KNOWLEDGE AND UNDERSTANDING. On completion of the course, the student must demonstrate knowledge of the symptoms and signs of the main organ failures and pathologies.
APPLIED KNOWLEDGE AND UNDERSTANDING. At the end of the course, the student must be able to take a family, physiological, remote pathological and proximate pathological history. The student should be able to orientate himself/herself and pick up symptoms and signs of apparatus.
AUTONOMY OF JUDGEMENT. At the end of the course, the student must demonstrate that he/she has not only acquired knowledge and concepts, but also that he/she is able to recognise signs and symptoms through correct examination methodology.
COMMUNICATION SKILLS. At the end of the course the student should be able to express and argue appropriately through the correct use of the glossary.
LEARNING SKILLS. At the end of the course the student should demonstrate the ability to apply the knowledge, skills and competences described in this Syllabus.

For a satisfactory learning of the contents of this course it is necessary that the student has acquired the basic knowledge of anatomy, physiology, biochemistry, microbiology and internal medicine.

SEMEIOTICS
1) GLOSSARY of medical terms
2) ANAMNESIS
a) familial
b) physiological
c) remote pathological
d) near pathological
3) VITAL SIGNS
4) GENERAL OBJECTIVE EXAMINATION
5) OBJECTIVE EXAMINATION OF THE THORAX: a) Inspection, Palpation, Percussion and Auscultation; b) respiratory signs and symptoms.
6) OBJECTIVE HEART EXAMINATION: a) Inspection, Palpation, Percussion and Auscultation; b) signs and symptoms of cardiac origin.
7) OBJECTIVE EXAMINATION OF THE ABDOMEN: a) Inspection, Palpation, Percussion and Auscultation; b) signs and symptoms of abdominal pathology
8) OBJECTIVE EXAMINATION OF THE LIVER
9) OBJECTIVE EXAMINATION OF THE NERVOUS SYSTEM
10) OBJECTIVE EXAMINATION OF THE THYROID GLAND
11) SIGNS AND SYMPTOMS OF THE UROGENITAL SYSTEM
12) SYNCOPE AND LIPOTIMIA
13) CORRELATION BETWEEN SEMEIOLOGICAL FINDINGS AND THE MAIN AND MOST COMMON ORGAN PATHOLOGIES.

Fradà - Semeiotica Medica.

The textbook will need to be integrated with notes and slides from the lessons which will be available to the students on moodle2.

SEMEIOTICS
1) GLOSSARY of medical terms
2) ANAMNESIS
(a) familial
(b) physiological
c) remote pathological
d) near pathological
3) VITAL SIGNS: a) arterial pulse; b) blood pressure; c) breathing characteristics and pathological respirations; d) fever (difference between hyperthermia and hyperpyrexia; temperature curve; accompanying signs of fever; mode of onset and resolution of a febrile state)
4) GENERAL OBJECTIVE EXAMINATION: a) age; b) sex; c) psyche and sensory; d) facies; e) constitution and stature; f) nutritional status and anthropometric parameters; g) decubitus; h) hydration status; i) bleeding status; l) oedema; m) skin and skin adnexa
5) OBJECTIVE EXAMINATION OF THE THORAX: a) Inspection, Palpation, Percussion and Auscultation; b) respiratory signs and symptoms: cough, sputum, dyspnoea, cyanosis, haemoptysis, haemoptysis, digital hippocratism.
6) OBJECTIVE HEART EXAMINATION: a) Inspection, Palpation, Percussion and Auscultation; b) cardiac signs and symptoms: orthopnoea, paroxysmal nocturnal dyspnoea, acute pulmonary oedema, PVC and venous pulse, cardiac pain, nocturia, cyanosis.
7) OBJECTIVE EXAMINATION OF THE ABDOMEN: a) Inspection, Palpation, Percussion and Auscultation; b) signs and symptoms of abdominal pathology: nausea, vomiting, hiccups, dysphagia, dyspepsia, regurgitation, bowel disorders (constipation and diarrhoea), ascites, haematemesis and melena, Abdominal pain points.
8) OBJECTIVE EXAMINATION OF THE LIVER: search for the upper and lower hepatic margin; signs of portal hypertension and signs of cirrhosis of the liver.
9) JAUNDICE and PSEUDOJAUNDICE
10) OBJECTIVE EXAMINATION OF THE NERVUS SYSTEM: a) muscle strength and tone assessment; b) sensitivity assessment; c) cerebellar function tests; d) signs of meningeal irritation
11) OBJECTIVE EXAMINATION OF THE THYROID: main signs and symptoms of hypothyroidism and hypertitoidism; thyroid goiter.
12) SIGNS AND SYMPTOMS OF THE UROGENITAL SYSTEM: dysuria, anuria, oliguria, stranguria, pollakiuria, paradoxical iscuria, bladder tenesmus.
13) SYNCOPE AND LIPOTIMIA
14) CORRELATION between semeiological findings and the following organ diseases: a) heart failure; b) ischaemic heart disease; c) cirrhosis of the liver; d) cerebral icterus; e) pleural effusion; f) pulmonary emphysema; g) bronchial asthma; h) chronic bronchitis; e) bronchopneumonia.

Lectures supported by slides (Power Point) which will be made available to the students.

Bruno Fabris MD, Associate Professor,
Dipartimento di Scienze mediche, Chirurgiche e della Salute
Medicina Clinica-Ospedale di Cattinara,
Strada di Fiume 447, 34100 Trieste
e-mail: b.fabris@fmc.units.it
tel. 040-3994320
Office hours: by appointment

https://moodle2.units.it

The assessment is aimed at ascertaining the achievement of the expected learning outcomes defined with the Dublin descriptors. The assessment takes place through an oral exam, carried out in a joint session with the entire teaching staff, on the entire program of the integrated course of General Nursing 2, which includes the modules of Semeiotics, Nursing Procedures 1 and 2 and Clinical Methodology. Depending on the number of students enrolled in the same session, the exams can be scheduled over several days.
The oral test takes place through an interview with the teachers, lasting on average approximately 30 minutes, with the aim of verifying the level of knowledge of the program topics, the level of mastery of specialist language and the ability to develop reasoning applying theoretical knowledge. The criteria adopted for evaluating the oral exam are the following:
Insufficient: Little or no knowledge and understanding of the topics; limited capacity for analysis and synthesis, frequent generalizations of the required contents; inability to use technical language.
18-20: Just enough knowledge and understanding of topics, with obvious imperfections; just sufficient capacity for analysis, synthesis and independent judgement; poor ability to use technical language.
21-23: Sufficient knowledge and understanding of topics; sufficient capacity for analysis and synthesis with the ability to logically and coherently argue the required contents; sufficient ability to use technical language.
24-26: Fair knowledge and understanding of the topics; fair capacity for analysis and synthesis with the ability to rigorously argue the required contents; fair ability to use technical language.
27-29: Good knowledge and understanding of required content; good capacity for analysis and synthesis with the ability to rigorously argue the required contents; good ability to use technical language.
30-30 and “lode”: Excellent level of knowledge and understanding of the requested contents with an excellent capacity for analysis and synthesis with the ability to argue the requested contents in a rigorous, innovative and original way; excellent ability to use technical language.

This teaching explores topics closely related to one or more objectives of the 2030 Agenda for Sustainable Development of the United Nations.