Internal Medicine and Surgery of Companion Animals II

Code:

MV522

Acronym:

MCACII

Keywords
Classification	Keyword
OFICIAL	Clinical Sciences

Instance: 2022/2023 - 2S (of 13-02-2023 to 09-06-2023)

Active?	Yes
Responsible unit:	Veterinary Clinics
Course/CS Responsible:	Integrated Masters Degree in Veterinary Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMV	61	Official Study Plan	5	-	10	164	270

Teaching language

Portuguese

Objectives

The objective of the discipline is to improve the students capacity to apply clinical skills learned in pre-clinical disciplines, as well as to develop clinical thinking and its application in real situations. The work with real cases presented to the UPVet - Veterinary Hospital of the University of Porto, under the supervision of senior staff (teachers and practitioners), allows for the development of communication skills, as well as ethical principles of clinical practice, as important as technical abilities. The activities on hopitalized animals, once again under senior staff supervision, allows for the development of an individual responsability awareness and team work, which constitute the basis of the veterinary clinical activity.

Learning outcomes and competences

The main results of the discipline are the practical acquisition of clinical skills in companion animals of the most common species (dogs, cats, small mammals, reptiles and ornamental birds) in its whole, that is, from the clinical history to the implementation of a therapy, including the execution of general physical examinations, special examinations, elaboration of a differential diagnosis list, planning and execution og ancilary exams, elaboration of a therapeutic plan and its execution, when aplicable.

Working method

Presencial

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

Considering that this is an integrative a practical discipline, it is essential that the students have the basic knowledge and skills in clinical semiology (clinical examination procedures); small animal anesthesia; surgical semiology; diagnostic imaging; small animal surgery and small animal clinical pathology. Furthermore it is essential that students have a clear idea of the ethical and deontological principles of clinical practice.

Program

Theoretical teaching:

Clinical and therapeutic approach to the patient with manifestation of the following clinical signs: portuária and polydipsia; changes in urination; changes in heart and pulse rate and rhythm; heart murmurs; change in the color of mucous membranes; abdominal distension and edemas; coughing, sneezing and rhinorhea; inspiratory, expiratory and mixed dyspnea; dysphagia, vomiting and regurgitation; diahrrea, constipation and flatulence; acute abdomen, lymph node alterations; paresis and paralysis; ataxia; epileptic attacks. Study of hepatobiliary and pancreatic diseases.
The remaining theoretical classes will be dedicated to the group study of clinical cases. Cases are prepared by teachers, based in real situations, and built with the intent of developing the students' systematic approach, based in previous knowlledge and adapted to the specific case. The approach follows the general parameters of the final practical examination, therefore also being a tool for the evaluation preparation.

Practical teaching: Students will be involved in the daily outine work of a small animal practice with emergency services. Includes also the presentation and discussion of clinical cases; and the critical evaluation of scientific reports and clinical guidelines/consensus. 

Mandatory literature

Miller H. Miller 070; Muller & Kirk.s small animal dermatology. ISBN: 978-1-4160-0028-0
Withrow Stephen J.; Withrow & MacEwen.s small animal clinical oncology. ISBN: 978-0-7216-0558-6
Tilley Larry P.; Blackwell.s five-minute veterinary consult. ISBN: 978-08138-0763-8
Thompson Mark S.; Small animal differential diagnosis. ISBN: 978-1-4160-3268-7
Lorenz Michael D.; Small animal medical diagnosis. ISBN: 978-0-8138-1338-7
Gough Alex; Differential diagnosis in small animal medicine. ISBN: 978-1-4051-3252-7
Ettinger Stephen J.; Textbook of veterinary internal medicine. ISBN: 978-1-4160-6593-7
Nelson Richard W.; Small animal internal medicine. ISBN: 978-0-323-04881-1
Fuentes Virginia Luis 340; BSAVA manual of canine and feline cardiorespiratory medicine. ISBN: 978-1-905319-12-1
King Lesley G.; Textbook of respiratory disease in dogs and cats. ISBN: 978-0-7216-8706-3
Villiers Elizabeth 340; BSAVA manual of canine and feline clinical pathology. ISBN: 0-905214-79-X
Tams Todd R.; Handbook of small animal gastroenterology. ISBN: 0-7216-8676-1
Hall Edward J. 340; BSAVA manual canine and feline gastroenterology. ISBN: 0-905214-73-0
Robert J. Washabau; Canine and Feline Gastroenterology, SAUNDERS, 2013. ISBN: 978-1-4160-3661-6

Teaching methods and learning activities

Theoretical: Explanation of the exploration protocols and investigation of clinical cases.
Practical: Practice of medicine in real cases at UPVet Veterinary Hospital and discussion of clinical cases; and the critical evaluation of scientific reports and clinical guidelines/consensus. 

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	75,00
Apresentação/discussão de um trabalho científico	15,00
Trabalho escrito	10,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	114,00
Frequência das aulas	156,00
Total:	270,00

Eligibility for exams

In order to be admitted to the final exam, the student must, cumulatively:
1- Have no more than 10% absences in the previewed emergency services. 
2- Have no more than 35% absences in practical classes.
3- Present evidence of having performed all of the clinical procedures defined by the unit's responsible at the beginning of the semester, by submitting the procedures register dully signed by the corresponding supervisers.

Students that are unable to be present in practical classes due to services in this or other disciplines are allowed to assist to other practical class of the same week, provided that the modification is justified by a document that demonstrates the need for the change.

Calculation formula of final grade

The final score will be the summ of the grades obtained by each student in the theorical exam (TE) that will take place at the end of the semester - which consists in examination of the subject taught in theoretical classes; pratical exam (PE) - examination of the subject taught in practical classes (EP); 
added to the presentations of 1 clinical own case and the discussion of 1 case presented by others (CC). In addition, during the semester, studants have to present a written report of two clinical cases observed in the pratical classes (CR).

The weight of each component will be:
1. TE - 10 points (minimum of of 9,5 to approval)
2. PE - 5 points (minimum of 2,5 to approval)
3. CC - 3 points (no mininum to approval)
4. CR - 2 poinst (no minimum to aproval)


The scoring of case presentations and discussion follow the criteria:

Content, Clarity and Organization (7,5 points)
Knowledge and Integration with the case (7,5 points)
Relevance of the questions in the light of the case presented (5 points)

Special assessment (TE, DA, ...)

According to the aplicable legislation

Classification improvement

Students that wish to improve their scores in the final examination (theoretical and pratical exams) may do it in the "appeal period".