Universitat Internacional de Catalunya - BarcelonaClinical Semiology and Physiopathogenia
Main language of instruction: Spanish
Head instructor
Lc. Javier César HERRANZ - jcherranz@uic.es
Office hours
Dr. Xavier Herranz jcherranz@uic.es
In patient care, the physician’s intent is to establish the diagnosis, plan for the patient’s possible evolution (prognosis) and to indicate the most appropriate regimen (treatment). This medical activity, known as clinical medicine, requires the development of clinical judgment, which allows us, by logical reasoning and assisted explorations, to contextualize the particular clinical situation of each patient.
The medical student, before going into detailed learning of the different pathologies that may affect the individual, must acquire a solid base of knowledge about the process of different diseases, studying their potential causes (etiology), the mechanisms by which they act harmfully (pathogeny), the alterations that occur in the structure and function of organs and systems (pathophysiology) and symptoms reported by the patient and signs identified during physical examination (semiology).
The Physiopathogeny and the Semiology establish all the scientific and practical knowledge necessary to recognize the developmental mechanisms of disease processes and provide the best medical care through the art of history taking and physical examination.
This course is the first student contact with patients and implies the acquisition of the knowledge, skills and attitudes necessary for learning medical pathology, to be developed more extensively in specific subjects.
"He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all ".
Sir William Osler, 1849-1919
For the proper achievement of the competencies of this subject the student must have a basic knowledge of human structure and function to understand the various pathological conditions that occur in the body.
The overall objective of this field is get to know, through a systematic overview of the patient, the disease, the presentation and the pathophysiological mechanisms of the diseases.
Specific objectives:
After completing the course the student should be able to:
| ○ MC: Master Class ○ CM: Case Method ○ PBL: Problem Based Learning ○ LS: Laboratory Skills - OTS: Online Training Sessions |
The following will detail the contents included subjects in this stream:
Item 1. Concept of etiology, pathophysiology, symptomatology and clinical propaedeutic. Health and disease. (MC)
Item 2. The history and the doctor-patient relationship. General exploration of the patient. General principles. (MC)
Item 3. Pathophysiology of thermoregulation. Febril syndrome. (MC)
§ General principles of thermoregulation
Item 4. Pathophysiology of infection. (MC)
Item 5. Pathophysiology of pain. (MC)
- Primary pain (acute)
- Pain secondary (chronic)
- Sore skin
- Deep pain
- Visceral pain
Item 6. Major signs and symptoms of respiratory tract. (MC)
- Dyspnea: Definition, Etiology, Clinical assessment
- Cough. Characteristics and types of cough
- Coughing. Clinical evaluation of sputum
- Hemoptysis: Etiology and clinical assessment
- Chest pain of respiratory origin: Etiology and common types
- Cyanosis and clubbing. Chest pain of respiratory origin
- Personal History
- Habitat
- Work history, infectious and pharmacologic
- Hereditary Processes
- Toxic habits
Item 7. Physical examination of the respiratory apparatus 1 (LS)
Item 8. Imaging tests in respiratory disease (Rx thorax) (LS)
Item 9. Syndromes and diseases of the respiratory system. (MC)
Item 10. Syndromes and diseases of the respiratory system. (MC)
Item 11. Thoracocentesis (LS)
Item 12. Syndromes Pleural: pleural effusion, pneumothorax and fibrotórax; Mediastinal syndrome (CM)
Item 13. Dyspnea and cough (CM)
Item 14. Major signs and symptoms of circulatory system. (MC)
Item 15. Syndromes and diseases of the circulatory system. (MC)
Item 16. Physical examination of the respiratory apparatus 2 (LS)
Item 17. Physical examination of the circulatory system; heart sounds and their alterations (LS)
Item 18. Arterial pulse. Venous pulse. Blood pressure. Venous pressure. (LS)
Item 19. Chest pain of cardiac origin (CM)
Item 20. Hypertension and Syndromes arterial and venous (MC)
Item 21. General semiology of the digestive system. (MC)
- Hematemesis
- Manes
- Causes of gastrointestinal bleeding
Item 22. Syndromes and diseases of the digestive system. (MC)
Item 23. Syndromes and diseases of the digestive system. (MC)
Item 24. Sediment study (CM)
Item 25. Cirrhotic patient (CM)
Item 26. Esophageal syndrome. Vomiting. Dysphagia. (CM)
Item 27. Disorders of acid-base balance and hydric (CM)
Item 28. Physical examination of the digestive system. Exploration of the abdomen. ano-rectal examination (including genitourinary). (LS)
Item 29. Arrhythmias (LS)
Item 30. Semiology and general exploration of the urinary tract. (MC)
- Pain nephrourological. Characteristic patterns
- Disorders of micturition
- Alterations in appearance and composition of urine
- Conditions and equipment
- Techniques and maneuvers of the physical exploration
- General semiological findings
Item 31. Syndromes and diseases of the urinary tract. (MC)
Item 32. Semiology of the musculoskeletal system. (MC)
- Osteoarticular pain. Type
- Joint stiffness
Item 33. General semiology of the nervous system. Major signs and symptoms. (MC)
- Neuropathic pain
- Paresthesias
- Aphasia
- Dysarthria
Item 34. Syndromes and diseases of the nervous system. (MC)
Item 35. Paracentesis. Technique and interpretation (LS)
Item 36. Syndromes and diseases of the nervous system. (MC)
Item 37. Sº meningeal (CM)
Item 38. Syndromes and diseases of the nervous system. (MC)
Item 39. Exploration locomotor and nervous system (LS)
Item 40. Syndromes and diseases of the nervous system. (MC)
- Frontal syndrome
- Parietal syndrome
- Temporary Syndrome
- Syndrome occipital
Item 41. Semiology and general exploration of the hematic system. (MC)
Item 42. Syncope, seizures and sedoanalgesia (CM)
Item 43. Lumbar puncture. Technique and interpretation (LS)
Item 44. Muscular weakness (CM)
Item 45. Syndromes and hematic system diseases. (MC)
Item 46. Syndromes and hematic system diseases. (MC)
Item 47. Gasometry. Technique and interpretation (LS)
Item 48. Semiology and general exploration of the endocrine system and metabolism. (MC)
Item 49. Anemia and adenopathic (CM)
Item 50. Neurology Image (LS)
Item 51. Syndromes and diseases of the endocrine system and metabolism. (MC)
Item 52. Syndromes and diseases of the endocrine system and metabolism. (MC)
Item 53. Syndromes and diseases of the endocrine system and metabolism. (MC)
Item 54. Weight changes and asthenia. Sº constitutional (CM)
Item 55. Evaluation of specific patients: the geriatric patient. (MC)
- Cognitive Disorders
- Incontinence
- Immobility
- Pressure Sores
- Instability and falls
- Malnutrition
- Depression, confusion and insomnia
Item 56. ABP-1
Item 57. ABP-2
Item 58. ABP-3
Item 59. ABP-4
Item 60. Interdisciplinary (LS)
E: exam date | R: revision date | 1: first session | 2: second session: