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CLINICAL PATHOLOGY IN GYNAECOLOGY AND INTERDISCIPLINARY SCIENCES

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
CARLO ALBERTO VOLTA
Credits
5
Didactic period
Primo Semestre

Training objectives

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Modulo: 015144/3 - ANATOMIA PATOLOGICA
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ANAESTHESIOLOGY
The course allows the acquisition of knowledge related to:
• Pathophysiology of respiratory function, cardiovascular and acid - base.
• Major organ failure
• The pre -operative interview, medical history of the patient classification and data collection signs and symptoms
And its ability to:
• recognition of the main clinical pathologies,
• Development of critical clinical thinking through the diagnostic investigation, therapeutic treatment for autonomy competence and in cooperation in teams.
ANATOMICAL PATHOLOGY
On completion of the course the student is expected to have acquired a grounding in:
-basic aspects of macro and microscopy of the main benign, pre-neoplastic and malignant pathologies of the female genitalia.
GYNAENOCOLGY AND OBSTETRICS
The course allows the acquisition of:
- knowledge and understanding of clinical pictures and the classification of inflammatory and preneoplastic states and of the neoplasms of the lower female genital tract
- Knowledge and capacity for understanding and classifying of the clinical infiammatory preneoplastic states and female low genital line
- knowledge applied to the main diagnostic procedures in the oncology field showing that they have acquired autonomy of judgment in this area
- knowledges on the concept of illness HPV correlated, also in relationship to the differences of kind
- Interpersonal skills In management of cervical cancer screening program
SCIENCE OF NURSING AND MIDWIFERY
The course allows the acquisition of
• the ability to manage tasks independently in the field of prevention and early diagnosis of malignancy ( sampling for Pap smears; dell'autopalpazione teaching breast )
• communication skills to be taken independently in the information and education in the cervical cancer screening program
• communication skills to be adopted in the diagnostic and therapeutic step within the team and with the woman / couple
• The Management assistance in diseases with organ dysfunction
• welfare Managenet first aid in patient exposed to electrocution and drowning

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Modulo: 46467 - ANESTESIOLOGIA
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ANAESTHESIOLOGY
The course allows the acquisition of knowledge related to:
• Pathophysiology of respiratory function, cardiovascular and acid - base.
• Major organ failure
• The pre -operative interview, medical history of the patient classification and data collection signs and symptoms
And its ability to:
• recognition of the main clinical pathologies,
• Development of critical clinical thinking through the diagnostic investigation, therapeutic treatment for autonomy competence and in cooperation in teams.

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Modulo: 52561 - GINECOLOGIA E OSTETRICIA
------------------------------------------------------------
ANAESTHESIOLOGY
The course allows the acquisition of knowledge related to:
• Pathophysiology of respiratory function, cardiovascular and acid - base.
• Major organ failure
• The pre -operative interview, medical history of the patient classification and data collection signs and symptoms
And its ability to:
• recognition of the main clinical pathologies,
• Development of critical clinical thinking through the diagnostic investigation, therapeutic treatment for autonomy competence and in cooperation in teams.
ANATOMICAL PATHOLOGY
On completion of the course the student is expected to have acquired a grounding in:
-basic aspects of macro and microscopy of the main benign, pre-neoplastic and malignant pathologies of the female genitalia.
GYNAENOCOLGY AND OBSTETRICS
The course allows the acquisition of:
- knowledge and understanding of clinical pictures and the classification of inflammatory and preneoplastic states and of the neoplasms of the lower female genital tract
- Knowledge and capacity for understanding and classifying of the clinical infiammatory preneoplastic states and female low genital line
- knowledge applied to the main diagnostic procedures in the oncology field showing that they have acquired autonomy of judgment in this area
- knowledges on the concept of illness HPV correlated, also in relationship to the differences of kind
- Interpersonal skills In management of cervical cancer screening program
SCIENCE OF NURSING AND MIDWIFERY
The course allows the acquisition of
• the ability to manage tasks independently in the field of prevention and early diagnosis of malignancy ( sampling for Pap smears; dell'autopalpazione teaching breast )
• communication skills to be taken independently in the information and education in the cervical cancer screening program
• communication skills to be adopted in the diagnostic and therapeutic step within the team and with the woman / couple
• The Management assistance in diseases with organ dysfunction
• welfare Managenet first aid in patient exposed to electrocution and drowning

