Universitat Internacional de Catalunya - Barcelona

General Surgical Pathology 2

• code 08412
• course 2
• term Semester 2
• type OB
• credits 6

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
Lc. Raúl Mauricio VALBUENA - mvalbuena@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

The General Medical-Surgical Pathology 2 of the first cycle of Dentistry Degree is part of the core and aims to explain all the medical and surgical pathologies that the dentist must know and study at their university.

We should not think that dentistry is a study of Grade based solely on the oral cavity but in many cases the dentist are needed broader medical knowledge, providing a global perspective and integrated patient and their associated diseases.

There are no prerequisites

THEORETICAL

Study of medical pathology by organ systems and their impact oral.

Respiratory system

Cardiovascular System

Endocrine and metabolic

Digestive system

Central and Peripheral Nervous System

Infectious disease

Study of surgical pathology and oral impact:

Basic principles of traumatology

Otolaryngology and its relationship with oral appliance

Ophthalmology and its relationship with oral appliance

Dermatology. Skin pain. Skin lesions.

Principles of general and digestive surgery

Study and initial treatment of medical and surgical emergencies in situations close to the dentist and daily practice.


PRACTICAL

Interpretation of the main analytical results. Normal and pathological. Evaluation of clinical cases.

Elementary principles of the suture. Using suture instruments. Suture Practices

Acquire the scientific basis of dentistry, professional values and ethical behaviors, and appropriate clinical skills.

Acquire knowledge of the overall medical-surgical pathology, which should form the basis for achieving and subsequently able to apply knowledge to diagnose, predict and plan for dental treatments

These competencies will be achieved through a series of methodologies based on: lectures, seminars and laboratory practices

• 14 - To understand the general processes of the disease, including infection, swelling, alterations to the immune system, decay, neoplasm, and metabolic and genetic disorders
• 15 - To be familiar with the general pathological characteristics of the diseases and disorders affecting the organ systems, specifically those with implications for the oral cavity
• 16 - To understand the fundamentals of the action, indications and efficacy of the drugs and other therapeutic interventions, and know their contraindications, interactions, systemic effects and interactions with other organs, based on the scientific evidence available
• 17 - To understand and appreciate the principles of ergonomics and safety at work (including the control of cross-infections, radiologic protection and occupational and biological diseases)
• 18 - To learn, critically assess and know how to use the sources of clinical and biomedical information in order to obtain, organise, interpret and communicate scientific and health information
• 19 - To understand the scientific method and acquire the critical capacity for assessing established knowledge and new information. To be able to formulate hypotheses, to collect and critically assess the information for solving problems by following the scientific method
• 20 - To obtain and prepare a clinical record that contains all of the relevant information
• 57 - To know the general processes of falling ill, getting better and healing, which include infection, swelling, haemorrhaging and clotting, scarring, trauma and changes to the immune system, decay, neoplasm, metabolic disorders and genetic disorders
• 58 - To know the general pathologic characteristics of diseases and disorders affecting organ systems
• 59 - To know the oral manifestations of systemic diseases

• 08 - Knowing how to share information with other healthcare professionals and how to work as part of a team.
• 14 - Being aware of the general processes of the illness, including infection, inflammation, alterations in the immune system, degeneration, neoplasm, metabolic alterations and genetic disorders.
• 18 - Being aware of, critically evaluating and knowing how to use sources of clinical and biomedical infomation in order to obtain, organise, interpret and communicate scientific and healthcare-related information.
• 20 - Obtaining and creating a medical record containing all the relevant information.
• 35 - Knowing the scientific principles of sterilisation, disinfection and the antiseptics necessary to prevent cross-infection in dental practice
• 38 - Being aware of clinical and laboratory-based procedures and diagnostic tests, knowing their reliability and diagnostic viability and being competent in interpreting the results
• 39 - Recognising oral normality and pathology, as well as the evaluation of semiological data
• 58 - Knowing the general pathological characteristics of the illnesses and disorders that affect organic systems
• 61 - Knowing the pharmacological grounding for the various anaesthetic techniques, both local and general, as well as the role of sedation and general anaesthesia in terms of managing dental patients
• 62 - Conocer y manejar las emergencias y urgencias médicas más frecuentes en la práctica odontológica y en las técnicas de reanimación cardiorrespiratoria básica
• 63 - Having knowledge of human nutrition, particularly the connection between nutritional habits or diet with the maintenance of good health and the prevention of oral and dental diseases
• 73 - Applying loco-regional anaesthetic techniques

Having acquired the powers referred to throughout the course, making the most of the skills taught with traditional lectures, seminars and clinical sessions laboratory practices

• 3.01 - Identify the most important characteristics of the different groups of medicines: pharmacological activity, mechanism of action, indications, dosage, contraindications and adverse effects.
• 3.02 - Using information sources of Pharmacology
• 3.03 - Know the most relevant precautions in prescribing and administering medications in the dental patient in relation to their own pathology and concomitant medication.
• 3.04 - Have thorough knowledge in general medical pathology.
• 3.05 - Have thorough knowledge in General Surgical Pathology
• 3.06 - Have thorough knowledge in nutrition
• 3.07 - Obtain and develop a medical history that includes all relevant information
• 3.08 - Perform a general physical examination and registration of vital signs
• 3.09 - Control of anamnesis and basic general physical examination
• 3.10 - Ask and interpret the results of the general complementary explorations ( laboratory-image- functional)
• 3.11 - Conduct a differential diagnosis, a provisional diagnosis and a definitive diagnosis.
• 3.12 - Diagnosing and treating medical emergencies and basic CPR in a dental clinic.
• 3.18 - Learn the techniques of anxiety control
• 3.19 - Know the pharmacological treatment of pain
• 3.20 - Knowledge of oral manifestations of systemic pathologies
• 3.21 - Know how to explore at physical oro-maxillo-facial level and interpret laboratory complementary examinations and image
• 3.22 - Knowledge of smoking and its treatment
• 3.23 - Use basic equipment for taking vital signs. Sphygmomanometer and stethoscope
• 3.24 - Interpret the main analytical determinations: normal and pathological values
• 3.25 - Use with precision instruments of suture
• 3.27 - Know how to act when a cardio-respiratory arrest, cardiopulmonary resuscitation

A. THEORETICAL CREDITS

PART 1. SPECIFIC Medicosurgical PATHOLOGY

 
Topic 1. Pathology of the central and peripheral nervous system (I): Infectious diseases of the nervous system.

Topic 2. Pathology of the central and peripheral nervous system (II): headache.

Topic 3. Neurosurgical Pathology (I): brain and spinal cord tumors

Topic 4. Neurosurgical Pathology (II): Neuralgia, neurosurgical treatment of pain

Topic 5. Hematology (I): Anemia. Iron deficiency, megaloblastic, haemolytic.

Topic 6. Hematology (II): clotting disorders.

Topic 7. Hematology (III): White Series diseases and lymphatic system.

Topic 8. Hematology (IV): diseases of the lymphatic system

Topic 9. Rheumatology (I). Septic arthritis, inflammatory, reactive, metabolic and degenerative diseases.

Topic 10. Rheumatology (II) collagen, systemic vasculitis

Topic 11. Orthopedic surgery (I). Prostheses.

Topic 12. Endocrinometabòlics Systems.
-Diseases of the thyroid gland and the parathyroid.
-Diseases of the adrenal glands.

Topic 13. Endocrinometabòlic. System-Diabetes mellitus. - Disturbances of lipoprotein.

Topic 14. Endocrine Surgery: Thyroid, adrenal.

Topic 15. Endocrine Surgery: Neuroendocrine tumors.

Topic 16. Postsurgical infections.

Topic 17. Nosocomial infections. Clinical diagnosis, treatment and prevention

Topic 18. Psychiatric disorders: schizophrenia, mood disorders, anxiety, psychosomatic disorders, eating behavior disorders.

Topic 19. Gynecologic Pathology (I): Disorders of the menstrual cycle. ETS. Pelvic inflammatory disease.

Topic 20. Gynecologic Pathology (II): Diagnosis and treatment of gynecological tumors.

Topic 21. Obstetric Pathology (I): Normal pregnancy. Perinatal infections.

Topic 22. Obstetric Pathology (II) Drugs and Pregnancy. Prenatal Diagnosis and treatment of congenital malformations.

Topic 23. Pediatrics (I): Childhood Diseases.

Topic 24. Pediatrics (II): Pediatric Surgery (I)

Topic 25. Pediatrics (III): Pediatric Surgery (II)

PART 2: EMERGENCY Medicosurgical

Topic 26: Anaphylaxis and severe allergic reactions. Hives and angioedema. Diagnosis and treatment.

Topic 27: Allergic reactions to drugs

Topic 28: Hypertension. Hypertensive crises. Diagnosis and treatment.

Topic 29: Syncope. Vasovagal syncope.

Topic 30: Shock. Type of shock, diagnosis and treatment.

Topic 31: thyrotoxic crisis. Acute adrenal insufficiency

Topic 32. Uncontrolled diabetes. Hypoglycemia. Diagnosis and treatment.

Topic 33: cerebral vascular accident. Types, etiology, diagnosis and treatment.

Topic 34: Seizures. Type. Diagnosis, treatment. Status epilepticus.

Topic 35: Acute abdomen (I): etiology, diagnosis and treatment

Topic 36: Acute abdomen (II): etiology, diagnosis and treatment

Topic 37: Acute asthma. Decompensated COPD. Acute respiratory failure. Diagnosis and treatment.

Topic 38: Upper GI bleeding: etiology, clinical features, diagnosis and treatment

Topic 39: Lower gastrointestinal bleeding: etiology, clinical features, diagnosis and treatment

Topic 40: Intoxication drug: clinical, diagnostic and treatment

Topic 41: Ophthalmic emergencies.

Topic 42: Emergency ENT and upper respiratory tract.

Topic 43: Emergency neurosurgery.

Topic 44: Polytrauma (I).

Topic 45: Polytrauma (II)

 

B. PRACTICAL CREDITS

 
1. - Semester work

There will be a six-month work which can be done individually or in groups of up to three people. The theme of the work will be linked to the agenda of the lectures of the semester, and will be of free choice between one of the topics that teachers will inform the student. The maximum length of the work shall not exceed 10 pages DIN A4. It will be done with word processors Microsoft Word.

2. - Laboratory practices

 
In this semester, the 10 h of accredited practices in the course will be devoted to:

The 1st practice:

- Elementary principles of the suture. Using suture instruments. Suture Practices

2nd Practice:

-Evaluation of  principal analytical tests, normal values, most significant alterations to the dentist.

-Review of clinical cases

General Medical and Surgical 2 is a semester course with 6 ECTS with 45 hours of lectures and 10 hours of practice for each of the 2 groups distributed the students left the course. Be explained lectures that make up the program for each semester. The duration of the master classes will be 1 hour (Thursday) and 2 hours (Monday), leaving the last 10 or 20 minutes, depending on the duration of the class, to ask questions and clarify doubts about the class taught as a seminar .

The frequency of classes is two days per week.

Attendance at the classes may be a value to be taken into account in the final score of the subject.

The practical classes constitute the second part of the course and within this will differentiate two types of activities:

-Laboratory practices or seminars
-Semestral works

Evaluation is as follows:

Theoretical final exam ..................... 80%
Practices ........................................ 15%
Work .............................................   5%

The theoretical final exam questions and answers will be multiple (5) with a single answer correct count 1 point. A wrong question subtracted 0.20 points.

The subject is evaluated and graded according to an absolute score of 10 points, obtained according to the following scale:

a) Suspense: 0- 4,9 (SS)

(b) Approved: 5-6.9 (PA)

c) Notable: 7-8,9 (NT)

d) Outstanding: 9-10 (SB).

e) Honorable degree: implies having obtained an "sobresaliente" plus a special mention.

Written work will be evaluated:

Presentation
Structuring
Thematic content
Bibliography.

FARRERAS ROZMAN Tratado de Medicina Interna. Ed Harcourt Brace.

HARRISON’S. Principles of Internal Medicine. Mc Graw Hill .

VARIOS AUTORES Textbook of Surgery. Ed University of Oxford.

LOUIS F. ROSE - DONALD KAYE: Medicina Interna en Odontología. Salvat Editores.

E: exam date | R: revision date | 1: first session | 2: second session:

• E1 13/05/2019 08:00h A03
• E1 13/05/2019 08:00h A02
• E1 13/05/2019 08:00h A22
• R1 03/06/2019 09:00h A12
• E2 17/06/2019 08:00h A16
• R2 01/07/2019 09:00h A02