Antet UMF, Rectorat



SYLLABUSProgramme Details1.1.GRIGORE T. POPA UNIVERSITY OF MEDICINE AND PHARMACY IASI1.2. FACULTY : MEDICINE / DEPARTMENT: Medicale III1.3.DISCIPLINE: NEUROLOGY1.4. FIELD of STUDY:HEALTH1.5.STUDY CYCLE: BACHELOR 1.6.PROGRAMME of STUDY: Medicine - English Discipline Details2.1.Name of the Discipline: NEUROLOGY2.2.Teaching staff in charge with lectures: Sef lucrari dr. Diana Hodorog, Sef lucrari dr Cristina Grosu2.3.Teaching staff in charge with seminar activities: Sef lucrari dr. Diana Hodorog, Sef lucrari dr Ignat Bogdan, asist univ. Dr. Cristina Grosu, Sef lucrari dr. Diana Hodorog, Asist. Univ. Drd. Cristina Georgiana Croitoru2.4. Year 52.5. SemesterI/II2.6. Type of evaluation E1/E22.7. Discipline regimen MandatoryOverall Time Estimates (hours/semester of didacticactivity) Number of hours per week9Of which: 3.2. lectures4seminar/ laboratory5Total hours in the curriculum63Of which: 3.5. lectures283.6. seminar/ laboratory35Distribution of time HoursStudy time usingcoursebookmaterials, bibliography and notes 20Furtherstudy time in the libray, online and in the field10Preparation time for seminars / laboratories, homework, reports, portfolios and essays16TutoringExaminations3Otheractivities-3.7. Total hours of individual study493.8. Total hours / semester1123.9. Number of credits6?**credits commune with NeurosurgeryPrerequisites (where applicable) 4.1. curriculumAnatomy, physiology, physiopathology, pharmacology4.2. competencesNone requiredConditions (where applicable)5.1. for lecture deliveryvideoprojector5.2. for seminar / laboratorydeliveryNone requiredSpecificCompetencesAcquiredProfessional Competences (knowledge and skills)To establish the correct diagnosis of the most important neurological pathologyAbility to interpret the imagistical results and their use in the neurological pathologyAbility to read and understand the electophysiological invastigation techniques (EEG, EMG, EP, neurography) and their use in neurological pathologyTransversal Competences (roles, personal and professionaldevelopment)Ability to integrate and work within a professional team and to have an interdisciplinary perspective and approach of the neurological pathologyCommunication skillsImprovement of the case analysis abilities, of the decision making capacity.Obiectives of the Discipline (related to the acquired competences) 7.1. General ObiectiveTo understand and to integrate in the general medical education the basic physiology and pathology of the nervous system. To acquire the necessary knowledge required to correclty recognise and treat neurological pathology.7.2. Specific ObiectivesSemiology of the neurological diseases.Diagnostic methods and approaches in neurology, and how to use them directly for each particular patient.Correct treatment algorithms of the nervous system pathology. Contents 8.1. LectureTeaching methods CommentsGeneral problems in neurology – clinincal and anatomical introductive notions (EHB, degenerative and regeneration processes in the central and peripheral nervous system; etiology of neurological diseases, neuroplasticity)Oral presentation with power point slides and/or case presentationPeripheral nervous system pathology (nerves; plexi – cervical and brachial plexus, median, radial, ulnar nerves)Oral presentation with power point slides and/or case presentationPeripheral nervous system pathology (nerves; plexi –lumbar and sacrate plexus, crural and sciatic nerves)Oral presentation with power point slides and/or case presentationMononeuritys. Moneuritis multiplex. Multineuritis. Poliradiculoneuritis. Ethanolic and diabethic neuropathiesOral presentation with power point slides and/or case presentationCranial nerves (extraocular movements, trigemen, facial nerves). MigreneOral presentation with power point slides and/or case presentationExtrapyramidal syndromes (Parkinson’s disease, parkinsonian syndromes, Huntington’s chorea, Wilson’s disease)Oral presentation with power point slides and/or case presentationMultiple sclerosis. Infectious diseases of the nervous system. AIDSOral presentation with power point slides and/or case presentationSpinal chord pathology (myelitis, syringomyelia). Amiotrophic lateral sclerosisOral presentation with power point slides and/or case presentationCerebrovascular diseases: cerebral vascular anatomy; cerebral atherosclerosis; etiopathogeny of ischaemic and haemorrhagic stroke; types of stroke; clinical picture of stroke with different topographies and ethiologiesOral presentation with power point slides and/or case presentationCerebrovascular diseases: investigations in stroke; therapy of acute and chronic stroke, primary and secondary preventionOral presentation with power point slides and/or case presentationCerebral veins thrombosys. Brainstem vascular lesions; reticular formation lesions. Alteration of consciouscesnessOral presentation with power point slides and/or case presentationCerebral Lobes syndromes. Complex cerebral functions: dementia; aphasia; apraxia; agnosiaOral presentation with power point slides and/or case presentationEpilepsyOral presentation with power point slides and/or case presentationMiastenia gravis. Polymyositis, genetic myopathiesOral presentation with power point slides and/or case presentationBibliographyNeurology for Medical Students (Second Edition), Editor: Cristian Dinu Popescu, Gr. T. Popa