anesthesia and Intensive Care

2.2 Course coordinator Sanda Maria Copotoiu, professor, MD, PhD

2.3 Practical activity coordinator(s) Sanda Maria Copotoiu, professor, MD, PhD

Assist. drd. Alexandra Lazăr

2.4 Study year V 2.5 Semester II 2.6 Type of evaluation Exam 2.7 Type of discipline Compulsory

3. Total estimated time (hours per semester of didactic activities)

3.1 Hours per week 17 3.2 out of which

lecture 2

3.3 laboratory practical

activity 15/saptamana

3.4 Total hours in the curriculum 73 3.5 out of which

lecture 28


activity 45

Distribution of time pool per week

hours

Study of books, lecture materials, bibliography, notes 2

Supplemental documentation at the library, from specialized information portals and in the

field 1

Preparation for seminaries/laboratories, homework, reports, portfolios and essays 1

Tutorial activities 0

Examinations 0

Other activities 0

3.7 Total hours of individual study per week 56

3.8 Total hours per semester 146

3.9 Credits 6

4. Prerequisites (where applicable) 4.1 curricular prerequisites

4.2 competency prerequisites

5. Conditions (where applicable) 5.1 for lectures Multimedia nad internet access

5.2 for laboratory and practical activities simulation equipment facilities

6. Specific competencies acquired

Professional competencies

- Identification of the critical patient and laying a management plan

- Invasive essential maneuvers – peripheral line and arterial catheter

placement

- Identifying the vantilatory modes used in the most common respiratory

diseases needing respiratory support

- Clinical toxidrome identification

- Interpreting acid-base disorders

- Preoperative assessement and knowledge of the indications and

complications of general and regional anesthesia

- Identification and management of the brain-death organ donor

Transversal competencies

- Team work - identifying the players and their role in the operating

theater or the intensive care team

- Organizing and leadership skills development

- The development of verbal communication

- Identification and evaluation of critical conditions, focusing on key

elements

- Assuming legal and medical responsibility for every performed

procedure

- Management of the difficult/aggressive patient

7. Objectives of the discipline (based on the grid of specific competencies) 7.1 General objective Identifying, understanding and managing the critical care patient

7.2 Specific objectives Identifying and managing life threatening dysfunctions

8. Contents Crt.

no. 8.1 Lecture

Teaching

methods Hours Observations ICS correlation

First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

1. Respiratory dysfunction - definition,

physiopathology, oximetry, mechanical

ventilation, respiratory distress syndrome

2 Lecture+multimedia Breathlessness,

Cyanosis

2.

2. Hemodynamic dysfunction - definition,

physiopathology, low cardiac output

syndrome, inotropic drugs

Integrated

course,

Cardiology

2 Lecture+multimedia Ischemic heart

disease

3.

3. Renal dysfunction - definition,

classification, physiopathology, risk factors,

stadialisation, management TBL 2 Lecture+multimedia

Acute renal

disease/ failure

4.

4. Hepatic dysfunction - classification,

etiology, risk scales, management, hepato-

renal and hepato-pulmonary syndrome

2 Lecture+multimedia Acute, liver

disease/ failure

5.

5. Electrolyte and water disorders - total body

water, tonicity, osmolarity, elelctrolyte

disturbances: Na, K, Ca, Mg

2 Lecture+multimedia Electrolyte and

water balance

6. 6. Acid-base disorders - homeostasis,

acidosis, alcalosis 2 Lecture+multimedia

Acid-base

disturbance

7.

7. Nutrition of critical care patient -

malnutrition, evaluation, enteral and

parenteral nutrition

2 Lecture+multimedia Malnutrition

8. 8. Shock - part I - definition, classification,

hypovolemic shock, volutfluid therapy 2 Lecture+multimedia

Shock,

Transfusion of

blood products

9. 9. Shock - part II - obstructiv and distributive

shock, sepsis

Integrated

course,

Infectious

diseases

2 Lecture+multimedia Shock, sepsis

10. 10. Neurologic dysfunction - coma, brain

death, convulsion, delirium 2 Lecture+multimedia

Disturbance of

consiossness,

Confusion

11.

11. Management of acute pain - physiology,

evaluation of pain, pain management, sedation

in intensive care, sedation scores

2 Lecture+multimedia Pain

management

12.

12. Intoxications. Toxidromes - cholinergic,

anticholinergic, adrenergic, GABA-ergic,

serotoninergic toxidromes, management,

intoxications with ethanol, paracetamol,

etylen-glycol, methanol, antidepressants,

organophosphorious herbicides, mushrooms

TBL 2 Lecture+multimedia

Poisoning,

Substance

abuse

13.

13. General and regional anesthesia -

preoperative evaluation, peridural and

epidural anethesia, general anesthesia,

pharmacology of anesthetics, anesthesia and

comorbidities

2 Lecture+multimedia

Pre-operative

care

14. 14. Organ donation. Etical problems of the

critical patient- brain death detection and 2 Lecture+multimedia

Cerebrovascular

disease

evaluation, organ recoltation and allocation,

communication with the critically ill patients,

making decisions, not to resuscitate order,

euthanasy, resourse allocation

Bibliography:

1. PROF. UNIV. DR. COPOTOIU SANDA-MARIA, PROF. UNIV. DR. AZAMFIREI

LEONARD1.ANESTHESIA AND INTENSIVE CARE COURSES FOR MEDICAL STUDENTS,

University Press, 2013

Facultative Bibliography

1. Marino PL. The ICU book. 4rd Ed. Lippincott Williams & Wilkins, 2014

2. Allain RE, Alston TA, Dunn PF et al. Clinical anesthesia procedures of the Massachusetts General

Hospital: Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital,

Harvard Medical School. 8th Ed. Lippincott Williams & Wilkins, 2010

Crt.

no.

8.1 Seminaries/Laboratories/Practical

activities/Stages

Teaching


First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1. 1. The presentation of clinic and safe rules practical

demonstration 3

practical

demonstration

2. 2. Evaluation of clinical patient (medical and

surgical). Shock

practical

demonstration,

case

presentation,

CBL

3 practical

demonstration Shock

3. 3. Oxigenotherapy.Noninvasive haemodinamic

minitoring in ICU

practical

demonstration 3

practical

demonstration

Breathlessness.

Cardiac

conduction/

rythm disorders

4. 4.Transfusion and compatibility tests. practical 3 transfusion Transfusion of

demonstration center blood products

5. 5. Respiratory patways intubation. Ventilatory

models.

practical

demonstration,

case

presentation,

CBL

3 practical

demonstration Breathlessness

6. 6. Therapies of renal substitution.

practical

demonstration,

case

presentation,

CBL

3 practical

demonstration

Acute renal

disease/ failure

7. 7. Electrolyte, water and acid/base disorders

practical

demonstration,

case

presentation,

CBL

3 practical

demonstration

Electrolyte and

water balance,

Acid-base

disturbance

8. 8. General anestesia

practical

demonstration,

case

presentation,

CBL

3 practical

demonstration

Pre-operative

care

9. 9. Regional anestesia

practical

demonstration,

case

presentation,

CBL

3 practical

demonstration

Pre-operative

care

10. 10.Invasive haemodinamic monitoring in ICU

practical

demonstration,

case

presentation,

CBLstration

3 practical

demonstration

Cardiac

conduction/

rythm disorders

11. 11. Intensive care - diagnostic and management

simulation

practical

demonstration,

case

presentation,

CBL

3x3

Simulation

educational

soft

Cardiorespiratory

arrest

12. 12.Imagistic diagnosis in ICU

practical

demonstration,

case

presentation,

CBL

3 practical

demonstration

Respiratory tract

infection

13. 13. Risk scales in ICU, Titrable drugs' doses

calculation.

practical

demonstration,

case

presentation,

CBL

3 practical

demonstration Septicaemia

14.

Bibliography:

1.Copotoiu SM, Azamfirei L: Intensive Care Courses for Medical Students, University Press, 2013

2.Marino PL: The ICU Book, 4th ed., Lippincott Williams Wilkins, 2014

3. Allain RE, Alston TA, Dunn PF et al.: Clinical anesthesia procedures of the Massachusetts General

Hospital, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital,

Harvard Medical School, 8th ed., Lippincott Williams Wilkins, 2010

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Developments in anesthesia and intensive care improved the critical care patient’s outcome. There is a

huge deficit of manpower both european and all over the world due to intense professional stress and

legal and medical responsibility.

10. Evaluation

Type of activity 10.1 Evaluation criteria 10.2 Evaluation

methods

10.3 Percent of

the final grade

10.4 Evaluation during the

semester

Lecture Knowledge and skills acquirement 2 Written TBL 20%

Practical activities Practical skills acquired during

internship Case presentation 10%

10.5 Final evaluation

Theoretical final exam Knowledge and skills acquirement Written MCQ 60%

Practical final exam Practical skills acquired during

internship Practical examination 10%

10.6 Minimal performance standards

5 at practical examination.

3.1. Performing venipuncture - 2

3.2. Infusion administration - 2

3.15. O2 administration - 2

3.16. Monitoring temperature, blood pressure, ECG, SaO2 - 2

3.19. Observing and describing central venous catheter placement -2

3.20. Observing and describing arterial catheter placement -2

3.27. Observing and describing invazive and non-invazive mechanical ventilation-2

6.1. Identification of therapeutic targets and priorities in specific clinical context -2

8.13. Case presentation – oral - 1

8.14. Case presentation – written - 1

List of must seen clinical cases:

1. Acute respiratory failure, ARDS, status asthmaticus, mechanical ventillation

2. Cardiogenic shock

3. Acute renal failure, extrarenal epuration

4. Acute liver failure

5. Septic shock

6. Multiple organ dysfunction syndrome

7. Coma

8. Multiple injury

9. Brain death

10. Patient with general anesthesia

SYLLABUS



1.2 Faculty Medicine

1.3 Department M3

1.4 Field of study Health

1.5 Study cycle Licence

1.6 Study program Medicine

2. Data regarding the discipline 2.1 Name Interventional Cardiology

2.2 Course coordinator Prof Dr. Benedek Theodora

2.3 Practical activity coordinator(s)

2.4 Study year 5 2.5 Semester 2 2.6 Type of evaluation V 2.7 Type of discipline OPT



lecture 1


activity 0


lecture 14


activity 0

Distribution of time pool per week

hours


Supplemental documentation at the library, from specialized information portals and in the field

Preparation for seminaries/laboratories, homework, reports, portfolios and essays

Tutorial activities

Examinations

Other activities

3.7 Total hours of individual study per

week 4


3.9 Credits 2

4. Prerequisites (where applicable) 4.1 curricular prerequisites -

4.2 competency prerequisites -

5. Conditions (where applicable) 5.1 for lectures -

5.2 for laboratory and practical activities -



-introduction of the cardiovascular interventional diagnosis and therapy

algorhythms into the clinical practice

-defining the indications for invasive exploration in cardiovascular pathology

(peripheral, carotid , renal , mesenteric)

-methodology for invasive angiologic and haemodynamic investigations

-methodology for coronary and peripheral vascular revascularization

Transversal competencies Integration of interventional therapy in clinical practice and getting familiar

with the indications for invasive approach in various CV diseases.

7. Objectives of the discipline (based on the grid of specific competencies) 7.1 General objective Introduction of interventional cardiology notions in the clinical thinking

7.2 Specific objectives Getting familiar with the interventional therapeutic measures in various

cardiovascular disease and integrating them in the clinical thinking.

8. Contents Crt.

no. 8.1 Lecture

Teaching

methods Hours Observations

ICS

correlation

First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

Basic notions in interventional cardiology: methods

of angiographical and hemodynamic diagnosis,

revascularization techniques, occluder implantation,

approach of structural disorders

Oral

presentation 2

2hours/lecture Chest pain

2.

Angiographic and hemodynamic diagnosis of

cardiovascular disorders and imaging techniques in

vascular disorders

Oral

presentation 2 2hours/lecture Chest pain

3. Coronary angioplasty Oral

presentation 2 2hours/lecture Chest pain

4. Peripheral angioplasty, carotid, renal and mesenteric

angioplasty

Oral

presentation 2 2hours/lecture

Abdominal

pain

5. Invasive diagnosis and therapy of valve diseases

Oral

presentation

TBL

2 2hours/lecture Cyanosis

6. Interventional approach of structural heart defects Oral

presentation 2 2hours/lecture Edemas

7.

Networks for interventional treatment in AMI,

stroke, adjuvant therapies in the interventional

cardiology.

Oral

presentation 2 2hours/lecture

Consciousness

loss Chest

pain

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1. Topol Eric J - Textbook of Interventional Cardiology, 5th ed., 2008, Saunders Elsevier, Philadelphia,

USA

2. Eeckhout E (sub red.) - Percutaneous Interventional Cardiovascular Medicine - The EAPCI Textbook -

vol 1, 2 , 2012 (official textbook of the European Society of Cardiology and European Association of

Cardiovascular Intervention)

3. Singer I – Interventional Electrophysiology, 2nd eds, Lippincott Williams & Wilkins, 2001

4. Benedek Theodora, Benedek Imre, Interventional cardiology, 2013 (University Press)

Crt.

no.


activities/Stages

Teaching


ICS

correlation

First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Orientation of students’ attention towards integrated modern medicine and interdisciplinary approach of

cardiovascular pathology.

10. Evaluation


methods

10.3 Percent of

the final grade


semester

Lecture Response to questions during

TBL Test 30%

Practical activities


Theoretical final exam Multiple choice questions

examination Exam 70%

Practical final exam - -


- minimum 50% from the total points on the multiple choice test

SYLLABUS




1.3 Department M 4

1.4 Field of study HEALTH

1.5 Study cycle LICENCE

1.6 Study program MEDICINE - English

2. Data regarding the discipline 2.1 Name DERMATOLOGY

2.2 Course coordinator Associate Profesor Dr. Fekete Gyula László

2.3 Practical activity coordinator(s) Associate Profesor Dr. Fekete Gyula László

2.4 Study year 5 2.5 Semester I 2.6 Type of evaluation Examen 2.7 Type of discipline DS



lecture 2


activity 15/sapt


lecture 28


activity 15

Distribution of time pool per week 8

hours


Supplemental documentation at the library, from specialized information portals and in the field 2



Examinations 1

Other activities


week 8


3.9 Credits 4



5. Conditions (where applicable) 5.1 for lectures

5.2 for laboratory and practical activities



1. Description of concepts, theories, and fundamental notions about

dermatological and venereal diseaseslisted in course topic.

2. Formulating hypotheses and interpretation of the signs, clinical

symptoms and laboratory changes to elaborate a presumptive

dermatologic and venereologic diagnosis

3. The application of methods, techniques and clinical knowledge

acquired as to be integrated with laboratory data in order to establish a

positive diagnosis, differential, and setting

prognosis

4. Using the concepts of therapeutic resources to formulate a correct

treatment plan and the correct interpretation of the evolution based on the

clinical and laboratory data

5. Application of the treatment plan established in accordance with state

current disease and adapt to the peculiarities of individualized patient

6. Critical monitoring and adjustment of therapy results treatment in the

patient's evolution.

7. Making an individualized treatment plan and perform therapeutic

maneuvers, including those aimed at first-aid qualified

8. Identify principles for applying prevention,

and tools that are in the hands of a doctor

9. Interpretation and analysis of risk factors to identify

the most effective measures for prevention of skin and veneral diseases

10. Development and application of a specific prevention plan to ensure

prevention of aggravation of and / or installation of consequences

debilitating of skin and venereal disease

11. Making a plan for primary, secondary and tertiary prevention, in a

given situation.


1. Identify objectives to be achieved, the available resources, the

conditions of the work stages for work, deadlines and related risks.

2. Identify roles and responsibilities in a multidisciplinary team and

application of techniques to relate and work efficiency within the team in

the relationship with the patient

3. Knowledge and interpretation of signs and symptoms in general skin

pathology

7. Objectives of the discipline (based on the grid of specific competencies)

7.1 General objective 1. Development of capacity of the graduates to approach, diagnose

and treat dermatological and venereal conditions

7.2 Specific objectives

1. Acquiring skills of examination and interpretation of eruptions in

dermatological and venereal diseases

2. Knowledge and learning the methods of laboratory investigation

and examinations for the diagnosis of dermatological diseases

3. Interpretation of the results of laboratory investigations

indermatological and venereal diseases

4. Making positive and differential diagnosis of skin diseases

5. Development of therapeutic plans in skin diseases

6. Conducting epidemiological investigations in venereal diseases

7. Knowledge of new methods of investigation and treatment in

dermatological diseases

8. Knowledge and application of effective prevention measures in

dermatological and venereal diseases

8. Contents Crt.

no. 8.1 Lecture

Teaching


First semester

1.

1. Physical examination. Examination of

the skin. Examination of the eruption: type

of lesions, distribution of lesions,

arrangement, morphology of lesions – size,

color, consistency, configuration,

margination, surface. Examination of the

adjacent mucous membranes, hair and

nails.Chronology and evolution of the

lesion or eruption.

Multimedia.

Oral

presentation

+

multimedia

2

Bullous/ vesicular

rash, Edema,

Pruritus, Purpura,

Eczematous skin

lesions, Skin ulcers

2.

2. Dermatological semiology. Changes of

color of the skin. Erythemas. Fluid filled

lesions. Solid lesions. Lesions with loss of

tissue. Cutaneous offals. Sequellar lesions.

Pathophysiological mechanisms and

notions of Cutaneous Pathology.

Dermatological examination

Multimedia.

Oral

presentation

+

multimedia

2 Integrated curs -

Physiolopathology

Bullous/ vesicular

rash, Edema,

Pruritus, Purpura,

Eczematous skin

lesions, Skin ulcers

3.

3. Benigne proliferative disorders.

Precancerous lesions. Seborrheic wart.

Keratoakanthoma. Adenoma sebaceum.

Cysts. Molluscum pendulum.

Haemangioma. Lymphangioma. Lipoma.

Naevus. Melanozis Dubreuilh. Bowen

disease. Paget disease. Xeroderma

pigmentosum. Leukoplakia. Radiation

dermatitis. Solar keratosis.

Multimedia.

Oral

presentation

+

multimedia

2

Pathologies of the

oral cavity

(including decay),

Paget's disease,

skin cancer, skin

ulcers

4.

4. Malignant proliferative disorders. Basal

cell carcinoma. Squamous cell carcinoma.

Malignant melanoma. Other malignant

tumors: Kaposi”s sarcoma,

dermatofibrosarcoma, cutaneous

lymphomas

Multimedia.

Oral

presentation

+

multimedia

2 TBL

Carcinoma of the

head and neck

lympho

proliferative

pathology,

myeloproliferative

pathology,

Pathologies of the

oral cavity

(including decay),

Skin Cancer, Skin

Ulcers

5.

5. Cutaneous viral infections. Viral warts.

Condylomata acuminata. Herpes simplex .

Herpes zoster . Molluscum contagiosum.

Pityriasis rosea Gilbert. Aphthae. Fungal

infections. Dermatophytes. Cutaneous

candidiasis. Mucosal candidiasis. Pityriasis

versicolor. Subcutaneous fungal infections.

Multimedia.

Oral

presentation

+

multimedia

2

Bullous / vesicular

rash, Joint pain,

adenopathy,

Carcinoma of the

head and neck,

infectious diseases

of childhood,,

Pathologies of the

oral cavity

(including decay),

HIV, Sexually

transmitted

diseases, skin

infections

Candidiasis,

infectious diseases

of childhood,

pruritus,

leucorrhea,

diabetes,

eczematous lesions

of the skin, hair

diseases,

6.

6. Bacterial Infections of the skin. Parasitic

disease. Mycobacterial infections.

Streptococcal infections. Staphylococcal

infections. Scabies. Pediculosis. Typical

and atypical cutaneous tuberculosis.

Multimedia.

Oral

presentation

+

multimedia

2 TBL

Bullous / vesicular

rash, adenopathy,

edema, infectious

diseases of

childhood,

peripheral nerve

disorders, pruritus,

eczematous lesions

of the skin, skin

infections

7. 7. Allergic diseases. Eczema. Urticaria.

Prurigo. Pruritus. Neurodermatitis.

Multimedia.

Oral

presentation

+

multimedia

2

Bullous / vesicular

rash, joint

swelling, edema,

allergic disorders,

pruritus, drug

reactions,

8.

8. Cutaneous manifestations of vascular

insufficiency. Vasculitis Chronic venous

insufficiency. Venous stasis ulcers.

Erythema nodosum. Purpura Henoch-

Scoonlein.

Multimedia.

Oral

presentation

+

multimedia

2

Edema,

inflammatory

arthritis,

osteomyelitis,

Paget's disease,

pruritus, purpura,

diabetes,

eczematous lesions

of the skin,

peripheral vascular

disorders, skin

ulcers, varicose

disease

9.

9. Diseases of disordered immunity Lupus

erythematosus. Scleroderma.

Dermatomyositis.Mixt connective tissue

disease

Multimedia.

Oral

presentation

+

multimedia

2

Joint pain, joint

swelling,

adenopathy,

edema, ,

inflammatory

arthritis, pruritus,

connective tissue

disease, diseases of

the hair, skin

ulcers

10.

