1. Presentation of Clinical Scientific Methods VI

2. Program of Clinical Scientific Methods IV (1) Teachers:  Prof. Marcello Arca  Prof. Fabrizio Consorti  Prof. Roberto Cangemi  Dott. Salvatore Guarino

3. Program of Clinical Scientific Methods VI (1) TECHNIQUES OF EXAMINATION Beginning the Examination: Setting the Stage; Approaching the Patient; Scope of the Examination: How Complete Should It Be?; Choosing the Examination Sequence; Examining Position and Handedness THE GENERAL SURVEY Apparent State of Health; Level of Consciousness, Signs of Distress; Skin Color and Obvious Lesions, Facial Expression; Odors of the Body and Breath Posture, Gait and Motor Activity; Examination of head and nek; Examination of skin (Color, Moisture; Temperature), Eyes and Ear

4. Program of Clinical Scientific Methods VI (3) Abdomen examination HEALTH EXAMINATION TECHNIQUES OF EXAMINATION SEQUENCE OF THE CARDIAC EXAMINATION Inspection and Palpation, Percussion, Auscultation SPECIFIC ABDOMINAL SYMPTOMS (pain, diarrhea, nausea, anorexia, vomiting, etc ) SPECIAL TECHNIQUES (echo, etc)

5. Program of Clinical Scientific Methods VI (3) Neurological examination HEALTH EXAMINATION TECHNIQUES OF EXAMINATION SEQUENCE OF THE NEUROLGICAL EXAMINATION SPECIFIC NEUROLOGICAL SYMPTOMS SPECIAL TECHNIQUES (NMR, etc)

6. Program of Clinical Scientific Methods VI (3) Neuromuscular examination HEALTH EXAMINATION TECHNIQUES OF EXAMINATION SEQUENCE OF THE CARDIAC EXAMINATION Inspection and Palpation SPECIFIC MANEUVRES SPECIAL TECHNIQUES (Xray, etc)

7. Program of Clinical Scientific Methods VI (3) Breast, anus, rectum and prostate examination HEALTH EXAMINATION TECHNIQUES OF EXAMINATION SEQUENCE OF EXAMINATION Inspection and Palpation SPECIFIC MANEUVRES SPECIAL TECHNIQUES

8. Program of Clinical Scientific Methods VI (4)  The medical vocabulary  Principles of clinical reasoning (Identifying problems and making diagnoses : a stepwise process. Sensitivity, specificity, predictive value of signs and symptoms)  The doctor –patient relationship (the difficul patient)  Medical ethics

9. Program of Clinical Scientific Methods VI Practical activities Aim Individual practice employing the described tecniques of physical examination Setting Small groups of students with a patient Week day Time and Locations Tuesday 5-7 pm Istituto di IV Clinica Chirurgica 5-7 pm Istituto ex I Clinica Medica (1° floor) 5.7 pm VII padiglione (1° floor)

10. Suggested text books  Bates' Guide to Physical Examination and History-Taking - Lippincott Williams & Wilkins - Lynn Bickley MD (Author) price € 118,99 or  Goldman’s Cecil medicine 24 th edition, price £ 115.00

11. Examination test* 2 tests:  Multiple choice questionnaire (30 questions). To pass the test at least 20 right answers are required  Practical test (with a patient) Evaluation  Score