Neurological Disorders

Code:

MI423

Acronym:

DN

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2017/2018 - 1S

Active?	Yes
Responsible unit:	Clinical Neurosciences and Mental Health Department
Course/CS Responsible:	Integrated Master in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMED	167	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	4	-	6	60	162

Modules

Code	Name
MI423_A
MI423_B

Teaching language

Suitable for English-speaking students

Objectives

Learning the evaluation and interpertation  of disorders of nervous system and muscle in order to set the neurological syndrome, and with data from medical history to propose a clinical diagnosis and choose apropriate subsidiary exams to set a clinical diagnosis based in the knowledges of  the most frequent disorders of nervous system and muscle.
Imaging exams in the diagnosis of nervous system and paper of neuropathological exam, namely in neuromuscular and neurodegenerative disorders .
Pharmacological treatment of nervous system disorders, namely in epilepsy, headaches, dementia and Parkinson disease.

• Epilepsy
• Dementia
• Stroke
• Headaches
• Spine disorders
• Trauma
• Movement Disorders
• Inflamatory and Demyelinating Disorders
• Neuromuscular Disorders
• CNS Tumors
• Paediatrics Neurosurgery
• Neuroradiology

Learning outcomes and competences

Be able to evaluate a patient with a neurological disorder, namely to perform and interpret the neurological examination.
To be able, based in clinical evaluation, to set the neurological syndrome and its aetiology. Be able to choose appropriate subsidiary exams necessary to confirm the proposal, namely image and neuropathological exams. Knowledge on the clinical characteristics of most frequent disorders and pharmacological treatment.
Knowledge of the clinical characteristics and treatment of the most common neurological disorders.

Working method

Presencial

Pre-requirements (prior knowledge) and co-requirements (common knowledge)

Knowledges on neuroanatomy, neurophisiology and genetics.

Program

Clinical evaluation of neurological patients at bedside at ward, ambulatory and emergency room and clinical application of medical imaging in neurosciences (with RIM); Dementia- clinical and pathological characterization and pharmacological treatment (with TGPC and with RIM). Stroke – clinical aspects and orientation). Neuromuscular disorders – Clinical and pathological diagnosis (with APE). Epilepsy- clinical aspects and pharmacological treatment (with TGFC); Headaches- clinical aspects and pharmacological treatment (with TGFC).
Demyelinative and inflammatory disorders- Clinical aspects and treatment; Movement disorders with special mention of Essential Tremor and Parkinson disease – clinical characterization and pharmacological treatment; Disorders of the rachis- diagnosis and treatment options;intracranial tumors – diagnosis and treatment options and prognosis, Craniocerebral trauma – rules of clinical diagnosis and treatment, Neurosurgery in paediatrics.

 

Mandatory literature

Willinam W Campbell, MD; DeJong's The Neurological Examination, Wolters Kluwer, 2012. ISBN: 9781451109207 (A good book to learn the neurological examimation.)
Michael Aminoff (Author), David Greenberg (Author), Roger Simon (Author) ; Clinical Neurology , Lange, 2015. ISBN: ISBN-13: 978-0071841429 ISBN-10: 0071841423 (An easy book with the most relevant information)
Andrew H. Kaye; Essential Neurosurgery, Blackwell Publishing, 2005. ISBN: 978-1405116411 (An easy book with the most relevant information)

Complementary Bibliography

Tymothy A. Pedley; Merritt's Neurology, Wolters Kluwer, 2010. ISBN: 9780781791861 (A text book most esed by neurologists)

Teaching methods and learning activities

Lectures, for all the students,  lasting 50 minutos intended to provide the most relevant aspects in clinical evaluation and clinical characteristics of each group of neurological diseases.

Seminar for almost 30 students, lasting almost 90 minutes with interactive discution with APE, TGFC and RIM of real clinical cases.


Practical sessions.lasting between 90 to 120 minutes in the ward, ambulatory and emergency room with clinical evaluation of patients by about 3 students, with discussion of the clinical case with the teacher.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	10,00
Participação presencial	20,00
Teste	70,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	104,00
Frequência das aulas	58,00
Total:	162,00

Eligibility for exams

According the institucional rules

Calculation formula of final grade

• 
  

  –Distributed evaluation:

  
  
  
  
  • Continuous evaluation  20%
  
  
  
  

  –Attendance / punctuality.
  –Attitude, interest and motivation.  
  –Knowledge level and integration.
  –Other activities

  
  
  
  
  • Bedside neurological examination-10%
  
  
  
  

  –Final theoretical exam- 70%

  
  

Examinations or Special Assignments

Practical exam at bedside

Theoretical exam- multiple choice test

Internship work/project

Optional

Special assessment (TE, DA, ...)

According Instititional rules

Classification improvement

According Instititional rules

Observations

Knowledge in Neuroanatomy, Physiology, Pharmacology and Genetics