Renal and Urinary Disorders

Code:

MI521

Acronym:

DRVU

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2020/2021 - 2S (of 08-02-2021 to 31-07-2021)

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	127	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	5	-	6	57	162

Teaching language

Portuguese

Objectives

To enable the student in the collection, registration, gestures attitudes and transmission of clinical information (history of the disease, objective examination and complementary examinations) in the areas of Nephrology and Urology, important for the formation of the pluripotential physician. To use the information to diagnose the main nephrological syndromes and urologic pathologies and to establish lists of problems centered on the clinical situation of the patient. To acquire a nucleus of theoretical knowledge that empowers the student in the evaluation and resolution of the most frequent clinical situations in the areas of nephrology and urology and in the elaboration of adequate therapeutic proposals. Enable the student in patient referral and in search of information for decision making.

Learning outcomes and competences

To enable the student in the collection, registration, gestures attitudes and transmission of clinical information (history of the disease, objective examination and complementary examinations) in the areas of Nephrology and Urology, important for the formation of the pluripotential physician. To use the information to diagnose the main nephrological syndromes and urologic pathologies and to establish lists of problems centered on the clinical situation of the patient. To acquire a nucleus of theoretical knowledge that empowers the student in the evaluation and resolution of the most frequent clinical situations in the areas of nephrology and urology and in the elaboration of adequate therapeutic proposals. Enable the student in patient referral and in search of information for decision making.

Working method

Presencial

Program

Nephrology:

Lectures (n=7): I. Renal semiology - evaluation of renal function - nephrological syndromes; II. Chronic renal insufficiency; III. Acute renal failure; IV. Primary and secondary glomerular diseases; V. Acid-base balance disorders and disturbances of water and sodium balance; VI Potassium metabolism disorders and secondary hypertension; VII. The patient with hematuria and nephrolithiasis.
Theoretical-practical sessions (n=7): I. Nephrotic and nephritic syndromes; II. The patient with proteinuria; III. The patient with azotemia; IV. The patient with glomerular pathology (c / pathological anatomy); V. The patient with fluid, electrolyte and acid-base balance disturbances; VI. Therapy in the renal patient (w/General Therapeutics); VII. Imaging in the renal patient (w/Radiology).
Practical Sessions (n=7): Analysis and study focused on the following type of patients: I. The patient with chronic renal failure; II. The patient with acute / rapidly progressive renal dysfunction; III. The patient needing renal replacement therapy - hemodialysis, peritoneal dialysis, renal transplantation, continuous techniques. IV. The patient with primary and secondary glomerular disease; V. The patient with electrolyte and acid-base balance disorders; VI. The patient with secondary hypertension and potassium disorders; VII. The patient with hematuria and nephrolithiasis.

Urology:

 Lectures (total number 7): 1 – Benign prostatic hyperplasia; 2 – Prostate Cancer ; 3 – Urinary incontinence; 4 – Renal and bladder tumors; 5 - Andrology (male sexual dysfunction, male infertility); 6 -  Urolithiasis; 7 – Urinary tract infections.

Theoretical-practical sessions (total number 7): 1- Overview of Urology and its terminology; 2- Lower urinary tract symptoms; 3- Nocturia; 4- Urologic urgencies; 5- Neuro-urology; 6- Testivular and penile tumours; 7- Relevant pathology of the urinary tract.

Practical sessions: Benign diseases of the external genitalia; Clinical pharmacology relevant for the lower urinary tract; Digital rectal examination and urethral catheterization; Observation of several urological examinations (cystoscopy, urodynamics, ultrasound-guided prostate biopsy).

Mandatory literature

Greenberg, A.; Nefrologia Primer on Kidney Diseases (5th Ed), 2009
Dan, L., et al.; Harrison’s Principles of Internal Medicine (18th Ed), 2011
Rose, B., & Post, T.; Clinical Physiology of Acid-Base and Electrolyte Disorders (5th Ed), 2001
McAninch, J., & Lue, T. ; General Urology, Smith, 18th Edition, 2012
Wein, A., et al.; Campbell-Walsh Urology, 11th Edition, 2011
Ivor, B., Griggs, R., Wing, E., & Fitz, J.; Andreoli and Carpenter’s Cecil Essentials of Medicine, Elsevier Health Sciences, 2015. ISBN: 978 -1437718997

Teaching methods and learning activities

Each student will attend:

Lectures - fourteen lectures (seven of nephrology and seven of urology) lasting 2 hours each, taught every six months on Tuesdays, starting at 2pm, on the subjects referred to in the "programmatic contents".

Theoretical-Practical Sessions - fourteen sessions (seven of nephrology and seven of urology) on the subjects referred to in the "syllabus contents" taught to groups of about 30 students, from Monday to Friday, from 8:30 a.m. to 9:30 p.m. students. The transversal teaching areas (Pathological Anatomy, Radiology and General Therapeutics) will be taught in this format, corresponding to each of these areas two weeks of theoretical-practical teaching (one in Nephrology and one in Urology).

Practical Sessions - fourteen practical sessions (seven of nephrology and seven of urology) will be taught on the subjects referred to in the syllabus ", in classes of 5/6 students, from Monday to Friday, in the hours after the theoretical-practical classes.

keywords

Health sciences > Medical sciences > Medicine > Urology
Health sciences > Medical sciences > Medicine > Nephrology

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	25,00
Teste	75,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	105,00
Frequência das aulas	57,00
Total:	162,00

Eligibility for exams

Each student will attend:

Lectures - fourteen lectures (seven of nephrology and seven of urology) lasting 2 hours each, taught every six months on Tuesdays, starting at 2pm, on the subjects referred to in the "programmatic contents".

Theoretical-Practical Sessions - fourteen sessions (seven of nephrology and seven of urology) on the subjects referred to in the "syllabus contents" taught to groups of about 30 students, from Monday to Friday, from 8:30 a.m. to 9:30 p.m. students. The transversal teaching areas (Pathological Anatomy, Radiology and General Therapeutics) will be taught in this format, corresponding to each of these areas two weeks of theoretical-practical teaching (one in Nephrology and one in Urology).

Practical Sessions - fourteen practical sessions (seven of nephrology and seven of urology) will be taught on the subjects referred to in the syllabus ", in classes of 5/6 students, from Monday to Friday, in the hours after the theoretical-practical classes.

Evaluation:
The evaluation in the discipline will consist of two components, practical (continuous assessment – valuing ​​attendance and participation of the student) and theoretical, with a contribution of 25% and 75% for the final classification, respectively, both in the Nephrology and In the Urology areas.

The theoretical evaluation consists of a test of 60 multiple-choice questions (with five hypotheses and one correct answer), containing 30 questions from the area of ​​Nephrology and 30 questions from the Urology area that could integrate questions elaborated by the three transversal areas. In order to pass the theoretical test, the student must obtain a minimum of 14 correct answers, both in the Nephrology area and in the Urology area. The theoretical test has a total duration of 75 minutes.
The approval in the discipline is dependent on obtaining a minimum of 9,5​/20 values in the classification (theoretical + practical), in both Nephrology and Urology.

The students who do not obtain approval in the discipline must carry out the theoretical test in the two areas - Nephrology and Urology - according to the criteria defined above.

The maximum number of admissible absences in accordance with the current regulation is 25%, both in theoretical-practical and practical classes. That is, the maximum number of absences admissible in each area (nephrology and urology) is 2, both in practical classes and theoretical-practical classes (75% of 7 = 1.75). The continuous evaluation in each area, whose maximum possible value is 5 (25% of 20) will be reduced 1 value for each absence in practical and / or theoretical-pratical classes. (ie a student who has no absences will have 5 in the continuous evaluation, while a student who has 4 absences - 2 in practical and 2 in theoretical-practical classes, will have 1 value in the continuous evaluation).

Calculation formula of final grade

Evaluation:
The evaluation in the discipline will consist of two components, practical (continuous assessment – valuing ​​attendance and participation of the student) and theoretical, with a contribution of 25% and 75% for the final classification, respectively, both in the Nephrology and In the Urology areas.

The theoretical evaluation consists of a test of 60 multiple-choice questions (with five hypotheses and one correct answer), containing 30 questions from the area of ​​Nephrology and 30 questions from the Urology area that could integrate questions elaborated by the three transversal areas. In order to pass the theoretical test, the student must obtain a minimum of 14 correct answers, both in the Nephrology area and in the Urology area. The theoretical test has a total duration of 75 minutes.
The approval in the discipline is dependent on obtaining a minimum of 9,5​/20 values in the classification (theoretical + practical), in both Nephrology and Urology.

The students who do not obtain approval in the discipline must carry out the theoretical test in the two areas - Nephrology and Urology - according to the criteria defined above.

Special assessment (TE, DA, ...)

For students with special status (working Status, associative leader,...) who could not attend the miminum number of practical classes and seminars, not allowing a continuos evaluation score, have to be submited to a oral exam at the end of the semester, to allow access to the final writen theorical text