Lecture (content units)

No. hours

1. Introductory aspects in the discipline of rheumatology - notions of immunology and autoimmunity, specific elements of clinical-paraclinical examinations necessary for rheumatological evaluation

2

2. Systemic lupus erythematosus - defining elements, etiopathogenesis

2

3. Systemic lupus erythematosus - clinical manifestations and forms, immunological context, elaboration of positive and differential diagnosis, therapeutic attitude

2

4. Systemic scleroderma - etiopathogenic mechanisms, clinical implications, paraclinical evaluation, elements of positive and differential diagnosis, therapeutic options

2

5. Poly/Dermatomyositis - etiology, classification, pathogenic mechanisms, clinical aspects, paraclinical context, elaboration of positive and differential diagnosis, therapeutic schemes

2

6. Mixed connective tissue disease. Sjogren's syndrome - diagnostic criteria and therapeutic attitude

2

7. Rheumatoid polyarthritis - definition, pathogenic notions, clinico-biological profile

2

8. Rheumatoid polyarthritis - clinical-evolutive forms, positive and differential diagnosis, therapeutic management

2

9. Seronegative spondyloarthritis - group characteristics . Ankylosing spondylitis - clinical picture, paraclinical investigations and therapeutic schemes

2

10. Psoriatic arthritis. Enteropathic arthritis. Reactive arthritis - etiopathogenic, clinical and therapeutic aspects.

2

11. Microcrystalline arthritis - Gout - definition, notions of etiopathogenesis, definition of hyperuricemic status, clinical-evolutive forms, positive and differential diagnosis, prophylactic and specific therapeutic measures.

2

12. Systemic vasculitis - large blood  vessels, variable blood  vessel (Behҫet disease)

2

13. Systemic vasculitis - medium and small blood vessels

2

14. Arthroses - definition, classification, positive diagnosis and therapeutic options

2

15. The importance of imaging investigations in the assessment of rheumatic pathology

2

PRACTICAL WORK (topics/themes)

No. hours

1. Objective examination of the osteo-articular system: clinical evaluation of inflamed joint areas, joint mobility, specific maneuvers

24

2. Examination of extra-articular manifestations in autoimmune pathology and specific paraclinical explorations

24

3. Assessment items in rheumatoid arthritis

24

4. Objective examination of the patient with spondylarthritis - completion of the items necessary for BASDAI and BASFI scores

24

5. Joint puncture technique: learning the appropriate approach to minimally invasive intra-articular manoeuvres in the context of underlying inflammatory pathology (e.g. synovial fluid extraction and local glucocorticoid infiltration in reactive knee osteoarthritis). Indications and contraindications of intra-articular infiltrations, interpretation of synovial fluid appearance.

24

6. Elements of musculoskeletal ultrasonography and interpretation of major sonanatomical changes: joint dressing, degree of synovitis, bone irregularities, lesions of cartilaginous structures)

12

7. Interpretation of images obtained by conventional radiology, computer tomography and nuclear magnetic resonance - for rheumatoid arthritis, seronegative spondyloarthritis, major collagenous diseases, arthrosis

12

8. Evaluation and interpretation of diagnostic techniques in osteoporosis (DXA)

12

9. Learning the appropriate hygienic and dietetic therapeutic measures for the patient with rheumatological pathology

12

10. Use of specific pharmacological therapy in rheumatological conditions

12