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Modulo: 52562 - SCIENZE INFERMIERISTICHE OSTETRICO-GINECOLOGICHE
------------------------------------------------------------
ANAESTHESIOLOGY
The course allows the acquisition of knowledge related to:
• Pathophysiology of respiratory function, cardiovascular and acid - base.
• Major organ failure
• The pre -operative interview, medical history of the patient classification and data collection signs and symptoms
And its ability to:
• recognition of the main clinical pathologies,
• Development of critical clinical thinking through the diagnostic investigation, therapeutic treatment for autonomy competence and in cooperation in teams.
ANATOMICAL PATHOLOGY
On completion of the course the student is expected to have acquired a grounding in:
-basic aspects of macro and microscopy of the main benign, pre-neoplastic and malignant pathologies of the female genitalia.
GYNAENOCOLGY AND OBSTETRICS
The course allows the acquisition of:
- knowledge and understanding of clinical pictures and the classification of inflammatory and preneoplastic states and of the neoplasms of the lower female genital tract
- Knowledge and capacity for understanding and classifying of the clinical infiammatory preneoplastic states and female low genital line
- knowledge applied to the main diagnostic procedures in the oncology field showing that they have acquired autonomy of judgment in this area
- knowledges on the concept of illness HPV correlated, also in relationship to the differences of kind
- Interpersonal skills In management of cervical cancer screening program
SCIENCE OF NURSING AND MIDWIFERY
The course allows the acquisition of
• the ability to manage tasks independently in the field of prevention and early diagnosis of malignancy ( sampling for Pap smears; dell'autopalpazione teaching breast )
• communication skills to be taken independently in the information and education in the cervical cancer screening program
• communication skills to be adopted in the diagnostic and therapeutic step within the team and with the woman / couple
• The Management assistance in diseases with organ dysfunction
• welfare Managenet first aid in patient exposed to electrocution and drowning

Prerequisites

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Modulo: 015144/3 - ANATOMIA PATOLOGICA
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Cytology knowledge cell, immunology
Knowledge of the fundamentals of anatomy , physiology and pathology , and female genital
Knowledge of anatomy , physiology and general and clinical pathology .

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Modulo: 46467 - ANESTESIOLOGIA
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Cytology knowledge cell, immunology
Knowledge of the fundamentals of anatomy , physiology and pathology , and female genital
Knowledge of anatomy , physiology and general and clinical pathology .

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Modulo: 52561 - GINECOLOGIA E OSTETRICIA
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Cytology knowledge cell, immunology
Knowledge of the fundamentals of anatomy , physiology and pathology , and female genital
Knowledge of anatomy , physiology and general and clinical pathology .

------------------------------------------------------------
Modulo: 52562 - SCIENZE INFERMIERISTICHE OSTETRICO-GINECOLOGICHE
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Cytology knowledge cell, immunology
Knowledge of the fundamentals of anatomy , physiology and pathology , and female genital
Knowledge of anatomy , physiology and general and clinical pathology .

Course programme

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Modulo: 015144/3 - ANATOMIA PATOLOGICA
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ANATOMICAL PATHOLOGY
Vulva and vagina: benign and malignant neoplasms
Fallopian tubes: cancer and inflammation
Ovary: non-neoplastic cysts; benign and malignant neoplasms
Cervix : Cervicitis, endocervical polyps, cancer and screening and cytological diagnosis
Endometrium: endometrial polyps, cancer, adenocarcinoma
Myometrium: benign and malignant neoplasms
Pathology of pregnancy: the trophoblast disease, ectopic pregnancy
Placenta: infections

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Modulo: 46467 - ANESTESIOLOGIA
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Recalls of the pathophysiology of the respiratory, cardiovascular function and acid – base balance function.
Major organ failure.
The preoperative interview: medical history of the patient and recognition of the main diseases of clinical interest: the patient with cardiovascular, pulmonary, liver, renal disease and metabolic diseases
Vital signs and patient monitoring.
Syncope, pre - syncope.
Asthma. Anaphylactic shock. Septic shock.
Monitoring of vital signs and the patient's postoperative management.
Perioperative fluid therapy.

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Modulo: 52561 - GINECOLOGIA E OSTETRICIA
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GYNAENOCOLGY AND OBSTETRICS
RATIONAL
ETHIOPATHOGENESIS of PRECANCERAL LESIONS and CERVICAL CARCINOMA
Natural history of cervical carcinoma. Risk factors
Etiology: HPV classification. Pathogenetic mechanism of carcinogenesis. Role of cofactors
CERVICAL-dysplasia CIN -VAIN-AIS: beneficts and risks
SIL classification. Natural history. LSIL and HSIL therapy. Risk of post-treatment recurrence and of carcinoma
AIS: definition, diagnosis, therapy
HPV: Overview of the manifestations of HPV infection and HPV-related diseases with in-depth analysis on gender differences
Vulvovaginal infections: microbiome, classification, diagnosis and therapy
PREVENTION
Purpose of prevention. Primary and secondary prevention
SCREENING
Objective of oncological screening. Rational for screening for cervical cancer. Types of screening differentiated by age
SCREENING WITH PAP TEST
- cytological terminology according BETHESDA 2001
- meaning and correlation with the definitive diagnosis
- management of women with abnormal Pap test.
- value and limits of the Pap test
SCREENING WITH HPV-DNA TEST
Definition and Implementation of HPV testing
Clinical significance of HPV testing
Current applications of HPV-DNA test
Rational for new screening with HPV test
HPV positive test management
HPV negative test management
SCREENING IN PREGNANCY
COLPOSCOPY - training in colposcopy surgery
Indications, role, how to do it, setting up the cart
Study of the normal and abnormal transformation zone in colposcopy, squamo-columnar junction
International colposcopic terminology Rio de Janeiro 2012
Targeted cervical biopsy and cervical canal survey
Correlation between Pap test-HPV test-colposcopy-histology
PRIMARY PREVENTION OF CERVICAL CANCER: lifestyle and vaccine
PROFILACT: Action mechanism. Effectiveness. Types in commerce. Administration. Side effects. Research status.
Screening and vaccination situation. National vaccination plan. Vaccination in the male and in subjects at risk.
THERAPEUTIC: Purpose. Status of researc.

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Modulo: 52562 - SCIENZE INFERMIERISTICHE OSTETRICO-GINECOLOGICHE
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SCIENCE OF NURSING AND MIDWIFERY
The care management in oncology prevention
Execution of screening methods: midwifery skills
The information flow in the pap - test management
Consuelling role in screening
Techniques of breast self-examination
Care management in diseases with organ dysfunction: respiratory, cardiovascular, neurological.
Care management of first aid in patient exposed to electrocution and drowning.

Didactic methods

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Modulo: 015144/3 - ANATOMIA PATOLOGICA
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ANATOMICAL PATHOLOGY
Frontal lessons, macroscope laboratory

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Modulo: 46467 - ANESTESIOLOGIA
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ANAESTHESIOLOGY
Frontal lessons an group work on clinical cases following the High Fidelity Simulation technique (at the Macrosimulation Laboratory in the Anaesthesiology and ICU of the University of Ferrara)
Frontal lessons –skills laboratory

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Modulo: 52561 - GINECOLOGIA E OSTETRICIA
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Frontal lessons

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Modulo: 52562 - SCIENZE INFERMIERISTICHE OSTETRICO-GINECOLOGICHE
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Frontal lessons