10. Bullous diseases Pemphigus. Dermatitis

herpetiformis. Herpes gestationis.

Pemphigoid. Epidermolysis bullosa.

Porphyria. Lyell syndrome. Erythema

multiforme.

Multimedia.

Oral

presentation

+

multimedia

2

Bullous/ vesicular

rash, Pathologies

of the oral cavity

(including decay),

pruritus,

leucorrhea

11.

11. Papulosquamous diseases. Psoriasis.

Lichen planus. Disorders of sebaceous

glands Acne vulgaris. Rosacea

Multimedia.

Oral

presentation

+

multimedia

2

Joint swelling,

acne, pruritus,

psoriasis

12.

12. Sexually transmitted infections.

Pathogens. Syphilis Firs stage of syphilis.

Secondary stage of syphilis. Tertiary stage

of syphilis. Congenital syphilis. Serum

diagnosis. Treatment.

Multimedia.

Oral

presentation

+

multimedia

2 Integrated curs -

Microbiology

Bullous/ vesicular

rash, Cervical

node,

Lymphadenopathy,

Edema,

Pathologies of the

oral cavity

(including decay),

Osteomyelitis,

Peripheral nerve

disorders,

Leukorrhoea,

Diseases of the

hair, Sexually

transmitted

diseases, Skin

infections, Skin

ulcers

13.

13. Other sexually transmited diseases.

Gonococcal and nongonococcal urethritis.

Trichomoniasis. Soft chancre.

Lymphogranuloma venereum. Chlamydia

trachomatis. Genital mycoplasma

infections.

Multimedia.

Oral

presentation

+

multimedia

2

Joint pain,

Swelling joints,

Adenopathy,

Candidiasis,

Carcinoma of the

head and neck,

Infectious diseases

of childhood,

Inflammatory

arthritis,

Pathologies of the

oral cavity\(

including decay),

Edema/ Testicular

pain, Leucorrhea,

HIV, Sexually

transmitted

diseases, Sexually

transmitted

diseases,

Infections of the

skin, Skin ulcers

14.

14. Appendages disorders: Localized and

diffuse alopecia.Nail disorders Exanthems.

Erythrodermia.

Multimedia.

Oral

presentation

+

multimedia

2

Pruritus, hair

diseases, psoriasis

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1. Rook A et al - Textbook of dermatology. Ed Elservier. 2010

2. HABIF, P.Thomas Clinical Dermatology : A Color Guide to Diagnosis and Therapy Fourth Edition

Edinburgh : Mosby, 2004

3. WOLFF, Klaus Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology

6th Edition New York : McGraw-Hill Inc., 2009

4. Fekete Gy L., Fekete L. Basic dermatology and venerology for medical students. Editura University

Press, Tîrgu Mureş, 2015

Crt.

no.

8.1

Seminaries/Laborato

ries/Practical

activities/Stages

Teaching


First semester

1.

Structura si functiile

pielii. Etapele

diagnosticului

diferential in

dermatologie.

Demonstratii

practice,

prezentari de

caz

1

Structura pielii (epidermul

dermul, hipodermul, anexele

cutanate), Functiile pielii

(melanogeneza,

keratinogeneza, functia

imunologica, functia de

aparare si termoreglare),

Leziunile elementare ale

pielii (tulbarari de

pigmentare, leziuni solide,

leziuni lichide, leziuni prin

pieredere de substanta,

deseuri cutanate), anamneza

in dermatologie, examenul

obiectiv in dermatologie,

evaluarea leziunilor

elementare si corelare

acestora cu anamneza si

datele obiective

Erupție

buloasă/veziculară,

Patologii ale cavității

bucale (inclusiv cariile),

Prurit, Leucoree

Adenopatie, Edem ,

Tulburări ale nervilor

periferici, Prurit, Leziuni

eczematoase ale pielii,

Boli ale părului,

Ulcerațiile pielii, Purpură

2. Tratamentul local in

dermatologie

Demonstratii

practice,

prezentari de

caz

1

Principii de terapie locala,

preparate locale ( solutii,

geluri, mixturi, paste, creme,

pomezi), preparate topice

(dermatocorticoizii,

retinoizii, antibioticele,

antimicoticele, substantele

citotoxice)

Prurit, Leucoree,

Adenopatie, Edem ,


periferici, Prurit, Leziuni


Boli ale părului,

Ulcerațiile pielii, Purpură,

Acnee, Psoriazis

3.

Examinari

paraclinice in

dermatologie

Demonstratii

practice,

prezentari de

caz

1

Diascopia, Dermatoscopia,

Examinarea cu lampa

Wood, citodiagnosticul

Tzanck, biopsia cutanata

Carcinom al capului și

gâtului, Patologii

limfoproliferative,

Patologii

mieloproliferativePatologi

i ale cavității

bucale(inclusiv cariile),

Cancer de piele,

Ulcerațiile pielii, Boli cu

transmitere sexuală,

Infecțiile pielii,Candidoză,

Psoriazis, Acnee

4. Tratamentul sistemic

in dermatologie

Demonstratii

practice,

prezentari de

caz

1

Corticoterapia in

dermatologie, Retinoizii in

dermatologie,

Antibioterapia, Terapia

sistemica cu antimicotice,

Terapia cu agenti biologici

Ulcerațiile pielii, Boli cu

transmitere sexuală,

Infecțiile pielii,Candidoză,

Psoriazis

(adalimumab, ustekinumab,

etanerceptum,

sekukinumab), Terapia cu

alti agenti terapeutici in

dermatologie ( metotrexat,

azathioprina, ciclosporina

A)

5.

Tratamentul

dermatologic prin

agenti fizici

Demonstratii

practice,

prezentari de

caz

1

Electrocauterizarea,

Crioterapia, Terapia cu

ultraviolete A, B cu banda

ingusta, Fotochiomioterapia

(PUVA – terapia),

Fotochimioterapia topica,

Fotochimioterapia

extracorporeala (fotoforeza),

Principiile Laserterapiei,

tipuri de LASER, indicatiile

diferitelor tipuri de LASER,

Terapia fotodinamica

(PDT), Radioterapia in

dermatologie

Carcinom al capului și

gâtului, Patologii

limfoproliferative,

Patologii

mieloproliferativePatologi

i ale cavității

bucale(inclusiv cariile),

Cancer de piele,

6.

Diagnosticul

diferențial în

afecțiunile

eritematoscuamoase

CBL

Demonstratii

practice,

prezentari de

caz. CBL

1 Psoriazisul, Pitiriazis rozat

Gibert, Eczematide,

Prurit, LeucoAdenopatie,

Edem , Tulburări ale

nervilor periferici, Leziuni


Boli ale părului,

Ulcerațiile pielii, Purpura,

7.

Diagnosticul

diferențial în

afecțiunile

veziculobuloase

CBL

Demonstratii

practice,

prezentari de

caz. CBL

1

Herpes simplex, herpes

zoster, eritem polimorf,

pemfigusuri, pemfigoidul

bulos, epidermoliza buloasă

și dobândită

Erupție




LeucoreeAdenopatie,


nervilor periferici, Prurit,

Leziuni eczematoase ale

pielii, Boli ale părului,

Ulcerațiile pielii, Purpură,

8. Paraneoplazii

cutanate

Demonstratii

practice,

prezentari de

caz

1

Acrokeratoza

paraneoplazică, Acanthosis

nigricans malign,Erythema

gyratum repens, Ichtioza

paraneoplazică, semnul

Lesser -Trelat, Hipertricoza

lanuginoasă, Eritemul

necrolitic migrator

Adenopatie, Leziuni


Prurit, Carcinom al

capului și gâtului,

Patologii

limfoproliferative,

Patologii

mieloproliferative

9. Reacții cutanate

postmedicamentoase

Demonstratii

practice,

prezentari de

caz. CBL

1

Incidență, Reacții

inumologice, Reacții non-

imunologice, Reacții

cutanate generalizate,

Reacții cutanate localizate,

Prurit, Edem, Leziuni


Purpură, Erupție

buloasă/veziculară

Tratament

10.

Diagnosticul

diferențial în raport

cu regiunile

anatomice

Demonstratii

practice,

prezentari de

caz

1

Afecțiunile scalpului, feței,

trunchiului, regiunii genitale

la femei și bărbați, brațelor

și mâinilor, membrelor

inferioare și superioare

Erupție




Leucoree,Adenopatie,






11. Patologia mucoasei

bucale

CBL

Demonstratii

practice,

prezentari de

caz. CBL

1

Stomatite difuze, Afecțiuni

ale limbii, buzelor și

mucoasei jugale



Adenopatie, Erupție


12. Patologia regiunii

genitale

CBL

Demonstratii

practice,

prezentari de

caz. CBL

1

Pruritul și afecțiunile

eczematoase. Infecții

bacteriene și micotice.

Afecțiuni papuloscuamoase

Leucoree, Adenopatie,

Edem , Leziuni

eczematoase ale pielii

13. Patologia regiunii

genitale

Demonstratii

practice,

prezentari de

caz

1 Ulcerații ale mucoasei

genitale. Afecțiuni maligne

Adenopatie, Edem ,


periferici, Ulcerațiile pielii

14. Lucrare

recapitulativă

Demonstratii

practice,

prezentari de

caz

2

Recapitularea examenului

local dermatologic,

diagnosticului diferențial și

al unei prezentări de caz

dermatologic

Erupție




Prurit,

Leucoree,Adenopatie,






Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1. Rook A et al - Textbook of dermatology. Ed Elservier. 2010

2. Color Atlas & Synopsis of Clinical Dermatology 6th Edition New York : McGraw-Hill Inc., 2009

3. Fekete Gy L., Fekete L. Basic dermatology and venerology for medical students. Editura University

Press, Tîrgu Mureş, 2015

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Absolventul trebuie sa cunoască și să aplice cunoștințele din domeniul dermatologiei deoarece

dermatologia reprezinta o disciplina de baza atat prin complexitatea si prin frecventa bolilor cutanate cat

si prin faptul ca reprezinta oglinda intregului organism, foarte multe boli ale organelor interne avand

modificari specifice la nivel cutanat.

10. Evaluation

Type of activity 10.1 Evaluation criteria 10.2 Evaluation methods 10.3 Percent of

the final grade


semester

Lecture In functie de specificul disciplinei TBL 10%

Practical activities In functie de specificul disciplinei CBL 10%


Theoretical final

exam

Understanding and integration of all

theoretical concepts

Knowing of bibliographical

references

final test verification

during the year 60%

Practical final exam

Correlation between theoretical and

practical notions

Capacity of performing practical

work

Practical skills acquired during

internship

Practical exam clinical

case 20%


1. Making medical history, clinical examination, and could efectuate the based diagnostics maneuvers ,

request appropriate complementary examinations, formulating a positive and differential diagnosis in

skin and venereal diseases

2. Making an individualized treatment plan and perform core therapeutic maneuvers, including those

relating to first aid in skin diseases

3. Making a plan for primary, secondary and tertiary prevention,for dermatological and venereal diseases

SYLLABUS



1.2 Faculty Medicine

1.3 Department M4

1.4 Field of study Health Care


1.6 Study program General Medicine - English Section

2. Data regarding the discipline 2.1 Name Endocrinology

2.2 Course coordinator Prof. Dr. Pascanu Ionela

2.3 Practical activity coordinator(s) Prof. Dr. Pascanu Ionela

2.4 Study year IV 2.5 Semester I 2.6 Type of evaluation Ex 2.7 Type of discipline DS



lecture 2


activity 2


lecture 28


activity 28


hours



Preparation for seminaries/laboratories, homework, reports, portfolios and essays 1/2

Tutorial activities 1/2

Examinations 1

Other activities


week 8


3.9 Credits 4



5. Conditions (where applicable)

5.1 for lectures the presence is mandatory on at least 80% of the lectures, which means

on at least 11 lectures from the total 14

5.2 for laboratory and practical the presence is mandatory on at least 80% of the practical activities,

activities which means at least 11 presences from the total 14; absences above 3

must be recovered during the semester; mandatory participation on the

mid-semester seminar (on the 9th or 10th semester week)



- to describe the concepts, theories and fundamental notions in the

pathogenesis, symptoms, clinical signs of endocrine diseases, useful for

the diagnosis, management and prevention of endocrine disorders,

- to identify the risk factors for endocrine conditions, and the populational

health problems in the field of endocrinology

- to formulate hypotheses to solve clinical cases, to evaluate correctly the

clinical signs and symptoms of endocrine disturbances, as well as the

specific laboratory results and imagistic finding in endocrinology in order

to elaborate a presumptive diagnosis,

- to apply therapeutic notions in order to formulate therapeutic strategies,

to describe the mechanisms of action, indications, contraindications, side

effects of medicines and other possibilities of treatment in endocrine

diseases.


- to identify the objectives, and how the available resources can be used to

realize them, working steps and times, to evaluate the opportunities to

realize the deadlines on time, and the possible afferent risks,

- to identify the roles and responsabilities in a multidisciplinary

teamwork, and to apply communication skills, flexibility and adaptability

in the partnership with the colleagues and relationship with the patients,

to learn to construct working partnerships,

- to aware of the need for a lifelong learning and training, the efficient

application of learning resources and skills which ensure the path to

lifetime learning; knowledge, skills and attitudes that together give to

students a solid basis for further learning,

- to learn to transfer the skills for critical thinking in the medical practice,

- to use efficiently informational and communication resources for

professional qualification, maintain telecommunications electronic

equipment or servicies, telecommunications network management, use of

professional vocabulary and languages appropriate for effective

communication,

- to offer individualised guidance and support for student motivated to

continue their training in the field of endocrinology and allow the

construction of flexible routes to qualifications,

- to be involved in social and civic competence, in public health problems

in the field of endocrinology, by informing/educating population to learn

the prevention or management of risk factors for endocrine diseases.


7.1 General objective

- to provide excellent training in clinical endocrinology, to motivate and

inspire innovative clinical and basic research in endocrinology, and to

prepare the trainees to become academic physicians/scientists and future

leaders of endocrine research, education and practice.

7.2 Specific objectives - to present the importance of endocrinology in academic medical

education,

- to highlight the close correlations between endocrinology and other

medical and surgical specialities,

- to transfere a minimal endocrinological knowledge necessary for an

adequate medical activity,

- to train the students to understand basic endocrinological mechanisms,

hormone actions, hormone interactions, endocrine physiology and

pathophysiology of endocrine diseases,

- to train the fellows to diagnose, prevent and manage endocrine diseases,

including history and physical examination of endocrine glands, selection

and interpretation of hormonal tests and imaging procedures, different

therapeutical possibilities used in endocrinology,

- to emphasize the importance of endocrine conditions being considered

populational endocrine health problems (endemic goiter and iodine-

deficiency disorders, osteoporosis, obesity etc.), to sensitize the fellows

for prophylactic and screening endocrinological programmes,

- to learn the fellows how to perform endocrine research (clinical and/or

basic), to collaborate with colleagues of other specialities, and to be

involved in research project during academic education

- to understand of the need to engage in lifelong learning to stay abreast of

relevant scientific advances.

8. Contents Crt.

no. 8.1 Lecture

Teaching


First semester

1.

1. Fundamental endocrinology knowledge. The

hormone’s classification, measuring methods,

biorhythms, action mechanisms. Etiology and

pathogeny of endocrine diseases.

Oral

presentation

and

multimedia

2

Thyroid

disorders,

Pituitary

disorders

2.

2. Hypothalamus – superior neurovegetative centre

and neuroendocrine coordinator. Congenital

hypothalamic dysfunctions. Hypothalamic-

neurohypophysis system: AVP, oxitocine.

Diabetes insipidus.

Oral

presentation

and

multimedia

2

Pituitary

disorders,

Electrolyte and

water balance,

Brain tumors,

Eating disorders,

Headache, visual

impairment,

polyuria, short

stature, weight

gain, weight loss,

sleep disturbance

3.

3. The anterior pituitary gland. The pituitary

tumoral syndrome. Pituitary adenomas.

Acromegaly. Prolactinoma and other

hyperprolactinemias.

Oral

presentation

and

multimedia

2

Pituitary

disorders Raised

intracranial

pressure,

headache,

Cefalee, visual

impairment

4. 4. The clinical non-secretory adenoma. TSH Oral 2

Pituitary

secreting adenoma. Cushing disease. Pituitary

failure. Carniopharyngioma. Empty sella

syndrome.

presentation

and

multimedia

disorders,

Dezechilibru

hidro-electrolitic

Headache, visual

impairment, short

stature, weigth

gain, raised

intracranial

pressure

5.

5. Thyroid gland - Anatomy, embryology,

physiology, biosynthesis and action of the thyroid

hormones. Thyroid function regulation

Oral

presentation

and

multimedia

2

Thyroid disorders

6.

6. Thyreotoxicosis syndrome. Basedow Graves

disease. Thyroid function autonomy. Iodine

induced hyperthyroidism. Other thyreotoxicosis.

Thyreotoxic crisis.

Oral

presentation

and

multimedia

2

Thyroid disorders

Palpitations,

visual

impairment,

visual loss,

weight loss,

orbital swelling

7.

7. Hypothyroidism – newborn, child, adult, old

age. Hypothyroid coma. Endemic and sporadic

goiter.

Oral

presentation

and

multimedia

2

Thyroid

disorders,

Learning

disorders,

Anemia hearing

loss,

constipation,

dysphagia, short

stature, weight

gain, oedema,

8.

8. Acute, subacute and chronic thyroiditis. (forms -

chronic lymphocitary Hashimoto, atrophic and

lignosa). Thyroid tumors. Benign tumors. Thyroid

cancer – diagnostic and therapeutic course of

action. Other malign tumors.

Oral

presentation

and

multimedia

2

Thyroid

disorders,

Carcinoma of

head and neck

PUO-pyrexia of

unknown origin

Dysphagia, lump

in neck,

lymphadenopathy

9.

9. Morphology and physiology of the parathyroid

glands. Hypoparathyroidism. Spasmophilia.

Hyperparathyroidism. Osteoporosis.

Oral

presentation

and

multimedia

2

Disorders of

calcium and

vitamin D

metabolism,

Osteoporosis,

Pagets disease

Back pain

10. 10. Regulation of the secretion of the adrenal

cortex hormones. Cushing syndrome.

Oral

presentation

and

2

Adrenal excess

Hypertension

Diabetes mellitus

multimedia

11.

11. Chronic primary adrenal failure. (Addison

disease). Addisonian crisis. Congenital adrenal

hyperplasia. Adrenal incidentalomas.

Oral

presentation

and

multimedia

2 TBL

Adrenal failure,

Adrenal excess

Hypertension

Palpitațion,

tiredness,

vomiting

12. 12. Hypermineralocorticism. Adrenal medulla –

physiology. Pheochromocytoma. Paraganglioma

Oral

presentation

and

multimedia

2

Adrenal failure,

Adrenal excess

Hypertension

Palpitațion,

tiredness,

vomiting

13.

13. Sexualization. Disorders of sex development.

Turner syndrome. Klinefelter syndrome. Other

sexual development disturbances. Normal and

patological puberty. Male hypogonadism. Male

infertility. Cryptorchidism. Gynecomastia. The

andropause.

Oral

presentation

and

multimedia

2

Chromosomal

disorders,

Normal child

development,

Disorders of

puberty,

Hypogonadism,

Infertility

gynaecomastia

14.

14. Primary ovarian failure. Primary and

secondary amenorrhea. Benign breast diseases.

Polycystic ovary syndrome. The menopause.

Obesity: Etiology, pathogenesis. The metabolic

syndrome. Treatment.

Oral

presentation

and

multimedia

2 TBL

Hypogonadism,

Menstrual

disorders,

Disorders of

puberty,

Infertility, Breast

lump, Birth

control,

Disorders of lipid

metabolism

Diabetes

mellitus, Acne

Weight gain

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1. Ionela M. Pascanu, Florina Gliga, Gabriela Madaras, Raluca Pop, Corina Radu-Pop, Zsuzsana Szanto:

ENDOCRINOLOGY LECTURE, Lithography UMPh Targu Mures, 2012

2. Gardner DG, Shoback D (eds.) Greenspan's Basic & Clinical Endocrinology, Ninth Edition, 2011.

Crt.

no.


activities/Stages

Teaching


First semester

1.

1. The observation sheet – particularities in

endocrinology. Filling the observation sheet.

Developing bedside manners – practical activities.

practical

activities 2

Patologie

tiroidiana,

Patologia

glandei

hipofize

2.

2. Patological practical aspects of hypothalamic-

pituitary syndromes. Congenital hypothalamic

dysfunctions. Pituitary tumoral syndrome –

neurological, imagery, ophthalmological and

endocrine. Diabetes insipidus

Case

presentation,

practical

activities

2

Patologia

glandei

hipofize,

Dezechilibru

hidro-

electrolitic,

Tumori

cerebrale,

Tulburări de

apetit

alimentar,

Cefalee,

afectare

vizuala,

poliurie,

nanism, castig

ponderal,

pierdere

ponderala,

tulburări de

somn

3. 3. Pituitary adenomas (acromegaly, prolactinoma):

diagnostic and treatment options

Case

presentation,

practical

activities

2 CBL

Patologia

glandei

hipofize,

Presiune

intracraniană

crescută,

Cefalee,

afectare

vizuala

4.