Publisher, 2015Principles of Neurology, Adams R., Victor R., 20078.2. Seminar / LaboratoryTeaching methods CommentsSpecial elements of neurological clinical examination; general clinical examination; particular attitudesFree speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupVoluntary movement. Anatomy of the motor systems. Signs and symptoms associated with motor deficits; ethiology, topography of lesions in different types of palsy. Upper and lower motor neuron syndromeFree speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupReflexes. Functional anatomy; deep tendon reflexes, cutaneous, mucous reflexes; medulary reflexes; postural reflexes. Quantitative and qualitative alterations of reflex responses. Idiomuscular contractionFree speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupMuscle tone: functional anatomy; semeiology; muscle tone abnormalities: hypotonicity, hypertonicity (spastic and plastic); reticular and hypotalamic syndromesFree speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupCoordination; signs and symptoms of ataxic syndroms; ethiological and pathological diagnosis of ataxic syndromes; cerebellar syndromes; tabetic syndrome. BalanceFree speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupSensitivity; functional anatomy; semeiology; subjective and objective changes. Sensory syndromes. Talamic syndromes. Free speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupMedulary syndromes: functional and topographical anatomy of the spinal chord (ascending and descending pathways); white and grey matter syndroms; complete spinalchord section; Brown Sequard syndromeFree speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupExtrapiramidal system: functional anatomy; parkinsonian syndromes and Parkinson’s disease; Free speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupMuscle trophicity: neurogenic and non neurogenic muscle pathology. Differential diagnosis of miogenic versus neurogenic atrophies. EMG recording and interpretation. Trophic changes of skin and subcutaneous tissueFree speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupCranial nerves: clinical examination, anatomy and pathology. Oculomotricity. Trigeminal palsy and trigeminal neuralgy. Facial palsy. Midbrain syndromes.Free speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupCognitive functions – evaluation of cognition, language. Aphasia; disarthria; disphonia. Apraxia . Cortical areas. Topographical syndroms of the cortical lesionsFree speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupInvoluntary movements – tremor, myoclonia, chorea, athetosys, dystonia, tics. Clinical features, diagnosis and treatment of involuntary movementsFree speech/use of explanatory materials (film projections);Case prezentationMovie collection showParaclinical tests in neurological pathology. CSF examination – prelevation, interpretation of values; other electrophysiological tests (conduction velocities, evoked potentials, basis of EEG recording and interpretation); imagistic investigations (CT, MRI); cerebral angiography; doppler examination of brain arteriesFree speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupGeneral approach of the neurologic patient – from diagnosis to medical responsability (particular aspects of the neurological pathology)Free speech/use of explanatory materials (posters, drawings, ppt projections);Patient examinations – demonstration followed by exercise/patient examination by the students2-3 students examine a patient and then present the case; each case is then discussed by the whole groupBibliography Neurological Examination, Practical guide for students and residents, A. Constantinescu, Editura Cantes, Iasi 2003Fundamentals of Neurology, an Illustrated Guide, M. Mumenthaler, Ed. Thieme, 2006Correlations between the contents of the discipline and the expectations of the epistemic community, of profesional associations and of employers in the fieldKnowledge and skills are set as objectives mentioned as such in teaching and curricula reviewed annually. After analysis within the discipline, they are discussed and approved at the Bureau of Curriculum, in order to harmonize with other disciplines. Throughout the period is assessed systematically as possible direct correlation between content and expectations of the academic community, Nominees of the community, professional associations and employers. As a primary goal, discipline aims to give students optimal preconditions for the next years of study in the program Licence in Medicine in anticipation of successful employment immediately after graduation in residency programs in Romania and other EU countries.EvaluationType of activity 10.1. Evaluation criteria: 10.2. Methods of evaluation10.3. Percentage of final grade10.4. LectureGrade for multiple choice teststandardized multiple choice test50%10.5. Seminar / LaboratoryAverage grade of ongoingexaminationsongoing evaluation10%Grade forpracticalexaminationpractical exam40%Minimum standard of performance: at least grade 5 in each component of the evaluation to pass the discipline; at least 5 as an average of the componentsDate:Signiture of Didactic Co-ordinator 1.10.2019Conf. Dr. Dan CuciureanuSigniture of Department Director Prof. Dr. Laura Gheuc? Solov?stru ................
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