Numrul total de ore (pe semestru) din

planul de nvmnt
177

FIA DISCIPLINEI

Denumirea disciplinei
Anul de studiu

MEDICAL SEMIOLOGY
3

Semestrul *

Tipul de evaluare final (E / V / C)

Regimul disciplinei (Ob obligatorie, Op opional, F - facultativ)

Total ore din planul de nvmnt
Titularul disciplinei

177

Total ore de studiu

individual

Ob

Numrul de credite

25

Total ore pe
semestru

7
202

Conf. Dr. Vasile DRUG

* Dac disciplina are mai multe semestre de studiu, se completeaz cte o fi pentru
fiecare semestru
Total
C**
S
Facultatea

Medicina

177

56

Medicala I

Semiologie medicala

Specializarea

engleza

** C curs, L activiti de laborator, P proiect

sau lucrri practice

Cunotine minime necesare studenilor pentru parcurgerea noiunilor de curs/stagii/lucrri

practice
Physiology, Physiopathology

Obiectivele disciplinei
Learning clinical examination of a patient with medical disorders
Programa analitic a cursului
Bronchial syndrome: acute and chronic bronchitis, bronchiectasis.
Pulmonary hyperinflation syndrome: pulmonary emphysema.
Pulmonary consolidation syndrome
- non-retractile (bacterial and viral acute pneumonia)
- retractile (lung cancer)
Pleural effusion syndrome: serofibrinous pleuritis, purulent pleuritis, haemorrhagic
pleuritis, pachypleuritis.
Pneumothorax and hydropneumothorax.

P
121

Departamentul
Profilul

Nr ore
2

Cavitary syndrome (lung abscess)

Mediastinal syndrome
Pathological EKG - I

Pathological EKG - II

Ischaemic heart disease. Pectoris angina.

Myocardial infarction.
Rheumatic fever. Rheumatic endocarditis.
Bacterial endocarditis.
Mitral stenosis. Mitral regurgitation.

Aortic stenosis. Aortic regurgitation.

Other valvular heart diseases
Acute and chronic pericarditis.
Diseases of myocardium.
Arterial Hypertension. Arterial Hypotension.
Acute and chronic peripheral ischaemic syndrome.
Clinical syndromes in thrombophlebitis.
Heart failure.

Congenital heart diseases.

2
2

2
2

a. Mouth
b. Esophagus semeiology. Esophageal syndromes.
c. Gastroesophageal reflux disease. Esophageal motility disorders.
Esophageal cancer.
a. Stomach and duodenum.
b. Dyspeptic syndrome.
c. Peptic ulceration syndromes. Gastric ulcers. Duodenal ulcers.
Complications (upper gastrointestinal bleeding, pyloric stenosis)
d. Gastric cancer
a. Small intestine diseases
b. Diarrhea
c. Constipation
d. Malabsorbtion
a. Irritable bowel syndrome
b. Inflammatory bowel disease (Crohn Disease and Ulcerative colitis)
c. Colorectal cancer
Chronic hepatitis

Liver Cirrhosis

Cirrhosis complications
a. Portal hypertension syndrome. Gastointestinal bleeding.
b. Hepatorenal syndrome.
c. Hepatic coma
d. Hepatocellular carcinoma
Jaundice

a. Gallbladder and bile ducts diseases

b. Gallstones. Gallbladder cancer.
c. Cholangiocarcinoma.
a. Acute and chronic pancreatitis. Pancreatic cancer.
b. Spleen
a. The nephritic syndrome. The nephrotic syndrome.
b. Acute and chronic pyelonephritis.
c. Nephrolithiasis.
d. Renal cell carcinoma
Renal failure (acute and chronic)

Anaemia. Polycythaemia.

Acute and chronic leukaemia. Lymphomas. Platelets disorders. Coagulation

disorders
Programa analitic lucrri practice/stagii
Bronchial syndrome. Acute and chronic bronchitis.

Bronchial asthma. Clinical syndrome in bronchiectasis.

Pulmonary consolidation syndrome. Non-retractile pulmonary consolidation

syndrome. Clinical syndromes in bacterial and viral acute pneumonia. Clinical
syndromes in pulmonary infarction
Lung Cancer. Retractile pulmonary consolidation syndrome. Cavitary syndrome.
Lung abscess.
Pulmonary hyperinflation syndrome. Clinical syndrome in pulmonary emphysema.

Pleural syndrome (Pleuritis and pleural effusion syndrome).

Serofibrinous pleuritis. Purulent pleuritis. Haemorrhagic pleuritis.

Chyliform pleurisy. Non-inflammatory pleural diseases. Pleural syndrome in

spontaneous pneumothorax.
Hydropneumothorax.. Pleural syndrome in pachypleuritis.

Medistinal syndrome.

