Universitat Internacional de Catalunya
Respiratory System
Teaching staff
Dra Julia Tárrega jtarrega@uic.es
Introduction
The subject of Respiratory System is intended for students to acquire knowledge, skills and attitudes necessary for detection, diagnosis and management of respiratory diseases.
Pre-course requirements
The student must have passed the subject: Body Structure and Function: Cardiovascular, respiratory and renal system.
Objectives
To acquire theoretical and practical knowledge sufficient to ensure a proper understanding of diseases of the respiratory system in terms of prevention, diagnosis and treatment.
Competences/Learning outcomes of the degree programme
- 05 - Recognize own limitations and the need to maintain and upgrade professional skills, with particular emphasis on autonomous learning of new knowledge and skills and motivation for quality.
- 08 - Recognize the basis of normal human behavior and its disorders.
- 09 - Understand and recognize the effects, mechanisms and manifestations of disease on the structure and function of the human body.
- 10 - To understand and recognise the agents and risk factors which determine health status, and learn how they determine the symptoms and natural development of acute or chronic diseases in individuals and populations.
- 11 - Understand and recognize the effects of growth, development and aging on the individual and their social environment.
- 12 - Understanding the foundations for action, the indications and efficacy of therapeutic interventions, based on available scientific evidence.
- 15 - Ability to formulate an initial diagnosis and establish a rationalised diagnostic strategy.
- 16 - Recognize and deal with situations that put life in immediate danger and those that require immediate attention.
- 17 - Establish the diagnosis, prognosis and treatment, applying principles based on the best information possible and safe clinical practice..
- 18 - To indicate the most appropriate (pharmacological, surgical, psychological, social or other) treatments that are pertinent to the most prevalent procedures, in terms of rehabilitation and also terminally ill patients, including an evaluation of their effectiveness.
- 19 - Propose preventive measures appropriate to each clinical situation.
- 23 - Communicate effectively and clearly, both orally and in writing with patients, family members, media and other professionals.
- 25 - Recognize the determinants of public health; genetic and sex-dependent lifestyle, demographic, environmental, social, economic, psychological and cultural determinants.
- 26 - Assume role in the prevention and protection from diseases, injuries or accidents and maintenance and promotion of health, both individual and at the community level.
- 31 - Understand, critically evaluate and know how to use sources of clinical and biomedical information to obtain, organize, interpret and communicate scientific and health care information.
Learning outcomes of the subject
At the end of the course, the student will be able to:
- Interpret the clustering of signs and symptoms in order to guide the clinical problem and to establish a differential diagnosis in respiratory diseases.
- Discuss the indication of the different diagnostic tests.
- Interpret basic imaging (chest radiograph).
- Interpret respiratory function tests: spirometry, 6-minute walking test, arterial blood gases.
- Know indication and performance of night studies: nocturnal pulsioximetry, cardiorespiratory polygraphy.
- Know the different forms of oxygen administration.
- Know the different non-invasive ventilatory suport techniques.
- Know the thoracic endoscopic techniques (bronchoscopy, thoracoscopy).
- Know the pleural techniques for diagnosis and treatment, and to interpret pleural fluid analysis.
Syllabus
Master class
- Respiratory failure. Definition and concept. Classification and causes.
- Respiratory failure. Treatment: oxygen therapy, non-invasive ventilation.
- Chronic Obstructive Pulmonary Disease (COPD). Etiopathogenesis and physiopathology. Clinical aspects. Diagnosis. Therapeutic approach in stable and unstable COPD.
- Asthma. Etiopathogenesis and physiopathology. Clinical aspects. Diagnosis. Therapeutic approach in stable and unstable asthma.
- Bronchiectasis. Cystic fibrosis. Ethiopathogenia and physiopathology. Clinical aspects. Diagnosis. Management.
- Respiratory sleep disorders. Definition. Clinical aspects. Diagnostic and therapeutic approach.
- Hypoventilation syndromes. Chest wall diseases. Respiratory involvement in neuromuscular diseases. Definition. Clinical aspects. Diagnostic approach. Management.
- Diffuse infiltrative pulmonary diseases I. Concept. Etiology and pathophysiology. Classification. Clinical aspects. Diagnostic and therapeutic approach. Idiopathic interstitial pneumonitis. Sarcoidosis. Langerhans cell histiocytosis. Lymphangioleiomyomatosis. Pulmonary toxicity.
- Community acquired pulmonary infections. Common cold. Tracheobronchitis. Community-acquired pneumonia. Lung abscess. Concept and pathogenesis. Microbiology. Clinical aspects. Diagnosis. Therapeutic approach.
- Tuberculosis and other mycobacteriosis. Concept and pathogenesis. Microbiology. Clinical aspects. Diagnosis. Management.
