General Surgical Pathology 1
Main language of instruction: Spanish
Other languages of instruction: Catalan, English
If the student is enrolled for the English track then classes for that subject will be taught in the same language.
Head instructor
Dra. Josefa LÓPEZ - jlopez@uic.es
Dra. Adaia VALLS - avalls@uic.es
Office hours
After classes.
At any other time, having set a date and time with the student via email.
jlopez@uic.es
gperez@uic.es
avalls@uic.es
snmocanu@uic.es
General Medical-Surgical Pathology 1 of the first cycle of Degree in Dentistry is part of the core subjects of the programme and aims to explain all medical and surgical pathologies that dentists must know and study during university studies.
It is a mistake to consider Dentistry as a degree based solely on the study of the oral cavity; as in many cases the dentist will require broader medical knowledge in order to provide a global and integrated perspective of patients and their associated pathologies.
There are no pre-requisites
THEORETICAL
· Acquisition of the concepts of health, disease, ill, fall ill/get a disease.
· Concepts of Etiology, Pathogenesis, Pathophysiology and Clinical Semiology.
· Study of Medical Pathology by organ systems and their oral impact.
· Study of surgical pathology and its oral impact.
· Study and initial treatment of medical-surgical urgencies in situations related to the dentist and their daily practice.
PRACTICAL
· Development of a clinical history. History and physical examination.
· Knowledge and use of basic equipment for the taking of vital signs. Sphygmomanometer and stethoscope
Acquisition of scientific basis of dentistry, professional values, ethical behaviour and appropriate clinical skills.
Acquisition of knowledge of the overall medical-surgical pathology, which should form the basis for achieving and subsequently being able to apply appropriate capabilities to diagnose, predict and plan for dental treatments
These competencies will be achieved through a series of methodologies based on: lectures, clinical session seminars and lab practices
Having acquired the competences referred to throughout the course while making the most of the skills taught during traditional lectures, seminars and laboratory practices.
A. THEORETICAL CREDITS
PART 1. Medicosurgical GENERAL PATHOLOGY
1. Health and disease. Elements of the disease. Manifestations of the disease.
2. Determinants of health. Prevention of disease. Health indicators.
3. Clinical pathology and its division. Definitions.
4. Clinical and propaedeutic general. Etiology, pathogenesis, pathophysiology and clinical semiology. Diagnosis, prognosis and therapeutic.
5. Inflammation. Components of inflammation. Evolution of the inflammatory process.
6. Semiology of infections:-Predisposing factors. Entrance doors. Manifestations of infection.
7. Patient’s and material’s asepsis and sterilization.
8. General principles of wounds. Wound types.
9. Pathophysiology of wounds. Treatment of wounds
10. Scarring. Biological basis of healing.
11. Healing abnormalities
12. General principles of burns: -Type. Classification
13. Prognosis and treatment of burns.
14. Surgical conditions of the skin. -Inflammation and infection
15. Skin and oral tumors. Diagnosis and treatment
16. Postsurgical infections.
17. Nosocomial infections. Clinical diagnosis, treatment and prevention
18. Fever. Pathogenesis, pathophysiology. Fever patterns.-Classification of the main infectious agents. Fever of unknown origin
19. Infectious diseases (I): Major bacterial diseases, bacterial endocarditis, tuberculosis, brucellosis
20. Infectious diseases (II): Major viral infections: cytomegalovirus, herpes, Epstein Barr virus, HIV.
II. SPECIFIC MEDICAL SURGICAL PATHOLOGY.
21. Semiology of the cardiovascular system. Arterial and venous pulse. Physical examination of the cardiovascular and complementary examinations.
22. Diseases of the veins. -Venous insufficiency, thrombophlebitis, thrombosis. Lemièrre syndrome
23. Diseases of the arteries.-Acute and chronic arterial insufficiency -Diseases of the great vessels. Arteritis,…
24. Fat embolism. Pathophysiology and clinic treatment.
25. Embolism. Pathophysiology and clinic treatment.
26. Cardiovascular (I) -Cardiac arrhythmias.
27. Cardiovascular (II) -Ischemic heart disease. Medical treatment. ATB prophylaxis & anticoagulants.
28. Cardiovascular (III)-Valvular. -Heart Failure
29. Cardiovascular (IV) -Overview of cardiovascular surgery. valve surgery
30. Cardiovascular (V) -Surgery for ischemic heart disease.
31. Semiotics of the respiratory: cough, hemoptysis, dyspnea, cyanosis, chest pain. Physical examination of the respiratory system.
