Curricular Unit:Code:
Clinical Practice I1019PCL1
Year:Level:Course:Credits:
2UndergraduateClinical Analyses and Public Health5 ects
Learning Period:Language of Instruction:Total Hours:
Spring SemesterPortuguese/English65
Learning Outcomes of the Curricular Unit:
It is intended with this discipline that the student understand, execute and interpret in a critical and responsible way the analytical profile integrating knowledge from the various disciplines.
The program (part 1), which aims to reinforce knowledge of fundamental areas repeating techniques with the correct preparation of the user, to choice of suitable samples , tubes of collection, practice of each collection and separation and conservation of the same and finally, the repetition of routine techniques in the Diagnosis.
Part II- Know how to do, read and evaluate a blood count,'Coagulation tests'. Accurately and knowingly marking abnormal results. Know how to make, read and evaluate the titration of antibodies and isoagglutinins in the context of renal and/or hepatic transplantation, incompatible, as well as the titration of alo or autoantibodies in pregnant women
Syllabus:
1) Diagnosis and control of Diabetes: Fasting Glucose, Tolerance Tests, Glycosylated Hemoglobin
2) Assessment of renal function: Summary urine with special attention to microscopic observation of the sediment; Creatinine clerarence, microalbuminuria
3) Hepatic function tests: Enzymes and Bilirubins
4) Interpretation of clinical cases for the integration of knowledge, problem solving, encouraging critical thinking and increasing their autonomy and the taste for research and acquisition of knowledge.
5)Hematology- Hematological counts. Reference values.
6)Thrombosis and Hemostasis- Presentation of coagulation physiology. Laboratory tests.
7)Hereditary hemorrhagic diseases. Presentation of massive transfusion.
8)Immuno-Hematology :Antibody titration and isoagglutinins: And the need for the application of this immunohanological technique in the context of renal and/or hepatic transplantation in incompatible ABO patients.
Demonstration of the Syllabus Coherence with the Curricular Unit's Objectives:
Guided by the teacher, simulating a real environment, from reading a medical prescription, collecting and carrying out the practical procedure, to issuing an analytical and critical report of the results, it should increase the taste for bibliographic research in top research in different areas, being- suggested the reading of several scientific articles and analysis of clinical cases.
Weekly, students will have the opportunity to 'do blood counts' and interpret them, noticing changes associated with pathologies During the exhibition classes are given several examples of real and current situations about the various subjects, in study making the connection 'laboratory-world work'.
Teaching Methodologies (Including Evaluation):
Teaching: Real environment simulation from prescribing to issuing the result. The methodology will be exhibited with permanent recourse to relevant clinical cases in the field. A continuous evaluation of the students will be made, evaluating: posture in class, interest and research on the themes. At the end of the semester, a single written evaluation will be made that will allow the teacher to evaluate the learning of the essential themes presented.
Avaliation: a) Continuous assessment demonstrated by interest in scientific maturity evolution (50%) + b) Final and individual Practice Work (50%)
Demonstration of the Coherence between the Teaching Methodologies and the Learning Outcomes:
Guided by the teacher using the contact form (in person or not) should increase the taste for literature in top research in different areas, and it suggested the reading of several scientific articles and analysis of clinical cases.
Reading:
1.How to Interpret and Pursue an Abnormal Complete Blood Cell Count in Adults. Mayo Clin Proc. July 2005;80(7):923-93.
2.Clinical and Aplies Trombosis/Hemostasis 2017, vol 23 (8) 922-927.
3.Dahlgren US, Bennet W. ABO-Incompatible Liver Transplantation – A review of the historical background and results. Doi: 10.1080/08890185.2019.1601720
4.Statistical Methods in Laboratory Medicine, P. W. Strike, Butterworth Heinemann.
5.Clinical Chemistry –Theory, Analysis and Correlation, L. Kaplan, A. Pesce, The C.V. Mosby Company.
6.Clinical Diagnosis and Management by Laboratory Methods, J. B. Henry; W.B. Saunders Company.
7.Tietz: Text Book of Clinical Chemistry, Ed. C.A. Burtis, E.R. Ashwood, W.B. Saunders Company.
8. Dacie and Lewis, Pactical Haematology, Churchill Livingstone Elsevier, 11ª edição