Revision of respiratory pathology.

Acute and chronic peripheral ischemic syndrome.

Symptoms and signs in thrombophlebitis.

Pathological EKG.

Mitral stenosis. Mitral regurgitation.

Aortic stenosis. Aortic regurgitation.

Tricuspid stenosis. Pulmonary artery stenosis. Tricuspid regurgitation. Pulmonary

artery regurgitation.
Ischaemic heart disease. Pectoris angina. Myocardial infarction. Unstable angina.

Acute and chronic pericarditis. Diseases of myocardium.

Rheumatic endocarditis. Bacterial endocarditis.

2
2

2
2

Symptoms and signs in arterial hypertension. Arterial hypotension. Clinical

syndrome in heart failure. Congenital heart diseases.
Revision of cardiovascular diseases.

Esophageal motility disorders. Achalasia. Diffuse esophageal spasm.

Gastroesophageal reflux disease. Hiatus hernia. Esophagitis. Esophageal stenosis

Esophageal cancer. Esophageal diverticulosis.

Dyspepsia. Clinical syndromes in acute and chronic gastritis. Peptic ulcer.

Symptoms and signs in gastric cancer. Symptoms and signs of delayed gastric
emptying. Acute peritoneum syndrome.
Diarrhoea. Constipation. Malabsortion.

Revision of digestive disease.

Severe hepatic failure : hepatic coma

Chronic hepatitis: definition, classification, etiopathogenesis, symptoms,

investigations.
Liver cirrhosis: definition, classification, etiopathogenesis, symptoms,
investigations. Evolution. Complications. Biliary cirrhosis (primary and secondary).
Haemochromatosis. Wilsons disease.
Liver cirrhosis: complications

Biliary dyspeptic syndrome. Biliary colic.

Pancreatic syndromes. Acute pancreatitis. Chronic pancreatitis. Pancreatic cancer.

Revision of liver, gallbladder and pancreatic diseases.

Anaemia: definition, classification.

Macrocytic anaemia. Normocytic anaemia. Microcytic anaemia.

Primary polychytemia syndrome.

Acute leukemia.

Chronic leukemia: myeloid and lymphocytic.

Lymph proliferative syndrome. Hodgkins disease.

Hemorrhagic syndromes. Bleeding syndrome in coagulation disorders. Hemophilia.

Disseminated intravascular coagulation.
Syndromes in acute glomerular nephropathy. Post-streptococcal acute
glomerulonephritis.
Acute infectious segmental glomerulosclerosis. Syndromes in chronic glomerular
nephropaty.
Nephrotic syndrome.

Syndromes in pyelonephritis. Acute pyelonephritis. Chronic pyelonephritis.

Acute renal failure.

Chronic renal failure. Urinary tract lithiasis. Renal cell carcinoma.

Revision of renal diseases.

2
2
2

Competene practice dobndite la finalul anului/semestrului

1.Clinical evaluation of a patient (general and system clinical examination) and completing the clinical
file.
2.Clinical evaluation of a patient with altered state of consciousness.
3. To know the criteria and methods to identify the clinical signs in order to establish coma ethiology .
4. Eye exam: indications and significance of obtained data.
5. To know the symptomes of meningeal syndrome and methods to identify it.
6. To know the indications, restrictions, technique of lumbar punction and the significance of bio-umoral
tests, cythology and bacteriology of cerebrospinal fluid.
7. Emergency algorytm in hypoglicemic coma.
8. Recognising medical emergencies and gravity criteria:
- bronchial asthma crisis and status asthmaticus;
- pulmonary embolism;
- pneumothorax;
- pneumonia and bronchopneumonia;
- pleural effusion;
- hypertensive crisis;
- angina and acute myocardial infarction;
- acute pulmonary edema;
- upper tract digestive bleeding;
- acute pancreatitis;
- glomerulonephritis and acute pyelonephritis.
9. Recognising clinical signs and gravity criteria in acute peripheral circulatory failure (shock).
10.Recognising the signs of peritoneal syndrome.
11.Recognising clinical signs of acute peripheral ischemia syndrome (arterial embolism).
12. Recognising clinical signs of deep venous trombosis.
13. Recognising clinical signs of heart failure.
14. Recognising acute urine retention (identifying globe bladder).
15. Recognising acute renal failure.
16. Recognising clinical signs of occlusive syndrome.
17. To know the parameters of patient surveillance and their significance: temperature, pulse, blood
pressure, breathing, diuresis, stool, vomiting, sputum.
18. Clinical evaluation of a patient with fever.
19. Clinical evaluation of a patient with jaundice.
20. Recognising viral acute hepatitis.Recunoaterea hepatitei acute virale.
21. Clinical evaluation of a patient with fluid retention syndrome.
22. Clinical evaluation of a patient with anemia.
23. Clinical evaluation of a patient with weight deficit.
24. Clinical evaluation of a patient with dysphagia.
25. Clinical evaluation of a patient with impaired gastric evacuatory.
26. Clinical evaluation of a patient with transit disorders.
27. Executing rectal examination: method, signs.
28. Knowledge of indications, contraindications, techniques, post-procedural surveillance and diagnostic
significance in toracocentesis, pericardiocentesis and paracentesis.
29. Knowledge of exploring possibilities by biologic analysis (blood, urine, sputum, pleural fluid,

