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COURSE GUIDE OF
MEDICINE AND
SURGERY OF THE
NEPHROUROLOGICAL
SYSTEM
Medical degree
COURSE GUIDE OF
MEDICINE AND SURGERY OF THE NEPHROUROLOGICAL SYSTEM
ECTS
102
114
Type:
Year: Fifth
On campus classes
Semester: First
Responsible teacher:
Julio Hernndez Jaras
julio.hernandez@ucv.es
Faculty:
Pedro Navaln Verdejo
Pedro.navalon@ucv.es
Department:
Human clinical training
Module organization
HUMAN CLINICAL TRAINING
114 ECTS
ECTS
Course/
Semester
General pathology
3 / 5
3 / 6
3 / 6
4 / 7 y 8
Oftalmology
3 / 6
4 / 7 y 8
3 / 6
Otolaryngology
4 / 8
Infectious pathology
3 / 6
Hematology
3 / 6
Dermatology
5 / 9
Pediatrics
5 / 9 y 10
Psychiatry
5 / 9
4 / 7 y 8
5 / 9 y 10
5 / 9
Palliative medicine
6 / 11
Oncology
5 / 10
4 / 7 y 8
5 / 9 y 10
3 / 6
Rheumatology
4 / 8
ECTS
Bases of human
pathology
Psychology
COURSE
Human pathology
102
GENERAL GOALS
At the end of this course, the student will:
Know the clinical manifestations and the clinical syndromes which are a part of this area.
Know the main diseases of the kidney and genitourinary tract in a surgical and medical
aspect.
Know how to indicate and interprete the main analytical, functional, morphological and
imaging tests.
Know and indicate therapeutic, medical and surgical procedures of the aforementioned
Knowing the main preventive measures that lead to stop or slow the progression of chronic
kidney disease, avoiding as far as possible the need for renal replacement therapy.
Knowing the prognosis of kidney disease and its possible modification by applying different
therapies.
Competence
weighting
0
TRANSVERSAL COMPETENCES
1.
Instrumental
5. Computer skills
7. Problem solving
8. Decision making
2.
Personal
9. Teamwork
X
X
3.
Systemic competences
18. Creativity
19. Leadership
20. Knowledge of other cultures and traditions
X
X
4.
X
X
Other skills
26. Know to evaluate personal perfomance and to know their own skills and
limitations.
32. Be able to establish and maintain relationships with other professionals and
institutions.
33. Know how to obtain relevant information from personal interviews
X
X
SPECIFIC COMPETENCES
1.
34. Recognize the essential elements of the medical profession, including ethical
and legal responsibilities.
35. Understand the importance of such principles for the benefit of patients, society
and the profession, with an emphasis on secrecy and the protection of the patient's
life.
36. Know how to apply the principles of social justice in professional practice.
37. Develop professional practice with respect for the patient's autonomy, beliefs
and culture.
38. Recognize your limitations and the need to maintain and upgrade their
professional expertise.
2.
40. To understand and appreciate the normal structure and functions of the human
body on a molecular, cellular, tissular, and organic levels systems in all stages of life
41. Recognize the basis of normal human behavior and its disorders
X
X
42. Understand and recognize the effects, mechanisms and manifestations of the
disease on structures and functions of the human body.
43. Understand and recognize causing agents and risk factors that determine health
conditions and disease development.
44. Understand and recognize the effects of growth, development and aging on the
individual and his social environment.
X
X
46. Acquire adequate clinical experience in hospitals, health centers, and other
health institutions under supervision, as well as basic knowledge, clinical management
and appropriate use of tests, medications and other health system resources.
3.
Clinical skills
46b. Obtain and develop a health record that contains all relevant information of the
patient.
48. Ability to develop an initial diagnosis and establish a rational diagnostic strategy.
49. Recognize and deal with situations which put the patient's life in danger and
other situations that require immediate attention.
50. Establish a diagnosis, prognosis and treatment applying principles based on the
best information possible.
51. Indicate the most appropriate treatment of the most prevalent acute, chronic and
terminal diseases.
4.
Communication skills
53. Listen carefully, obtain and synthesize relevant information about the problems
of the patient, and understand the contents of this information.
54. Compose medical records and other health records in an understandable way.
55. Communicate effectively, in oral and written form, with patients, families, the
media and other professionals.
5.
57. Recognize the determinants of health in the population, both genetic and lifestyle
determinants such as demographic, environmental, social, economic, psychological
and cultural determinants.
58. Assume the role in the prevention and protection against illness, injury or
accidents and maintenance and health promotion on a individual and community level.
60. Obtain and use epidemiological data and evaluate trends and risks for decision
making in regards to the patient's health.
61. Know international health organizations, and the environments and conditions of
different health systems.
X
X
6.