4. TSH secreting adenoma. Pituitary failure –

practical aspects of the diagnosis and therapy.

Craniopharyngioma.

Case

presentation,

practical

activities

2

Patologia

glandei

hipofize,

Dezechilibru

hidro-

electrolitic

Cefalee,

afectare

vizuala,

nanism, castig

ponderal,

Presiune

intracraniană

crescută,

5. 5. Diagnostic methods in thyroid diseases –

paraclinical and laboratory findings

Case

presentation,

practical

activities

2

Patologie

tiroidiana

6.

6. Thyreotoxic syndrome. Basedow Graves disease,

thyroid autonomy, iodine induced hyperthyroidism,

etc. Practical aspects for positive and differential

diagnosis, treatment guidelines.

Case

presentation,

practical

activities

2 CBL

Patologie

tiroidiana,

Palpitatii,

afectare

vizuala,

cecitate,

pierdere

ponderala,

inflamație a

orbitei

7.

7. Hypothyroidism – clinical findings depending on

age. Thyroiditis – positive and differential

diagnostic, therapeutic options.

Case

presentation,

practical

activities

2

Patologie

tiroidiana,

Tulburări de

învățare,

Anemie

constipație,

disfagie,

nanism, castig

ponderal,

edem,

8. 8. Endemic goiter. Thyroid nodule – diagnostic

guideline. Thyroid cancer.

Case

presentation,

practical

activities

2

Patologie

tiroidiana,

Carcinom al

capului și

gâtului

Disfagie,

surditate, nodul

cervical,

adenopatie

9.

9. Hypoparathyroidism. Hypocalcemic disorders.

Spasmophilia. Hyperparathyroidism. Hypercalcemic

disorders. Osteoporosis.

Case

presentation,

practical

2

Tulburări ale

metabolismului

calciului și

activities vitaminei D,

Osteoporoza,

Boala Paget

Durere de

spate

10.

10. Cushing syndrome – clinical, paraclinical,

diagnostic aspects. Hyperaldosteronism. Congenital

adrenal hyperplasia – diagnostic and treatment

aspects.

Case

presentation,

practical

activities

2

Hiperfuncție a

glandei

suprarenale

Hipertensiune

Diabet zaharat

Hipogonadism,

Tulburări ale

pubertății

11. 11. Adrenal failure. Pheochromocytoma and

paraganglioma.

Case

presentation,

practical

activities

2

Insuficiență a

glandei

suprarenale,

Hiperfuncție a

glandei

suprarenale

Hipertensiune,

Palpitații,

oboseală,

vărsături

12.

12. Normal and patological sexualization. Pubertal

status evaluation. Male hypogonadism. Masculine

infertility. Cryptorchidism. Gynecomastia. The

andropause.

Case

presentation,

practical

activities

2

Patologii

cromozomiale,

Dezvoltarea

normală a

copilului,

Tulburări ale

pubertății,

Hipogonadism,

Infertilitate

ginecomastia

13.

13. Ovulation – clinical and paraclinical diagnostic.

Primary ovarian failure. Primary and secondary

amenorrhea. Benign breast disease. Polycystic ovary

syndrome. The menopause.

Case

presentation,

practical

activities

2

Hipogonadism,

Tulburări ale

menstruației,

Tulburări ale

pubertății,

Infertilitate,

Nodul mamar,

Contracepție,

Acnee

14. 14. Practical methods for obesity management. The

metabolic syndrome.

Case

presentation,

practical

activities

2

Tulburări ale

metabolismului

lipidic, Diabet

zaharat, Câștig

ponderal

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1. Ionela M. Pascanu, Florina Gliga, Gabriela Madaras, Raluca Pop, Corina Radu-Pop, Zsuzsana Szanto:

ENDOCRINOLOGY LECTURE, Lithography UMPh Targu Mures, 2012.

2. Gardner DG, Shoback D (eds.) Greenspan's Basic & Clinical Endocrinology, Ninth Edition, 2011.

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain - the student must have a minimal endocrine knowledge in order to recognize endocrine diseases, to

recommend the appropriate investigations and current therapeutical opportunities for patients, and to

collaborate succesfully with other medical and surgical specialists in the future

- the student have to know prophylactic measures to prevent endocrine diseases: to indicate lifestyle,

dietary and other preventive advices, especially in high risk populational groups (obesity in any age

group, iodine deficiency in pregnancy, osteoporotic fractures in elderly etc.)

- the student must know populational endocrine health problems, in order to recommend screening and

therapeutical programs

- the student have to gain skill to interact with patients suffering from endocrine diseases and/or diabetes

mellitus

- the student must know the endocrine emergencies, in order to identify them and act promptly in case of

patients with one of these severe health problems.

10. Evaluation


the final grade

10.4 Evaluation

during the

semester

Lecture A test with 9 simple choice questions from

the lectures at TBL lecture

For each question the

student will receive 1 point

if is correct

10%

Practical

activities A case scenario

3-5 practical questions

related to a case reports

similar to those presented

during semester at practical

activities. For each question

the student must give details

regarding correct diagnosis,

signs and symptoms,

treatment

10%

10.5 Final

evaluation

Theoretical

final exam

evaluation of theoretical knowledge in

endocrinology

A written test consisting of

90 multiple& simple choice

questions

40%

Practical

final exam

To realize general and local physical

examination, to evaluate paraclinical

investigations (hormonal assessment,

tumor markers, cytological exam,

endocrine ultrasound, X-Ray, CT, MRI), to

identify endocrine emergencies, to identify

the therapeutic objectives and priorities in

endocrine diseases, drug prescription, to

identify the risk factors of endocrine

diseases and prophylaxis. - evaluation of

the practical abilities by a case scenario of

a patient with endocrinological pathology

5 practical questions related

to a case reports similar to

those presented during

semester at practical

activities. For each question

the student must give details

regarding correct diagnosis,

signs and symptoms,

diferential diagnosis,

treatment

40%


The exam is considered passed if the student has obtained at least the minimum grade (5) both on the

written and practical exam. For the theoretical part each question has maximum 4 right answers. The

questions with one answer are corrected by the rule “all or nothing”. For the questions with multiple right

answers, a point is awarded for recognizing both the right and wrong answers.

Obtaining a lower grade on either the written or practical exam means flunking the exam for that session.

The minimal standards are: To realize anamnesis in adult patient and child with endocrine disease,

general and local physical exam, to evaluate paraclinical investigations (hormonal assessment, tumor

markers, cytology, endocrine ultrasound, X-Ray, CT, MRI), to identify endocrine emergencies, to identify

the therapeutic objectives and priorities in endocrine diseases, drug prescription, to identify the risk

factors of endocrine diseases and prophylaxis.

Corespunzator Caietului de abilitati practice:

Abilitati privind tehnologia informatiei: 1.1, 1.2, 1.3, 1.4,1.5

Abilitati clinice: 2.1-> 2.11

Abilitati tehnice: 3.36

Abilitati paraclinice: 4.3; 4.6; 4.8; 4.10;4.12; 4.13; 4.16; 4.17; 4.18; 4.20; 4.21; 4.22; 4.24; 4.25; 4.26;

4.27; 4.28; 4.30; 4.31;

Abilitati privind deciziile si prescriptiile terapeutice: 6,1; 6.2; 6.4; 6.5; 6.6; 6.7;

Abilitati privind profilaxia bolilor si promovarea sanatatii: 7.1-> 7.8 (cu exceptia 7.7)

Abilitati de comunicare: 8.1-> 8.14;

Abilitati de cercetare si evaluare critica a dovezilor medicale: 9.1-> 9.5;

Abilitati diverse: 10.1->10.4;

Must seen clinical situation: Adenom hipofizar, Acromegalie, Insuficienta hipofizara, Nanism hipofizar,

Diabet insipid, Gusa nodulara, Sindrom tireotoxic, Tiroidita cronica, Hipotiroidie, Osteoporoza,

Hipoparatiroidism, Hiperparatiroidsm, Sindrom Cushing, Insuficienta adrenala, Sindrom de ovare

polichistice, Obezitate

SYLLABUS




1.3 Department M3



1.6 Study program MEDICINE

2. Data regarding the discipline 2.1 Name INTERNAL MEDICINE 2

2.2 Course coordinator Prof.Dr.Daniela Dobru

2.3 Practical activity coordinator(s) Podoleanu Cristian, Cernea Simona, Magdas Annamaria, Jerremias

Zsuzsanna

2.4 Study year V 2.5 Semester 1 2.6 Type of evaluation EXAMEN 2.7 Type of discipline DS



lecture 3


activity 15


lecture 42


activity 165


hours





Examinations 1

Other activities 1


week 31


3.9 Credits 10




5.2 for laboratory and practical

activities



- Formulation of hypotheses and interpret the signs, clinical symptoms

and laboratory changes to develop presumptive diagnosis.

- Use concepts of therapeutic resources to formulate treatment plan and

correct interpretation, evolving clinical data and praclinice.

- Use principles, specific research methodology for correct interpretation

of phenomena linked to health, to do the diagnosis, development and

prognosis, prevention and therapeutic medical and surgical diseases.

- Application of methods, techniques and clinical knowledge acquired to

be integrated with laboratory data for positive diagnosis, differential

diagnosis and disease.

- Implement the treatment plan established in accordance with the current

state of the disease and its adaptation to individual patient characteristics.

- Implement appropriate preventive measures to prevent illness and

recovery rebalancing of the consequences of diseases already started.


Achieving a work / project, performing specific tasks responsibly role in a

multidisciplinary team.

- Design, Layout and support in Romanian and one international language

of specialized works on a current topic in the field, using different

information sources and tools.



Acquiring main disease-specific diagnostic and therapeutic aspects

contained in the analytic syllabus:

- Gastroenterology and hepatology

- Nephrology

7.2 Specific objectives Acquiring knowledge for diagnosis and specific treatment guidance

in major diseases studied.

8. Contents Crt.

no. 8.1 Lecture

Teaching


First semester

1.

1.Gastroesophageal reflux disease : definition ,

classification, diagnosis , management .Barrett

esophagus , Esophageal Cancer , Dismotility

disorders

oral

presentation

+

multimedia

3

Dysphagia,

Weight loss,

Hematemesis,

Oesophageal

cancer,

Dismotility

disorders

2.

2.Peptic ulcer disease :definition , classification,

diagnosis , management .Gastric tumors ;

nosological terms , etiopathogeny , diagnosis ,

management

oral

presentation

+

multimedia

3 TBL1

Peptic ulcer,

Abdominal

pain,

Hematemesis,

Gastric cancer

3. 3.Diareea and constipation :nosological terms ,

etiopathogeny , diagnosis , management

oral

presentation

+

multimedia

3

Diarrhoea,

Changes in

bowel habits,

Malabsorption

4.

4.Inflamatory bowel disease : Ulcerative Colitis ,

Crohn disease: diagnosis , management ,

complications

oral

presentation

+

multimedia

3

Inflammatory

bowel disease,

Rectal bleeding

5. 5.Colonic polips , Poliposis Syndromes , Colorectal

cancer

oral

presentation

+

multimedia

3

Intestinal

obstruction,

Abdominal

pain, abdominal

distension,

Anemia,

Weight loss,

Anorectal pain,

Rectal bleeding

6. 6.Cronic Hepatitis , Cirhosis , Hepatic cancer :

epidemiology , pathology , diagnosis , management

oral

presentation

+

multimedia

3

Chronic liver

pathology,

Jaundice,

Hepatomegaly,

Splenomegaly

7. 7.Chronic Pancreatitis , Pancreatic Cancer , Biliary

disorders

oral

presentation

+

multimedia

3

Pancreatic

pathology,

Pancreatic

cancer,

Gallbladder

pathology

8.

8.Signs and sypmtoms in nephrology: anatomo-

functional correlations. Estimated gfr for evaluation

of kidney function. Proteinuria. Hematuria.

oral

presentation

+

multimedia

3

Acute renal

disease/failure,

Dysuria,

Hematuria,

Oedema,

Polyuria

9.

9.Clinical investigations in kidney diseases. Imaging

modalities: laboratory, iv-urography, ultrasound, ct-

scan, mri, scintigraphy, biopsy

oral

presentation

+

multimedia

3

Haematuria,

Oedema,

Orbital

swelling

10.

10.Glomerular syndromes: nephritic syndrome,

nephrotic syndrome, glomerular nephropaties:

minimal change disease, membranous nephropathy,

focal and segmental glomerulosclerosis (gsfs),

poststreptococal glomerulonephritis, rapide

progressive gn

oral

presentation

+

multimedia

3

Haematuria,

Oedema,

Orbital

swelling

11.

11.Kidney involvement in systemic diseases:

vasculitis, iga nephropathy, hypertension, diabetes

mellitus, atherosclerosis

oral

presentation

+

multimedia

3

Hypertension,

Diabetes

mellitus

12. 12.Tubulo-interstitial nephropathies: acute and oral 3

Acute renal

chronic pyelonephritis, analgesic nephropathy, urate

chronic interstitial nephrytis. Acute renal failure:

patient approach, rhabdomyolisis, sepsis, pregnancy

presentation

+

multimedia

disease/failure,

Disorders of

calcium and

vitamin D

metabolism,

Disorders of

uric acid

metabolism,

Urinary tract

obstruction,

hematuria

13. 13.Chronic kidney disease: clinical management of

the patient before substitution therapies

oral

presentation

+

multimedia

3 TBL2

Chronic renal

disease,

Disorders of

calcium and

vitamin D

metabolism,

Pruritus,

anemia

14. 14.Chronic kidney disease: renal replacement

therapy

oral

presentation

+

multimedia

3

Chronic renal

disease,

Disorders of

calcium and

vitamin D

metabolism,

Pruritus,

anemia.

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1.Mayo Clinic Gastroenterology and Hepatology , Third Edition , Stephan C.Hauser , Mayo Clinic

Scientific Press

2. Lecture Notes - Gastroenterology 2014 . Daniela Dobru. University Press

3.Simon Steddon, Alistair Chesser, John Cunningham, and Neil Ashman - Oxford Handbook of

Nephrology and Hypertension (2 ed.), Oxford University Press, 2014

4.LECTURE NOTES

Additional :Essentials in clinical nephrology, MA SOBH, 2000, Ed Shorouk Press

Crt.

no.


activities/Stages

Teaching


ICS

correlation

First semester

1. 1.Approach to the patient with disphagia

CBL;PPT

presentation

and case

presentations

3x5

internship

Gastroenterology

Departament

week 1

Dysphagia,

Oesophageal

cancer

2. 2. Approach to the patient with dyspepsia

CBL;PPT

presentation

and case

presentations

3x5

internship

Gastroenterology

Departament

week 2

Gastric

cancer, Peptic

ulcer

3. 3. Approach to the patient with diareea

CBL;PPT

presentation

and case

presentations

3x5

internship

Gastroenterology

Departament

week 3

Diarrhoea

4. 4. Approach to the patient with constipation

CBL;PPT

presentation

and case

presentations

3x5

internship

Gastroenterology

Departament

week 4

Constipation

5. 5. Approach to the patient with abnormal liver

tests

CBL;PPT

presentation

and case

presentations

3x5

internship

Gastroenterology

Departament

week 5

Jaundice,

6. 6. Approach to the patient with abdominal pain

CBL;PPT

presentation

and case

presentations

3x3

internship

Gastroenterology

Departament

week 6

Abdominal

pain

7. 7. Paracentesis , plypectomy- live demonstration

CBL;PPT

presentation

and case

presentations

3x2

internship

Gastroenterology

Departament

Week 6

Chirrosis

8. 8. Approach to the patient with nephritic

syndrome

CBL;PPT

presentation

and case

presentations

3x5

Internship

Nephrology

week 7

Haematuria,

Hypertension,

Chronic renal

disease

9. 9. Approach to the patient with nephrotic

syndrome

CBL;PPT

presentation

and case

presentations

3x5

Internship

Nephrology

week 8

Oedema,

Orbital

swelling,

Chronic renal

disease

10. 10.Approach to the patient with urinary tract

infection

CBL;PPT

presentation

and case

presentations

3x5

Internship

Nephrology

week 9

Polyuria,

Urinary tract

infection,

Urinary tract

obstruction

11. 11. Approach to the patient with chronic kidney

disease

CBL;case

presentations 3

Internship

Nephrology

week 10

Chronic renal

disease,

Pruritus,

Hypertension,

pericardial

disease,

vomiting

12. 12 Approach to the patient with acute renal

failure

CBL;case

presentations 3x2

Internship

Nephrology

week 11

Chronic renal

disease,

Pruritus,

Hypertension,

shock.

13. 13. Kidney biopsy CBL;case

presentations 3

Internship

Nephrology

week 11

Chronic

kidney

disease

14. 14. Kidney ultrasound CBL;case

presentations 3x2

Internship

Nephrology

week 11

Acute and

chronic renal

disease

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1.Mayo Clinic Gastroenterology and Hepatology , Third Edition , Stephan C.Hauser , Mayo Clinic

Scientific Press

2.Lecture Notes - Gastroenterology 2014 . Daniela Dobru. University Press

3.Simon Steddon, Alistair Chesser, John Cunningham, and Neil Ashman - Oxford Handbook of

Nephrology and Hypertension (2 ed.), Oxford University Press, 2014

4.LECTURE NOTES

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain

10. Evaluation


the final grade

10.4 Evaluation

during the

semester

Lecture

Learning orientation key

diagnostic elements and

principles of treatment of

diseases presented during the

previous courses

TBL 1+TBL 2 20%

Practical

activities

Practical orientation in positive

and differential diagnosis as well

as adopting a correct therapeutic

behaviour in the studied

pathology

Clinical examination, practical

bedside, with discussion of

diagnosis and treatment of the case

10%

10.5 Final

evaluation

Theoretical

final exam

Learning orientation key

diagnostic elements and

principles of treatment of

diseases included in the course

syllabus.

Test with 100 questions, simple and

multiple answers 50%

Practical final

exam

Practical orientation in positive

and differential diagnosis as well

as adopting a correct therapeutic

behavior in major diseases

studied.

Clinical examination, practical

bedside, with discussion of

diagnosis and treatment in case At

least 3 test/checks made during the

semester

20 %


Achieve at least 50% of the test score scale.

- Making history complete clinical examination and diagnosis of basic maneuvers, requiring appropriate

complementary examinations, formulating a differential diagnosis and positive;

- Creating a customized treatment plan and performing basic therapeutic maneuvers, including those

relating to first aid qualified.

SYLLABUS




1.3 Department M5




2. Data regarding the discipline 2.1 Name NEUROSURGERY

2.2 Course coordinator DR. BALASA ADRIAN

2.3 Practical activity coordinator(s) DR. BALASA ADRIAN

2.4 Study year 4-6 2.5 Semester 2 2.6 Type of evaluation v 2.7 Type of discipline OPTIONAL



lecture 1


activity 0


lecture 14


activity 0

Distribution of time pool per week 5,28

hours




Tutorial activities

Examinations 1

Other activities


week 5


3.9 Credits 2





activities



- reimprospatarea cunostintelor legate de neuroanatomie

- introducerea notiunilor de baza legate de semiologia neurochirurgicala

- introducerea notiunilor de baza legate de tratamentul specific

neurochirugical (investigatii clinice si imagistice preoperatorii, tehnici

operatorii neurochirurgicale, supravegerea postoperatorie a pacientului

neurochirurgical, recuperare si prognostic)


- relatia dintre neurochirurgie si celelalte discipline medicale in special

neurologie, radilogie si imagistica medicala, medicina de urgenta si

medicina de familie

7. Objectives of the discipline (based on the grid of specific competencies) 7.1 General objective cunoasterea semiologiei si patologiei neurochirurgicale

7.2 Specific objectives acumularea de cunostinte teoretice si practice neurochirurgicale utilizabile

in toate ramurile medicale

8. Contents Crt.

no. 8.1 Lecture

Teaching


ICS

correlation

First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1. Introduction in neurosurgery. Coma and its causes -

Introducere in neurochirurgie, comele si etilogia lor

prezentare orala

cu

videoproiectie

2 2 hours

/lecture

2. Traumatic head injuries - Notiuni de traumatologie

neurochirurgicala

prezentare orala

cu

videoproiectie

2 2 hours

/lecture

3. Supratentroial tumors - Patologie tumorala

supratentoriala

prezentare orala

cu

videoproiectie

2 2 hours

/lecture

4. Infratentorial tumors - Patologie tumorala

infratentoriala

prezentare orala

cu

videoproiectie

2 2 hours

/lecture

5. Neurosurgical vascular diseases - Patologie

vasculara TBL 2

2 hours

/lecture

6. Neurosurgical spinal diseases - Patologie

degenerativa spinala

prezentare orala

cu

videoproiectie

2 2 hours

/lecture

7.

Lumbar punction (indications and technique) -

Tehnica efectuarii punctiei LCR (indicatii,

containdicatii,tehnica)

prezentare orala

cu

videoproiector

2 2 hours

/lecture

8.

9.

10.

11.

12.

13.

14.