- Vascular pulmonary diseases: Pulmonary Thromboembolism. Pulmonary Hypertension. Pulmonary Haemorrhages. Vasculitis. Clinical aspects. Diagnosis. Management.
- Respiratory effects of systemic diseases. Clinical aspects. Diagnosis. Management.
- Mediastinal disorders. Definition. Pathophysiology. Clinical aspects. Diagnosis. Management.- Chest trauma. Definition. Pathophysiology. Clinical aspects. Diagnosis. Management.
- Anatomy pathology in respiratory diseases.
Theoretical-practical classes
- Clinical management of patients with asthma – COPD
- Interpretation of basic imaging techniques: simple chest radiograph.
- Diffuse infiltrative pulmonary diseases II. Extrinsic allergic alveolitis. Pneumoconiosis. Asbestos-related diseases. Occupational diseases. Eosinophilic pneumonia. Definition and concept. Etiopathogenetic and pathophysiology. Clinical aspects. Diagnosis. Therapeutic approach.
- Nosocomial pulmonary infections. Infections in the immunocompromised hosts. Fungal Infections. Pulmonary aspergillosis. Parasitic Diseases. Concept and pathogenesis. Microbiology. Clinical aspects. Diagnosis. Management.
- Pleural diseases. Pleural effusion. Empyema. Pneumothorax. Quilothorax. Clinical aspects. Diagnosis. Management.
- Respiratory neoplasms. Clinical presentation. Classification. Diagnosis. Staging. Management.
- Clinical management of respiratory patients (clinical cases).
Laboratory skills
- Functional respiratory tests. Clinical Applications.
- Inhaled therapy. Pulmonary rehabilitation.
- Oxygen and ventilatory support techniques.
Teaching and learning activities
In person
Master Classes: through lectures the teacher will transmit knowledge in a classroom to the entire group of students on the course.
Theoretical-practical classes: through the resolution of clinical cases by students. Face-to-face classes.
Laboratory Skills: is an area in which the student, in small groups, can develop technical skills on the basis of patient simulators with mannequins ands robots. Face-to-face classes.
Evaluation systems and criteria
In person
ClinicalTHEORY: with a value of 80% of the overall score, consisting of two tests:
- Midterm exam (20%): A 30 questions multiple-choice test with four possible answers. Failure to submit the midterm exam is equivalent to 0 in the percentage of the partial examination in the final grade. In case of justified absence, the weight of the partial examination will be absorbed by the final exam. It does not release material for the final exam.
- Final exam (60%): A 40 questions multiple-choice test with four possible answers (50% of the final exam) and 5 short questions – clinical cases resolution (50% of the final exam). The exam content includes all the material worked in the different methodologies used and training activities, as well as the main recommended bibliography, and will refer to both theoretical aspects and clinical cases or situations. It is necessary to approve (≥ 5) each part separately (test and short questions) in order to pass the final exam.
*The multiple-choice test is scored with 1 point each correct question; incorrect answer will suppose a penalty worth a 1/3 of a point. The unanswered questions do not score.
OTHER:
- Assessment of laboratories skills (attendance + test questions), with a value of 10% of the overall score.
- Participation, self-assessment, simulacrum through PROMIR platform, with a value of 10% of the overall grade.
In 2nd CALL EXAM evaluation will consist of a multiple-choice test and a written short question – clinical cases resolution with the same format and weight in the overall grade for the course (60%) than the final exam first call. Only the suspended part in 1st call will be recovered in 2nd call exam. It is necessary to approve (≥ 5) each part separately (test and short questions) in order to pass the second call examination.
Exam reviews will be conducted face to face following a written request before a pre-established closing date.
FINAL COURSE GRADE will be obtained from the weighted average of the partial examination, final examination (1st or 2nd call), laboratory skills and participation-self-assessment, with one decimal.
It is necessary to pass the final exam (1st or 2nd call), with a grade ≥ 5 to pass the course and be able to make the sum of the previously described items.
If the student does not pass the course, none score will keep for the next year.
Bibliography and resources
Álvarez-Sala Walther, Casan Clarà, Rodríguez de Castro, Rodríguez Hermosa, Villena Garrido. NEUMOLOGÍA CLÍNICA. 2º edició. Elsevier, 2017. ISBN: 9788490224434.
Longo, Fauci, Kasper, Hauser, Jameson, Loscalzo, Eds. HARRISON PRINCIPIOS DE MEDICINA INTERNA. 18th edition. Mcgraw Hill, 2012. ISBN: 978-607-15-0727-3.
Farreras-Rozman. MEDICINA INTERNA. 17th edición. Elsevier, 2012. IBSN-13: 9788490223055.