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Dermatology and Venereology

Code: MI406     Acronym: MI406

Keywords
Classification Keyword
OFICIAL Medicine

Instance: 2009/2010 - SP

Active? Yes
Responsible unit: Dermatology and Venereology
Course/CS Responsible: Master Degree in Medicine

Cycles of Study/Courses

Acronym No. of Students Study Plan Curricular Years Credits UCN Credits ECTS Contact hours Total Time
MIMED 295 Mestrado Integrado em Medicina 2007 4 - 3,5 38 94,5

Teaching language

Portuguese

Objectives

To teach the scientific fundamentals of the cutaneous clinical semiology and of the main skin disorders focusing on infeccious diseases, neoplasms, cutaneous signs of systemic diseases or syndromes and on the precursors lesions of skin malignant tumors.
Basic and advanced principles of clinical examination, approach to the study of skin disorders and of the medical and surgical therapeutic options in the field of Dermatology.

Program

Programme of the theoretical lectures: Dermatological semiology; Bacterial infections of skin and soft tissues; Acne; Superficial fungal infections; Viral and parasitic infections of the skin; Sexually transmitted diseases; Skin manifestations of HIV infection; Eczema and urticaria; Psoriasis and seborrheic dermatitis; Benign tumors, precancerous lesions and malignant neoplasms of the skin; Cutaneous manifestations of lupus erythematosus, dermatomyositis and scleroderma Metastatic skin disease Paraneoplastic skin syndromes.
Seminars: Notions of dermatologic therapeutics, namely topical medications, types of formulations and vehicles (cream, ointment, paste, powder, lotion, solution, suspension, gel, tincture, collodion and aerosol), their effects and indications according to the skin condition, its location, spectrum of inflammation and age of the patient. Selected synthetic wound dressings (hydrocellular, hydrogel, hydrocolloid, hydrofiber, activated charcoal silver, alginate, silicone, Unna’s boot, protease-modulating, activated polyacrylate) and their formal indications, in particular in the setting of leg ulcers.
Explanation of the main surgical procedures, diagnostic techniques and other therapeutic modalities in Dermatology such as classic surgery, biopsy (punch, shave and excision), curettage, electrosurgery, cryosurgery, laser and intense pulsed light, patch and photopatch testing, prick tests, digital dermoscopy, Tzanck smear, Wood’s lamp examination, diascopy, scraping for fungal detection, histopathological assessment and phototherapy by PUVA and narrow band UVB.
Hospitalization for severe or extensive skin diseases as an important therapeutic option for adequate skin care, ancillary investigation and improvement of quality of life. Inpatient physical examination and history-taking techniques. The practical lessons have the main goal of providing a contact with the outpatient environment that is the main stream of care in Dermatology. A basic training and observation of the patient clinical assessment focusing on the phototype, general features of integument, mucous membranes, hair and body hair distribution and nails. The morphological examination of the skin lesions considering their type, shape, arrangement and integument distribution will be particularly emphasised. Principles sustaining the prescription of the topical and systemic medications most useful in the treatment of cutaneous disorders, such as costicosteroids, retinoids, antihistamines, vitamin D3 analogs, topical calcineurin inhibitors, cyclosporine, methrotrexate and biologics (monoclonal antibodies and protein fusion molecules), among others.

Teaching methods and learning activities

Total week-workload - 26 hours.
Lectures – 7,5 hours;
Seminar – 2 hours,
Practical – 15 hours,
Assessment (theoretical and practical tests) – 1,5 hours.

Evaluation Type

Evaluation with final exam

Assessment Components

Description Type Time (hours) Weight (%) End date
Attendance (estimated) Participação presencial 0,00
Total: - 0,00

Eligibility for exams

The main assessment of the acquired knowledge is made by a final theoretical test consisting of 20 multiple-choice questions (17 points of a total of 20) and one essay-question (3 points). All students that fulfill the minimal attendance of two thirds of all active learning sessions are eligible to the theoretical test in accordance with the requirements in force by the Pedagogic Council of the Faculty. In addition and only for those students with a minimal assiduity of 80% for all learning sessions, including both seminars, and a score of at least 70% on the practical exam, a 0.8 point bonus will be added to the final mark, except when the score in the theoretical test is inferior or equal to 8.5 or superior or equal to 18.5. The practical exam consists in the direct identification of pictures related to dermatological themes covered on the lectures and will take place on the second week of the course. An oral exam is possible for the students with a final score between 8.5 and 9.4.
Minimal attendance of two thirds of all active learning sessions in accordance with the requirements in force by the Pedagogic Council of the Faculty.

Observations

BIBLIOGRAPHY
Fitzpatrick´s Dermatology in General Medicine 5th Edition, Eds: Freeberg IM, Eisen AZ; Wolff K, Austen KF, Goldsmith, Katz S, Fitzpatrick T. McGraw Hill, 1999; Fitzpatrick Dermatologia Atlas e Texto, 5ª ed., Eds: Wolff K, Johnson RA, Suurmond D. McGraw Hill, 2006; Dermatology Eds: Bolognia JL, Jorizzo JL, Rapini RP, Mosby, 2003; Dermatologia 2ª Edição, Eds: Esteves J, Poiares – Batista e Guerra-Rodrigo F, Marques-Gomes MA, 1992, Fundação Calouste Gulbenkian; Atlas of Clinical Dermatology 3rd Edition, Eds: duVivier, McKee PH. Grower Medical Publishing, 2002; Sexually Transmitted Diseases Treatment Guidelines, Centers for Disease Control and Prevention, MMWR 2006.
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