Internal Medicine
A.Y. 2025/2026
Learning objectives
The course has the objective to give students the ability to collect patient's medical history (history taking), to perform a physical examination of adults and elder elderly, of both sexes, to discuss the main diagnostic issues and to propose the more common therapies.
Presentation, symptoms, signs, diagnosis (with differential), prevention and treatment of the main clinical syndromes of the following organ and systems are discussed:
- heart and cardiovascular system,
- lung,
- gastrointestinal system,
- kidney,
- endocrinology and diabetes mellitus,
- blood,
- main neoplasms,
- immune system, connective tissue and joints,
- some infectious diseases, such as mononucleosis, viral hepatitis, infective endocarditis.
Pluripathology and frailty is considered.
The main therapies are presented, including corticosteroid therapy and first level antibiotic therapies.
There is a special focus on specific aspects of clinical presentation, diagnosis, prevention and therapy.
The course has also the objective to give the student the ability to critically evaluate laboratory tests and imaging studies. The student acquires the relational abilities that are needed when speaking with parents.
Presentation, symptoms, signs, diagnosis (with differential), prevention and treatment of the main clinical syndromes of the following organ and systems are discussed:
- heart and cardiovascular system,
- lung,
- gastrointestinal system,
- kidney,
- endocrinology and diabetes mellitus,
- blood,
- main neoplasms,
- immune system, connective tissue and joints,
- some infectious diseases, such as mononucleosis, viral hepatitis, infective endocarditis.
Pluripathology and frailty is considered.
The main therapies are presented, including corticosteroid therapy and first level antibiotic therapies.
There is a special focus on specific aspects of clinical presentation, diagnosis, prevention and therapy.
The course has also the objective to give the student the ability to critically evaluate laboratory tests and imaging studies. The student acquires the relational abilities that are needed when speaking with parents.
Expected learning outcomes
At the end of the course the student is supposed to be able to make diagnostic hypotheses for the most important diseases of each different system, to know the differential diagnosis, the diagnostic procedures, including laboratory diagnosis and imaging, to propose therapies.
Lesson period: year
Assessment methods: Esame alla fine del gruppo
Assessment result: Inserire codice AF
Single course
This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.
Course syllabus and organization
Single session
Prerequisites for admission
The knowledge acquired in previous years will be useful for this module. In particular it is necessary to have acquired the knowledge of the following courses: MICROBIOLOGY, PHARMACOLOGY, SYSTEM DISEASES.
Assessment methods and Criteria
the oral exam at the end of the course will assess also student's kwnowledges in the Infectious diseases field. The main infections will be always considered in the diagnostic work-up. The infectious diseases included in the program are detailed in a separate document evailable to the students and summarized in column O.
Medical statistics
Course syllabus
The course aims to train physicians to apply probability calculations in general and clinical epidemiology and to interpret the measures used to assess the validity of diagnostic tests.
It will cover methods for critically and appropriately evaluating clinical guidelines and studies, developing key concepts such as pre-test probability, sensitivity, specificity, post-test probability, and the appropriateness of diagnostic and therapeutic interventions.
It will cover methods for critically and appropriately evaluating clinical guidelines and studies, developing key concepts such as pre-test probability, sensitivity, specificity, post-test probability, and the appropriateness of diagnostic and therapeutic interventions.
Teaching methods
Lectures and Practical Exercises
discussion of relevant papers
discussion of relevant papers
Teaching Resources
Lessons slides and practical exercises
Testo: Titolo: Biostatistica
Autore: Marcello Pagano, Kimberlee Gauvreau
Edizione: Idelson-Gnocchi.
Testo: Titolo: Biostatistica
Autore: Marcello Pagano, Kimberlee Gauvreau
Edizione: Idelson-Gnocchi.