Bibliography:

Adrian Balasa, Rares Chinezu, Rodica Balasa et al. - Curs de neurochirurgie, University Press, Targu

Mures, 2014

Crt.

no.


activities/Stages

Teaching


ICS

correlation

First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

Adrian Balasa, Rares Chinezu, Rodica Balasa et al. - Curs de neurochirurgie, University Press, Targu

Mures, 2014

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain importanta cunoașterii semiologiei si patologiei neurochirurgicale in vederea unei diagnoze precoce si a

unui tratament adecvat

10. Evaluation


methods

10.3 Percent of

the final grade


semester

Lecture

TBL - patologie

vasculara 30%



Theoretical final exam

-cunoașterea materialului bibliografic

-ințelegerea conceptelor de bază și

integrarea lor

test grila 70%

Practical final exam


Minimum grade : 5.00

SYLLABUS



1.2 Faculty Faculty of Medicine

1.3 Department Department M4

1.4 Field of study Field of study: Health

1.5 Study cycle License

1.6 Study program GENERAL MEDICINE

2. Data regarding the discipline 2.1 Name NEUROLOGY

2.2 Course coordinator Prof. dr. Rodica Balasa

2.3 Practical activity coordinator(s) Anca Motataianu

2.4 Study year V 2.5 Semester II 2.6 Type of evaluation Exam 2.7 Type of discipline DS



lecture 2


activity 15


lecture 28


activity 45


hours




Tutorial activities

Examinations

Other activities


week 6


3.9 Credits 6





activities



-Fixing and deepening of basic concepts related to neuroanatomy, the

neurological semiology, neurology with which the student will face

during exercise profession.

-Acquiring the necessary knowledge on the causes, investigations, the

neurological manifestations of these disease, especially diagnosis and

treatment. Some patients in addition to the underlying disease, usually

shows heart problems, lung problems, liver problems, kidney problems,

diabetes etc. which may cause the neurological disease.

-Filling the whole range of medical knowledge that are required to be

known and applied..


- Identifying roles and responsibilities within a multidisciplinary team and

applying of effective working techniques in team framework and in

relationship with the patient..

- Effective use of information sources and communication resources and

training assistance (portals, Internet, specialized software, data bases,

online courses, etc.). both in romanian and in a foreign language.

- Project working under coordination to solve specific issues with

accurate assessment of workload, of available resources and time required

to complete with application of the rules of conduct and professional

ethics in the field, and health and safety at work.

7. Objectives of the discipline (based on the grid of specific competencies) 7.1 General objective knowing of neurological semiology and pathology


Acquiring the necessary knowledge on the causes, investigations,

neurological manifestations and especially the recovery. In the case of a

patient with additional heart problems, lung problems, liver problems,

kidney problems, diabetes etc. (which are involved in the etiology of the

neurological disease), completing the full range of care and medical

knowledge that is required to be known and applied.

8. Contents Crt.

no. 8.1 Lecture

Teaching


First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1. Introduction in neurology. Upper

motor neuron syndrome

Oral lecture, drawing, video

projection.

Cases presentation.

2

Cerebral palsy,

cerebrovascular

disorders,

movement

disorders,

multiple

sclerosis

2.

Lower motor neuron syndrome,

pathology of the peripheral

nervous system (ALS,

Polineuropathies, Lumbar disc

herniation)

CBL, Oral lecture, drawing,

video projection.

Cases presentation.

2

peripheral

nerve

disorders,

movement

disorders,

cranial nerve

disorders

3.

Senzitive syndromes,

syringomyelia, neurological

complications of symphilis


projection.

Cases presentation.

2

peripheral

nerve disorders

4. Spinal cord syndromes, vestibular

syndromes, cerebellar syndromes


projection.

Cases presentation.

2

spinal cord

malformations,

dizziness,

cerebrovascular

disorders,

vomiting

5. Brainstem syndromes, headache,

cranial neuralgias


projection.

Cases presentation.

2

headache,

migraine,

peripheral

nerve disorders

6.

Extrapiramidal syndromes,

Parkinson’s disease, Wilson

disease


projection.

Cases presentation.

2

movement

disorders,

cromosomial

disorders,

hereditary

metabolical

disorders

7. Cortical syndromes, epilepsy,

disorder of consciousness


projection.

Cases presentation.

2

epilepsy,

Disturbance of

consciousness,

cerebrovascular

disorders

8. Intracranial hypertension Oral lecture, drawing, video 2

dizziness,

syndrome, meningeal syndrome,

recapitulation of the major

neurological syndromes

projection.

Cases presentation.

cerebrovascular

disorders,

vomiting,

headache

9.

Written evaluation (exam): major

neurological syndromes, the

vascularization of the brain


projection.

Cases presentation.

2

cerebrovascular

disorders

10. Multiple sclerosis, myasthenia

gravis

CBL, Oral lecture, drawing,

video projection.

Cases presentation.

2

multiple

sclerosis,

movement

disorders

11. TBL, Stroke

TBL, Oral lecture, drawing,

video projection.

Cases presentation.

2

cerebrovascular

disorders

12. Ischaemic stroke


projection.

Cases presentation.

2

cerebrovascular

disorders

13. Hemorrhagic stroke


projection.

Cases presentation.

2

cerebrovascular

disorders

14. Muscular diseases


projection.

Cases presentation.

2

mulscular

disorders,

movement

disorders

Bibliography:

Bibliography:

1. Rodica Bălaşa, Ion Pascu – Major neurological syndromes. University Press, Târgu-Mureş, 2006.

2. Adams ,R.; Victor, M.; - Principles of Neurology-Mc Graw-Hill, New York, 1997

Crt

.

no.


activities/Stages Teaching methods

Hou

rs Observations

ICS

correlation

First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1. 1. Neurological history taking

(anamnesis)

CBL, Bedside

learning-internship,

using teaching aids

such as: atlases of

anatomy and

pathology, etc.

3

Type and history of

symptoms,

precipitating factors,

treatment and

previous

investigations.

confusion,

dizziness,

disturbance of

consciousness,

headache,

cerebrovascular

disease,

migrain,

peripheral

nerve disorders

2. 2. Examination of the sensory

system.

CBL, Bedside


using teaching aids

such as: atlases of

anatomy and

pathology, etc.

3

Somatosensory

pathways, the

semiology of the

sensory system,

sensory syndromes,

peripheral nerve

diseases

(polyneuropathies,

mononeuropathies,

plexopathies,

radiculopathies).

cranial nerve

disorders,

cerebrovascular

disease,

peripheral

nerve disorders,

multiple

sclerosis

3.

3. Motor system: examination of

the muscle tone, the semiology of

the muscle tone disorders.

CBL, Bedside


using teaching aids

such as: atlases of

anatomy and

pathology, etc.

3

Pyramidal

hypertonia,

extrapyramidal

hypertonia,

decerebration and

decortication rigidity,

muscle hypotonia,

motore deficit,

muscle atrophy.

peripheral

nerve disorders,

cerebral palsy,

disorders of

muscle

4.

4. Motor system: examination of

the reflexes, the semiology of the

pathological reflexes.

CBL, Bedside


using teaching aids

such as: atlases of

anatomy and

pathology, etc.

3

Hyporeflexia and

areflexia, exaggerated

reflexes, diminished

reflexes, postural

reflexes, pathological

reflexes..

peripheral

nerve disorders,

cerebral palsy,

disorders of

muscle

5. 5. Examination of the balance and

coordination.

CBL, Bedside


using teaching aids

such as: atlases of

anatomy and

pathology, etc.

3

Upper and lower

extremity

coordination, finger

to nose and heel to

shin coordination test,

Romberg’s test.

dizziness,

cerebrovascular

disease,

peripheral

nerve disorders

6. 6. Examination of the unconscious

patient.

CBL, Bedside

learning-internship, 3

Causes and duration

of the coma,

confusion,

disturbance of

using teaching aids

such as: atlases of

anatomy and

pathology, etc.

evaluation of the

unconsciousness and

confusion. Glasgow

Coma Scale.

consiousness,

raised

intracranial

pressure,

encephalopathy

7. 7. Examination of the cranial

nerves (I-XII).

CBL, Bedside


using teaching aids

such as: atlases of

anatomy and

pathology, etc.

3 The semiology of the

cranial nerves I-XII.

cranial nerve

disorders

8. 8. Clinical case reports: ischaemic

stroke.

CBL, Bedside


using teaching aids

such as: atlases of

anatomy and

pathology, etc.

3

Etiology, clinical

findings, treatment

options,

rehabilitation..

cerebrovascular

disease

9. 9. Clinical case reports:

hemorrhagic stroke.

CBL, Bedside


using teaching aids

such as: atlases of

anatomy and

pathology, etc.

3

Etiology, clinical

findings, treatment

options,

rehabilitation.

cerebrovascular

disease

10. 10. Clinical case reports: multiple

sclerosis, Parkinson’s disease.

CBL, Bedside


using teaching aids

such as: atlases of

anatomy and

pathology, etc.

3

Symptomatology,

evolutive stages,

therapeutical

principles.

multiple

sclerosis

11. 11. Clinical case reports:

miasthenia gravis and epilepsy.

CBL, Bedside


using teaching aids

such as: atlases of

anatomy and

pathology, etc.

3

The clinical findings,

management of the

miasthenic and

epileptic patient,

status epilepticus.

disorders of

muscle,

epilepsy

12.

12. Paraclinical examinations:

lumbar puncture (spinal tap), CSF

examination.Electroencephalograp

hy and electromiography in normal

and pathological conditions,

cervico-cerebral artery ultrasound

CBL, Bedside


using teaching aids

such as: atlases of

anatomy and

pathology, etc.

3

Preparing the

equipment and the

patient, post lumbar

puncture care.

meningitis,

cerebrovascular

disorders,

epilepsy

13.

13. Clinical case reports:spinal

cord pathology and peripheral

nervous system pathology

CBL, Bedside


using teaching aids

such as: atlases of

anatomy and

pathology, etc.

3

Preparing the patient

for the examination,

normal and

pathological

examples.

peripheral

nerve disorders

14. 14. Neuroradiological

demonstrations: CT scan, MRI,

CBL, Bedside

learning-internship, 3+3

Preparing the patient,

technics, presentation

cerebrovascular

disease,

DSA.

15. Clinical case reports:

peripheral nervous system

pathology.

using teaching aids

such as: atlases of

anatomy and

pathology, etc.

of normal and

pathological

conditions: CT, MRI.

Polineuropathies,

mononeuropathies,

plexopathies,

radiculopathies,

peripheral nerve

palsies,

poliradiculoneuropath

ies.

multiple

sclerosis

Bibliography:

1. Rodica Bălaşa, Ion Pascu – Major neurological syndromes. University Press, Târgu-Mureş, 2006.

2. Adams ,R.; Victor, M.; - Principles of Neurology-Mc Graw-Hill, New York, 1997

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain The neurology is a synthesis of medical conditions because they can lead to a variety of neurological

complications. Thus, the graduated medical doctor (either family physician or specialist in different

fields) meets with different primary or secondary neurological diseases

10. Evaluation


methods

10.3 Percent of

the final grade

10.4 Evaluation

during the semester

Lecture

- knowledge of the semiology and

topography of major neurological

syndromes

-written test, TBL 30

Practical

activities -active participation during the lectures -interview 5


Theoretical final

exam

-the knowledge of the material of

theoretical lectures - multiple choice test 35

Practical final

exam

-the knowledge of major neurological

syndromes, positive diagnosis,

paraclinical investigations, case

presentation

-bedside neurological

examination, case

presentation

30


Minimum performance standard: the knowledge of the neurological examination, major neurological

syndromes, major neurological diseases, neurological diseases treatments, to promote, the student will

need to know 50 % of exam topics

Practical standard in accordance with the clinical abilities booklet: - making the patient's anamnesis; performing the general clinical examination; differential diagnosis;

observation and description of lumbar puncture; interpreting the written results of biochemical CSF

analyzes; interpretation of CT scan results ; interpretation of MRI results; interpretation of blood counts,

coagulation panel, normal blood chemistry, plasma concentration of drugs, bacterial culture and

antibiogram, tumor markers, immunology, cytology, serological tests, genetic tests; interpretation of

written results of carotid and vertebro-basilary Doppler ultrasound; angiography interpretation;

interpreting the written results of EEG and EMG; Identifying therapeutic objectives and priorities in a

correct clinical setting; making correct and complete therapeutic prescriptions in various patient

categories; evaluating the risk / benefit ratio of drugs in a specific clinical setting; choosing the route of

administration and optimal pharmaceutical form in a particular clinical context; recognition of adverse

drug reactions; monitoring the therapeutic response to drugs; patient education / counseling; giving the

minimal anti-smoking advice; assessment of the weighting state; to guide the patient to participate in

early disease prevention and screening programs; realization of a primary, secondary and tertiary

prophylactic plan in a given situation; completing the history and the objective examination in the

patient's medical records; explaining the diagnostic and therapeutic procedures and obtaining the inform

consent of the patient, recording the patient's evolution in the observation sheet; communicating bad news

to the patient ; communicating with the family for recommendations and explanations; communicating

with the patient in the terminal phase of the disease and with his / her family; writing epicrisis,

completing hospital forms; oral presentation of cases; critical evaluation of the evidence regarding the

benefits and risks of therapeutical/ medicinal interventions; participation in training programs and

professional work-shops.

Must Seen Clinical Cases List: Ischaemic stroke in carotid artery territory, Ischaemic stroke in vertebro-basilar territory, Supratentorial

hemorrhagic stroke, infratentorial hemorrhagic stroke, Cerebral venous thrombosis, Multiple sclerosis,

Parkinson’s disease, Atherosclerotic parkinsonian syndrome, Acute inflammatory demyelinating

polineuropathy, Amyotrophic lateral sclerosis, Chronic inflammatory demyelinating polineuropathy,

Myasthenia gravis, Cranial nerve palsies (III, VII), Radial and peronial nerve palsy, Trigeminal neuralgia,

medullary syndrome, Polineuropathy, Epilepsy, Lombar radiculopathy, Cerebral atherosclerosis,

Pseudobulbar palsy

SYLLABUS




1.3 Department M5

1.4 Field of study HEALTH CARE



2. Data regarding the discipline 2.1 Name OPHTHALMOLOGY

2.2 Course coordinator Associate Professor Karin Horvath

2.3 Practical activity coordinator(s) Associate Professor Karin Horvath

2.4 Study year V 2.5 Semester I 2.6 Type of evaluation Exam 2.7 Type of discipline DS



lecture 2


activity 1


lecture 28


activity 14


hours

Study of books, lecture materials, bibliography, notes 1.5

Supplemental documentation at the library, from specialized information portals and in the field 0.5

Preparation for seminaries/laboratories, homework, reports, portfolios and essays 0.5

Tutorial activities

Examinations 1

Other activities 0.5


week 8


3.9 Credits 4







- C1 Identification of eye diseases, establishing a presumptive diagnosis,

recognition of ophthalmic emergencies

- C2 Knowing the therapeutic plan of diseases with positive diagnosis

- C3 Prophylaxis measures for avoiding the illness of congener eye or of

the community to which it belongs the patient

- C4 Guidance of patients at risk to specialized ophthalmologic screening

units

- C5 The ability to participate to team research of ophthalmologic issues


Multidisciplinary team work, understanding the objective of the activity,

the assignment of specific duties to each specialty, the sequencing of

work, verbal-written communication skills, linguistic skills to develop

and present projects and to communicate with the patient as well as with

team members.

7. Objectives of the discipline (based on the grid of specific competencies) 7.1 General objective Acquisition of basic knowledges of general ophthalmology


1. Identify ophthalmic emergencies, drawing up an investigational plan

for establishing finally the diagnostic of certainty by the eye specialist

physician.

2. Positive diagnosis of uncomplicated eyelid or conjunctival diseases,

development of a therapeutic drug plan, proper monitoring of the disease,

recognition of unfavorable evolution and referring the patient to the

ophthalmologist.

3. Appropriate monitoring of the therapeutic plan initiated by

ophthalmologist.

4. Initiating preventive measures within a community when a contagious

eye disease occurs.

5. Prophylaxis measures for avoiding the illness of the congener eye.

6. Referral to specialized screening of patients at risk for eye disease.

8. Contents Crt.

no. 8.1 Lecture Teaching methods Hours Observations ICS correlation

First semester

1. 1. Orbital pathology Oral presentation and

PowerPoint 2

oedema, orbital swelling,

brain tumor, inflammatory

arthritis, red eye, visual

impairment, tyroid disorders,

trauma to head

2. 2. Lacrimal drainage

system diseases

Oral presentation and

PowerPoint 2

oedema, inflammatory


impairment

3. 3. Eyelids Oral presentation and

PowerPoint 2

oedema, allergic disorders,

lymphoproliferative

disorders, cranial nerve

disorders, skin cancer, skin

infections, skin ulcerations

4. 4. Pathology of the

conjunctiva


PowerPoint 2


inlammatory arthritis,

lymphoproliferative

disorders, red eye

5. 5. Corneal diseases Oral presentation and

PowerPoint 2

brain tumor, red eye, visual

impairment, visual loss,

cranial nerve disorders

6. 6. Uvea Oral presentation and

PowerPoint 2

inlammatory bowel disease,

inflammatory arthritis,

lymphoproliferative

disorders, red eye, visual


HIV, septicaemia, sexually

transmited diseases

7. 7. TBL Refractive vices.

Lens disorders


PowerPoint 2

agression/violence, visual


diabetes mellitus, trauma to

head

8. 8. Glaucoma Oral presentation and

PowerPoint 2 TBL

headache, red eye, visual


diabetes mellitus, glaucoma

9.

9. Optic nerve pathology,

neuro-ophthalmology

elements


PowerPoint 2

brain tumor, meningitis,

multiple sclerosis, raised

intracranial pressure, squint,

visual impairment, visual

loss, cranial nerve disorders,

degenerative CNS disease,

hypertension,

thromboembolic disease,

trauma to head, poisoning,

temporal arteritis

10.

10. Vitreous pathology,

retinal detachment, retinal

tumours, retinal vascular

diseases


PowerPoint 2

agression/violence, falls,

cerebrovascular disease,

myeloproliferative disorders,


loss, diabetes mellitus,

hypertension, septicaemia,


trauma to head

11. 11. Ocular motility

disorders, strabismus


PowerPoint 2


headache, oedema, squint,


loss, trauma to head

12.

12. Red eye,

ophthalmological

emergencies


PowerPoint 2



cerebrovascular disease, red

eye, visual impairment,

visual loss, glaucoma,

hypertension, poisoning,

septicaemia

13. 13. TBL Eye trauma Oral presentation and

PowerPoint 2 TBL

squint, visual impairment,

visual loss, cranial nerve

disorders, degenerative CNS

disease

14.

14. Review, video

presentation of surgical

procedures


PowerPoint 2

red eye, visual impairment,


trauma to head

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

Karin Horvath, Florina Vultur, Gh. Muhlfay: Ophthalmology-Lecture notes, Editura University Press,

UMF TgMures, 2014

Jack J. Kanski, Clinical Ophthalmology: A Systematic Approach, 7th Edition, 2011

American Academy of Ophthalmology, Basic and Clinical Science Course, 2010-2011

Crt.

no.


activities/Stages

Teaching

methods

Hou

rs Observations ICS correlation

First semester

1.

1. Presenting ophthalmological office,

equipment and medicinal substances used in

ophthalmology. Case presentation from

orbital pathology

Practical

demonstrations,

case

presentation

1

oedema, orbital

swelling, brain

tumor,

inflammatory

arthritis, red eye,

visual impairment,

tyroid disorders,

trauma to head

2.

2. Medical history in ophthalmology, eye

exam, case report from conjunctival

pathology

Practical

demonstrations,

case

1

oedema,

inflammatory

arthritis, red eye,

presentation visual impairment

3. 3. Examination of the eyelids,

demonstrations, case presentation

Practical

demonstrations,

case

presentation

1

oedema, allergic

disorders,

lymphoproliferative

disorders, cranial

nerve disorders,

skin cancer, skin

infections, skin

ulcerations

4.

4. Examination of the conjunctiva, learning

examination maneuvers, therapeutic

maneuvers (subconjunctival injection etc),

case presentation

Practical

demonstrations,

case

presentation

1

oedema, allergic

disorders,

inlammatory

arthritis,

lymphoproliferative

disorders, red eye

5.

5. Slit lamp examination of the cornea, case

presentations, practical demonstrations

(corneal foreign body removal, etc.)

Practical

demonstrations,

case

presentation

1

brain tumor, red

eye, visual

impairment, visual

loss, cranial nerve

disorders

6. 6. Uveal diseases, case presentations

Practical

demonstrations,

case

presentation

1

inlammatory bowel

disease,

inflammatory

arthritis,

lymphoproliferative

disorders, red eye,

visual impairment,

visual loss, HIV,

septicaemia,

sexually transmited

diseases

7. 7. Cataracts - examination, diagnosis,

surgery

Practical

demonstrations,

case

presentation

1

agression/violence,

visual impairment,

visual loss, diabetes

mellitus, trauma to

head

8.