Information Management
62b. Understand, evaluate critically and learn to use sources of clinical and
biomedical information to obtain, organize, interpret and communicate scientific and
health information.
64. Maintain and use records with the patient's information for its later analysis,
preserving the confidentiality of the data.
7.
65. Have a critical, creative and constructive point of view in the professional activity,
as well as constructive skepticism that is research oriented.
66. Understand the importance and limitations of scientific thinking in the study,
prevention and disease management.
67. Being able to formulate hypotheses, collect and critically evaluate information to
solve problems using the scientific method.
68. Maintaining ethical principles also in the development of any research project.
Note: There are skills that are not included in this course weighted as zero..
LEARNING OUTCOMES
R1 Recognize the causes and progression mecasnisms of nephrourological
diseases.
COMPETENCES
1,2,3,4,9,10,12,42,43,44,62,63
R2 Grouping the recognized signs and symptoms in one big group of main
nephrourological syndromes.
1,2,3,4,5,6,7,8,9,10,12,14,15,16,
19,22,25,32,33,38,43,
R3 Identify clinical problems and request additional tests to confirm the initial
diagnosis.
1,2,3,4,5,6,7,8,9,10,12,14,15,16,
19,22,25,32,33,38,45,46b,48,49,
50,52,55, 56,62,63,64
R4 Identify the most appropriate treatment options for the patient, taking into
account the risks and limitations.
1,2,3,7,8,14,15,16,22,25,26,32,3
3,37,38,39,
2,3,7,8,14,15,16,22,25,26,32,33,
37,38,39,
COMPETENCES
1,2,3,4,9,10,12,42,43,44,62,63
1,2,3,4,9,10,12,42,43,44,62,63
1,2,3,4,9,10,12,42,43,44,62,63
1,2,3,4,9,10,12,42,43,44,62,63
RP5 Calculate glomerular filtration with formulas and estimate the appropriate
stage of chronic kidney disease of the patient according to this calculation.
1,2,3,4,9,10,12,42,43,44,62,63
1,2,3,4,9,10,12,42,43,44,62,63
PH
Adequately perform a medical examination in order to resolve
nephrourological diseases.
TS
TE
SP
EP
Methodology of Teaching-Learning
Relationship to Learning
Outcomes of the subject
ECTS
ON-CAMPUS
CLASS
30%
SEMINAR AND
PRACTICE
GROUP
Laboratory
practices
(virtual
simulators, anatomical models). Oral
presentation of the student. Group
activities:
group
work
sessions
supervised by the teacher. Knowledge
construction through interaction and
student activity. It includes anatomical
dissection practices.
4%
SMALL GROUP
PRACTICE
12%
TUTORING
1,5%
2%
EVALUATION
Total
49,5%
Teaching-Learning Methology
ECTS
INDEPENDE
NT WORK
43,5% -
7%
GROUP
WORK
Total
50,5%
Assesment Tool
LEARNING OUTCOMES
ASSESSED
Allocated
Percentage
5%
5%
10%
20%
60%
Practice evaluation
Your instructor (PAAP) assesses the participation, involvement and
progression of the practices and in achieving practical results.
Simulations, OSCE
The goal of these simulations is the reproduction of
similar situation in real life with standardizedconditions,
which allow the teacher to analyze the clinical skills of the
student in specific situations. The teacher can also use
the test known as Objective Structured Clinical
Evaluation (OSCE). Evaluation and interpretation of structured
renal biopsies. Clinical cases of classification and staging of
chronic kidney disease. Throughout the semester, the teacher will
upload 5 -10 clinical cases with several questions that the student
has to solve.
The assignment and simulations must be presented 24 hours before the date of the first
exam
(09/12/2013 13:00). After this date, it will not be possible to present the
aforementioned works. It is not possible for students which only attend the second taking of
the exam to present their works after the aforementioned date.
Minimum requirements:
The student is not able to attend any course from module 3 ( cursar ninguna asignatura del mdulo
3 (Human clinical training) without having passed all the courses from module 1 (Morphology,
structure and function of the human body).
Criteria for granting honours:
Honours may be granted to the best students, who must have obtained a minimum grade of 9.
In certain cases, the teacher may establish a special test in order to determine those students which
deserve the honour, given the limitation of 5% of the students enrolled.
In the second and subsequent exams, honours may only be granted if there are any honours left to
be granted.
CONTENT DESCRIPTION
COMPETENCES
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
RENAL FAILURE
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
VASCULAR NEPHROPATHIES
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
GENITOURINARY INFECTIONS
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
UROLOGIC ONCOLOGY
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
UROANDROLOGY
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
1,2,3,4,5,6,7,8,9,10,12,14,15,16,1
9,22,26,32,33,38,43,46b,47,48,49
,50,51,52,55,56,62,63,64
PCA-27-F-01
Gua Docente. Grado de Medicina
[MEDICINA Y CIRUGIA DEL APARATO NEFROUROLOGICO]. Curso [2013-2014]
Number of
sessions
1,5
PCA-27-F-01
Gua Docente. Grado de Medicina.
