Universitat Internacional de Catalunya
Digestive, Renal, Hematological, Endocrine and Metabolic, and Infectious Disease Emergencies
Other languages of instruction: English, Spanish
Teaching staff
You can contact by email the person in charge of the subject Dr. Antonio di Giorgi (adegiorgi@uic.es) or the director of the Master Dr. Jordi Castillo (jcastillo@uic.es)
Introduction
This subject addresses the theoretical study of the main acute pathological processes (and acute complications of chronic processes) digestive, nephrological, hematological, endocrine metabolic, infectious, neurological, psychiatric, geriatric and palliative care, all of them in their pathophysiological, clinical, diagnostics and therapeutics.
Pre-course requirements
There are no prerequisites to complete this course.
Competences/Learning outcomes of the degree programme
- CB7 - Students should be able to apply the knowledge acquired and have the ability to solve problems in new or little-known environments within broader (or multidisciplinary) contexts related to the field of study.
- CB8 - Students should be able to integrate their knowledge so that they can deal with the complexity involved in making judgements based on information that may be incomplete or limited, and may therefore require considerations of the social and ethical responsibilities involved in applying knowledge or judgement.
- CE01 - To have the ability to communicate with patients suffering from a disease that requires urgent treatment, managing resources for a patient-doctor conversation that is initially focused on the most important medical aspects.
- CE02 - Planning emergency care, assessing the psychological dimension of the suffering of patients and family members
- CE03 - When a patient has an intense or worsening condition, students should know how to identify and assess clinical indications of a risk to their life or a serious danger to their functions, establishing priorities for their treatment.
- CE05 - To use a patient's medical history and physical examination to identify the signs and symptoms of the most common serious conditions and serious complications to chronic conditions, correctly interpreting the information.
- CE06 - To demonstrate their knowledge and flexible and decisive handling of protocols and guidelines for clinical practice when dealing with the most serious or common conditions in urgent and emergency care.
- CE07 - To carry out a continuous re-evaluation of the patient in urgent and emergency care in order to readjust the provisional diagnosis and consequent change to the treatment plan when necessary.
- CE08 - To act decisively, accurately and efficiently when applying the invasive and non-invasive treatment techniques used in emergencies.
- CE09 - To recognise the risks associated with operation procedures and the diagnostic techniques and treatments employed in emergencies, and to carry them out as safely as possible in terms of the safety of the student, other professionals and the patient.
- CG1 - To know how to work in a multidisciplinary team in an independent way, and how to take the initiative to resolve any disputes or problems that arise between different professional perspectives.
- CG2 - To act fairly, making sure to offer equal opportunities and universal access to patients who require medical attention, encouraging respect for human rights and a social and sustainable coexistence.
- CG3 - To practice effective timekeeping and to manage activities so as to ensure efficient organisation and the best possible ability to adapt to unforeseen circumstances.
- CG6 - To apply current healthcare legislation related to both pre-hospital and hospital care.
- CT01 - To respect the ethical standards and laws that govern healthcare and the relationship with the patient in urgent and emergency care, as well as the ability to provide information on basic aspects of the same when required.
Learning outcomes of the subject
- Knows the etiology, pathophysiology, clinic, and approach to digestive emergencies: digestive bleeding, acute abdominal pain, acute gastroenteric syndrome, acute dysphagia, jaundice, hepatitis.
- Knows the etiology, pathophysiology, clinic, and approach to general infectious emergencies: febrile syndrome, sepsis.
- Knows the etiology, pathophysiology, clinic, and approach to endocrine metabolic emergencies: hydroelectrolytic decompensations and acid-base homeostasis, acute diabetic complications, acute complications of thyroid disease, acute adrenal insufficiency.
- Knows the etiology, pathophysiology, clinic, and approach to emergency nephrourological situations: renal colic and urolithiasis, hematuria and microhematuria, acute kidney failure, nephrourological infection, sexually transmitted diseases.
- Knows how to interpret laboratory determinations in emergencies: blood count, coagulation study, plasma biochemistry, systematic urine, urinary sediment, toxic determination.
