The course is given during the first cuatrimester of the fourth academic year.

The course is structured in five large blocks that are designed in a coordinated manner: hematology, pharmacology, pathology, oncology, and palliative medicine.

In this matter, the basics and knowledge to understand blood diseases, oncology and palliative medicine, as well as aspects of pharmacology and pathology related to these disciplines are provided.

The course is focused from a theoretical and practical point of view.

• Possess the knowledge and skills of the main blood diseases and cancer.
• Understand and apply the resources of the palliative medicine.
• Ability to establish and interpretate biological diagnostic tests
• Have sufficient knowledge to develop criteria in the therapeutic management of blood diseases and cancer.

Competences

• CG7. Understand and recognize the normal structure and function of the human body, at the molecular, cellular, tissue, organic and systems level, in the different stages of life.
• 80.- Be able to recognize, diagnose and manage the diseases of the  blood
• 87.- Demonstrate knowledge of the tumor disease and its diagnosis and management
• 111.- Demonstrate basic knowledge of palliaive medicine
• 126.- Apply knowledge of pathology
• 127.- Demonstrate an understanding of biochemical, cytogenetic and molecular biology markers applied to clinical diagnosis
• 139.- Apply knowledge of pharmacology
• 140.- Demonstrate medical expertise in the use of analgesic, antineoplastic, antimicrobial and anti-inflammatory pharmacs
• 148.- Describe the principles of transfusion and transplantation
• 159.- Be able to perform elementary surgical procedures
• 152.- Evaluate and interpretate the results of laboratory diagnostic tests
• 155.- Be able to use drugs properly

The allocation of classrooms may be changed depending on the teaching needs, available space and programming assignments. You can check for updates and modifications at the Virtual Campus of our university (CV; https://cv.udl.cat/portal) and UdL App for mobile devices (http://www.udl.cat/ is / udlapp / index.html).

Hematology
Large Group (1 hour each class):
- Hemopoiesis
- Introduction to the pathology of red blood cells. Anemic syndrome - Anemia due to chronic disorders. Hemochromatosis
- Iron deficiency anemia
- Megaloblastic anemia
- Membranopathies. Enzymopathies,
- Hemoglobinopathies. Thalassemia
- Hemolytic anemia. HPN
- Introduction to the physiology and pathology of hemostasis
- Thrombocytopenia. Purple
- Congenital coagulopathies
- Acquired coagulopathies.
- Thromboembolic disease
- Hypoplasia and spinal aplasia
- Transplantation of hematopoietic progenitors
- Transfusion
- Acute leukosis
- Myelodysplastic syndrome
- Chronic Myeloproliferative Syndromes
- Chronic myeloid leukemia
- Chronic Lymphoproliferative Syndrome
- Multiple myeloma
Medium Group (2 hours each session): ½ class.
- Pathology of the red series. Anemias
- Platelet series pathology and hemostasis
- Pathology of the white series
Small group (2-3 hours each session): ¼ class.
- Hemograms
- Clinical case 1 hematology
- Clinical case 2 hematology

Palliative Medicine
Large Group (1 hour each class):
- Palliative care. Definition and basic principles
- Pain: Evaluation and treatment 
- Digestive symptoms
- Respiratory symptoms
- Agonizing situation
- Emotional sphere
- Socio-family sphere
Medium Group (2 hours each session): ½ class.
- Communication of bad news
- Approach to mourning

Pharmacology
Small group (2 hours each session): ¼ class
- Fco of hematopoiesis
- Fco of general cancer
- Fco specific cancer

Pathological Anatomy
Large Group (1 hour each class):
- AP of the MO
- AP of benign lymphadenopathy and NHL
- Hodgkin's AP
- AP of urological tumors
- Prostate cancer AP
- AP of testicular cancer
- AP of esophageal cancer
- AP of stomach cancer
- AP of colorectal cancer
- PA of hepatocellular carcinoma and bile duct tumors
- AP of pancreatic cancer
- AP in lung cancer
- Anatomoclinical situations in the study of lung cancer
- AP in breast cancer
- AP of cervical cancer
- AP of endometrial cancer
- AP of ovarian cancer
- AP of endocrine tumors
- AP of CNS tumors
Medium Group (1 hour each session): ½ class.
- Oncology clinical cases

Medical Oncology and Radiotherapy Oncology
Large Group (1 hour each class):
- Introduction to medical and radiotherapy oncology
- Oncology of urological tumors
- Oncology in prostate cancer
- Oncology of testicular tumors and value of tumor markers
- Oncology in esophageal cancer
- Oncology in stomach cancer
- Oncology in colon cancer
- Oncology in rectal cancer
- Oncology in hepatocellular carcinoma, cholangiocarcinoma, and gallbladder tumors
- Oncology in pancreatic cancer, GIST and neuroendocrine tumors
- Lung cancer oncology
- Breast cancer oncology
- Oncology in cervical cancer
- Oncology in endometrial cancer
- Oncology in ovarian cancer
- Oncology of CNS tumors
- Oncology of head and neck tumors
- Sarcoma and skin tumors
Medium Group (2 hours each session): ½ class.
- Etiology and cancer prevention
- Radiotherapy, type, toxicity and handling
- Types of chemotherapy, toxicity and management. TNM classification
- Targets in oncology. Clinical trials
- Oncology clinical cases 1
- Oncology clinical cases 2

The teaching methodology is based in lectures with the participation of students, seminars, case studies and guided activities. The classes will be supported with iconography (slides and transparencies) and computer presentations.

Attendance at lectures is not mandatory but we recommend to actively participate in all the sessions and work in advanced the contents of the lectures.

The learning activity is managed through the Virtual Campus (VC) of the University of Lleida.

See the scheduled activities at the web of the Faculty of Medicine and the Catalan Guide

1. Tests:

Tests through the Virtual Campus.

2. Resolution of activities:

Resolution of clinical cases, practical examples and activities planned.

3. Written exam:

Examination of multiple choice questions with alternatives of which only one is correct. This exam is made in two parts, examining about half of the course content for each part.

More detailed information in catalan or spanish version. 

Visiting students, please contact the professor responsible for the subject to specify the aspects of the evaluation and deal with the specifics of each case.

Evaluation Dates:

Go and check the catalan version

At the beginning of the course and during the development of the lectures the most approppiate resources will be recommend.

We also provide reference materials through the Campus Virtual

As general reference texts we recommend

• Concise Manual of Hematology and Oncology.
  D. P. Berger, M. Engelhardt, H. Henß, R. Mertelsmann.
  Springer-Verlag, 2008
  ISBN 978-3-540-73276-1
• HARRISON’S Hematology and Oncology.
  Dan L. Longo
  The McGraw-Hill Companies, 2010
  ISBN: 978-0-07-166336-6 

• Rang y Dale. Farmacología. (9ª ed.), Elsevier España, 2020

• Farmacología humana. Florez J. et al. (6ª ed.), Elsevier Masson, 2013