8. Ocular tension, tonometry, computed

perimetry, examination of glaucomatous

patient

Practical

demonstrations,

case

presentation

1

headache, red eye,

visual impairment,


mellitus, glaucoma

9.

9. Eye fundus examination, direct and

indirect ophthalmoscopy, exam of normal

eye fundus

Practical

demonstrations,

case

presentation

1

brain tumor,

meningitis,

multiple sclerosis,

raised intracranial

pressure, squint,

visual impairment,

visual loss, cranial

nerve disorders,

degenerative CNS

disease,

hypertension,

thromboembolic

disease, trauma to

head, poisoning,

temporal arteritis

10. 10. Viteous and retinal disease presentation

Practical

demonstrations,

case

presentation

1

agression/violence,

falls,

cerebrovascular

disease,

myeloproliferative

disorders, visual

impairment, visual

loss, diabetes

mellitus,

hypertension,

septicaemia,

thromboembolic

disease, trauma to

head

11.

11. Examination of the patient with ocular

trauma, interdisciplinary investigations, tests,

laboratory analysis, preparation for surgery

Practical

demonstrations,

case

presentation

1

agression/violence,

falls, headache,

oedema, squint,

visual impairment,

visual loss, trauma

to head

12. 12. CBL. Red eye, ophthalmological

emergencies, case presentation

Practical

demonstrations,

case

presentation

1 CBL

agression/violence,

falls, oedema,

allergic disorders,

cerebrovascular

disease, red eye,

visual impairment,

visual loss,

glaucoma,

hypertension,

poisoning,

septicaemia

13. 13. Strabismus, refractive vices, eyeglasses

prescriptions

Practical

demonstrations,

case

presentation

1

squint, visual

impairment, visual

loss, cranial nerve

disorders,

degenerative CNS

disease

14. 14. Review, preparing for the practical exam Case

presentation 1

red eye, visual

impairment, visual

loss, glaucoma,

trauma to head

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:


UMF TgMures, 2014



9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Acquired ophthalmologic knowledges will serve to adequate recognition of ophthalmic emergencies, the

presumptive diagnosis and proper guidance of the patient to appropriate specialist.

10. Evaluation

Type of activity 10.1 Evaluation

criteria 10.2 Evaluation methods

10.3 Percent of

the final grade

10.4 Evaluation during

the semester

Lecture

TBL 25%


CBL 10%


Theoretical final

exam

În funcție de

specificul

disciplinei

Written evaluation 50%

Practical final

exam

În funcție de

specificul

disciplinei

Practical exam, clinica case presentation,

evaluation of ophthalmological maneuvers 15%


Knowing of minimum 50% from the presented subjects.

SYLLABUS




1.3 Department M5

1.4 Field of study HEALTH CARE



2. Data regarding the discipline 2.1 Name OPHTHALMOLOGY

2.2 Course coordinator Associate Professor Karin Horvath

2.3 Practical activity coordinator(s) Associate Professor Karin Horvath

2.4 Study year V 2.5 Semester I 2.6 Type of evaluation Exam 2.7 Type of discipline DS



lecture 2


activity 1


lecture 28


activity 14


hours


Supplemental documentation at the library, from specialized information portals and in the field 0.5

Preparation for seminaries/laboratories, homework, reports, portfolios and essays 0.5

Tutorial activities

Examinations 1



week 8


3.9 Credits 4







- C1 Identification of eye diseases, establishing a presumptive diagnosis,

recognition of ophthalmic emergencies

- C2 Knowing the therapeutic plan of diseases with positive diagnosis

- C3 Prophylaxis measures for avoiding the illness of congener eye or of

the community to which it belongs the patient

- C4 Guidance of patients at risk to specialized ophthalmologic screening

units

- C5 The ability to participate to team research of ophthalmologic issues


Multidisciplinary team work, understanding the objective of the activity,

the assignment of specific duties to each specialty, the sequencing of

work, verbal-written communication skills, linguistic skills to develop

and present projects and to communicate with the patient as well as with

team members.

7. Objectives of the discipline (based on the grid of specific competencies) 7.1 General objective Acquisition of basic knowledges of general ophthalmology


1. Identify ophthalmic emergencies, drawing up an investigational plan

for establishing finally the diagnostic of certainty by the eye specialist

physician.

2. Positive diagnosis of uncomplicated eyelid or conjunctival diseases,

development of a therapeutic drug plan, proper monitoring of the disease,

recognition of unfavorable evolution and referring the patient to the

ophthalmologist.

3. Appropriate monitoring of the therapeutic plan initiated by

ophthalmologist.

4. Initiating preventive measures within a community when a contagious

eye disease occurs.

5. Prophylaxis measures for avoiding the illness of the congener eye.

6. Referral to specialized screening of patients at risk for eye disease.

8. Contents Crt.


First semester

1. 1. Orbital pathology Oral presentation and

PowerPoint 2

oedema, orbital swelling,

brain tumor, inflammatory


impairment, tyroid disorders,

trauma to head

2. 2. Lacrimal drainage

system diseases


PowerPoint 2

oedema, inflammatory


impairment

3. 3. Eyelids Oral presentation and

PowerPoint 2


lymphoproliferative

disorders, cranial nerve

disorders, skin cancer, skin

infections, skin ulcerations

4. 4. Pathology of the

conjunctiva


PowerPoint 2


inlammatory arthritis,

lymphoproliferative

disorders, red eye

5. 5. Corneal diseases Oral presentation and

PowerPoint 2

brain tumor, red eye, visual


cranial nerve disorders

6. 6. Uvea Oral presentation and

PowerPoint 2

inlammatory bowel disease,

inflammatory arthritis,

lymphoproliferative

disorders, red eye, visual


HIV, septicaemia, sexually

transmited diseases

7. 7. TBL Refractive vices.

Lens disorders


PowerPoint 2

agression/violence, visual


diabetes mellitus, trauma to

head

8. 8. Glaucoma Oral presentation and

PowerPoint 2 TBL

headache, red eye, visual


diabetes mellitus, glaucoma

9.

9. Optic nerve pathology,

neuro-ophthalmology

elements


PowerPoint 2

brain tumor, meningitis,

multiple sclerosis, raised

intracranial pressure, squint,


loss, cranial nerve disorders,

degenerative CNS disease,

hypertension,


trauma to head, poisoning,

temporal arteritis

10.

10. Vitreous pathology,

retinal detachment, retinal

tumours, retinal vascular

diseases


PowerPoint 2


cerebrovascular disease,

myeloproliferative disorders,


loss, diabetes mellitus,

hypertension, septicaemia,


trauma to head

11. 11. Ocular motility

disorders, strabismus


PowerPoint 2


headache, oedema, squint,


loss, trauma to head

12.

12. Red eye,

ophthalmological

emergencies


PowerPoint 2



cerebrovascular disease, red

eye, visual impairment,


hypertension, poisoning,

septicaemia

13. 13. TBL Eye trauma Oral presentation and

PowerPoint 2 TBL

squint, visual impairment,

visual loss, cranial nerve

disorders, degenerative CNS

disease

14.

14. Review, video

presentation of surgical

procedures


PowerPoint 2

red eye, visual impairment,


trauma to head

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:


UMF TgMures, 2014



Crt.

no.


activities/Stages

Teaching

methods

Hou

rs Observations ICS correlation

First semester

1.

1. Presenting ophthalmological office,

equipment and medicinal substances used in

ophthalmology. Case presentation from

orbital pathology

Practical

demonstrations,

case

presentation

1

oedema, orbital

swelling, brain

tumor,

inflammatory

arthritis, red eye,

visual impairment,

tyroid disorders,

trauma to head

2.

2. Medical history in ophthalmology, eye

exam, case report from conjunctival

pathology

Practical

demonstrations,

case

1

oedema,

inflammatory

arthritis, red eye,

presentation visual impairment

3. 3. Examination of the eyelids,

demonstrations, case presentation

Practical

demonstrations,

case

presentation

1

oedema, allergic

disorders,

lymphoproliferative

disorders, cranial

nerve disorders,

skin cancer, skin

infections, skin

ulcerations

4.

4. Examination of the conjunctiva, learning

examination maneuvers, therapeutic

maneuvers (subconjunctival injection etc),

case presentation

Practical

demonstrations,

case

presentation

1

oedema, allergic

disorders,

inlammatory

arthritis,

lymphoproliferative

disorders, red eye

5.

5. Slit lamp examination of the cornea, case

presentations, practical demonstrations

(corneal foreign body removal, etc.)

Practical

demonstrations,

case

presentation

1

brain tumor, red

eye, visual

impairment, visual

loss, cranial nerve

disorders

6. 6. Uveal diseases, case presentations

Practical

demonstrations,

case

presentation

1

inlammatory bowel

disease,

inflammatory

arthritis,

lymphoproliferative

disorders, red eye,

visual impairment,

visual loss, HIV,

septicaemia,

sexually transmited

diseases

7. 7. Cataracts - examination, diagnosis,

surgery

Practical

demonstrations,

case

presentation

1

agression/violence,

visual impairment,


mellitus, trauma to

head

8.

8. Ocular tension, tonometry, computed

perimetry, examination of glaucomatous

patient

Practical

demonstrations,

case

presentation

1

headache, red eye,

visual impairment,


mellitus, glaucoma

9.

9. Eye fundus examination, direct and

indirect ophthalmoscopy, exam of normal

eye fundus

Practical

demonstrations,

case

presentation

1

brain tumor,

meningitis,

multiple sclerosis,

raised intracranial

pressure, squint,

visual impairment,

visual loss, cranial

nerve disorders,

degenerative CNS

disease,

hypertension,

thromboembolic

disease, trauma to

head, poisoning,

temporal arteritis

10. 10. Viteous and retinal disease presentation

Practical

demonstrations,

case

presentation

1

agression/violence,

falls,

cerebrovascular

disease,

myeloproliferative

disorders, visual

impairment, visual

loss, diabetes

mellitus,

hypertension,

septicaemia,

thromboembolic

disease, trauma to

head

11.

11. Examination of the patient with ocular

trauma, interdisciplinary investigations, tests,

laboratory analysis, preparation for surgery

Practical

demonstrations,

case

presentation

1

agression/violence,

falls, headache,

oedema, squint,

visual impairment,

visual loss, trauma

to head

12. 12. CBL. Red eye, ophthalmological

emergencies, case presentation

Practical

demonstrations,

case

presentation

1 CBL

agression/violence,

falls, oedema,

allergic disorders,

cerebrovascular

disease, red eye,

visual impairment,

visual loss,

glaucoma,

hypertension,

poisoning,

septicaemia

13. 13. Strabismus, refractive vices, eyeglasses

prescriptions

Practical

demonstrations,

case

presentation

1

squint, visual

impairment, visual

loss, cranial nerve

disorders,

degenerative CNS

disease

14. 14. Review, preparing for the practical exam Case

presentation 1

red eye, visual

impairment, visual

loss, glaucoma,

trauma to head

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:


UMF TgMures, 2014



9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Acquired ophthalmologic knowledges will serve to adequate recognition of ophthalmic emergencies, the

presumptive diagnosis and proper guidance of the patient to appropriate specialist.

10. Evaluation



10.3 Percent of

the final grade


the semester

Lecture

TBL 25%


CBL 10%


Theoretical final

exam

În funcție de

specificul

disciplinei

Written evaluation 50%

Practical final

exam

În funcție de

specificul

disciplinei

Practical exam, clinica case presentation,

evaluation of ophthalmological maneuvers 15%


Knowing of minimum 50% from the presented subjects.

SYLLABUS



1.2 Faculty Faculty of Medicine

1.3 Department M4

1.4 Field of study Healthcare

1.5 Study cycle License

1.6 Study program Medicine

2. Data regarding the discipline 2.1 Name Medical Oncology

2.2 Course coordinator Lecturer Dr. Toganel Cornelia

2.3 Practical activity coordinator(s) Lecturer Dr. Toganel Cornelia




lecture 1


activity 1


lecture 14


activity 14


hours





Examinations 1

Other activities 0


week 6


3.9 Credits 4







The general oncolgy discipline will provide the student the necessary

knowledge bases regarding the ethiology of the oncological ilness,

characteristic signs and symptoms of the various diseases, therefor to be

able to apply them in order to establish a possible diagnosis.

The knowledge obtained during the teaching classes and the workshops

will allow an accurate anamnesis, a full phisycal examination, diagnosis

procedures, requests for additional paraclinic values, and establish an

accurate positive and differential diagnosis.


Given the fact that the oncological diagnosis and matter of treatment is

determined within an interdisciplinary board, the sudent is taught over the

importance of this certain board, preparing the oral and written

presentations, in compliance with the ethical and professional values

regarding the patient's situation.

The preparations of the material to be presented within the board needs to

be correct, efficient and will teach the student about the responsibility as a

member in an interdisciplinary board. To accomplish that, other resources

are at hand: the Internet, software applications, databases, online seminars

held both in english and in romanian.



General oncology gives the student the certain knowledge base needed for

setting the diagnosis of any of the oncological condition and establishing

an accurate treatment plan.

Further more, being aware of the ethiological factors regarding the

oncological disease, the student will be able to correctly asess the risk of

individual and collective disease, and will be able to choose and apply the

correct profilaxy measures.

The knowledge accumulated will be integrated in the struggle against

cancer, being aware of the radical increase of the number of oncological

patients in the recent years.


Correct evaluation of the risk of occurence of oncological disease.

Identifying the stade of the illness and setting the correct diagnosis.

Conceiving and applying an accurate therapy plan of the established

disease.

Initiation and development of a research activity.

8. Contents Crt.


First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1. 1. The ethiology of cancer oral presentation

multimedia 2 hours

2 hours/

lecture

2. 2. Malignant fenotype oral presentation

multimedia 2 hours

2 hours/

lecture

Chromosomal

disorders

3. 3. Malignity diagnosis TBL 2 hours 2 hours/

lecture

4. 4. Paraneoplasical syndromes oral presentation

multimedia 2 hours

2 hours/

lecture

5.

5. Treatment principles in

radiotherapy and medical

oncology

oral presentation

multimedia 2 hours

2 hours/

lecture

6. 6. Pain management TBL 2 hours 2 hours/

lecture

Pain

management

7. 7. Oncological urgencies oral presentation

multimedia 2 hours

2 hours/

lecture

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1. Kacso Gabriel "Cancer:principles and practice of general oncoloy" ; Editura medicala Iuliu Hatieganu

cluj-napoca 2009/ pag 1-164/ limba engleza

Crt.

no.


activities/Stages

Teaching


First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

1. Symptomatology, diagnosis

and treatment of uterine and

endometrial cancer

Practical demonstration,

case studies, radiograph

exams, CT scans, lab test

results, hystopathological

results

1

carcinoma of the

cervix/uterus/ovary

2.


and treatment of colon and

rectum cancer





results

2 CBL carcinoma of the

colon and rectum

3. 3. Symptomatology, diagnosis

and treatment of breast cancer





results


breast


and treatment of bladder cancer





results

1

carcinoma of the

kidney and bladder


and treatment of prosthate cancer





results

1

disorders of

prostate


and treatment of renal cancer





results

1

carcinoma of the

kidney and bladder


and treatment of ovarian cancer


case studies, radiograph 2 CBL

carcinoma of the

cervix/uterus/ovary



results

8.


and treatment of

bronhopulmonary cancer





results


bronchus


and treatment of testicular cancer





results


testis

10.

11.

12.

13.

14.

Bibliography:

1. Kacso Gabriel "Cancer:principles and practice of general oncoloy" ; Editura medicala Iuliu Hatieganu

cluj-napoca 2009/ pag 1-164/ limba engleza

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Being given that oncological conditions affect more and more patients, the knowledge about this domain

offers the student the possibility of a better aproach regarding the patient's social, economical and familiar

implications of this condition.

The student will be able to successfuly establish a diagnosis and apply a treatment sceheme,

accomplishing the complete cure of the ilness in certain cases, where it is possible, assuring his social

rehabilitation.

10. Evaluation


methods

10.3 Percent of

the final grade


semester

Lecture TBL Test 10%

Practical activities CBL Test 20%


Theoretical final exam În funcție de specificul

disciplinei Test 50%

Practical final exam În funcție de specificul

disciplinei Test 20%


Evaluating pain in cancer.

Pain treatment.

Diagnosis of malignant tumors on locations.

General treatment of malignant tumors on localizations.

Etiology of malignant tumors on localizations.

General principles for correct diagnosis of oncological disease.

General principles of treatment.

SYLLABUS




1.3 Department M5




2. Data regarding the discipline 2.1 Name ENT

2.2 Course coordinator LECTURER NEAGOS ADRIANA MD. PHD.

2.3 Practical activity coordinator(s) LECTURER NEAGOS ADRIANA MD. PHD.

2.4 Study year V 2.5 Semester I 2.6 Type of evaluation E 2.7 Type of discipline OBL



lecture 2


activity 1


lecture 28


activity 14


hours

Study of books, lecture materials, bibliography, notes 1,5

Supplemental documentation at the library, from specialized information portals and in the field 0,5

Preparation for seminaries/laboratories, homework, reports, portfolios and essays 0,5

Tutorial activities 0,5

Examinations 1

Other activities 1


week 8


3.9 Credits 4







Description of concepts, theories, and fundamental notions of ENT

pathology, signs and symptoms of each disorder orientation useful for

clinical diagnosis

- The correct interpretation of signs, clinical symptoms and laboratory

abnormalities and to elaborate positive and differential diagnostic

- Training on most modern ENT examination techniques, methods of

diagnosis and treatment in otorhinolaryngology pathology

- Use concepts of therapeutic resources to formulate treatment plan and

correct interpretation in evolution,of clinical and laboratory data,

therapeutic surgical technics setting, and specific nonsurgical

therapeutical possibilities


Identify objectives to be achieved, resources available, their closing

conditions, stages of work, working time,and deadlines

- Identify roles and responsibilities within a multidisciplinary team and

application techniques and effective work relationships within the team

and the relationship with the patient

- Awareness of the need for continuous training

- Familiarity with the use of medical information systems

- Design, Layout and support in a Romanian specialty papers on a current

topic in the field, using different information sources and tools



Establishing the close relationship between ENT and other medical and

surgical specialties, the need to have a minimum standard of knowledge

for the proper conduct of the activity and maintaining a high quality of the

information provided and updating them.


Training students in ENT pathology problems

• Harmonization topics in accordance with the requirements in this field

in the world for effective cooperation with leading centers in the field

• Encourage the research initiatives and providing support for their

achievement

•Deepening diseases that are considered highly topical issues (laryngeal

tumors, allergic pathology, congenital deafness, respiratory pathology

sleep

•Training students to use existing diagnostic and therapeutic algorithms

8. Contents Crt.

no. 8.1 Lecture Teaching methods Hours Observations

ICS

correlation

First semester

1. Introductory Course ORAL PRESENTATION

AND MULTIMEDIA 2 2 HOURS

2.

Otology-Anatomy and physiology

of the ear ; Diseases of the

external ear

ORAL PRESENTATION


3.

Otology- Acute and chronic

inflammatory pathology of the

middle ear

ORAL PRESENTATION


4.

Otology – The complications of

the ear suppurations and inner

ears pathology

ORAL PRESENTATION


5. Otology- Vestibular Syndromes

and the hearing loss

ORAL PRESENTATION


6.

Rhinology-The Anatomy and

physiology of the nose and

sinuses

ORAL PRESENTATION


7. Rhinology- Inflammatory

pathology of the nose and sinuses

ORAL PRESENTATION


8. Rhinology- Tumor pathology of

the nose and sinuses

ORL PRESENTATION


9.

Rhinology- Nasal obstruction

syndrome; Sleep disorders

breathing

ORAL PRESENTATION


10. Allergies in ENT ORAL PRESENTATION


11.

Laryngology and Pharyngology-

The anatomy and physiology of

the larynx and pharynx; Acute

and chronic Laryngitis

ORAL PRESENTATION


12. Laryngology- The benign and

malignant laryngeal tumors

ORAL PRESENTATION


13.

Laryngology and Pharyngology-

Pharyngeal, Esophageal and

tracheobronchial foreign body

ORAL PRESENTATION


14. Faryngology- Acute pharyngeal

pathology; Chronic tonsillitis

ORAL PRESENTATION


Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

- Adriana Neagos- Otorhinolaringology for V years General Medicine, course , University press, 2013

- Hans Behrbohm, oliver Kaschke, Tadeus Nawka, Andrew Swift- EAR, NOSE AND THROAT

DISEASEWITH HEAD AND NECK SURGERY, Thieme 2009

- W.J RANDERATH, BM SANNER, VK SOMER- SLEEP APNEA, CURRENT DIAGNOSIS AND

TREATMENT, KARGER 2006

- COMMINGS- 4TH EDITION

-Rudolf Probst, Gerhard Grevers, Heinrich Iro - BASIC OTHORHINOLARYNGOLOGY, THIEME

2006

Crt.

no.

8.1

Seminaries/Laboratories/Practical

activities/Stages

Teaching methods Hours Observations ICS

correlation

First semester

1. ENT INSTRUMENTS

PRESENTATION

THEORETICAL

PRESENTATION AND

CLINICAL EXAMINATION

1 1

HOURS/week

2. INSPECTION AND PALPATION

TECHNIQUE IN ENT

THEORETICAL

PRESENTATION AND


1 1

HOURS/week

3. OTHOSCOPY AND EAR

EXAMINATION TECHNIQUE

THEORETICAL

PRESENTATION AND


1 1

HOURS/week

4. AUDIOMETRY AND

INSTRUMENTAL ACUMETRY

THEORETICAL

PRESENTATION AND


1 1

HOURS/week

5. THIMPANOMETRY AND

VESTIBULAR TESTS

THEORETICAL

PRESENTATION AND


1 1HOURS/week

6. NASAL CAVITY EXAMINATION

THEORETICAL

PRESENTATION AND


1 1

HOURS/week

7. EXAMINATION WITH RIGIDE

AND FLEXIBLE OPTICS

THEORETICAL

PRESENTATION AND


1 1

HOURS/week

8. ORAL CAVITY EXAMINATION

THEORETICAL

PRESENTATION AND


1 1

HOURS/week

9.

EXAMINATION OF THE

LARYNX AND

NASOPHANRYNX

THEORETICAL

PRESENTATION AND


1 1

HOURS/week

10. ANTERIORE RHNIMANOMETRY

THEORETICAL

PRESENTATION AND


1 1

HOURS/week

11. INVESTIGATION THECHNIQUES THEORETICAL 1 1

IN ENT PRESENTATION AND


HOURS/week

12. TRACHEOSTOMY

THEORETICAL

PRESENTATION AND


1

HOURS/week

13. BRONCHOSCOPY AND RIGIDE

ESOPHAGOSCOPY

THEORETICAL

PRESENTATION AND


1

HOURS/week

14. ANTERIORE AND POSTERIORE

NASAL BUFFER

THEORETICAL

PRESENTATION AND


1

HOURS/week

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

- Adriana Neagos- Otorhinolaringology for V years General Medicine, practical Guide - University Press,

2013

- Hans Behrbohm, oliver Kaschke, Tadeus Nawka, Andrew Swift- EAR, NOSE AND THROAT

DISEASEWITH HEAD AND NECK SURGERY, Thieme 2009

- Rudolf Probst, Gerhard Grevers, Heinrich Iro - BASIC OTHORHINOLARYNGOLOGY, THIEME

2006

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Possession of a minimum standard ENT specific knowledge for the proper conduct of the medical activity

- Knowledge of classical diagnostic methods and surgical techniques,

- Acquisition of the ability to make a correct diagnosisa full routine ENT diseases and , frequently

encountered in clinical practice

-Acquiring the ability to use specific instruments ENT, so the classic as well as best-type endoscopes,

flexible nasopharyngoscope

10. Evaluation


the final grade


semester

Lecture activity in the course power point presentations 50%

Practical activities activity in the practical questions,how they performe the

ENT examinatiobn 50%


Theoretical final exam În funcție de specificul

disciplinei EXAMINATION WITH TESTS 70%

Practical final exam În funcție de specificul

disciplinei

PRACTICAL ENT

EXAMINATION 30 %


Knowledge of clinical examination methods OF OtoRHINOlaryngology-oralpharyngoscopy, anterior

rhinoscopy, otoscopy and laryngoscopy, audiological testing, audiometry and acumetry, knowledge of

vestibular test smaking practice

- Obtaining the minimum mark of 5 for each of the 2 exams: theory and practice.

SYLLABUS




1.3 Department M4


1.5 Study cycle UNDERGRADUATE


2. Data regarding the discipline 2.1 Name PAEDIATRICS

2.2 Course coordinator Professor. Oana Mărginean

2.3 Practical activity coordinator(s) Associate Prof. Dr Duicu Carmen Lecturer Borka Balas Reka,

Lecturer Bodescu Virginia




lecture 4


activity 15


lecture 42


activity 105


hours





Examinations 1

Other activities



3.9 Credits 8







Specific skills acquired:

- Making history, complete clinical examination in paediatrics

- Performing basic diagnostic maneuvers in children

- Formulating a positive and differential diagnosis in paediatrics

- Development of a treatment plan individualized to the child

- Presentation of a clinical case of pediatric

- Request appropriate complementary examinations in pediatric pathology


Transversal competences:

- Acquisition of oral and written communication skills with both mother

and pediatric patient.

- Achieving a work / project, performing specific tasks responsibly in a

team role.

- Coordinated projects to solve specific problems Pediatric field, the

correct evaluation of workload, available resources, time required for

completion and risks in terms of enforcement of ethics and professional

ethics in the field, as well as health and safety at work



General objectives of discipline

The knowledge of pediatrics problems.

Acquisition of physical and functional characteristics of a healthy child in

order to distinguish him from the sick one.


Specific objectives of the discipline

The known of speciphic pediatric pathology: neonatology, pneumology,

gastroenterology, hematology and pediatric oncology.

8. Contents Crt.

no. 8.1 Lecture

Teaching


First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

1.Fever. Septicemia in infants/children.

Respiratory pathology : Infections of the

upper respiratory tract;

Oral presentation

+ multimedia 3

septicaemia, PUO

(pyrexia of

unknown origin),

hypothermia,

respiratory tract

infection

2.

2. Respiratory pathology : Cough in

children; child otomastoiditis; acute

epiglotitis and acute spasmodic

laryngitis (spasmodic croup); acute

bronhiolitis.

Oral presentation

+ multimedia 3

dysphagia, stridor,

respiratory tract

infection, otitis

media,

breathlessness

3.

3. Respiratory pathology: bacterial

pneumonia; interstitial pneumonia; the

treatement of pneumonia;

Oral presentation

+ multimedia 3

chest pain,

cyanosis,

haemoptysis, acid

base disturbance,

breathlessness,

back pain

4.

4. Patologia aparatului respirator :

astmul bronşic Patologia aparatului

cardiovascular: cardiopatiile

congenitale; endocardiomiopatii;

pericardita; insuficienţa cardiacă;

Oral presentation

+ multimedia 3

asthma,

breathlessness,

endocarditis,

shock, pericardial

disease,

malformations of

cardiovascular

system,

hypertension,

cyanosis, chest

pain, oedema,

5.

5. Afecţiunile tractului digestiv:

Particularități ale bolii diareice acute

infectioase la copil. BDA neinfecțioasă

la copil

Oral presentation

+ multimedia

Integrated course

with Discipline of

Infectious

Disease

3

Integrated

course with

Discipline of

Infectious

Disease

bowel habit

change, vomiting,

gastroenteritis,

diarrhea,

abdominal

distension,

abdominal pain

6.

6.Digestive system’s diseases : acute

dehydration syndrome. ); reccurent

abdominal pain.

Oral presentation

+ multimedia 3

bowel habit

change, vomiting,

gastroenteritis,

acid base

disturbance,

abdominal pain

7.

7. Digestive system’s diseases :

intestinal malabsorbtion (celiac sprue,

cystis fibrosis, others feeding

intolerance)

Oral presentation

+

multimedia+TBL-

Chronic Diarrhea

in pediatrics in

3

TBL- Chronic

Diarrhea in

pediatrics

abdominal pain,

abdominal

distension,

constipation,

malabsorption,

pediatrics inflammatory

bowel disease,

cystic fibrosis,

bowel habit

change

8.

8. Digestive system’s diseases : gastro-

esophageal reflux; peptic disease and

gastritis.

Oral presentation

+ multimedia 3

peptic ulcer,

haematemesis,

abdominal pain

9.

9. Deficiency disease : Rickets; iron

deficiency anemia; protein-energy

malnutrition.

Oral presentation

+ multimedia 3

malnutrition,

disorders of

calcium and

vitamin D

metabolism,

anaemia

10.

10. Connective tissue diseases: juvenile

rheumatoid arthritis, Kawasaki disease,

Renourinary diseases : urinary tract

infections

Oral presentation

+ multimedia 3

connective tissue

disease, joint

pain, joint

swelling, pain

management,

frequency of

micturition,

dysuria,

haematuria,

urinary

incontinence,

urinary tract

infection, back

pain, retention of

urine

11. 11. Renourinary diseases : Acute diffuse

glomerulonephritis; nephrotic syndrome;

Oral presentation

+ multimedia

+TBL EDEMA in

pediatric

pathology

3

TBL EDEMA

in pediatric

pathology

haematuria,

oedema,

electrolyte and

water balance,

back pain,

retention of urine

12.

12. Haemorrhagic diseases : Purpura

Henoch-Schonlein; Idiopathic

thrombocytopenic purpura; hemophilia.

Pediatric Oncology : Leukemia;

abdominal mass (Wilms tumor,

neuroblastoma); Hodgkin and non-

Hodgkin lymphoma; pain in children.

Oral presentation

+ multimedia 3

joint swelling,

joint pain,

purpura,

splenomegaly,

coagulation

disease, childhood

tumors, lump in

neck,

lymphadenopathy,

hepatomegaly,

pain management,

splenomegaly

13. 13. Nervous systems pathology :

Seizures, childhood epilepsy, pediatric

Oral presentation

+ multimedia 3

Integrated

course with

raised intracranial

pressure, visual

intracranial hypertension syndrome Integrated course

with Pediatric

Neuropsychiatry

Pediatric

Neuropsychiatry

impairment,

visual loss,

vomiting,

encephalopathy,

epilepsy,

headache,

confusion

14. 14. Metabolic and nutrition diseases :

Diabetus mellitus. Headache in children

Oral presentation

+ multimedia 3

Diabetes mellitus,

polyuria,

electrolyte and

water balance,

acid base

disturbance,

hypoglycaemia,

headache, raised

intracranial

pressure, visual

impairment,

visual loss,

vomiting

Bibliography:

Mandatory bibliography

1. Mărginean C O Togănel R Cucerea M Balas Borka R Duicu C Chinceşan M Grama A Pitea A M

Pediatrics – course notes, Editura University Press Tg. Mureş, 2013, 268 pg, ISBN 978-973-169-266-41,

CIP 616-053.2(075.8), cod CNCSIS 210

Additional bibliography

2. Kliegman R, Stanton B, St. Geme, Schor N. Nelson Textbook of Pediatrics, 2-Volume Set, 20th

Edition, 2015 Elsevier, ISBN : 9781455775668

3. Tenore Alfred, Levene Malcolm (eds). European Mastercourse in Pediatrics. Churchill Livingstone

Elsevier 2011

4. Rudolph C., Rudolph A., Lichter G.L., Gershon A. Rudolph`s Pediatrics ed. 22, McGrawHills 2011,

pp. 1386-9

5. Kliegman R.M., Marcdante K.J., Jenson H.B., Behrman R.E. Nelson Essentials of Pediatrics sixth ed.,

Elsevier Saunders, Philadephia, 2010

6. McInerny T.K., Adam H.M., Campbell D.E., Kamat D.M., Kelleher K.J. (eds.). Textbook of Pediatric

Care. American Academy of Pediatrics, 2009, p. 1424

Crt.

no.

8.1


activities/Stages

Teaching


First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

Week 1. Clinical Observational

Sheet. Clinical exam in children.

Nervous systems pathology:

Seizures, meningitis; encephalitis.

Metabolic and nutrition diseases:

Diabetes mellitus.

Practical

demonstrations,

case

presentations

12

hours+

3

hours

CBL

Clinical Observational

Sheet. Clinical exam in

children.lumbar

puncture- indications;

the assessment of

cerebro-spinal fluid

examinations

(cytology, culture, etc).

Case report: febrile

convulsions/meningitis.

Case report- diabetes

mellitus; blood sugar

monitoring; glycosuria,

ketonuria; acid-base

disturbance; the

monitoring of

intake/output in

paediatric diabetes

septicaemia, PUO

(pyrexia of

unknown origin),

hypothermia,

raised intracranial

pressure, visual

impairment,

visual loss,

vomiting,

encephalopathy,

epilepsy,

meningitis,

headache,

confusion,

diabetes mellitus,

polyuria,

electrolyte and

water balance,

acid base

disturbance,

hypoglycaemia

2.

Week 2. Respiratory pathology :

Infections of the upper respiratory

tract; child otomastoiditis; acute

epiglotitis and acute spasmodic

laryngitis (spasmodic croup); acute

bronhiolitis; bacterial pneumonia;

interstitial pneumonia; the

treatement of pneumonia;

bronchial asthma.

Practical

demonstrations,

case

presentations

12

hours+

3

hours

CBL

The assessment of

laboratory parameters

in respiratory tract

pathology. The chest

X-ray in children.

Dysphagia,

stridor,

respiratory tract

infection, otitis

media,

breathlessness,

chest pain,

cyanosis,

haemoptysis,

tiredness, asthma,

acid base

disturbance,

breathlessness,

back pain

3.

Week 3. Cardiovascular pathology

: Congenital cardiac diseases;

endocardiomiopathies; pericarditis;

Practical

demonstrations,

case

12

hours+

3

The pediatric EKG

interpretation; the

evaluation of a child

tiredness,

endocarditis,

shock, pericardial

hearth failure; Connective tissue

diseases: juvenile rheumatoid

arthritis

presentations hours

CBL

with congenital heart

defect (cyanogenvs

noncyanogen forms);

imagistic

investigations.

disease,

malformations of

cardiovascular

system,

connective tissue

disease, joint

pain, joint

swelling, pain

management

4.

Week 4. Digestive system’s

diseases : Acute diarrhea disease;

acute dehydration syndrome;

reccurent abdominal pain.

Practical

demonstrations,

case

presentations

12

hours+

3

hours

CBL

Imagistics of

gastrointestinal tract

(ultrasouns,

gastrointestinal

endoscopy/

colonoscopy); The

interpretation of

digestion test,

conventional stool test

for parasites. Cases

reports.

bowel habit

change, vomiting,

gastroenteritis,

acid base

disturbance,

abdominal pain,

abdominal

distension,

constipation,

malabsorption,

inflammatory

bowel diseases

5.

Week 5. Digestive system’s

diseases : intestinal malabsorbtion

(celiac sprue, cystis fibrosis, others

feeding intolerance); gastro-

esophageal reflux; peptic disease

and gastritis.

Practical

demonstrations,

case

presentations

12

hours+

3

hours

CBL

Imagistics of

gastrointestinal tract

(ultrasouns,

gastrointestinal

endoscopy/

colonoscopy); the

sweat test cystic

fibrosis; The

interpretation of

digestion test,

conventional stool test

for parasites;

gastrointestinal

bleeding,

genetic/immunologic

tests). Cases reports.

bowel habit

change, vomiting,

gastroenteritis,

acid base

disturbance,

abdominal pain,

abdominal

distension,

constipation,

malabsorption,

inflammatory

bowel diseases,

cystic fibrosis,

peptic ulcer,

haematemesis

6.

Week 6. Deficiency disease :

Rickets; iron deficiency anemia;

protein-energy malnutrition.

Practical

demonstrations,

case

presentations

12

hours+

3

hours

CBL

Iron deficiency

anemia- case report.

Antropometric indices

evaluation.

malnutrition,

disorders of

calcium and

vitamin D

metabolism,

anaemia,

7.

Week 7.

- Renourinary diseases : Acute

diffuse glomerulonephritis;

nephrotic syndrome; urinary tract

infections

- Haemorrhagic diseases : Purpura

Henoch-Schonlein; Idiopathic

Practical

demonstrations,

case

presentations

12

hours+

3

hours

CBL

Imagistics of the

urinary system in

children (ultrasoung,

i.v. urography, voiding

cystouretrography),

urinary bladder

catheterization

polyuria, dysuria,

haematuria,

oedema, urinary

incontinence,

electrolyte and

water balance,

urinary tract

thrombocytopenic purpura;

hemophilia. Pediatric Oncology :

Leukemia; abdominal mass

(Wilms tumor, neuroblastoma);

Hodgkin and non-Hodgkin

lymphoma .

procedure. Case report:

UTI +/- kidney

abnormality.

The interpretation of

CBC test,

coagulogram. The

observation of lumbar

puncture/ bone marrow

biopsy and aspiration.

Case report:

leukemia/hemophilia

infection, back

pain

joint swelling,

joint pain,

purpura,

splenomegaly,

coagulation

disorders,

Childhood

tumors, lump in

neck,

lymphadenopathy,

hepatomegaly,

splenomegaly,

pain management

8.

9.

10.

11.

12.

13.

14.

Bibliography:

Mandatory bibliography

1. Mărginean C O Togănel R Cucerea M Balas Borka R Duicu C Chinceşan M Grama A Pitea A M

Pediatrics – course notes, Editura University Press Tg. Mureş, 2013, 268 pg, ISBN 978-973-169-266-41,

CIP 616-053.2(075.8), cod CNCSIS 210

2. Mărginean Oana, Marginean Claudiu, Duicu Carmen, Chinceșan Mihaela, Borka-Balas Reka, Pitea

Ana Maria, Grama Alina, Man Lidia, Melit Lorena (sub redacția Mărginean Oana). Clinical cases in

Pediatrics, University Press Tg. Mureş, 2016, ISBN 978-973-169-473-3

Additional bibliography

3. Kliegman R, Stanton B, St. Geme, Schor N. Nelson Textbook of Pediatrics, 2-Volume Set, 20th

Edition, 2015 Elsevier, ISBN : 9781455775668

4. Tenore Alfred, Levene Malcolm (eds). European Mastercourse in Pediatrics. Churchill Livingstone

Elsevier 2011

5. Rudolph C., Rudolph A., Lichter G.L., Gershon A. Rudolph`s Pediatrics ed. 22, McGrawHills 2011,

pp. 1386-9

6. Kliegman R.M., Marcdante K.J., Jenson H.B., Behrman R.E. Nelson Essentials of Pediatrics sixth ed.,

Elsevier Saunders, Philadephia, 2010,

7. McInerny T.K., Adam H.M., Campbell D.E., Kamat D.M., Kelleher K.J. (eds.). Textbook of Pediatric

Care. American Academy of Pediatrics, 2009, p. 1424

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain

The graduate must know and apply their knowledge in the field of pediatrics as a discipline is basic

pediatrics entering residency topics is useful GP (entering the training curriculum) and the least in need of

this discipline for their children.

10. Evaluation



10.3 Percent of

the final grade


the semester

Lecture

Depending on the

specific of the

discipline

Evaluation during semester: 10% TBL 1-

preparation:5% TBL2 preparation- 5% 20


Depending on the

specific of the

discipline

Case report-CBL 10


Theoretical final

exam

Depending on the

specific of the

discipline

Written evaluation / multiple choice test -

simple and multiple complement(like

residency).

50%

Practical final

exam

Depending on the

specific of the

discipline

Practical exam 20%


- Minimal grade required for the promotion of the exam is 5 (the final grade being a result of the

evaluations during the semester and the final exam)

- In order to be able to sustain the final theoretical exam, the student has the obligation to be present at the

evaluation during the semester

- The final practical exam is mandatory, the minimal grade required for promotion being 5

- In case of absence at the TBL sessions, the students will receive the grade 1; there is no possibility to

repeat this evaluation; but the student will be allowed to sustain the final exam!

