D1-knowledge and understanding
At the end of the course, the student will demonstrate knowledge of principles of medical therapy to be applied to the main internal medicine diseases listed under "contenuti". In particular, the student will demonstrate knowledge of how to treat from the clinical point of view the different pathologies and to report therapeutic principles to be applied for each pathology. The student will finally know the main contraindications to the use of drugs analysed.

D2-ability to apply knowledge and understanding
At the end of the course the student will be able to target the therapy for a clinical scenario that will be presented as part of the program. Students will demonstrate to be able to understand the principles and possible side effects of medical therapy applied.

D3-autonomy of judgement
At the end of the course, the student will be able to judge the appropriateness of medical therapy proposed in a clinical case presented during the program.

D4-communication skills
At the end of the course, the student will demonstrate the ability to expose the notions referred to in point D1

D5-learning ability
At the end of the course, the student will demonstrate the ability to find and learn
independently guidelines and literature on the subject of medical therapy of selected diseases.

For a satisfactory understanding of the course contents it is necessary that the student has acquired the basic knowledge of anatomy, physiology, general pathology, medical pathophysiology, microbiology, pharmacology and medical semiotics.

During the course, medical therapy schemes will be presented in relation to the most common internal medical conditions. Treatment of essential hypertension, therapy with oral anticoagulants and heparins, new oral anticoagulant drugs, therapy of obstructive chronic obstructive pulmonary disease , of community and hospital -acquired pneumonia and of therapy of arrythmias will be treated. Indications and contraindications will be treated for each therapeutic scheme. During the course some emblematic clinical case will be presented in order to introduce organ pathologies and to guide schemes of therapy

Washington Manual of Therapy - 34° Edt
• Harrison’s Principles of Internal Medicine 18 Edt

Cardio-vascular diseases
Hypertension: treatment of acute hypertensive crisis and chronic forms
Heart failure: guidelines for treatment
Thrombo-embolic disease: prophylaxis and treatment of deep vein thrombosis, pulmonary embolism and stroke
Arrhythmias: Principles for the use of antiarrhythmic drugs

Diseases of the respiratory system
Broncho-pulmonary infections: Guidelines for the treatment of the patient at home and hospitalized
Treatment of COPD

Lectures supported by slides (Power Point) which will be made available to the students

Michela Zanetti MD PhD
Department of Surgical and Health Sciences ,
Geriatric Clinic- maggiore Hospital
Piazza dell'Ospitale 1, 34100 Trieste
e- mail: zanetti@units.it
tel . 040-3992787

Office hours : by appointment

The student's assessment includes a written test in which 15 multiple choice questions are asked on topics covered in class. The duration of the test is 60 minutes. The student must demonstrate to be able to understand and correctly frame the different clinical pictures from a therapeutic point of view and to report the therapeutic principles to be applied for each pathology. Finally, he/she will have to know the main contraindications to the use of the drugs analyzed and any adverse events. The score of the exam is attributed by means of a mark expressed out of thirty calculated on the basis of the sum of the scores of the correct answers (2 points will be attributed to each correct answer). To pass the exam (18/30) the student must answer at least 9 questions. To achieve the maximum score (30/30 cum laude), the student must answer all the questions correctly. Passing the test is a necessary prerequisite for completing the Internal Medicine exam.

This course explores topics closely related to one or more goals of the United Nations 2030 Agenda for Sustainable Development (SDGs)