Medical oncology
Course syllabus
The course is based on a strong integration of different disciplines, thus the program of the single disciplines cannot be extracted form the program of the whole course which is reported in module Internal medicine. Lung, gastric, bowel, liver meoplasm plus lymphomas and leukemia are part of teh program
Teaching methods
Frontal lectures Clinical cases
Teaching Resources
1, Harrison's principles of internal medicine 2, Rugarli Medicina Interna Sistematica 3, le diapositive delle lezioni più rilevanti vengono caricate sul sito ARIEL e su Teams
Internal medicine
Course syllabus
· Heart and cardiovascular system,
· lung,
· gastrointestinal system,
· kidney,
· endocrinology and diabetes mellitus,
· blood,
· main neoplasms,
· immune system, connective tissue and joints,
· some infectious diseases, such as mononucleosis, viral hepat
General medicine and community medicine
- Community medicine in the healthcare system
- Issuing medical certificates
- Writing prescriptions
- Clinical governance
- Home visits
- Running a medical practice
- The doctor's bag
- An introduction to professional ethics
· lung,
· gastrointestinal system,
· kidney,
· endocrinology and diabetes mellitus,
· blood,
· main neoplasms,
· immune system, connective tissue and joints,
· some infectious diseases, such as mononucleosis, viral hepat
General medicine and community medicine
- Community medicine in the healthcare system
- Issuing medical certificates
- Writing prescriptions
- Clinical governance
- Home visits
- Running a medical practice
- The doctor's bag
- An introduction to professional ethics
Teaching methods
Frontal lectures Clinical cases
Teaching Resources
1, Harrison's principles of internal medicine 2, Rugarli Medicina Interna Sistematica 3, le diapositive delle lezioni più rilevanti vengono caricate sul sito ARIEL e su Teams
Infectious diseases
Course syllabus
Sepsis
Influenza and its complications
HIV
Viral hepatitis
Typhus and salmonellosis
Tuberculosis
Bacterial and non-bacterial meningitis
Toxoplasmosis
Malaria
Infectious mononucleosis and herpetic virus infections
Streptococcal infections
urinary tract infections, gastrieneteritis, clostridium difficile
Influenza and its complications
HIV
Viral hepatitis
Typhus and salmonellosis
Tuberculosis
Bacterial and non-bacterial meningitis
Toxoplasmosis
Malaria
Infectious mononucleosis and herpetic virus infections
Streptococcal infections
urinary tract infections, gastrieneteritis, clostridium difficile
Teaching methods
Frontal lectures Clinical cases
Teaching Resources
1, Harrison's principles of internal medicine 2, Rugarli Medicina Interna Sistematica 3, slides will be uploaded in the ARIEL web site an in Teams
Methods and teaching of motor activities
Course syllabus
· Exercise and Sport Medicine: definitions, differences and clinical importance
· Health, Wellbeing, Prevention and Lifestyle Medicine
· Effects of lifestyle interventions on main etiopathogenetic mechanisms of chronic non-communicable diseases: a translational approach
· Importance of exercise medicine in chronic non-communicable disease (cardiometabolic diseases, cancer, functional syndromes, etc)
· Cardiometabolic risk and lifestyle assessment
· Patient's assessment in order to prescribe lifestyle intervention programs (with particular focus on physical exercise and nutrition)
· Definition of specific clinical goals and personalized medicine in lifestyle interventions
· Exercise prescription
· Nutrition program prescription
· Health, Wellbeing, Prevention and Lifestyle Medicine
· Effects of lifestyle interventions on main etiopathogenetic mechanisms of chronic non-communicable diseases: a translational approach
· Importance of exercise medicine in chronic non-communicable disease (cardiometabolic diseases, cancer, functional syndromes, etc)
· Cardiometabolic risk and lifestyle assessment
· Patient's assessment in order to prescribe lifestyle intervention programs (with particular focus on physical exercise and nutrition)
· Definition of specific clinical goals and personalized medicine in lifestyle interventions
· Exercise prescription
· Nutrition program prescription
Teaching methods
Interactive lectures, Discussion on clinical cases
Clinical clerkship will be possible, participating in the specific elective course
Clinical clerkship will be possible, participating in the specific elective course
Teaching Resources
ACSM's Guidelines for Exercise Testing and Prescription. 2024, 12th edition
Durante la lezione verranno indicati lavori scientifici di riferimento
Up to Date-Evidence based clinical decision support resources
resources
Durante la lezione verranno indicati lavori scientifici di riferimento
Up to Date-Evidence based clinical decision support resources
resources
Modules or teaching units
Infectious diseases
MED/17 - INFECTIOUS DISEASES - University credits: 1
Lessons: 8 hours
Lessons - Innovative Teaching: 4 hours
Lessons - Innovative Teaching: 4 hours
Professor:
Antinori Spinello
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 4
Lessons: 32 hours
Lessons - Innovative Teaching: 16 hours
Lessons - Innovative Teaching: 16 hours
Professors:
Brucato Antonio Luca, Caraceni Augusto Tommaso Giovanni, Ceriani Elisa, Gidaro Antonio, Tombetti Enrico
Medical oncology
MED/06 - MEDICAL ONCOLOGY - University credits: 1
Lessons: 8 hours
Lessons - Innovative Teaching: 4 hours
Lessons - Innovative Teaching: 4 hours
Professor:
Siena Salvatore
Medical statistics
MED/01 - MEDICAL STATISTICS - University credits: 2
Lessons: 16 hours
Lessons - Innovative Teaching: 8 hours
Lessons - Innovative Teaching: 8 hours
Professor:
Boracchi Patrizia
Methods and teaching of motor activities
M-EDF/01 - PHYSICAL TRAINING SCIENCES AND METHODOLOGY - University credits: 1
Lessons: 8 hours
Lessons - Innovative Teaching: 4 hours
Lessons - Innovative Teaching: 4 hours
Professor:
Lucini Daniela
Professor(s)
Reception:
On appointment (email)
Reception:
On appointment (send an email)
Exercise Medicine Units, IRCCS Istituto Auxologico Italiano, via Pier Lombardo 22
Reception:
by appointment +39 02 6444.2291
Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3,Milano