7TH SEMESTER

After the conclusion of the curriculum, students will be capable of clinically assessing patients with cardiovascular disease, as well as interpreting basic level laboratory results. The education of the students on cardiovascular diseases , their familiarization with the clinical and preclinical diagnostic methods, with the treatments applied and with research. Theoretical teaching. History and physical examination , differential diagnosis in Cardiology. Electrocardiogra . Heart failure. Unstable angina and acute myocardial infarction. Stable angina. Coronary angiography indications. Atherosclerosis. Arterial hypertension. Arrhythmias and antiarrhythmic drugs. Cardiac arrest – Sudden death. Sinus Disease – AV conduction disorders. Pericarditis, myocarditis, endocarditis. Cardiomyopathies. Diseases of the mitral and aortic valve. Congenital Heart Diseases. Practical Training in: obtaining history – physical examination – semiotics, clinical approach – diagnosis – treatment of angina, operation of the intensive coronary disease care unit – Management of acute myocardial infarction and acute cardiology incidents in general – thrombolysis, valvular diseases, diagnosis and treatment of arrhythmias, endocarditis – myocarditis- cardiomyopathy, clinical approach – diagnosis – treatment of heart failure, introduction to noninvasive diagnostic methods to introduction to coronary angiography.

Students after successfully attending the course will be able to, understand in depth the anatomy and physiology of the cardiovascular and respiratory system, complete the diagnostic workup of a patient with severe coronary artery disease, heart valve disease or lung cancer referred for surgical management, perform a proper clinical examination of a cardiothoracic patient during the pre- and postoperative period, understand the indications for surgical management of coronary artery disease, valvular heart disease and lung cancer, understand the basic principles of extracorporeal circulation, observe the most common major cardiothoracic procedures, such as coronary artery bypass grafting, valve repair or replacement, ascending aorta replacement, lung resections, mediastinal surgery etc., gain experience in patients’ monitoring at the Cardiothoracic Intensive Care Unit.

Related to respiratory diseases (COPD, bronchial asthma, interstitial lung disease, lung cancer, tuberculosis, cystic fibrosis, occupational lung diseases, respiratory infections, respiratory failure, breathing in sleep, pulmonary circulation disorders) Respiratory Physiology clinical semiology imaging techniques functional assays confrontation Environment and lung smoking.

Personality development, mental state examination, anxiety disorders, somatoform disorders, adjustment disorders, affective disorders, schizophrenia, delusional and schizoaffective disorders, psychosomatics, organic mental disorders, substance addictions, alcoholism, personality disorders, eating disorders, psychoacoustics, psychiatric emergencies, social-community psychiatry, psychiatry of the child and adolescent, biological therapies, psychotherapies, psychometric evaluation of the mental patient.

Pregnancy, birth, perinatality – Developmental process during childhood and adolescence – Autism and other developmental disorders – Mental deficiency – Childhood psychoses and psychotic disorders in adolescence – Affective disorders in childhood and adolescence – Learning and other specific developmental disorders – Enuresis, encoprisis – Eating disorders – Self harm and suicide attempts in adolescence – Neurotic disorders – Personality disorders – Psychosocial problems (child neglect and abuse, adoption) – Forensic Child and Adolescence Psychiatry – Therapeutic approaches and organization of Services.

The course provides an integrated knowledge of the nervous system in physiological and pathological conditions. This knowledge derives from the study of anatomy and physiology of the nervous system as well as from the understanding of the pathophysilogical mechanisms of disease and their diagnosis and treatment. Lectures in the amphitheater include: introduction to Neurosciences (neuroanatomy, neurochemistry, neu-rophysiology), localization in central and peripheral nervous system, introduction to diagnostic tools (electrophysiology, neuroimaging, CSF analysis)and diseases of the nervous system (stroke, epilepsy, degenerative diseases, demyelinating disorders, infections, tumors, diseases of muscles and nerves and neurological manifestations in systemic diseases).Clinical courses in the teaching room(theory) and practical training in the clinical wards (practice)include : history taking, understanding and performing a neurological examination and have a clinical to several neurological diseases.

The aim of the lesson is to provide students the ability to acquire the basic principles of modern neurosurgery. Students are trained in the clinical presentation of the neurosurgical disorders, the interconnection between theoretical principles and practical application of them, as well as the neurosurgical treatment modalities. In addition, modern surgical techniques are presented. The results and considerations of therapeutic treatment are reported in the basic chapters of neurosurgery, which are vascular diseases of the central nervous system, craniocerebral injuries, spinal injuries, degenerative spine disorders, tumors of the central nervous system, hydrocephalus, diseases of the peripheral nerves, functional neurosurgery, pediatric neurosurgery.

The students should be capable of developing critical thinking informed by ethical analysis, and apply that thinking to comment on and critique the law’s role in regulating medicine, healthcare services, and research. They should be capable of identifying areas of law relevant to contemporary issues in the broad healthcare setting and build on the understanding of key values in medical law and ethics, such as autonomy, solidarity, justice, reciprocity, vulnerability, informed consent, confidentiality, human rights, etc. The students should be able to appreciate the international dimensions of medicine and its regulation, including the growing importance of European regulation and international agreements. In addition, the students should be able to appreciate the limits of law in discerning appropriate social responses to new medical and technical advances.

Cardiovascular system drugs (antidysrhythmic drugs, diuretics, antihypertensive drugs, antianginal drugs, drugs for heart failure, drugs for migraine, drugs affecting blood coagulation, antidyslipidemic drugs), Respiratory system drugs (drugs for allergic rhinitis, asthma, COPD, pulmonary fibrosis, others), CNS drugs (sedative-hypnotic drugs, antidepressant drugs, antipychotics, antiseizure drugs, stimulants, cannabinoids, opioids, cannabinoids, drugs of abuse and treatment of addiction, drugs for neurodegenerative diseases).

The objectives of the course are the preliminary contact of the student with the wide range of applied laboratory medicine, as practiced in our country within the limits of the medical specialty of Medical Biopathology. The aim is to familiarize and understand the potential of laboratory approach to diagnosis and monitoring, at least of the main clinical situations, as well as the important contribution of the medical laboratory to the identification and documentation of the disease and the therapeutic intervention. Also, to show the need for rational use and good practice, as well as for continuous evaluation of laboratory results and applied procedures.

Study of the morphological changes that develop in tissues and organs by system, as well as epidemiological data, pathogenetic mechanisms, predictive and prognostic factors for pathologic conditions and neoplasms. Hematopoietic and lymphatic system, Upper respiratory system and Lungs, Heart, Kidneys and lower urinary tract, Oral cavity and gastrointestinal tract, Liver and biliary tract, Pancreas, Male genital system, Female genital system, Breasts, Endocrine system, Musculoskeletal system, Skin, Nervous system.

Familiarity with the basic indications, advantages and disadvantages of the diagnostic and interventional imaging techniques in reference to system/organ pathologies. Understanding of the principles of images interpretation. Knowledge of the typical imaging findings from the various imaging modalities (radiography, ultrasonography, CT, MRI, and Nuclear Medicine techniques) of the most common diseases (on a system/organ basis). Apprehension of the role of imaging diagnostic algorithms in the era of precision medicine.