pericardic fluid, biopsy): hematologic, bio-umoral, bacteriological, histopathological assay (significance

of changing evaluated parameters).
30. Knowledge of biological samples harvest.
31. Knowledge of EKG technique, EKG interpretation, recognising electrical changes in SVPT, atrial
and ventricular flutter and fibrilation, acute miocardial infarction, coduction disorders, chronic
myocardial ischemia, atrial and ventricular hypertrophy.
32. Knowledge of imagistic exploring possibilities, indications, contraindications and preparing the
patient for radiologic examination, echography, CT, MRI.
33. Knowledge of endoscopic exploring possibilities, indications, contraindications and preparing the
patient for the investigation.
34. Knowledge of attitude in medical emergencies (acute obstruction of upper respiratory tract, bronchial
asthma and status asthmaticus, hypertensive crisis, acute coronary syndrome, acute pulmonary edema).
35. Preparing and technique of parenteral treatment (intradermic, subcutaneous, intramuscular,
intravenous, perfusion, transfusion).

La stabilirea notei finale se iau n considerare

Ponderea n notare exprimat n

procente
(Total = 100%)

- rspunsurile la examen / colocviu (evaluarea final):

- rspunsurile finale la lucrrile practice de laborator
- testarea periodic prin lucrri de control
- activitile gen teme / referate / eseuri / traduceri /
proiecte etc.
- alte activiti (PRECIZAI) : colocviu
Descriei modalitatea practic de evaluare final E/V (de exemplu: lucrare scris (descriptiv i
/ sau test gril i / sau probleme etc.), examinare oral, colocviu individual ori n grup, proiect,
etc.)
Teste scrise semestriale, rspunsuri la lucrrile practice
Examen final: examen practic i test gril unic (60 ntrebri cu rspunsuri multiple)
- Seminarii i evaluri pe parcurs
- Evaluare final
1. examen practic 40%
2. prob scris (gril unic) 50%
3. evaluarea asistentului in timpul anului 10%

Estimai timpul total (ore pe semestru) al activitilor de studiu individual pretinse

studentului
(completai cu 0 activitile care nu sunt cerute)
1. Descifrarea i studiul notielor de
8. Pregtire prezentri orale
curs
2. Studiu dup manual, suport de curs
3. Studiul bibliografiei minimale
indicate
4. Documentare suplimentar n
bibliotec
5. Activitate specific de pregtire
SEMINAR i / sau LABORATOR
6. Realizare teme, referate, eseuri,
traduceri, etc.
7. Pregtire lucrri de control

9. Pregtire examinare final

20

10. Consultaii

11. Documentare pe teren

12. Documentare pe Internet
13. Alte activiti ....
14. Alte activiti ....

TOTAL ore studiu individual (pe semestru)

= minimum 25

Bibliografie obligatorie :
1. Stanciu C Semiologie medical de baz, vol.1, Editura Junimea, Iai,
1989
2. Stanciu C Semiologie medical de baz, vol.2, Editura Junimea, Iai,
1990
3. Stanciu C, Balan Gh- Curs de Semiologie Medical, Semiologie general
Editura Junimea Iai, 2002
4. Curs de Semiologie medical. Aparatul respirator, Editura Junimea, Iai,
2002
5. Stanciu C, Stan M, Curs de Semiologie Medical, Aparatul cardio-vascular
Editura Junimea Iai, 2002
6. Stanciu C, Trifan A, Ionescu D. Curs de Semiologie Medical, Aparatul
digestiv Editura Junimea Iai, 2002
7. Stanciu C A Guide to Clinical Examination, Editura Gr. T. Popa, Iai,
2002
8. Stanciu C Clinical Examination, Editura Gr. T. Popa, Iai, 2002
9. Macleod's Clinical Examination, 12 th edition: Churchill Livingstone,
Elsevier 2009.
10. Barbara Bates, Lynn S. Bickley (Revised by), Robert A. Hoekelman
(Revised by) Guide to Physical Examination and History Taking
(Lippincott Williams and Wilkins), Hardcover (1999)

Bibliografie suplimentar pentru materia de curs i lucrri practice-e

Data completrii:

Semntura coordonatorului de activitate didactic

Conf dr Vasile DRUG