Applied Pathology
Module: ADVANCED TRAINING
Matter: MEDICINE II
Main language of instruction: Spanish
Other languages of instruction: Catalan, English
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Head instructor
During the development of this subject, essential concepts will be studied so that the student can approach the patient with pathology of the Musculoskeletal System knowing the causes, symptoms and manifestations, and therapeutic measures of the main nosological entities included in it.
With the development of the subject, it will be addressed the fundamental principles of the Orthopedics, the semiology allowing the diagnosis of the pathological entities, some basic syndromes, congenital and developmental anomalies, pathologies of the upper, lower and spine, sport pathology, and tumor pathology.
The non-operative options and the surgical procedures to treat those pathologies will be studied in relation to the ortho-prosthetic current procedures, determining the indications of each one of them.
Previous knowledge of the Anatomy, Physiology and Biomechanics of the Locomotor Apparatus is required.
1. Acquire basic knowledge about orthopedic pathology.
2. Know the mechanical and functional manifestations of the altered musculoskeletal system, thus detecting the signs and symptoms that constitute the fundamental basis to define a disease and to diagnose it.
3. Acquire basic knowledge in the assessment of osteoarticular pathology.
4. Acquire the ability to establish with an adequate hierarchical order the complementary explorations that facilitate the diagnosis in musculoskeletal pathology and to interpret each particular case.
5. Identify the opportune therapeutic indication, know the different technical options, their possibilities, risks and complications, with special interest in differentiating the indications of surgical and non-surgical treatment.
6. Become familiar with medical terminology.
7. Become familiar with the prognosis of the different processes.
8. Know the monitoring protocols.
9. Introduce the student in the concepts of Evidence-Based Medicine (EBM) applied to the Pathology of the Musculskeletal System, instilling in the student the way of thinking and acting according to the scientific method.
10. Facilitate self-learning, learning to manage the appropriate bibliography, as well as the techniques of study and selection of information.
RA1. To know how to do a medical history oriented to the pathology of the locomotor system unsupervised and with competence.
RA2. To be able to recognize by means of the physical examination anomalies in articulations (mobility, morphology, inflammatory signs) and spine (mobility, static), unsupervised and with competence.
RA3. To be able to indicate and interpret the complementary analytical and image studies in the locomotor apparatus with competence and without supervision.
RA4. - To have practiced the basic semiological interpretation of the simple radiology of the locomotor apparatus under supervision of the tutor.
RA5. Having seen practicing arthrocentesis by an expert.
RA6. Having seen practicing arthroscopy and more frequent surgical interventions by experts.
RA7. Have seen practicing infiltrations by an expert.
RA8. Recognize, diagnose and guide the management of tendinitis and bursitis.
RA9. Recognize, diagnose and guide the management of joint deformities.
RA10. Recognize, diagnose and guide the management of bone and soft tissue tumors.
RA11. Recognize, diagnose and guide the management of static alterations of the spine.
RA12. To know the congenital anomalies of the Musculoskeletal System.
RA13. To know the pediatric pathology of the extremities and of the spine.
RA14. To know the general indications of the main surgical techniques.
RA15. To know the complications of the main surgical techniques.
RA16. To know the sequelae on the locomotor system of neurological affections.
RA17. To know the amputations.
RA17. To know the indication of prosthesis, splints, supports for walking, etc.
RA18. To know the indication of physiotherapy and therapy with physical agents.
1. Fundamentals of Orthopedics.
2. The patient: function and disability.
3. Physical assessment of the Musculoskeletal System.
4. Interpretation of imaging tests in pathology of the locomotor system.
5. Inflammation in the Musculoskeletal System.
6. Repair processes.
7. Congenital and developmental abnormalities of the extremities.
8. Length discrepancies and alterations of axes of the lower extremities.
9. Pathology of foot and ankle. Flat foot, cavo, talo, valgo, talalgias and metatarsalgias, hallux valgus and rigidus, painful syndromes of foot and ankle.
10. Normal and pathological gait.
11. Myopathies.
12. Neuro-orthopedics. Paralysis.
13. Involutive phenomena. Orthogeriatry
14. The rheumatic patient.
15. Deformities and deviations of the spine.
16. Back pain.
17. Sports pathology.
18. Bone and soft tissue tumor and paratumoral lesions.
19. Amputations of the upper extremity.
20. Amputations of the lower extremity.
21. The amputee.
22. Pathology of the stump.
23. Other surgical procedures that need to be known.
24. Physiotherapy and rehabilitation in the different processes of the Musculoskeletal System.
25. Neurosciences.
26. Working on Scientific Evidence.
TRAINING ACTIVITY | METHODOLOGY | COMPETENCES |
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Lectures are the setting for: learning and managing the terminology and language structures related to each scientific field. Practicing and developing oral and written communication skills. And learning how to analyse the bibliography and literature on Bioengineering. Using guidelines to identify and understand the main ideas during lectures. This academic activity has been an essential tool in education since it first began and should have a significant presence within the framework of this degree programme. Case studies are a learning technique in which the subject is faced with a description of a specific situation that involves a problem, that must be understood, evaluated and resolved by a group of people through a process of debate. Case studies will generally be undertaken through group work, which promotes student participation, thus developing their critical thinking skills. It also prepares students for decision-making, teaching them to defend their arguments and contrast them with opinions from others in the group. | Student activities guided by the lecturer/professor will be undertaken on-site and the student’s evolution will be monitored consistently. In theory classes the fundamental and scientific knowledge that forms the basis of the knowledge and rigour that engineering studies require must be established. Individual work, involving study, the search for information, data processing and the internalisation of knowledge will allow students to consolidate their learning. The idea is to provide students with interactive tutorials, in which the lecturer/professor responds to a request for information from the student. If necessary, the tutor will hold a debate with the student. |
Final exam: 1st call, Wednesday, January 9, 2019; second call, June 20, 2019.
The subject is passed or failed in its entirety.
The mark will be obtained through the performance of multiple choice questions. Each question answered correctly will be worth one point.
The note may be improved by performing a written work analyzing a clinical case of a patient with a musculoskeletal pathology that is a tributary of orthopedic care. The Professor will provide the clinical data, the complementary exams and the diagnosis of the corresponding case to each student who requests it, for the further description of the entity, analysis, proposal of action and discussion in view of what exists in the literature.
The work should be presented in DIN-A4, with font Times New Roman, font size 12, double-spaced, with 6-8 bibliographical references. You may request to provide a copy of the works cited.
The deadline for submission will be the final exam on second call and the maximum value that may be awarded to such work is 10 points.
Important considerations:
Traumatología y Ortopedia para el grado de Medicina. Fernando Marco Martinez. Ed. Elsevier, 2015.
Manual de Cirugía Ortopédica y Traumatología. Sociedad Española de Traumatología y Cirugía Ortopédica (SECOT). Ed. Panamericana, 2010.
Orthopedic Physical Assessment Atlas and Video: Selected Special Tests and Movements. Magee & Sueki. Elsevier, 2011.
Websites related to the different topics will be provided during the course to guarantee its update.
E: exam date | R: revision date | 1: first session | 2: second session: