Universitat Internacional de Catalunya - BarcelonaAppropriate Use of Diagnostic Tests
Main language of instruction: Catalan
Head instructor
Dr. Esteve LLARGUÉS - ellargues@uic.es
Office hours
Dr. Esteve Largués ellargues@uic.es
The course will provide the student with the knowledge for the correct indication and use of diagnostic tests (DT) in clinical practice.
The DT have contributed to great advances in medicine by making available to the physician sensitive and specific information of great help in the diagnosis. The imaging tests provide a very precise degree of anatomical detail, fundamental for clinical and therapeutic decisions.
The indication of the DT should be made based on the clinical reasoning generated by the careful study of the patient, observation and physical examination. The doctor must know how to use the DT with criteria and moderation and assess whether the results will modify the treatment or benefit the patient.
You have to know the information provided by each of the DT, as well as their limitations and possible harm to the patient.
The student must have knowledge of the pathological processes of the different organs and systems, as well as know the repercussion on the organism.
The student must know the basic physical and biochemical foundations of the different types of DT.
It is essential that the student has completed and approved the subjects:
Semiology and Physiopathogeny
Biochemistry
To learn the indication and assessment of DT in clinical practice.
Specific objectives:
1. To know the theoretical foundations of the tests / complementary explorations.
2. To know the indications of the DT. Place the DT as a support tool in the diagnostic and therapeutic aspects of the clinical history and patient care.
- To know the indications of the different DT.
- To know the information that can contribute and the limitations of the exploration.
- To evaluate the efficiency of each exploration.
- To recognize the importance of searching for the best evidence.
- To know sensitivity and specificity of each exploration.
- To know how to interpret the results of the tests and the correlation with the clinic.
3. To know how to inform the patient.
- To offer information to patients about the explorations to be performed.
- To obtain written informed consent.
4. To know the conditions of the tests.
- To assess the suitability of the treatment according to the patient's situation.
- To assess the limitation of the diagnostic - therapeutic effort.
- To know the limitations and contraindications of the DT.
- To know adverse and secondary effects of DT.
The student plans the study of DT (indication, priority and staging by complexity) based on clinical reasoning and differential diagnosis.
The student knows the DT, informs the patient of the risk - benefit that they entail, and asks for informed consent.
The student values the information provided by the test and makes a critical contrast with the clinic.
The focus of the subject will be directed to the following areas of knowledge:
- The study and therapeutic approach of systems
Cardiovascular
Respiratory
Digestive - hepatobiliary
Neurological
Nephro - urological
Endocrinology - metabolism
Haematological and coagulation disorders
Infections
Locomotor
- The study of symptoms and syndromes
Sdr. Febrile. Fever of unknown origin
Chest pain
Abdominal pain
Headache
Dorsal and neck pain. Low back pain
Arthralgia and arthritis
Sdr. Constitutional
Sdr. Polyadenopathic
Sdr. Confusional
|
Modalitat |
Tema |
Professor/a |
|
CM |
El procés diagnòstic i l’elecció de PD- I. |
E. Llargués |
|
CM |
El procés diagnòstic i l’elecció de PD - II. |
E. Llargués |
|
CM |
Estudi en infeccions i de l’aparell locomotor: aportació de les PD |
E. Vargas |
|
MC |
Sdr. Febril. Febre d’origen desconegut. Sdr. Constitucional. |
E. Vargas |
|
MC |
Lumbàlgia. Artràlgies. Artritis. |
E. Vargas |
|
CM |
Estudi de l’aparell cardiovascular: aportació de les PD. |
E. Llargués |
|
CM |
Estudi de l’aparell respiratori: aportació de les PD |
E. Llargués |
|
MC |
Diagnòstic per la imatge en el tòrax. |
P. Puyaltó, JJ. Sánchez |
|
LH |
Estudi de dolor toràcic. |
E. Llargués |
|
MC |
Hipòxia i cianosi. Tos. Hemoptisi. Dolor en punta de costat. |
E. Llargués |
|
ABP |
Dolor toràcic. Dispnea. |
E. Llargués |
|
CM |
Estudi de trastorns hematològics i de coagulació: aportació de les PD. |
E. Llargués |
|
MC |
Sdr. Anèmica. Policitèmia. Adenopaties. |
E. Llargués |
|
MC |
Edema. Rash cutani. Sdr confusional, deliri. |
E. Vargas |
|
CM |
Estudi del sistema neurològic: aportació de les PD. |
D. Cocho |
|
MC |
Cefalea. Meningisme. Alteracions motores i sensitives. Mareig. Vertigen. |
D. Cocho |
|
MC |
Diagnòstic per la imatge en el crani. |
P. Puyaltó, JJ. Sánchez |
|
CM |
Estudi de l’aparell digestiu - hepatobiliar: aportació de les PD |
E. Gené |
|
MC |
Dolor abdominal. Sdr. Ictèrica. Ascites. Hemorràgia digestiva baixa i alta |
E. Gené |
|
MC |
Disfàgia. Dispèpsia. Nàusea – vòmits. Sdr. Diarreica. Restrenyiment. |
E. Gené |
|
MC |
Diagnòstic per la imatge en l’abdomen |
P. Puyaltó, JJ. Sánchez |
|
CM |
Estudi de l’aparell nefro – urològic i reproductor: aportació de les PD. |
E. Vargas |
|
CM |
Estudi de endocrinològic: aportació de les PD |
E. Llargués |
- Laboratory of skills
- Study of chest pain
Dr. Esteve Llargués
- Virtual Lesson
Dr. Esteve Llargués, Dra. Paloma Puyalto
Longo, Fauci, Kasper, Hauser, Jameson, and Loscalzo, Eds. HARRISON’S PRINCIPLES OF INTERNAL MEDICINE INTERNA. 18th Ed. McGraw Hill, 2011.
Rozman C., Cardellach F. Farreras: MEDICINA INTERNA 16º edición. ELSEVIER ESPAÑA, S.A. 2008.