Learning assessment procedures

GYNAENOCOLGY AND OBSTETRICS
Assessment is required prior to the student attendance in at the colposcopy clinic with the teacher in order to conduct a mentoring pre examination and to observe the therapeutic diagnostic path of the second level.
The Oral examination lasting 20 minutes
3 questions are asked by the teacher going to investigate :
1. knowledge , 2. The clinical skills related to midwives skills 3. Communication skills
The exam is not passed if the student does not respond adequately to the first question as it is considered a barrier
The examination is passed if the student responds appropriately also to the second and third question , demonstrating clinical - relational correlation capabilities on the required arguments .
Evaluation criteria are also the appropriateness of terminology and ability to synthesize .
The rating is expressed in 30/30
SCIENCE OF NURSING AND MIDWIFERY
Assessment is required prior to the student in the frequency of screening clinic ( I level with the execution of 40 Pap tests and the taking over of 40 patients ) .
The oral exam lasts for 20 minutes.
3 questions that are asked are to investigate :
1. knowledge , 2. The clinical skills related to midwives skills 3. Communication skills
The exam is not passed if the student does not respond adequately to the first question as it is considered a barrier .
The examination is passed if the student responds appropriately also to the second and third question , demonstrating clinical - relational correlation capabilities on the required arguments .
Evaluation criteria are also the appropriateness of terminology and ability to synthesize .
The rating is expressed in 30/30
ANAESTHESIOLOGY
oral exam lasts 30 minutes
The student is offered a case in which the teacher provides simulated data collection signs and symptoms. Through the analysis of the data provided, the student must demonstrate the considerations and interconnection capabilities of clinical information, participating in the formulation of diagnosis and demonstrate the ability to care intervention competence and collaborative in Equipe.
They are therefore subject to evaluation: Appropriateness of language, Demonstration of knowledge that support the clinical critical reasoning, Ability to care for the measures provided
The oral exam is considered insufficient and interrrompe proof when stduente does not express the knowledge related to the physiology and clinical pathology requiring the clinical case proposals and not adopting a language appropriate for the material.
The test is passed when the student, in addition to demonstrating requisite knowledge, arrives at the correct formulation of the diagnosis, proves to debate skills with the teacher in relation to the proposed clinical case demonstrates ability to direct the prrio competently behavior.
ANATOMICAL PATHOLOGY
They are asked two questions that go to investigate :
1. knowledge , 2. The clinical skills related to the skills of midwives interpretation of the pathological report.
The rating is expressed in 30/30 °
The exam is not passed if the student does not respond adequately to the first question as it is considered a barrier .
The examination is passed if the student also responds adequately to the second , showing correlation of clinical skills by the required arguments .
It is an evaluation criterion also the appropriateness of the terminology .
THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TESTS.

Reference texts

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Modulo: 015144/3 - ANATOMIA PATOLOGICA
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ANATOMICAL PATHOLOGY
Ascenzi Antonio, Mottura Giacomo, Anatomia patologica, Utet 2007

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Modulo: 46467 - ANESTESIOLOGIA
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ANAESTHESIOLOGY
Harrison, Principi di Medicina Interna 2012

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Modulo: 52561 - GINECOLOGIA E OSTETRICIA
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GYNAENOCOLGY AND OBSTETRICS
European guidelines for quality assurance in cervical camcer screening .second Edition.IARC.2008
www.saluter.it/screening femminili/documenti/collana contributi:
PROTOCOLLO DIAGNOSTICO TERAPEUTICO DELLO SCREENING PER LA PREVENZIONE DEI TUMORI DEL COLLO DELL'UTERO NELLA REGIONE EMILIA-ROMAGNA -V edizione - Anno 2014
Rivista dell'Associazione Italiana di Epidemiologia “ricerca del DNa papillomavirus come test primario dei precursori del cancro del collo uterino” 2012
WHO International Agency of research Manual on cancer “Manual for cancer” IARC 1995
SCIENCE OF NURSING AND MIDWIFERY
Guana M. et al., La disciplina ostetrica, McGraw-Hill (2011)
Gruppo italiano di screening del cervicocarcinoma “Le 100 domande sull'HPV” giugno 2014

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Modulo: 52562 - SCIENZE INFERMIERISTICHE OSTETRICO-GINECOLOGICHE
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SCIENCE OF NURSING AND MIDWIFERY
Guana M. et al., La disciplina ostetrica, McGraw-Hill (2011)
Gruppo italiano di screening del cervicocarcinoma “Le 100 domande sull'HPV” giugno 2014