CLINICAL SKILS:

- Taking a paediatric patient’s history 2.4- 10

- General paediatric physical examination 2.5- 10

- Physical examination of the newborn2.6- 4

- Listing and ranking differential diagnoses 2.10- 10

- Listing and supporting the features of positive diagnosis2.11- 10

TECHNICAL SKILS: LAY FIGURE/MANECHIN:

- Performing venipuncture3.1- 2

- Performing intravenous perfusion 3.2- 2

- Administering subcutaneous, intradermal, intramuscular, and intravenous injections3.3-2

- Performing an intraosseous approach in the child 3.4-2

- Observing and describing enemas 3.12- 1

- Observing and describing the exercise stress test 3.24- 1

- Observing and describing upper gastrointestinal endoscopy 3.29-1

- Observing and describing paracentesis 3.30- 1

- Observing and describing lumbar puncture 3.32-1

PARACLINICAL SKILS:

Performing and interpreting an ECG 4.1- 2

Interpreting blood count results 4.3- 5

Interpreting coagulation results 4.4- 5

Interpreting the results of chemical component dosage in blood 4.10- 5

Interpreting the results of biochemical CSF analysis 4.11-2

Interpreting acid-base balance results 4.12- 2

Interpreting culture and antibiogram results 4.15- 3

Interpreting cytology results 4.17-1

Interpreting immunology results 4.18- 1

Interpreting serological test results 4.19-1

Interpreting genetic test results 4.20-1

Interpreting coproparasitologic examination results 4.21-2

Interpreting pathological examination results 4.22-2

- Interpreting simple radiographs 4.24-4

- Interpreting radiographs with radiocontrast agents 4.29-2

- Interpreting ultrasound results 4.31-2

THERAPEUTIC PRESCRIPTIONS:

- Identification of targets and therapeutic priorities in a specific clinical context 6.1- 2

- Making accurate and complete therapeutic prescriptions to various categories of patients 6.2- 2

- Prescription of drugs that require special forms 6.3- 2

- The choice of administration route and the optimal dosage form in a specific clinical context 6.5- 2

- Recognition of adverse drug reactions 6.6- 2

PROPHILAXY:

- Giving minimal advice on smoking cessation 7.2- 2

- Assessment of adult and child weight status at different ages 7.3- 5

- Planning primary, secondary, and tertiary prevention in a specific context 7.6- 1

COMUNICATION:

- Completing the clinical history and physical examination of the patient’s medical documents 8.1- 1

- Explaining diagnostic and therapeutic procedures and obtaining the patient’s informed consent 8.2-1

- Recording the patient’s progress in the observation chart 8.3- 3

- Communication with the patient’s family giving advice and explanations 8.6- 1

- Completing the discharge summary 8.8-1

- Writing discharge recommendations and their verbal communication to the patient 8.9-1

- Writing a letter of medical necessity 8.10-1

- Completing hospital forms and charts 8.11- 3

- Oral case presentations 8.13- 1

- Written/ poster case presentations 8.14-1

MUST SEEN CLINICAL SITUATIONS LIST:

1. Acute bronchilitis/acute laryngitis

2. Pneumonia

3. Bronchial asthma

4. Foreign body aspiration

5. Febrile seizure

6. Acute gastritis

7. Bowel inflammatory disease

8. Malabsortion disorders (celiac disease/ cysric fibrosis)

9. Acute dehydration syndrome

10. Juvenile idiopathic arthritis

11. Kawasaki disease

12. Schonlein-Henoch Purpura

13. Urinary tract infection

14. Nephrotic syndrome/Hematuria

15. Arterial hypertension

16. Iron deficiency anemia

17. Acute leukemia

18. Hodgkin lymphoma

19. Immune Idiopathic thrombocytopenic purpura /hemophillia

20. Diabetes mellitus

21. Congenital heart defects

22. Pericarditis/endocarditis

23. Sepsis

SYLLABUS




1.3 Department M4




2. Data regarding the discipline 2.1 Name PNEUMOLOGY AND TUBERCULOSIS

2.2 Course coordinator PROF. DR. GABRIELA JIMBOREAN

2.3 Practical activity coordinator(s) PROF. DR. GABRIELA JIMBOREAN

2.4 Study year V 2.5 Semester II 2.6 Type of evaluation Ex 2.7 Type of discipline DS



lecture 1/week


activity 1/week


lecture 14


activity 15


hours




Tutorial activities 0.5

Examinations 0.5


3.7 Total hours of individual study

per week 9


3.9 Credits 2







C1. Identification of the disease condition and the corect diagnosis of the

disease (diseases)

C1.1. Description of the medical fundamental concepts, theories and

notions concerning the pathogenesis and the suggestive typical signs or

symptoms for the clinical diagnosis

C1.2. Developing the hypotheses and comissioning in work of the key-

concepts for the accurate intendment and integration of the clinical signs

and symptoms and of the paraclinical data in order to establish the

presumtive diagnosis

C1.3. Detection of the obtained clinical methods, techniques and global

knowledge which have to be integrated with the paraclinical data in order

to precise the positive and the differential diagnosis and to establish the

disease prognosis

C1.4. Critical assessment of the hypotheses, means and methods used as

the background for the personalized definition of the diagnosis

C2. The elaboration and the implementation of a proper treatment plan for

the identified disease (diseases)

C2.1. Defining and learning the acting mechanisms of the drugs;

knowledge of indications contraindications and side-effects of the

treatment resources which are used in the medical practice and the

learning of the resuscitation maneuvers in emergency conditions

C2.2. The use of the learned notions over the treatment resources in order

to establish a treatment plan and the proper interpretation of the clinical

and paraclinical data evolution under treatment

C2.3. Implementation of the treatment plan which is stated according to

the current stage and its individualized adaptation with the patient ad

disease characteristics

C2.4. Critical monitoring of the treatment effects and adaptation of the

treatment according to the patient evolution which is reflected by the

clinical and paraclinical dynamic changes

C3. Correct assessment of the disease risk and occurrence of the context

of an individual (or collective) disease, followed by choosing and

applying the proper prophylaxis measures

C3.1. Identifying and deepening the principles for applying the preventive

measures and the instruments affordable to the physician

C3.2. Interpretation and analysis of the risk factors in order to identify the

most effective disease prevention measures

C3.3. Implementation of the preventive measures adequate to prevent

illness (primary prevention) as well as the recovery of already triggered

consequences of the disease (secondary and tertiary prevention)

C3.4. Observation and critical evaluation of the results of the applying

preventive measures concerning both the individual and the collective

pathology using the epidemiology methods.


CT1

Implementation of strategies for identifying and analyzing and executing

the tasks assigned and that it has assumed, and to establish relationships

with patients or colleagues in a professional setting and beyond

CT2

Applying the techniques of effective multidisciplinary team working on

various hierarchical levels in order to achieve a common project

CT3

Update knowledge about medical problems, using active learning

methods and techniques and using documentary sources both in

Romanian and in an international language

Developing a synthesis papers on a current topic in the field and typing it

into an international language

C4. The approach of the health or disease problems from the point of

view of the community, in direct relationship with the social, economic

and/or cultural conditions characteristic to that community

C4.1. Description of the fundamental concepts and theories which

influence and/or determine the health of a defined community; measures

that influence the health of the collectivities

C4.2. Interpretation and correct analysis of the demographic data

characterizing the target group and evaluating the causes involved in

altering the health of the community

C4.3. The practical application of appropriate measures (prevention,

social, economic) to ensure improving health, reducing disease risk and

improve quality of life

C4.4. The use of the instruments and of the epidemiologic datae and of

the socio-economic measures applied to assess the results and thereby

ensuring the monitoring the health of the population that makes up the

target collectivity



-Sending to student information on diagnosis technique and targeted treatment for

the major respiratory diseases (diseases with large spread in population = update

according to national and international guidelines)

-Gaining the student's abilities to recognize the signs / symptoms of pulmonary

diseases and performing some specific investigations in Pneumology


-Gaining the student's abilities for the specific diagnosis and treatment in

respiratory medicine

-Conducting and interpreting spirometry, performing thoracic echography,

bacteriological exam

-Administration of the inhaled bronchodilators and corticosteroid medication

-Managing and monitoring oxygen therapy, nonivazive ventilation, CPAP

-Indication of bronchoscopy, Interpretation of bronchoscopic results, chest X-ray

and thoracic CT

-Interpretation of respiratory polygraphy during sleep and polysomnography

-Anti-smoking counseling and combat withdrawal symptoms

8. Contents Crt.

no. 8.1 Lecture

Teaching


First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

1.1. Elements of integrated anatomy,

physiology / pathophysiology in clinic of

respiratory diseases a). Ribcage and

content b). Ribcage muscle impairment =

generator of restrictive ventilatory

dysfunction c). Upper and lower airways.

Bronchoscopy - technique of endoscopy,

indications, prelevates, EBUS

(endobronchial US). Tracheomalacia d).

Lung function and Pleura function e)

Mechanisms of pleural effusions

Oral

presentation

+ multimedia

1

Knowledge base (

Technical + Contextual)

Normal and abnormal

structure and function

Back pain/chest pain

Breathlessness Stridor

Carcinoma of the

bronchus Chronic

bronchitis and

emphysema Chronic

lung disease Hemoptysis

Pleural effusion

Pneumothorax

2.

2.1 Respiratory function tests RFT a).

Spirometry and reversibility test b).

Plethysmography, DLCO c).

Pulseoximetry, gasometry d). 6 min walk

test e). BODE prognostic composite index

(BMI, Obstruction, Dyspnea Scale,

Exercise Test) 2.2. a). Ventilatory

dysfunction (obstruction / restriction /

mixed); diffusion disorders, pulmonary

failure by bronchopulmonary diseases -

etiology, mechanisms, diagnostic, clinical

features treatment guidelines) b). Inhaled

foreign bodies - endobronchial treatment

c). Home oxygen therapy in short and

long-term d). Noninvasive ventilation

(NIV) in chronic respiratory failure

(indication, home) e). Guidelines for long

Oral

presentation

+ multimedia

TBL

1

Knowledge base (


Chronic lung disease

Chronic bronchitis and

emphysema Asthma;

Stridor Breathlessness;

Cyanosis Electrolyte

and water balance Acid

base disturbance

Condition affecting

individual and family.

Explain disease. Advice

on management

Treatment; education

Home long time oxygen

treatment

term home management of NIV suport

and home long term oxygen therapy

(European guidelines and Romanian

legislation)

3.

3. 1. Infectious and noninfectious

pneumopathies in adults (classification,

algorithm for clinical diagnosis, radiology,

bronchoscopy, 2015 diagnosis and

treatment UE guidelines) a) Acquired

community pneumonia,

bronchopneumonia, lung aspiration b)

Hypersensitivity pneumopathies /

alveolitis c). Pulmonary suppurations /

lung abscess 3.2. Bronchiectasis

a).Congenital and acquired bronchiectasis

b) Cystic fibrosis

Oral

presentation

+ multimedia

Integrated

course with

Dep. of

Infectious

Diseases -

Treatment of

lower

respiratory

tract

infections

(30 min)

1

Knowledge base

(Technical +

Contextual) Respiratory

tract infection Cystic

fibrosis Weight loss,

Breathlessness,

Cyanosis, Condition

affecting individual and

family. Explain disease.

Advice on management

Treatment; education;

Prescription and

technique of

bronchodilators, O2,

sputum fluidificants,

VNI

4.

4. Chronic obstructive pulmonary disease

1. The main phenotypes (emphysema,

bronchitis, «overlap syndrome» ACOS

(Asthma, COPD), bronchiolitis,

exacerbator phenotype, alpha 1-antitrypsin

deficiency) 2. Specific investigations in

COPD – quantitative CT multidetector,

functional respiratory tests,

Oral

presentation

+ multimedia

1

Knowledge base

(Technical +

Contextual) Chronic

bronchitis and

emphysema Substance

abuse - smoking

Breathlessness,

Cyanosis, Disability

Main systemic

Complications

Condition affecting

individual, family and

society Explain disease.


Treatment; education

Pulmonary

rehabilitation Procedural

skill: Prescription and

technique of

bronchodilators, O2,

NIV

5.

5. Bronchial asthma 1. Etiology, particular

forms 2. Chronic asthma with remodeling

fibrosis 3. Specific Investigations in

asthma – spirometry with reversibility test,

questionnaires, immunological dosages,

imaging 4. The exacerbation of asthma 5.

Fenotype – “difficult to treat asthma”, 6.

Principles of treatment in asthma and

monitoring, triggers eviction, education 7.

Oral

presentation

+ multimedia

1

Knowledge base (


Asthma Allergic

disorders Chronic lung

disease Breathlessness


Treatment, education

Allergens eviction

Pulmonary

GINA 2016 guideline - treatment 8.

Pulmonary rehabilitation in asthma

rehabilitation

6.

6. Lung cancer and malignant pleural

mesothelioma a) Epidemiology, risk

factors (smoking, radiation, pollution) b)

Clinical diagnosis (bronchoscopy, CT,

PET - CT, bronchial biopsy and

transbronchial EBUS) c). Solitary

pulmonary nodule c) Lung cancer Staging

d). Guidelines for diagnosis and treatment

ESMO European Guide and 2015 ATS /

CHEST/NCCN + National Guide of the

Romanian Society of Pneumology Lung

Cancer Management e). Screening in

Lung cancer f). Malignant mesothelioma

2. Pulmonary/mediastinal benign tumors

Oral

presentation

+ multimedia

1

Knowledge base (


Carcinoma of the

bronchus Chronic lung

disease Substance abuse

- smoking

Breathlessness,

Hemoptysis Chest pain,

back pain, weight loss;

depression Poor

Prognosis Condition

affecting individual,

family and society

Explain disease Advice

on management.

Treatment. Pain

management Terminal

care

7.

7. 7.1. Sarcoidosis 7.2. Interstitial lung

fibrosis (ILF) a). Classification, etiology,

pathogenesis b). Clinical features c)

Investigation - HRCT, bronchoscopy and

bronchoalveolar lavage, lung biopsy d).

Idiopathic and iatrogenic fibrosis e).

Positive and differential diagnosis of ILF.

ILF treatment f). Lung transplant

indications, monitoring, complications,

legislation g) European guidelines / ATS

in diagnosis and treatment of ILF

Oral

presentation

+ multimedia

1

Knowledge base (


Breathlessness Cyanosis

Chronic lung disease

Fibrosis in connective

lung disease Condition


family Explain disease

Prognosis Advice on

management Treatment;

education Home long

time oxygen therapy

8.

8. Pleural pathology 1. Pleural punction/

thoracentesis under thoracic US 2. Pleural

biopsy 3. Pleural fluid examination –

“LIGHT criteria” - differentiation exudate

/ transudate, cytology, bacteriology,

immunology from pleural fluid 4. The

main respiratory causes of pleural effusion

a) Parapneumonic pleural effusion b) TB

pleurisy c) Malignant pleural effusion d)

Pleural empyema 5. Pleural plaques 7.

Pneumothorax, chylotorax, hemotorax 8.

Pahipleuritis / fibrothorax

Oral

presentation

+ multimedia

1

Knowledge base (


Chest pain Back pain

Breathlessness Oedema

Pleural effusion

Pneumothorax Poor

mesothelioma prognosis

Performance base -

procedural skills –

thoracic ultrasound,

thoracocentesis

9.

9. Sleep – related respiratory disorders a)

Obstructive sleep apnea syndromes

(OSAS) b) Central sleep apnea c). Obesity

- hypoventilation syndrome OHS d).

Polysomnography/ventilatory polygraphy,

nocturnal oximetry, actigraphy, sleep

Oral

presentation

+ multimedia

1

Knowledge base Sleep

disturbance Weight

gain. Complication

Condition affecting

individual and family.

Explain disease.

questionaires e). Treatment and

monitoring of CPAP / APAP / BiPAP

SAS and SHO

Prognosis Prevention

and treatment of

complication. Advice on

management. Treatment

CPAP/VNI/weight loss

10.

10. Smoking - severe disease of addiction

a) Active smoking - respiratory and

systemic adverse effects of smoking b).

Oral

presentation

+ multimedia

TBL –

adverse

effects of

smoking

1

Knowledge base

Substance abuse -

smoking Breathlessness

– chronic bronchitis and

emphisema, carcinoma

of the bronchus

Ischemic heart disease

Condition affecting

individual and family

Explain disease.

Prognosis Advice on

management Treatment,

Smoking cessation

counselling

11.

11. Tuberculosis a). Epidemiology of TB

Mondial and national endemics b). Risk

factors c). Etiology - M tuberculosis and

atypical mycobacteria – Modern

techniques for diagnosis –

microscopy/culture/drug sensisivity test

d). TB pathogenesis e). Pathology of TB -

TB granulomas. Sampling for

histopathological exam f) Latent TB. Skin

test, Quatiferon test

Oral

presentation

+ multimedia

Integrated

course with

Microbiology

Dep. 30 min.

1

Knowledge base (


Tuberculosis

Respiratory tract

infection Chronic lung

disease

Immunodeficiency, HIV

coinfection Condition


family

12.

12. Primary Tuberculosis a) Clinical

diagnosis b) Imaging aspects in primary

TB. Differential diagnosis of mediastino-

hylar adenopathy c) Tuberculin skin test

and QuantiFERON TB GOLD test d).

Complications of primary TB – extensive

caseation and hematogenic dissemination

e) Bacteriological diagnosis of TB -

prelevates, microscopy techniques,

culture, PCR, and sensitivity drug tests f)

Milliary TB (pulmonary and generalisated

TB)

Oral

presentation

+ multimedia

1

Knowledge base (


Infectious disease of

childhood Weight loss

Stridor Chest pain

Hemoptisis Sepsis by

milliary TB Condition


family

13.

13. Secondary Tuberculosis 1. Secondary

Pulmonary TB a). Clinical diagnosis,

imaging b). TB nodular, infiltrative,

cavitary TB fibrous TB c) Differential

diagnosis of TB c). Hemoptysis - positive

and differential diagnosis. Treatment

(general treatment and by bronchoscopy)

d). Complications of the secondary TB e)

Tuberculoma 2. Extrapulmonary TB

Oral

presentation

+ multimedia

1

Knowledge base (


Tuberculosis Chronic

lung disease Condition


family Weight loss,

Chest pain Hemoptisis,

TB pleural effusion,

PTX Joint swelling –

(lymph node TB, osteo-articular TB, renal

TB, genital TB, digestive TB, pericardial

TB, peritoneal, other organs) - positive

and differential diagnosis through specific

modern investigation

TB Osteoarthrosis ,

meningitis, pericarditis

Chronic renal disease –

renal TB Infertility –

genital TB Intestinal

obstruction - digestive

TB

14.

14. Treatment and prevention of TB a).

Etiological treatment of TB with

antibiotics (WHO regimes / National TB

Control Program 2016-2020)+

symptomatic treatment, surgical treatment

b). Directed Observed Treatment in Short

Course DOTS treatment - categories,

regimes, monitoring, c). MDR - multidrug

resistant TB d). TB prophylaxis - BCG

vaccination, the fight in the outbreak,

education e). Case finding f). UE and

NTCP strategies for 2015 - 2020

Oral

presentation

+ multimedia

1

Knowledge base (


Tuberculosis Condition


family. Condition in

society Explain disease

and treatment

Prevention and

treatment of

complication. Advice on

management

Treatment/Immunisation

– BCG vaccination

Education. Supervision

and suport. Drug

reaction

Bibliography:

1.Gabriela Jimborean, Edith Simona Ianosi - ”Pneumology/Tuberculosis”, Ed. University Press,Târgu-

Mureş, 2013,ISBN ISBN – 978 -973 – 169 – 225 -8, cod CNCS 210; [email protected];

2.Edith Simona Ianosi, Gabriela Jimborean, Alexandra Comes, Dombi Istvan, Delia Georgeta Lupuț -

„Pneumology. Textbook of respiratory medicine”, Ed. UniversityPress;

[email protected] Tg. Mures/2014; ISBN 978 – 973 – 169 – 139 – 8, cod CNCS 210;

Crt.

no.


activities/Stages

Teaching


ICS

correlation

First semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

Stage sesion no. 1 1. Regulation/statute of

Department of Pneumology, minimum of

maneuvers/skills. Notebook / CBL 2. Examination

of the patient with lung disease 2. Clinical

examination - medical history, physical exam in

pulmonology - Request of the appropriate laboratory

examinations - Formulating a positive and

differential diagnosis and differential - Individual

plan for personalised therapy and prophylaxis

(primary, secondary / tertiary) 3. The model of a

clinical case presentations (oral / multimedia) 4.

TFR respiratory function tests (Spirometry +

Reversibility f tests) performing / interpreting, 5.

Pletismography, Airway resistance to flow, Pressure

/ volume curve, DLCO – interpretation 6.

Gasometry - interpretation Pulseoximetry 7. 6 min

walk test. BODE index 8. Questionnaires quality of

life; Asthma Control Questionaire (ACQ), COPD

Assessement Test (CAT) 9. Inhalation therapy

(bronchodilators, inhaled corticosteroids, antibiotics,

expectorant)Indications/Devices/ Spacer/nebulizers

Practical

demonstration

Case

presentations

3 h

Pulmonology

Clinic

Functional

test

Laboratory

Knowledge

base (

Technical +

Contextual)

Skills

(performance

base) Demo

of the

approach for

interpersonal

skills and

intellectual

skills

2.

Stage sesion no 2. 1. Imaging tests in respiratory

diseases - CXR in various respiratory diseases, CT,

HRCT, Multidetector CT - PET - CT 2. Thoracic

ultrasound- Diagnostic and Therapeutic Indications

(Common and

Practical

demonstration

Case

presentations

CBL

3 h

Knowledge

base (

Technical +

Contextual)

Performance

base (skills)

Intellectual +

Interpersonal)

3.

Stage sesion no 3. 1. Thoracentesis, pleural biopsy -

Indication, guidance by US /CT - Demonstrations on

patients admitted to Cl. Of Pneumology -

Investigation of pleural fluid (bacteriological,

cytological, biochemical) Recommendation and

interpretation bulletins 2. Fibrobronchoscopy,

bronchial biopsy, bronchoalveolar lavage, EBUS -

endobronchial UltraSound - Indications, devices,

techniques, prelevates – demonstration

+Interpretation bulletins - Presentation techniques

on real cases in the clinic and in the Simulation

Center UMF

Practical

demonstration

Case

presentations

CBL

3 h

Practice in

Pulmonology

Clinic and

Simulation

center UMPh

Knowledge

base (

Technical +

Contextual)

Performance

base (skills)

Intellectual +

Interpersonal)

4.

Stage sesion no 4. 1. Obstructive and Central Sleep

apnea (OSA + ACS) 2. Obesity - hypoventilation

syndrome SOH 3. Assessment Questionnaire of the

excessive daytime sleepiness (Berlin Q, Epworth

Scale) 4. Polygraphy, Polysomnography -

Practical

demonstration

Case

presentations

CBL

3 h

Knowledge

base (

Technical +

Contextual)

Performance

indications, assessment of the results 5. CPAP and

ventilator support (non-invasive ventilation NIV, BI

PAP) - Indications, devices, masks, legislation,

practice, home monitoring 6. Presentation of cases

with indications for CPAP / VNI - severe COPD,

hypoventilation / obesity, etc. 7. Oxygen therapy in

short and long-term (in hospital and at home),

Indications, appliances 8. Home Monitoring,

legislation 9. Case reports

base (skills)

Intellectual +

Interpersonal

5.