1,5
0,5
Pgina 19 de 26
PCA-27-F-01
Gua Docente. Grado de Medicina.
[MEDICINA Y CIRUGIA DEL APARATO NEFROUROLOGICO]. Curso [2013-2014]
10
11
12
Lupus nephritis:
Goals:
Know the clinical-biological semiotics of lupus nephritis.
Expose the utility of renal biopsy in the diagnosis of
lupus nephropathy.
List the most important diagnostic tests.
Describe the morphological bases of the different types
of lupus nephritis.
Know the clinical types of lupus nephritis.
Know what types of lupus nephritis require treatment
and what type of treatment (induction and maintenance).
Know the prognosis of lupus nephritis.
Renal involvement in systemic vasculitis and other autoimmune
diseases: ANCA + vasculitis, Goodpasture, HenochSchnlein
purpura, cryoglobulinemia, Sjogren, Rheumatoid arthritis.
Goals:
List vasculitis and other autoimmune diseases that can
cause kidney damage.
Know pathogenetic mechanisms of vascular and renal
injuries.
Describe the microscopic morphological renal disorders.
State clinical renal manifestations of these pathologies.
Learn the basics of immunological diagnosis.
Describe the prognosis and treatment of vasculitis and
other autoimmune diseases with renal involvement.
Diabetic nephropathy. Kidney and uric acid.
Goals:
Knowing the various mechanisms by which diabetes
mellitus produces kidney involvement.
Describe the various stages of diabetic nephropathy.
Knowing semiology of diabetic nephropathy.
List the most important morphological changes of a
diabetic kidney.
State the evolution and prognosis of diabetic
nephropathy.
Establish the prevention of diabetic nephropathy.
Knowing the treatment of diabetic nephropathy and its
complications.
Define the different forms of affection by uric acid.
The kidney in plasma dyscrasias: Myeloma, primary and
secondary amyloidosis and disease by heavy and light chains.
Goals:
Knowing the most common kidney pathology derived
from dysproteinemias and amyloidosis.
State the kidney manifestations of these diseases.
Know their prognosis and treatment.
Congenital and hereditary nephropathies.
Goals:
Knowing the most common inherited diseases in our
environment (Alport disease, polycystic disease and
Fabry).
Pgina 20 de 26
0,5
PCA-27-F-01
Gua Docente. Grado de Medicina.
13
14
15
1,5
1,5
Pgina 21 de 26
PCA-27-F-01
Gua Docente. Grado de Medicina.
[MEDICINA Y CIRUGIA DEL APARATO NEFROUROLOGICO]. Curso [2013-2014]
16
17
18
19
Pgina 22 de 26
1,5
1,5
0,5
PCA-27-F-01
Gua Docente. Grado de Medicina.
20
21
22
Pgina 23 de 26
PCA-27-F-01
Gua Docente. Grado de Medicina.
[MEDICINA Y CIRUGIA DEL APARATO NEFROUROLOGICO]. Curso [2013-2014]
23
24
25
Pgina 24 de 26
PCA-27-F-01
Gua Docente. Grado de Medicina.
26
27
Uroandrology.
Goals:
Know from the embryological point of view, the different
variants of clinical abnormalities observed in
differentiation of the male external genitalia.
Knowing the etiologic classification and therapeutic
possibilities of male infertility.
Know the most common developmental anomalies of
the testicle and in a particular, the clinical, diagnostic
and therapeutic cryptorchidism and testicular ectopia.
Recognize acute testicular torsion and testicular
appendages and differential diagnosis with other
inflammatory processes and tumor of the testicle and
scrotum.
Know how to clinically diagnose a varicocele and know
the impact it may have on fertility. Know basic clinical
criteria for differential diagnosis of various forms of
erectile dysfunction. Know how to diagnose phimosis
and know the steps to follow to reduce paraphimosis.
Know how to recognize and diagnose the most common
pathology of the penis, especially the different nature of
balanoposthitis, priapism and plastic induration of the
corpora cavernosa.
Pathology of the retroperitoneal space.
Goals:
Know the different histological types of retroperitoneal
tumors, its clinical manifestations and the different
methods used for the differential diagnosis with other
pathological conditions of the retroperitoneum.
Know tumors which are derived from cortical and
medullary portion of the adrenal gland, along with their
accompanying clinical syndromes, diagnostic
procedures and general treatment guidelines.
1,5
Pgina 25 de 26
PCA-27-F-01
Gua Docente. Grado de Medicina.
[MEDICINA Y CIRUGIA DEL APARATO NEFROUROLOGICO]. Curso [2013-2014]
BIBLIOGRAPHY
Pgina 26 de 26