Doenças Osteoarticulares e Musculares_B

Instance: 2017/2018 - 1S

Cycles of Study/Courses

Module of

Teaching language

Objectives

Provide student´s contact with fundamental knowledge of the specialties that constitue the course of osteo-articular and muscular diseases (UC DOM).

At the end of each semester, the student should be able to accomplish an objective examination of adult and child. He should also acquire general concepts: degenerative disease of the spine and limbs; Childhood disease (congenital hip dislocation / DDH - Clubfoot; bone infections; epiphysiolysis - Perthes, spine deformity); traumatology of the spine and limbs; bone tumors as well as musculotendinous sports injuries.

In the context of rheumatic diseases students should be able to identify and evaluate individuals with inflammatory rheumatic disease such as rheumatoid arthritis, Lupus Erythematosus and other connectivitis including Sclerosis Systemic, Sjogren's Syndrome, Inflammatory myopathies, the Juvenile Idiopathic Arthritis, Vasculitis Systemic and Espondilartrites. In addition to these conditions the microcrystalline Arthritis will be focused, as well as osteoarthritis, osteoporosis and other metabolic bone diseases, periarticular Rheumatic Diseases, Fibromyalgia and Musculoskeletal manifestations of non-rheumatic diseases.

Introduction to history, philosophy and praxis of Physical Medicine and Rehabilitation (PMR). General concepts of function and body structures, activities and participation. White Paper of PMR. Evaluation of a patient in PMR (history and physical examination). Metrology in PMR (functional scales). Complementary diagnostic and therapeutic methods in PMR. Rehabilitation in ortho-Traumatology, neurological, rheumatologic, pediatric, vascular, oncological, cardiac and respiratory, vertebromedular forums.

Learning outcomes and competences

Working method

Program

1^st Week
Theoretical-seminars - Tuesday 17h Presentation of the UC DOM
Orthopedics general concepts , bone infections - Prof. Gilberto Costa 18 h Painfull hip in children - Prof. Gilberto Costa Theoretical / practical 08.30 / 09.30 Semiology in children pathology - Prof. Gilberto Costa Practical classes 10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

2nd Week
Theoretical-seminars - Tuesday 17h Congenital malformations – Dr.ª Joana Freitas  18 h Scoliosis - Dr.André Rodrigues Pinho Theoretical / practical 08.30 / 09.30 Children's immobilizations – Demonstration of the Ponseti method – Dr.ª Joana Freitas Practical classes 10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

3rd Week
Theoretical-seminars - Tuesday 17h Fractures of the upper limb - Dr. M. Ribeiro da Silva 18 h Fractures of the lower limb - Dr. Miguel Marta Theoretical / practical 08.30 / 9.30 Basic principles in the treatment of fractures (Tractions, manipulations and immobilizations vs surgical treatment) - Dr. M. Ribeiro da Silva Practical classes 10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

4th Week
Theoretical-seminars - Tuesday 17h Spine injuries - Dr Nuno Neves 18 h Degenerative spine pathology / osteoporosis – Dr. Nuno Neves Theoretical / practical 08.30 / 09.30 Semiology of spine amd hip pathology – Dr. Nuno Neves Practical classes 10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

5th Week
Theoretical-seminars - Tuesday
17 h  - Shoulder pathology (shoulder arthrosis, rotator cuff injuries, instabilities) - Prof. Gutierres
18 h Knee pathology (knee arthrosis, meniscal and ligamentous injuries, anterior knee pain) - Prof. Gutierres Theoretical / practical 08.30 / 09.30 Knee and shoulder semiology - Prof. Gutierres Practical classes 10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

6th Week
Theoretical-seminars - Tuesday 17h Pathology of the hip - Prof. Rui Lemos 18 h Pathology of hand and wrist - Dr. Pedro Negrão Theoretical / practical 08.30 / 09.30 Semiology of elbow/wrist/hand pathology - Dr. Pedro Negrão Practical classes 10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department


7th Week
Theoretical-seminars - Tuesday 17h Pathology of foot and ankle - Prof João Torres 18 h Musculo-tendinous injuries in sports - Prof João Torres Theoretical / practical 08.30 / 9.30 Semiology of foot and ankle pathology / musculo-tendinous injuries in sports - Prof. João Torres Practical classes 10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department


