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Disorders of the Cutaneous Integument

Code: MI527     Acronym: DTC

Instance: 2017/2018 - 1S (of 11-09-2017 to 02-02-2018)

Active? Yes
Responsible unit: Department of Medicine
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 102 Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular) 5 - 3 28 81

Teaching language

Portuguese

Objectives

Knowledge of the clinical pictures, physiopathological mechanisms and principles of therapy for common and/or serious diseases in the field of Dermatology and Venereology and Plastic Surgery. Ability to rank the principles of medical and surgical decision, timely surgical intervention and referral.

Ability to integrate a team of dermatologists and plastic surgeons in the outpatient consultation, inpatient ward or surgical theater. Valorization of self guided and continuous learning, team work and multidisciplinary approach.

Contact and training with different methods of observation, study and therapeutical approach, medical and surgical, of conditions in the field of Dermatology and Venereology and Plastic Surgery.

Learning outcomes and competences

Learning results and competences:

The programmatic contents aim at knowledge acquisition, aptitudes and attitudes which enable the students to identify and refer nosological entities common or relevant in Dermatology and Venererology and Plastic Reconstructive and Aesthetic Surgery.

Working method

Presencial

Program

I. AIM OF DERMATOLOGY:

Dermatological semiology. The morphological examination of the skin lesions considering their type, shape, arrangement and integument distribution. Recognition and classification of the elementary lesions and semiologic cutaneous signs


Bacterial, fungal and viral infections with cutaneous involvement, including sexual transmitted infections and skin manifestations of HIV infection.


Parasitic skin infections. Human scabies and pediculosis


Tumors and neoplasms of the skin. Benign, precancerous and malignant lesions.


Cutaneous manifestations of systemic diseases. Paraneoplastic skin syndromes


Atopic and seborrheic dermatitis


Other inflammatory and reactive dermatosis, such as eczema, urticaria and psoriasis.


Acne variants and acneiform eruptions


Notions of dermatologic therapeutics, medical and surgical, including topical formulations, systemic medications most useful in the treatment of cutaneous conditions, phototherapy, cryotherapy, electrosurgery, photodynamic therapy and laser modalities, among others.


Main diagnostic and ancillary techniques in Dermatology, namely dermoscopy, Tzanck smear, Wood’s lamp, diascopy, patch and photopatch testing and types of skin biopsy (punch, shave and excision).



II. AIM OF PLASTIC SURGERY:

1 - Wounds: healing process, sutures, factors that influence the healing process, wound closure, approach to clean wounds, approach to contaminated wounds, wound dressings, negative pressure wound therapy

2 - Grafts and flaps: skin grafts, other grafts (nerve, fat, tendon, cartilage, bone, muscle, compound grafts); classification, choice criteria for grats and flaps, tissue viability

3 - Head and neck: congenital diseases, trauma, infections, neoplasia, miscellaneous (disorders of the mandible, disorders of the maxilla, temporomandibular joint disorder)

4 – Brest, trunk and external genitalia: breast anatomy and reconstruction (prosthetic, autologous, breast reduction, thoracic reconstruction, abdominal reconstruction, pressure sores; external genitalia: congenital lesions reconstruction, trauma, infection, suppurative hidrosadenitis

5 - Upper limb: evaluation of the injured hand   - cutaneous, tendinous, vascular and nervous lesions; specific lesions: infection, congenital defects, hand tumors, miscellaneous (Dupuytren´s contracture, nerve compressions)

6 - Lower limb: ulcers, trauma, lymphedema

7 - Burns: termal chemical, electric, frost (evaluation and treatment).

8 – Body contour: liposuction, excisional surgery

9 - Aesthetic surgery: facial rejuvenation, rhinoplasty, blepharoplasty, otoplasty, breast augmentation, mastopexy, tissue augmentation (fillers), cutaenous rejuvenation.

Mandatory literature

Lowell Goldsmith), Stephen Katz, Barbara Gilchrest, Amy Paller, David Leffell, Klaus Wolff;; Fitzpatrick's Dermatology in General Medicine, McGraw-Hill, 2012. ISBN: 978-0071669047
PLASTIS SURGERY EDUCATION FOUNDATION; Plastic and Reconstructive Surgery – Essentials for students, 2012 (Available at: http://www.psenetwork.org/Library/ForStudents)
Bolognia JL, Jorizzo JL, Schaffer JV; Dermatology- 3rd Edition, Saunders,, 2012

Complementary Bibliography

Jeffrey E. Janis; Essentials of Plastic Surgery, CRC PRESS, 2014. ISBN: 978-1576263853
JEFFREY WEINZWEIG; PLASTIC SURGERY SECRETS, ELSEVIER, 2010. ISBN: 978-0323034708
duVivier A; Atlas of Clinical Dermatology – 4th Edition, Sauders, 2012
Jean L. Bolognia, MD, Julie V. Schaffer, MD, Karynne O. Duncan, MD, Christine J. Ko, MD; Dermatology Essentials E- Book, Sauders, 2014. ISBN: 1455708410
Centers for Disease Control and Prevention; Centers for Disease Control and Prevention; Sexually Transmitted Diseases Treatment Guidelines, 2012
Wolff K, Johnson RA; Wolff K, Johnson RA; Fitzpatrick´s Color Atlas and Synopsis of Clinical Dermatology, McGraw Hill Professional, 2009

Teaching methods and learning activities

Lectures, integrative seminars (including with Imagiology, Pathology and Therapeutcis), pratical lessions and working groups.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation Weight (%)
Exame 7,50
Prova oral 2,50
Teste 90,00
Total: 100,00

Eligibility for exams


  1. Practical examination in Dermatology preceding the theoretical test. This exam consists in the direct identification of pictures concerning dermatological related themes and has a value of 1.5 points. This exam will be replaced by an essay question, included in the theoretical test, in the case of special assessment periods or for improving the mark.

  2. Theoretical test with 40 multiple-choice questions (20 of dermatology with 8.5 points and 20 of Plastic Surgery with 10 points). Please, see above the exception for Dermatology during the special periods of assessment. This test includes questions of the integrative seminars.

  3. A minimum of 75% of presences in all active learning sessions for each of the two modules (Dermatology and Plastic Surgery) are required to practical exam and test admission, according to regulations in force.

  4. An oral exam in the field of dermatology and plastic surgery is compulsory for scores greater than or equal to 19.5.

Calculation formula of final grade

Practical exam 1.5 + Theoretical test (20x0.425 + 20x05)

Please see above the exceptions

Special assessment (TE, DA, ...)

Please see above the assessment

Classification improvement

Please see above the assessment
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