Stage sesion no 5. 1. Chronic smoking cessation.

Smoker„ file. Nicotine dependence Fagenstrom

Questionnaire - Smoking cessation counseling.

Specific anti-smoking drug therapy: indications,

treatment plan, monitoring 3. Presentation of cases

from respiratory pathology : COPD,Asthma,

Tuberculosis, Lung Cancer, Pulmonary Fibrosis,

Pleural Effusion, PTX, pioPtx, Pneumonia and

pleuropulmonary suppurations, Lung

Transplantation, Sleep apnea,Respiratory failure,

VNI

Practical

demonstration

Case

presentations

TEST

3 h

Knowledge

base (

Technical +

Contextual)

Performance

base (skills)

Intellectual +

Interpersonal)

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1.Gabriela Jimborean, Edith Simona Ianosi - ”Pneumology/Tuberculosis”, Ed. University Press,Târgu-

Mureş, 2013,ISBN ISBN – 978 -973 – 169 – 225 -8, cod CNCS 210 [email protected];

2.Edith Simona Ianosi, Gabriela Jimborean, Alexandra Comes, Dombi Istvan, Delia Georgeta Lupuț -

„Pneumology. Textbook of respiratory medicine”, Ed. UniversityPress, 2014; ISBN 978 – 973 – 169 –

139 – 8, cod CNCS 210, [email protected]

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain The themes of Pneumology courses and of the practical workshops are adapted to community issues and

health system issues and they are in accordance with actual EUROPEAN Community requests in the

medical system and in PNEUMOLOGY Specialty

Pulmonology specialty studies the lung disease that are met very frequent in general population (with

important morbidity and mortality and social and financial burden )

- Chronic Obstructive Disease (COPD ~ 10% of the population, asthma -7 -8% of the population)

- Lung cancer – first place of malignancies in men, first place in mortality

- Tuberculosis - the most frequent infectious contagious disease in the world (Romania is situated on the

1st place in the European Community)

- Nonspecific lung infections and inflammation, pulmonary suppurations – complication in

immunosupressed patients

- Pathology of pleura – complex etiology , difficult positive and differential diagnosis

- Pulmonary fibrosis – caused by a multitude of factors (frequently without known etiology), poor

prognosis

- Chronic smoking (active and passive) - 27% active smokers of all the population in Romania

- Sleep apnea (preset both in young children and adults) - over 10% of the adult population (80%

undiagnosed yet – underdiagnosed with severe complications)

Our course and practical training have the main goals to transmit to the students the basic Knowledges

(Technical + Contextual) and to develop the Intellectual and Interpersonal skills ( learning the techniques

for prevention of risk factors and early diagnosis in lung diseases to decrease morbidity, improve quality

of life and reduce the costs for the health system)

10. Evaluation


the final grade

10.4 Evaluation

during the

semester

Lecture

2 TBL Pleural pathology

Smoking-severe disease of

addiction

20%

Practical

activities

Mandatory presence Learning techniques

according to the skills list (attached

below) Clinical case presentation in the

“Abilities Notebook” with the

specification of skills/maneuvers that

were performed/studied (minimum 1 case

of each criteria/maneuver, at least 1 case

from the each corse and PT theme 28

CBL)

Previously studied topics

CBL 10%

10.5 Final

evaluation

Theoretical

final exam

Final theoretical exam - 50

questions grid 50%

Practical

final exam

Mastering the techniques of clinical

examination and paraclinic investigations

according to the skills criteria from the

“Abilities Notebook”

The final practical

examination – 1 case

presentation, interpretation of

investigations (chest – x - ray,

CT, bulletins TFR,

bronchoscopy, Astrup,

polysomnography)

20%


10.5. Minimum level of performance :

Minimum validation criteria of the intermediar evaluation during the semester ( correlation with the of the

statut and Regulation of the discipline of Pneumology

-The presence to the periodic evaluation is mandatory, Minimum grade 5 at the each test

-The “Abilities Notebook” with written clinical cases and performed technique is mandatory (according

to the abilities/skills provided in the course and PT themes)

-Mastering the criteria of ICS 'performance base "(skills) -" intellectual skills "(problem solving and

Decision Making in diagnosis, treatment and management" and "interpersonal skills"

-Minimal criteria for admission to the final examination

-ANY absences at the practical training

-Diary skills with examples of cases around the theme of skills / courses and

MANAGING OF ALL MANEUVERS DURING THE SEMESTER IN CONFORMITY WITH THE

LIST OF ABILITIES

1.CLINICAL SKILL

oAnamnesis in patients with respiratory disease – 10

oMaking physical examination in patients with respiratory disease – 10

oRequiring appropriate examinations – 10

oFormulating a presumptive diagnosis and differential dignosticelor listing and ranking of 2.10 – 10

oListing and sustaining positive diagnosis Elements of 2.11 – 10

oDisease Prophylaxis and Treatment plan - 10

2. TECHNICAL SKILLS

- Spirometry and bronchial reversibility test (performing and interpretation) - 2

- Conducting and interpretation EKG in patient with respiratory disease -4.1 - 2

- Observation and description of the 6-minute exercise test (+ conducting) 3.24 - 2

- Pulse oximetry (conducting and interpretation)

- The interpretation of acido - basic examination (astrup) 4.12 - 2

- Interpretation of the results of culture and sensitivity testing 4.15 - 5

- The interpretation of cytology 4.17 – 2 and immunology 4.18 - 2

- Interpretation of results of serological tests 4.19 - 2

- Interpretation of the results of the histo - pathological exam- 4.22 - 2

-Chest – x ray - interpretation 4.24 – 7; Imaging with contrast interpretation 4.29 - 2

- Interpretation and performing of thoracic ultrasound - 4.31 - 5

- Analysis of pleural fluid (interpretation) - 2

- Fibrobronchoscopy - indications, interpretation (practice - Cl. Pulmonary + simulation center) - 2

- Ventilatory Polygraphy during sleep (indications, performing, interpretation) - 2

- Interpretation of results of blood counts 4.3 - 3

- Interpretation of the results of dosing chemical blood components 4.10 - 5

3.TREATMENT/PRESCRIPTION skills (ability in therapy indication)

- Identify objectives and therapeutic priorities in a clinical setting 6.1 - 2

- Making the correct therapeutic prescriptions to a Complex disease 6.2- 2

- Prescription drugs that require special formulation 6.3- 2

- Choice of route of administration and optimal therapeutic form in a concrete clinical context 6.5- 2

(inhaled medications, oxygen therapy in hospital and at home, NIV)

- Recognition of adverse drug reactions 6.6- 2

PREVENTION

- Education / patient counseling on behavioral risk factors 7.1-0

- Counseling smoking cessation 7.2- 2

- Evaluation of the adult/child weight status 7.3- 5

- Making a plan for primary prevention, secondary and tertiary in a given situation 7.6- 1

COMMUNICATION SKILLS

- Completion of a medical history and physical examination in patient medical documents 8.1- 1

- Explanation of diagnostic and therapeutic procedures and obtaining the patient's informed consent 8.2- 1

- Recording evolution of patient observation sheet 8.3- 3

- Communication with family for advice and explanations 8.6- 1

- Elaborating epicrisis 8.8- 1

- Written and verbal recommendations and communication with patients at their discharge 8.9- 1

- Writing the final medical letter at the discharge of the patient 8.10- 1

- Completing forms of hospital 8.11- 3

- Oral case presentation 8.13- 1

- Presentation of cases in written / poster form 8.14-1

Minimum grade 5 in the intermediary evaluation

Minimal criteria for graduation in the final exam (theoretical and practical exam)

-Promoting the practical exam (1 spirometry interpretation bulletin, 1 bulletin Astrup; 1 bulletin of

bronchoscopy, 1 chest X-ray, 1 CT scan interpretation, 1 demo – administration of the inhaled treatment)

-Minimum 5 grade to the theoretical examination

Summer practice will complete the skills in specific investigation in Pneumology Clinic - Polygraphy,

polysomnography (technique, interpretation), questionnaires for evaluation of sleep – related – breathe

disorders, sleep questionnaires; nicotine dependence questionnaires, chest CT, plethysmography,

thoracentesis, installing the CPAP or VNI machines, O2 portable administering in fixed and portable

devices, aerosols and inhalation techniques, respiratory rehabilitation, counseling for smoking cessation,

etc.

Abilities for Vth MG students - ENGLISH SECTION - Pneumology specialty

A. Performing techniques for clinical diagnosis in respiratory diseases – medical history, physical exam,

risk factors

B. Performing / interpretation of specific investigations for the diagnosis in respiratory diseases:

1. Respiratory functional tests

1.1 Spirometry and bronchial reversibility testing - performing and interpretation

1.2. Plethysmography, Diffusion Lung CO - interpretation

1.3 Oximetry - performing and interpretation

1.4. Gasometry (Astrup) - indications, interpretation

2. Chest radiograph, chest CT, PET - CT - interpretation

3. Thoracic Ultrasound- performing, evaluation of the normal and pathological aspects (fluid collections,

pneumothorax, peripheral tumor) (Practice in Pneumology Clinic and Simulation Center at the University

UMPh Tirgu Mures)

4. Thoracentesis - indications, technique, execution, recommendation investigation of pleural fluid

5. Fibrobronchoscopy, bronchoalveolar lavage, EBUS - endobronchial UltraSound - indications,

interpretation bulletins (practice in Pneumology Clinic and Simulation Center UMF)

6. Tests for sleep related respiratory disorders evaluation (sleep apnea, hypoventilation – obesity)

6.1.Polygraphy, Questionnaires for excessive daytime sleepiness evaluation (Q Berlin, Epworth) -

indications, performing, interpretation

6.2. Polysomnography - indications, evaluation /assessment of the PSG results

SYLLABUS




1.3 Department M4




2. Data regarding the discipline

2.1 Name REHABILITATION, PHYSICAL MEDICINE AND

BALNEOLOGY

2.2 Course coordinator COPOTOIU MONICA

2.3 Practical activity coordinator(s) Şef de lucrări DR. COPOTOIU MONICA

2.4 Study year 5 2.5 Semester 1 2.6 Type of evaluation E 2.7 Type of discipline DS



lecture 1

3.3 laboratory

practical activity 15/sapt


lecture 14

3.6 laboratory

practical activity 15


hours

Study of books, lecture materials, bibliography, notes 1/2

Supplemental documentation at the library, from specialized information portals and in the

field 1/2


Tutorial activities -

Examinations 1

Other activities 1/2



3.9 Credits 3







- The main objective of this lecture is to offer to the medical student an

image of the problems imposed by different pathologies concerning the

quality of life of the patients and also to offer solutions, aiming the

improvement of their outcome by rehabilitation.

- The medical student should be able to complete a whole physiatric

evaluation in order to establish the status and the future management of

the patient.

- The medical student should be able to give solutions (in terms of

rehabilitations programme) and to apply them aiming a major

reintegration of the patient in society, taking into account the pro and

cons according with the pathology.


- Rehabilitation is teamwork, so in order to fulfill it the medical student

should find and to adapt its position in a team whose main aim is the

needs of the patient. So, she/he would be able to communicate with the

nurse, the occupational therapist, the nurse and therapist specialized in

physical rehabilitation, the psychologist and the physician of the current

disease.


7.1 General objective As stated before, the main objective is to be able to provide a rehabilitation

programme in different pathologies.


The secondary objectives, after following this lecture, are:

-To be able to evaluate a patients from the perspective of the physiatric

physician,

-To be able to apply the principles of rehabilitation,

-To be able to recognize the benefits of a complex rehabilitation plan

-To know how to work in a rehab team

8. Contents Crt.


ICS

correlation

First semester

1.

Achieving functional independence

– general notions (physical

modalities - electrotherapy)

Oral presentations +

multimedia (PP) 2

rehabilitation

management

2hours/week

jint pain, back

pain, limp,

falls

2.

Therapeutic exercise -essentials.

Manipulation, massage and

tractions


multimedia (PP) 2

rehabilitation

management

2hours/week

jint pain, back

pain, limp,

falls

3. Musculoskeletal rehabilitation part

1


multimedia (PP) 2

rehabilitation

management

2hours/week

jint pain, back

pain, limp,

falls

4. Musculoskeletal rehabilitation part

2


multimedia (PP) 2

rehabilitation

management

2hours/week

jint pain, back

pain, limp,

falls

5. Cardiac rehabilitation Oral presentations +

multimedia (PP) 2

rehabilitation

management chest pain

2hours/week

6. Pulmonary rehabilitation Oral presentations +

multimedia (PP) 2

rehabilitation

management

2hours/week

tiredness

7. Rehabilitation and management of

neurological disorders


multimedia (PP) 2

rehabilitation

management

2hours/week

jint pain, back

pain, limp,

falls

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1. Physical Medicine and Rehabilitation (fourth edition), Randall L. Braddom, Elsevier Saunders ed.,

2011, 1- 1506, ISBN: 978-1-4137-70884-4

2. Physical Medicine and Rehabilitation Secrets (third edition), B. J. O’Young, Mosby Elsevier ed., 2008,

1-748, ISBN- 13: 978-1-4160-3205-2

Crt.

no.

8.1


activities/Stages

Teaching methods Hours Observations ICS

correlation

First semester

1. The physiatric history. Physical

examination

Oral presentations, multimedia,

Practical skills – working with the 3

rehabilitation

management

jint pain,

back pain,

patient 3hours/day limp, falls

2. Psychological assessment and

interventions in rehabilitation


Practical skills – working with the

patient

3

rehabilitation

management

3hours/day

jint pain,

back pain,

limp, falls

3. Gait analysis. Physical agents

modalities



patient

3

rehabilitation

management

3hours/day

jint pain,

back pain,

limp, falls

4. Neurologic and musculoskeletal

imaging studies



patient

3

rehabilitation

management

3hours/day

jint pain,

back pain,

limp, falls

5.

Quality and outcome measures

for medical rehabilitation.

Therapeutical exercise



patient

3

rehabilitation

management

3hours/day

jint pain,

back pain,

limp, falls

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1. Physical Medicine and Rehabilitation (fourth edition), Randall L. Braddom, Elsevier Saunders ed.,

2011, 1- 1506, ISBN: 978-1-4137-70884-4

2. Physical Medicine and Rehabilitation Secrets (third edition), B. J. O’Young, Mosby Elsevier ed., 2008,

1-748, ISBN- 13: 978-1-4160-3205-2

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain The field of Physical Medicine and Rehabilitation is a dynamic one, due to new treatments and an

expending field of research with the main aim being the rehabilitation of human pathological condition

and so of patient’s quality of life. The students after finishing this educational program will be able to

assess the patient’s functional capabilities, to design interdisciplinary treatment plans and to coordinate

rehabilitation interventions to maximize the outcome.

10. Evaluation



10.3 Percent of

the final grade


the semester

Lecture

20


10


Theoretical final

exam

În funcție de

specificul disciplinei Written test 50

Practical final exam În funcție de

specificul disciplinei

Management of a clinical case

The active role of the student during the

theoretical and practical skills

20


The medical student should be able to perform/ to apply:

-the physiatric history

-the physical examination

-the therapeutical exercise – contraindications (major)

-the physical agent modalities - contraindications (major)

-the manipulation, traction and massage - contraindications (major)

SYLLABUS



1.2 Faculty UNIVERSITY OF MEDICINE

1.3 Department M4




2. Data regarding the discipline 2.1 Name RHEUMATOLOGY

2.2 Course coordinator Lecturer Dr.COPOTOIU MONICA

2.3 Practical activity coordinator(s) Lecturer Dr. COPOTOIU MONICA

2.4 Study year 5 2.5 Semester 1 2.6 Type of evaluation E 2.7 Type of discipline obl.



lecture 1


activity 15/sapt


lecture 14


activity 15


hours

Study of books, lecture materials, bibliography, notes 1/2

Supplemental documentation at the library, from specialized information portals and in the field 1/2


Tutorial activities -

Examinations 1

Other activities 1/2

3.7 Total hours of individual study

per week 5.4285


3.9 Credits 3





activities



- The main objective of this lecture is to offer to the medical student the

impact of the autoimmune, auto inflammatory and inflammatory diseases on

society with respect focusing on the individual.

- The medical student should be able to apply a strategy in order to diagnose

and to consider the treatment of rheumatologic disorders.

- The medical student should be able to recognize the “traps” leading to

common mistakes in rheumatology.


- After completing the theoretical and the practical skill curricula in

rheumatology, the medical student should be able to be part of a

multidisciplinary team (physician, nurse, psychologist) involved in the

management of the rheumatic patient. Rheumatology is teamwork, so in

order to fulfill it the medical student should find and to adapt its position in

a team whose main aim is the needs of the patient. So, she/he would be able

to communicate with the nurse, the occupational therapist, the nurse and

therapist specialized in physical rehabilitation, the psychologist and the

physician of the current disease.


7.1 General objective The main objective is to be able to provide a first step management of the

musculoskeletal diseases of different pathologies.


The secondary objectives, after following this lecture, are:

-To be able to evaluate a patients from the perspective of the rheumatology

physician,

-To be able to apply the principles of treat to target management in

rheumatology,

-To be able to recognize and treat the reumathologycal emergencies

8. Contents Crt.


ICS

correlation

First semester

1. Diagnostic strategy in

rheumatology.Rheumatoid arthritis


multimedia (PP) 2

rheumatology

management

2hours/lecture

joint pain,

joint swelling,

back pain,

anemia,

purpura, red

eye, tiredness

2.

Autoimmune, inflammatory disaeses

(systemic lupus erythematosous,

antiphospholipidic syndrome)


multimedia (PP) 2

rheumatology

management

2hours/lecture

connective

tissue disease

3.

Vasculitis.Sjogren’s Syndrome and

lymphoproliferations in autoimmune

diseases.


multimedia (PP) 2

rheumatology

management

2hours/lecture

connective

tissue disease

4.

Innflammatory diseases of muscle and

other myopathies.Undifferentiated

connective tissue diseases, overlap

syndrome and mixed connective tissue


multimedia (PP) 2

rheumatology

management

2hours/lecture

connective

tissue disease,

disorders of

musdcle

diseases.Systemic sclerosis

5. Spondyloarthropaties. Oral presentations +

multimedia (PP) 2

rheumatology

management

2hours/lecture

joint pain,

joint swelling,

back pain,

anemia,

purpura, red

eye, tiredness

6. Crystal arthropaties, dismetabolic

diseases and septic arthritis.


multimedia (PP) 2

rheumatology

management

2hours/lecture

joint pain,

joint swelling,

back pain

7. Miscellaneous inflammatory arthritis:

adult Still’s disease and sarcoidosis


multimedia (PP) 2

rheumatology

management

2hours/lecture

joint pain,

joint swelling,

back pain,

anemia,

purpura, red

eye, tiredness

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1. EULAR Compendium on Rheumatic Diseases, JWJ Bijlsma, BMJ, 2009:1-824, ISBN: 978-1-905545-

35-3

2. A Clinician’s Pearls and Myths in Rheumatology, J.H. Stone, Springer, 2009: 1-493, ISBN: 978-1-

84800-933-2

Crt.

no.


activities/Stages Teaching methods Hours Observations

ICS

correlation

First semester

1. History in rheumatology. Physical

examination in rheumatology

Oral presentations,

multimedia, Practical

skills – working with the

patient

3

rheumatology

management

3 hours/day

connective

tissue

disease

2. Management of lab tests in rheumatology

Oral presentations,



patient

3

rheumatology

management

3 hours/day

connective

tissue

disease

3. Imagistics in rheumatology

Oral presentations,



patient

3

rheumatology

management

3 hours/day

connective

tissue

disease

4. Treatment in rheumatology

Oral presentations,



patient

3

rheumatology

management

3 hours/day

connective

tissue

disease

5. Clinical case presentations

Oral presentations,



patient

3

rheumatology

management

3 hours/day

connective

tissue

disease

6.

7.

8.

9.

10.

11.

12.

13.

14.

Second semester

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Bibliography:

1. EULAR Compendium on Rheumatic Diseases, JWJ Bijlsma, BMJ, 2009:1-824, ISBN: 978-1-905545-

35-3

2. A Clinician’s Pearls and Myths in Rheumatology, J.H. Stone, Springer, 2009: 1-493, ISBN: 978-1-

84800-933-2

9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Rheumatology is an open field for research, due to its still unknowns concerning the ethyopathogeny of

the disease, its treatment, evolution and outcome. It became a hot point in the health system due to its

different clinical manifestation and its interdisciplinary characteristics.

10. Evaluation


the final grade


the semester

Lecture

20


10


Theoretical final

exam

În funcție de specificul

disciplinei Written test 50

Practical final

exam

În funcție de specificul

disciplinei

Management of a clinical case

The active participation during the

theoretical and practical skills

20


The medical student should be able to perform/ to apply:

-a strategy to diagnose the rheumatologic diseases

-a drug therapeutic approach in different autoimmune as well as inflammatory diseases (according with

the current recommendation, and such to apply the outcome medicine)

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