8th Week
Theoretical-seminars - Tuesday 17h Rheumatology - approach to the patient with rheumatic disease: clinical, analytical and imaging semiology - Prof. Carlos Vaz 18 h Rheumatoid Arthritis - Dr. Miguel Bernardes Theoretical / practical 08.30 / 09.30 - Correlation pathologic-anatomy and clinical cases of Rheumatology - Prof. Carlos Vaz / Prof. Elsa Practical classes 10:30 Rheumatology department CH São João – Outpatient clinic / ward rounds


9th Week
Theoretical-seminars Lectures - Tuesday 17h Lupus Erythematosus and other connectivitis - Prof. Iva Brito 18 h Juvenile Idiopathic Arthritis and rheumatic disease in children - Prof. Iva Brito Theoretical / practical 8.30 / 9.30 Physical examination in rheumatology, correlation with the clinic - Prof. Iva Brito Practical classes 10:30 Rheumatology department CH São João – Outpatient clinic / ward rounds

10th Week
Theoretical-seminars - Tuesday 17h Ankylosing Spondylitis and other Espondilartrites - Prof. Carlos Vaz 18 h Osteoporosis, osteoporosis induced by corticoids, osteomalacia and Paget's disease - Prof. Carlos Vaz Theoretical / practical 8.30 / 9.30  Clinical assesment of the osteoporotic patient - Prof. Carlos Vaz Practical classes10:30 Rheumatology department CH São João – Outpatient clinic / ward rounds


11th Week
Theoretical-seminars - Tuesday 17h Degenerative joint diseases and microcrystalline pathology - Prof. Carlos Vaz 18 h Chronic painful syndromes: somatoform syndromes - Prof. Iva Brito Theoretical / practical 8.30 / 9.30 Clinical assesment of the patient with microcrystalline pathology - Prof. Carlos Vaz Practical classes 10:30 Rheumatology department CH São João – Outpatient clinic / ward rounds

12th Week Theoretical-seminars - Tuesday 17h Anti-inflammatory therapy - Prof Albino Teixeira 18 h Imaging semiology in osteoarticular and muscular diseases - Prof Isabel Ramos Theoretical / practical 8.30 / 9.30 Clinical cases of bone tumors (Orthopedics / Anatomo pathology) - Prof. José Manuel Lopes / Dr. Tiago Maia / Dr. Filipe Duarte Practical classes 10:30 Therapeutics - Discussion of illustrative cases of chondroprotective therapies for osteoarthritis, anti-osteoporotic and immunomodulation in rheumatic diseases.


13th Week
Theoretical-seminars - Tuesday 17h General concepts in Physical Medicine and Rehabilitation - Dr Fernando Parada  Osteoarticular rehabilitation(rehabilitation in traumatic and degenerative osteo-articular pathology, neurological, vascular disorders, cardiac and respiratory, vertebro-medullary. - Part 1) 18 h Neurological Rehabilitation - Dr. Maria José Festas (Rehabilitation in central and peripheral neurological pathology in ortho-traumatology, neurological, vascular, cardiac and respiratory, vertebro-medullary disorders - Part 2) Theoretical / practical
08.30 / 09.30 MFR measuring tests Practical classes10.30 - Physical Medicine and Rehabilitation department CH São João - Accompanying treatment programs 


14thWeek
Evaluation

Mandatory literature

Teaching methods and learning activities

The teaching methodology involves weekly theoretical-seminars, theoretical-practical and practical classes.

The theoretical-seminars will be held in the afternoon and will traverse the proposed themes in the contents above, being exposed by teachers with clinical experience in the areas.

The theoretical-practical classes, begining each morning, provide a semiology view of the pathologies presented in the theoretical class that week. It will also include clinical sessions with discussion of cases, in collaboration with the integrated units of Radiology, Anatomo pathology and Physical Medicine and Rehabilitation.

Next, the practical classes in which students will be integrated into assistance activities of Orthopedic, Rheumatology and Physical Medicine and Rehabilitation departments, particularly in outpatients clinic, ward rounds, operating room and emergency department.

Evaluation Type

Assessment Components

Calculation formula of final grade

Written test : multiple choice ( 0 to 16 , 80 questions to 0.2 points)

(0 to 16 points ​​in total) *



*minimum grade: 8 points

Assiduity: presence in at least 30 T and TP = 2 points*

*minimum grade: 1 points

Practical evaluation-(To be held in one of the practical classes),

for example: examination of 1 joint: 0-2 points)*

*minimum grade: 1 points