PATHOLOGICAL ANATOMY

Integrated educational activity

Course Sheet

Academic Year of enrolment:

2014/2015

Optional/Mandatory:

Compulsory

Degree:

6-year Single Cycle Master's Degree Programme in MEDICINE AND SURGERY

Moduls:

NEUROLOGY

1 credits
PATHOLOGICAL ANATOMY

10 credits
INTERNSHIP

2 credits
GENERAL SURGERY

1 credits
INTERNAL MEDICINE

1 credits

Credits:

Programme Year:

Hours of classroom activity:

180

Prerequisites:

The course is held in the first semester of the 5th year in the curriculum. It follows the Basic Science courses, those of General Medicine and Surgery. It covers the main diseases of organs and systems to understand the relationship between micro and macroscopic pathological findings at the different phases of disease progression and clinical presentation. Special emphasis is given to tumoral conditions of the different organs.
It covers the main technical aspects of histopathology, immunohistochemica, electron microscand how to use pathologists to identify oral and systemic diseases.

AF code:

40000181

Assessment Methods

Verification of learning:

Assessment Method:
Assessement method for the pathology module consist in a written thesis concerning four very relevant subjects to be developed with 3 hours. If all the subjects are sufficient the students are ask to describe an istopatological specimen and then are asked to pass an oral discussion on many different subjects and on discussion of the written thesis .
The module of surgery consist of development of a written thesis about different aspects of breast surgery and pathology
Oral examination at the end of program for neurology and Internal medicine: l

Teaching period

First semester

Objectives

Primary aims
- To be able to know the main macroscopical and microscopical findings of diseases
- To correlate the main macroscopical and microscopical findings with the clinical, laboratory, radiological and clinical presentation and evolution
- How to threat a biopsy for histologic, electron microscopic and immunohistochemical investigation.
- How to describe a pathological organ
- Prevention and early recognition of tumours
- Understand a pathological report and its clinical relevance
- Understand under supervision histo-pathological slide
- Know how is done a post-mortem examination, and understand a clinical pathologic correlation following a post mortem examination.

Contents

What is pathology: meaning and its role in medicine
Techniques and procedures in surgical pathology and histopathology; techniques in cytology, Histochemical and immunohistochemical techniques used in routine pathology.
Autopsy and correlation of pathologic findings and clinical history

General Pathology: Atherosclerosis and thrombosis, Cellular injury, Immunopathology, Infection, Inflammation, Neoplasia, Perinatal and pediatric pathology

Organ system pathology: Cardiovascular Pathology, Central nervous system pathology; Endocrine pathology, Female genital tract pathology; Gastrointestinal pathology; Ematopathology; Hepatic pathology; Male genital tract pathology; Pulmonary Pathology, Renal Pathology; Head and neck pathology; Multi system and immuno pathology
The evaluation of the students is based on a written prouve concerning four theses to be developed in three hours followed , if the theses are positively evaluated, by a practical microscopical observation and description of a histopathologic slide. In particular cases an oral evaluation is also possible.
The prove will be positively valuated if all four theses are judged sufficient

Recommended Bibliography

Suggested sources for learning
- Kumar, Abbas, Aster: Robbins and Cotram; Le basi patologiche delle malattie Nona Edizione. Edra S.P.A. Milano, 2015
- Rubin R, Strayer D.S.Rubin E: Anatomia Patologica, Patologia d’organo e molecolare; Patologia Generale.. Piccin Nuova Libraria S.p.A. Padova, 2014
- Mariuzzi. Anatomia Patologica, Piccin, Padova

Texbook for deeply surgical pathology studies:
- Juan Rosai : Rosai and Ackerman’s Surgical Pathology.
Eleventh Edition, Elsevier Mosby, London, 2017
A

Teaching Methods

Method of Teaching / Learning:
Lectures, practical work, problems centred cases, self-teaching programs.
Practical work covers observation of the main histopathological and electron microscope techniques. Observation of findings systemic diseases under a multihead microscope, under supervision. Observation of histopathological findings of problems centred cases; each student checks samples under the microscope with a TV screen for general vision. ( Under supervision ).
Parts of the program are left for personal study only, in set textbooks. If students have difficulty, they can get in touch with tutors for help. Teachers are on call to students for 11 months per year.

Contacts/More Information

Strenghts:
- special attention given to tumorual diseases , and the need for their early identification or prevention, in particular the program on surgery centered on breast cancer and presented together with pathology and surgery

Weaknesses:
- too few inter-disciplinary meetings
- students are too often behind with their study program, and in order to catch up on current topics.

Innovations and best Practices:
- the use of the multi-head microscope for special-case observation
- single observation of slides, with their contemporary projection onto a TV screen, and subsequent discussion of findings after clinical presentation.

Plans for future changes:
- increase of inter-disciplinary meetings and lectures on problems centred cases concerning surgical, medical and neurological entities
- curriculum planned to lead up to future study topics
-improvement of facilities i.e. computers etc., and access to Internet libraries in order to help students
to develop a self teaching program.

PATHOLOGICAL ANATOMY

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PATHOLOGICAL ANATOMY