Propedeutics I

Recommended Prerequisites

Knowledge of anatomy, physiology, biochemistry, statistics. Basic computer skills and fluency in English

The individual without pathology:

• normal stages of development;

• Normal structure and its changes (histology and anatomy);

• normal function (physiology and biochemistry) of the body and each of the more important, in particular cardio-respiratory, reproductive, digestive, endocrine, musculoskeletal, nervous, hematological, renal, and immune systems;

• homeostasis and several important mechanisms for their maintenance;

• mechanisms of defense against disease.

Teaching Methods

nteractive Lectures, illustrated with clinical case problem taking students early access to all the documents submitted; end test question type for assessment of learning outcomes.

 

Practical classes:

1- "Case based" - a class with origin in a patient. The topic will be the subject of teaching / learning practiced by teachers and / or students, and will end with a constuctivo feedback.

2- "Clinical reasoning education" - using a standard clinical case or a case prepared by students, analyzing and discussing clinical reasoning and the underlying bases.

Learning Outcomes

Introduction to patient-centered clinical method enabling the student to reasoning and clinical decision-making, management of clinical information and recognition of normality.

The skills to be acquired in this unit are some of those in "Licensed physician in Portugal", describing what should be a student at the end of medical school, modified by the adoption of the Patient-Centered Clinical Method.

 

1 - Knowledge: understanding language and the medical and surgical terminology; know the major medical and surgical syndromes

2 - Skills: properly gather history and perform a methodical and thorough physical examination; know and perform the gestures and symptomatic maneuvers for each chapter of special semiotics; prepare a report on that value and hierarquizem the data obtained in the clinical history and justify the assumptions of clinical diagnosis.

3 - Attitudes: Saber being and communicating with patients, families and other health professionals

Work Placement(s)

No

Syllabus

Communication

- Process diagnosis and clinical method

- Clinical Interview

- General symptoms

- Symptoms of organ systems

- Information management

- Clinical Reasoning

- Evidence-based Medicine

- Quality and Safety

anamnesis

physical examination

Information management

 

Themes in lectures: Clinical history: integrated medical surgical theme. Acute abdomen: acute appendicitis, intestinal obstruction, acute cholecystitis, acute pancreatitis. Semiology of polytrauma. Semiology of the neck and thyroid. Semiology breast. Assessment of nutritional status and the risk of surgical shock and hidroelectrolíticos imbalances.

Issues in practical classes: clinical problem cases in the ward and emergency department. Sutures in the skills lab, superficial venous access, basic life support, examination, palpable mass on rectal examination and catheterisation in the manikin

Head Lecturer(s)

José Guilherme Lopes Rodrigues Tralhão

Assessment Methods

Assessment
Exam: 50.0%
Resolution Problems: 50.0%

Bibliography

1. The Patient History. Evidence based approach. Lawrence M.Tierney, Jr. / Mark C. Henderson. 2012 Lange Medical Books / McGraw-Hill.

2. Texbook of Physical Diagnosis. 7th ed. Mark H. Swartz. Saunders Elsevier. Philadelphia.

 

3. Browse’s Introduction to the Symptoms and signs of surgical disease. 4th Edition. 2005. Norman Browse, J. Black, K.G. Burnand, W.E.G. Thomas. Hodder Arnold.

4. Hamilton Bailey’ Physical signs in clinical surgery. 14 Edition. Wright Bristol. 1967. 

5. Sabiston Textbook of Surgery. 18th Edition. 2008. Townsend, Beauchamp, Evers, Mattox. Elseviers Saunders.

6. Schwartz’ Principles of Surgery. 9ª Edition. 2010. Brunicardi et al. MaGrawHill  .