Syllabus
Digestive system emergencies
- Acute esophageal pathology. Esophageal rupture
- Acute gastritis. Gastric volvulus
- Acute liver failure. Acute liver disease. Acute complications of chronic liver disease. Acute complications in liver transplant.
- Acute pathology of the bile duct
- Pancreatitis
- Mesenteric ischemia
- Acute complications of chronic intestinal diseases.
- Bowel obstruction
- Acute appendicitis. Diverticulitis. Peritonitis
- Gastrointestinal lesions due to caustics
- Management of acute digestive bleeding
- Management of abdominal pain
- Management of acute diarrheal syndrome
- Management of jaundice
- Management of postoperative abdominal complications
- Management of foreign bodies in the digestive tract
Hematological Emergencies
- Anemic syndrome. Thrombocytopenia Leukopenia and neutropenia. Pancytopenias
- Polycythemia. Acute leukosis
- Hemorrhagic diathesis. DIC, Management of complications in the anticoagulated patient
- Use of blood and blood products in the emergency department
Endocrinometabolic Emergencies
- Emergencies in the diabetic patient
- Hydro-electrolyte and acid-base disorders
- Thyroid emergencies
- Acute adrenal pathology
- Pheochromocytoma
Analytical Determinations in Emergencies
- Interpretation of the blood count in the emergency department
- Interpretation of plasma biochemistry in emergencies
- Interpretation of blood gas in the emergency department
- Interpretation of the coagulation study in the emergency department
- Interpretation of urinary biochemistry in emergencies
- Determination of toxic and pharmacological levels in the emergency department
- Other laboratory determinations in the emergency department
Infectious and immune system emergencies
- Emergencies in immunodeficiency syndromes
- Urticaria. Anaphylaxis. Anaphylactic shock
- Sepsis and septic shock
- Sexually transmitted diseases
- Toxic shock syndrome
- Acute infectious pathology of the nervous system
- Infectious mononucleosis
- Management of feverish syndrome in the emergency department
- Use of antibiotics in the emergency department
Nephrourological emergencies
- Acute renoureteral pain
- Acute urinary infection
- Acute kidney disease. Acute kidney failure
- Hematuria
- Acute scrotal syndrome
- Management of acute urinary obstruction
- Management of dialysis complications
- Acute complications in kidney transplant recipients
- Management of nephrourological trauma
Teaching and learning activities
In person
The following teaching methodologies will be used to develop the subject:
Theoretical class (CT) in the classroom: The teacher will present his syllabus with audiovisual help if he sees fit. In these activities, the student has a basically receptive role, although with the possibility of active participation individually or in groups.
Clinical Cases (CC): In the virtual classroom, activities scheduled for the student to solve clinical assumptions on their own or in teams, under the supervision of the teacher, thus contributing to advance in the practical application of the theoretical knowledge acquired and in The process of decision making.
Self-learning activities (AAP). For these activities, the UIC virtual platform "Moodle" will be your main tool. In it you will be able to find different resources (study material, discussion forums, multimedia resources ...) and various activities (evaluation questionnaires, carrying out tests ...) designed for the student to advance on his own, tutored by the teacher, in the development of its fundamentally theoretical competences.
Individual student activity (AIA). Outside or inside the academic space, activities carried out autonomously by the student tutored by the teachers, to achieve the objectives of the program.
Evaluation systems and criteria
In person
FIRST CALL
There will be a mixed evaluation that will have 3 components:
1) Class participation and attendance (10%)
2) . Online exercise (15%)
. Online exercise (15%)
3) Theoretical examination of the subject (60%)
The student must obtain a minimum score of 4 points in each of the components of the evaluation of the subject. To pass the subject, you must get at least a 5.
SECOND CALL
Those students who do not exceed the minimum of 4 points in any of the aforementioned evaluations will have to appear at the second call of these parts. The approved parts will be kept with the grade obtained on the first call.
To pass the subject, you must get at least a 5.
Bibliography and resources
They will be in the Virtual Platform "Moodle". Each teacher will generate their bibliography and resources depending on the subject taught.