32. Respiratory Investigations.
33. Respiratory (III) Respiratory-tract infections
34. Respiratory Tract (I)-Shortness of breath -Chronic Obstructive Pulmonary Disease
35. Respiratory (II)-Bronchial Asthma
36. Respiratory (IV)-Pneumotorax. Tumors bronchopulmonary
37. Respiratory (V)-General thoracic surgery.
38. Semiology of the hematologic system. -Hematologic syndromes: definition and classification.
39. Hematology (I): Anemia. Iron deficiency, megaloblastic, haemolytic.
40. Hematology (II): clotting disorders.
41. Hematology (III): White Series diseases and lymphatic system.
42. Hematology (IV): diseases of the lymphatic system. Paciente Inmunodeprimido: VIH y otras enfermedades. Paciente inmunodeprimido médicamente: trasplante, autoinmunes
43. Semiology of endocrine system. Hypothalamus-hypophysis-glands feedback
44. Semiology of metabolic system Basic nutritional principles. -Pathophysiology of metabolism: carbohydrates, lipids and amino acids.-Major alterations in metabolism. Alimentary deficits. Impact of deficient diets on oral health: veggie (vit B12), keto-diet (escorbuto)
45. Endocrinometabolic Systems.-Diseases of the thyroid and the parathyroid glands.-Diseases of the adrenal glands.
46. Endocrinometabolic. System-Diabetes mellitus. - Disturbances of lipoprotein.
47. Endocrine Surgery: Thyroid, adrenal
48. Endocrine Surgery: Neuroendocrine tumors.
49. Semiology of the renal system.-Diuresis disorders. -Disorders of urination, urinary syndrome. Physical examination and complementary examinations
50. Nephrology: Acute and chronic renal failure. Diseases of the kidney and urinary tract. Urinary Tract Infections. Hemodialysis: when dental treatment is recommended.
51. Urologic Surgical Pathology (I): kidney stones, obstructive uropathy, hydronephrosis.
52. Urological Pathology (II): benign and malignant tumor pathology. Renal transplantation.
53. Semiotics of the nervous system: -Semiotics of cranial nerves. Vertigo, ataxia, aphasia, apraxia, dysphagia. Location-Syndromes. Physical examination and complementary examinations. Differential diagnosis between central and peripheral pathology.
54. Pathology of the central and peripheral nervous system (I): Infectious diseases of the nervous system.
55. Pathology of the central and peripheral nervous system (II): headache.
56. Psychiatric disorders: schizophrenia, mood disorders, anxiety, psychosomatic disorders, eating behavior disorders. Management in the consultation. Impact in oral health (medication, vomiting, …)
57. Neurosurgical Pathology (I): brain and spinal cord tumors
58. Topic 4. Neurosurgical Pathology (II): Neuralgia, neurosurgical treatment of pain
59. Eye Surgical Pathology.
60. ENT Surgical Pathology. Sinusitis. Oro-antral communication.
B. PRACTICAL CREDITS
1. – Six-month assignment
There will be a six-month assignment which can be done individually or in groups of up to three people. The theme of the assignment will be linked to the agenda of the semester lectures and will be of free choice among the topics proposed by teachers in due time. The maximum length of the assignment shall not exceed 10 pages DIN A4. It shall be done with Microsoft Word text processor.
2. - Laboratory practices
There will be a total of 6 hours of practice. During the first semester the student will perform a practical session on:
-Learning and making of a medical history.
-Taking vital signs: blood pressure. Heart rate and breathing.
-Physical Exploration. -Cardiac and respiratory auscultation.
-Orofacial and cervical exploration.
FARRERAS ROZMAN : Tratado de Medicina Interna. Ed. Harcourt Brace.
HARRISON’S : Principles of Internal Medicine. Ed . Mc Graw Hill .
VARIOS AUTORES: Textbook of Surgery. Ed. University of Oxford.
LOUIS F. ROSE - DONALD KAYE: Medicina Interna en Odontología. Salvat Editores.
BALCELLS GORINA : Patología General. Ed. Toray
NOGUER MOLINS - BALCELLS GORINA : Exploración clínica práctica. Ed. Científico-Médica
E: exam date | R: revision date | 1: first session | 2: second session: