Subject

General Pathology I

  • code 08602
  • course 2
  • term Semester 1
  • type FB
  • credits 6

Module: Health Sciences Module

Matter: Physiology

Main language of instruction: Spanish

Other languages of instruction: Catalan

Teaching staff

Head instructor

Dr. Fernando FUERTES - ffuertes@uic.es

Office hours

Dr Ferran Fuertes: After classes or by an e-mail requesting an hour.

Place: Office of the Faculty (A7: Medical professors' Room)

Dra Lea Martín:After classes or by an e-mail requesting an hour.

Introduction

In the event that the health authorities announce a new period of confinement due to the evolution of the health crisis caused by COVID-19, the teaching staff will promptly communicate how this may effect the teaching methodologies and activities as well as the assessment.

In PATHOLOGY GENERAL I, students will acquire the knowledge necessary enabling them to understand, explore and address the various factors involved in health and disease within the medical surgical areas as well as nurse assistance dealing with different disease systems from real problems and / or potential derivatives.

Pre-course requirements

In order for the course and its objectives to develop, it is necessary that students have sufficient knowledge of human anatomy and physiology, the fundamental requirements while completing these courses of the degree.

Objectives

GENERAL:

  1. Students will develop cognitive and psychomotor abilities, as well as relationships that enable them to integrate knowledge of basic general pathology in the adult, so to provide adequate nursing care skills, and promote the development of autonomy, health maintenance, disease prevention and welfare of the patient, family and community.
  2. Knowing the basics of general medical pathology and general surgical pathology of the adult.
  3. Knowing the most common diseases of the systems: cardiovascular, respiratory, neurological, and digestive.


SPECIFICS:

  1. Know the various mechanisms of generation of pathological processes
  2. Know the most common diseases of various health systems (cardiovascular, respiratory, digestive and neurological) according to the following methodology: definition, pathogenesis, pathophysiology and semiotics.
  3. Acquire knowledge of the pathophysiology and clinical scientific basis for nursing.
  4. Acquire adequate knowledge of the therapeutic orientations.
  5. Know the general principles of prophylaxis
  6. Know the prognosis and possible complications of the most common diseases.

Competences / Learning outcomes of the degree programme

  • 4. B - Understand the interactive behavior of the person according to their gender, group or community, within their social and multicultural context.
  • 1. G - Ability to provide technical and professional health care appropriate to the health needs of the people they treat, with full technical and scientific autonomy, according to current and available scientific knowledge and to the quality standards and safety requirements set forth in the applicable legal standards and code of ethics.
  • 20. B - Multidisciplinary teamwork
  • 21. B - Oral and written communication.
  • 22. G - Use and management of information and research
  • 24. G - Ability to work autonomously.
  • 25. E - Knowledge of the field of study
  • 23. B - Ability to analyze and synthesize.
  • 11. E - Establish effective communication with patients, families, social groups and partners and promote health education.
  • 12. B - Know and observe the ethical code of conduct of Spanish nursing, understanding the ethical implications of health in a changing global context.
  • 15. B - Work with the team of professionals as a basic unit in which uni or multidisciplinary and interdisciplinary professionals and other staff of health care are organized.
  • 6. E - Base nursing care on scientific evidence and available resources.

Learning outcomes of the subject

  • Know the most prevalent diseases of various organs and systems
  • Recognize signs and symptoms of specific pathologies from childhood to adulthood.
  • Prioritize care needs in each clinical situation. 
  • Acting before a patient's problem or complication from childhood to adulthood.
  • Having acquired adequate knowledge of general pathology and therapeutic, pharmacological, physical and surgical guidance.
  • Know the main diagnostic test imaging (radiology, scanner, PET etc.) and analytical, its foundation and application, as well as the therapeutic application, especially in cardiovascular and oncology interventionism.

Syllabus

FUNDAMENTALS OF GENERAL PATHOLOGY

1. General Etiology:   The concept and history of disease. General mechanisms of disease production.

2. Etiopathogenesis. Pathophysiology. Symptoms and signs. Syndromes.

3.  Immunology: Immunodeficiencies. Autoimmunity. Hypersensitivity reactions. Pathology related to HLA system and complements.

4. Oncology: General oncology. Concepts and definitions. Etiology of neoplasms. Oncogenes. Biological and immunological characteristics of malignant tumors. Metastasis. Tumor biology. Clinical manifestations of tumors. The tumor as a mass. General malignant syndrome. Para-neoplastic syndrome. Evolutionary classifications of tumors.

5. Fundamentals of Surgical Pathology: Contusions and wounds. Scarring. Pathology of scars. Heat injuries: burns. Injuries caused by electricity. Injuries from the cold: freezing. General principles of bone fractures. Inflammation. Infection in surgery. Inflammation. Infection in surgery: general aspects, local infections, boils and abscesses, infections of the lymphatic system: lymphangitis and adenitis.


GENERAL PATHOLOGY ADULT I:

6.  Respiratory: Respiratory failure: causes, mechanisms of production and semiotics. Pathophysiology of pleura and mediastinum. Etiopathogeny and pathophysiology of pulmonary circulation. General pathology of chronic obstructive pulmonary disease: clinical forms of presentation. Pathology of bronchial asthma. Infectious respiratory diseases.

7. Cardiovascular system: Heart failure: causes, mechanisms, classification and semiotics. Etiology and pathophysiology of valvular heart disease. Pathogenesis and pathophysiology of cardiac arrhythmias. Pathology of heart failure: clinical syndromes of ischemic heart disease. Pathology of the pericardium and myocardium. Pathology regulating blood pressure: blood pressure and syncope.

8. Nervous System: Pathophysiology of consciousness: concept and classification of comas. The motor unit and its pathology. Paralysis. Changes in muscle tone. Spinal cord pathology and brainstem. General pathology of the cerebellum: vestibular syndrome. Pathology of the extrapyramidal system and basal ganglia. Pathology of the cerebral cortex and areas of association. Pathology of cerebral circulation and cerebrospinal fluid. Peripheral nervous system pathology and vegetative nervous system.

9.  Digestive system: Swallowing disorders. Pathology of gastric secretion. Pathology of intestinal function: diarrhea, constipation, ileus, impaired intestinal digestion. Intestinal malabsorption syndrome. Exocrine pancreatic insufficiency. Pathology of metabolism of bilirubin: jaundice. Pathology of portal hypertension. Acute and chronic liver failure. Hepatic encephalopathy. Infections of the digestive tract.

Teaching and learning activities


In blended

  • This modality will contemplate with respect to the modality totally face-to-face that in order to fulfill the current Regulations derived from the pandemic of the COVID19, the students will do a part of the on-line teaching and the other face-to-face. They will be distributed in groups / days so that everyone can achieve a mixed teaching in person.
  • Students who are unable to attend class will be connected using the Moodle Collaborate program
  • The methodology to be used will be 60% for introductory theory of the topics by the teacher (master classes, with audiovisual support) and preparation for cooperative learning, 10% case method, 10% for tutorials to students or student work at the UIC of their cooperative learning which will then have to be exposed to the rest of their classmates, 10% for online activities (mental / conceptual map) and 10% for exposure of the students of the 'cooperative learning carried out and intergroup evaluation.
  • The cooperative work will be carried out on the topics indicated by the teacher so that students must prepare them independently in groups under the tutoring of the teacher. In class the students will present their cooperative work presenting a topic that will be a subject for the exam in the same way as the introduction of the topics given by the teacher. After the student's presentation, the teacher will nuance the appropriate knowledge and a group will evaluate their classmates and collect the notes during the presentation that will then send to the teacher. The cooperative work groups will be about 3 students (according to the leadership project), so on an average of 90 students per class and year there will be about 30 groups. All intergroup presentations and evaluations will be made in person; thus the organization of the groups will be done in such a way that they coincide in person.
  • The existence of the groups means that the teachers of the subject will have to distribute which topics are the ones that the students prepare and which are the ones that they consider of introduction and that they will have to teach themselves. In this way, the teachers of a subject will clearly indicate the topics to be developed by the students and the exposure time of each of them so that each group will present for 20 minutes the topic or topics that touch them. They will also indicate for each group the topic they will have to evaluate and take notes.

Evaluation systems and criteria


In blended

The evaluation of the course consists of:

  • Continuous assessment: 40%.
  • Evaluation by final exam with public exam: 60%

To pass the course, you must meet the following requirements:

The average of theoretical qualification and continuous assessment should be worth 5 points out of a total of 10 minimum, except other indications

Continuous assessment of student work in the classroom (40% of the total mark):

The continuous assessment will have a total of 5 marks, corresponding to the performance of two test-type assessment tests (50%), the completion of a mental / conceptual map (10%), a group work that will be presented in class (30% ) and the evaluation of a group work (10%). The non-presentation of any of the works or the non-performance of any of the evaluation tests will be considered a zero of that part of continuous evaluation.

Student evaluation will take into account individual and cooperative work, and complete midterm exams. The average between the 3 marks will be considered as:

  • Teacher's marks on the presentation of the cooperative work carried out, the intergroup evaluation and the mental / conceptual map. This section evaluates the following skills: 11E, 12B, 15B, 4B, 1G, 25E, 21B, 20B, 22G, 23B, 24G, 6E
  • Midterms marks (which will contain multiple choice questions and responses (ROM) and / or short answer questions.12B skills, 21B, 22G, 23B, 24G, 25E, 6E. will be evaluated. Examinations are expected to be face-to-face.

Theoretical evaluation at the end of the course (60% of the total mark)

  • This section evaluates the following skills: 21B, 22G, 23B, 24G, 25E, 6E.
  • Will most likely contain multiple choice questions and responses (ROM).

FIRST RESIT

In order to pass the first resit, students must meet the following requirements:

  • Have passed the 2 parts of the course: final test and continued work during the semester.
  • For this resit, the marks of the passed parts of the 1st examination are counted and only the parts of the exam that were failed shall be re-taken.
  • The theoretical exam will consist of a multiple choice 'test' with five possible options each where only one is correct, but there may also be a topic to develop with more shorts answer questions.
  • Honors qualifications will not be awarded in any resit.

SECOND AND THIRD RESITS, AND IF THEY ARE NECESSARY, FOURTH AND FIFTH (EXTRAORDINARY CASES)

The evaluation of the 2nd and 3rd resits and if necessary, 4th and 5th resits in extraordinary cases (if granted) will be equal to the 1st exam and 1st resit, in no case will the previous year's mark be saved. Both parts of the course must be completed in order to pass the course.

The material subject to evaluation will correspond to where the course is completed

LEADERSHIP PROJECT 

The final grade of the subject will be affected by attendance at the leadership sessions: For each session that the student attends class will be added 0.2 points in the final grade of the subject in the first call (two sessions, maximum 0.4 points)

Bibliography and resources

  • Manual de patología general, etiologia, fisiopatologia, semiología, síndromes. S de Castro del Pozo. Barcelona, Masson, 2006.
  • Patología General: semiología clínica y fisiopatología. García Conde. McGraw Hill Interamericana, segunda edición. Madrid, 2003.
  • Introducción al cuerpo humano: Fundamentos de anatomía y fisiología. Tortora, Gerard J, Derrickson, Bryan. Ed Panamericana, México, 2008.

Evaluation period

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

  • E1 07/01/2021 08:00h
  • R1 25/01/2021 08:00h
  • E2 07/07/2021 08:00h
  • R2 16/07/2021 11:00h
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