Educational guide
IDENTIFYING DATA 2023_24
Subject SURGICAL PATHOLOGY, ANESTHESIOLOGY AND RADIOLOGY Code 00106024
Study programme
0106 GRADO EN VETERINARIA
Descriptors Credit. Type Year Period
9 Compulsory Third First
Language
Castellano
Prerequisites
Department MEDICINA,CIRUGIA Y ANAT.VETERI
Coordinador
RODRÍGUEZ-ALTONAGA MARTÍNEZ , JOSÉ ANTONIO
E-mail jarodma@unileon.es
jmgono@unileon.es
jsang@unileon.es
mregf@unileon.es
Lecturers
GONZALO ORDEN , JOSÉ MANUEL
RODRÍGUEZ-ALTONAGA MARTÍNEZ , JOSÉ ANTONIO
SÁNCHEZ GARCÍA , JESÚS
REGUEIRO PURRIÑOS , MARTA MARÍA
Web http://
General description Morbid processes that require surgical resolution, the basic techniques to be used for this purpose, including surgical and experimental restitution. General surgery: basic techniques. General surgical pathology. Anaesthesiology: physiological and pharmacological basis. Clinical anaesthesiology. Radiology. Nature, production and properties of ionizing radiation. Diagnostic and therapeutic applications. Protective measures. Other diagnostic imaging methods, ultrasound, CT, MRI, endoscopy, etc.
Tribunales de Revisión
Tribunal titular
Cargo Departamento Profesor
Presidente MEDICINA,CIRUGIA Y ANAT.VETERI ALONSO DIEZ , ANGEL JAVIER
Secretario MEDICINA,CIRUGIA Y ANAT.VETERI REJAS LOPEZ , JUAN
Vocal MEDICINA,CIRUGIA Y ANAT.VETERI ALVAREZ GARCIA , MARIA MERCEDES
Tribunal suplente
Cargo Departamento Profesor
Presidente MEDICINA,CIRUGIA Y ANAT.VETERI PEREZ GARCIA , CARLOS CESAR
Secretario MEDICINA,CIRUGIA Y ANAT.VETERI RIOS GRANJA , MARIA DE LOS ANGELES
Vocal MEDICINA,CIRUGIA Y ANAT.VETERI GARCIA RODRIGUEZ , MARIA BELEN

Competencias
Code  
A19614 106P12 Respect and enforce animal welfare in all professional activities related to animal management.
A19615 106P13 Minimise the risks of contamination and cross-infection in animal facilities and in the field.
A19618 106P16 Carry out risk analysis, including environmental and biosafety risks, as well as their assessment and management.
A19645 106S23 Clinical examination methods and procedures, complementary diagnostic techniques and their interpretation.
A19646 106S24 Diagnostic imaging and radiobiology.
A19650 106S28 Clinical study of the sick individual and the medical, surgical or hygienic treatments
A19653 106S30 Surgical techniques used in veterinary medicine.
A19654 106S31 Animal anesthesiology and reanimation.
B6471 106G1 Analyse, synthesise, solve problems and make decisions in the professional fields of the veterinarian.
B6472 106G2 Work as a team, single or multidisciplinary, and show respect, appreciation and sensitivity to the work of others.
B6473 106G3 Maintain ethical behavior in the exercise of their responsibilities towards the profession and society.
B6474 106G4 Communicate the information obtained during the veterinarians professional practice fluently, orally and in writing, with other colleagues, authorities and society in general.
B6475 106G5 Write and present professional reports correctly, always maintaining the necessary confidentiality.
B6479 106G9 Demonstrate interest in knowing how to use basic computer tools.
C1 CMECES1 That students have demonstrated possession and understanding of knowledge in an area of study that is based on general secondary education, and is usually found at a level that, although supported by advanced textbooks, also includes some aspects that involve knowledge from the cutting edge of their field of study
C2 CMECES2 That students know how to apply their knowledge to their work or vocation in a professional manner and possess the skills that are usually demonstrated through the development and defense of arguments and the resolution of problems within their area of study.
C3 CMECES3 That students have the ability to gather and interpret relevant data (normally within their area of study) to make judgments that include reflection on relevant issues of a social, scientific or ethical nature.
C4 CMECES4 That students can transmit information, ideas, problems and solutions to both a specialised and non-specialised audience
C5 CMECES5 That students have developed those learning skills necessary to undertake further studies with a high degree of autonomy

Learning aims
Competences
A19614
A19615
A19618
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A19653
A19654
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B6475
B6479
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Adequately interpret any written text using correct surgical language. Analyses the data collected in the anamnesis, in order to be able to orientate the subsequent complete clinical-surgical examination. A4545 Interprets appropriately the clinical signs of the most frequent surgical processes in domestic animals (general, systemic and specific). A4544 Diagnose the most common diseases that can be treated by surgical procedures. A4545 Performs a complete clinical-surgical examination and correctly makes a clinical, diagnostic, prognostic and therapeutic judgement. A4544 Knows how to use commonly used surgical instruments, suture materials and instruments, and dressing materials. A4547 Performs any of the basic surgical techniques on domestic animals (dressings, sutures, division of tissues). A4547 Can perform the most basic medical, surgical and therapeutic treatments. A4547 Describes the different techniques and protocols to be followed in diagnostic imaging in each case. A4540 Analyses images obtained by conventional radiological and other diagnostic imaging techniques. A4540 Evaluates the different signs that can be evidenced by diagnostic imaging. A4540 Recognises images and graphic signs of disease or health using diagnostic imaging techniques. Knows and uses different anaesthesia equipment. A4548 Performs the most common anaesthetic protocols in different domestic species, both general and local anaesthesia. A4548

Contents
Topic Sub-topic
I. GENERAL SURGICAL PATHOLOGY 1.- Surgical Pathology and Surgery. Etymological concept. Historical recollection. Concept and current extension. Future of the same. Study plan. Sources. Nomenclature. 2. Mechanical trauma: a) Study of contusions: etiology, symptoms, prognosis and treatment. b) Study of wounds: concept, classification, symptoms, prognosis. Types of wounds. General treatment of wounds. 3. Thermal trauma: a) Burns; b) Frostbite; c) Hypothermia. Injuries caused by chemical agents. Injuries caused by electricity. Concept, aetiology, classification, symptoms, prognosis and treatment. 4. Complications of traumatisms. General complications. Haemorrhage. Shock. Fat embolism. Gas embolism. traumatic emphysema Gangrene. Local complications. 5. Wound healing. Clinical evolution of the wound repair process. Local and general factors that influence the wound repair process. 6. Complications of wound healing. Pathological processes of the scar: hypertrophic scar, keloids, dehiscence, ulcers, fistulas. 7. Surgical infection. Non-specific infections. Local infection. Suppuration. Clinical forms: abscesses, phlegmons and empyemas. General pyogenic infection. Septicaemia. Specific infections of surgical interest. 8. Neoplastic surgical pathology. Surgical classification. Surgical classification. Diagnosis. Biopsy. Treatment: therapeutic options. Combination of radiation and chemotherapy in the treatment of malignant tumours. II. GENERAL SURGERY 9. Surgical facilities and equipment. Instruments. Sterilisation. Preparation of surgical personnel. Preparation of the surgical patient for the operation, cleaning, depilation, disinfection, preparation of the field. Asepsis and antisepsis (theoretical and practical). 10. The preoperative period. Surgical exploration. Preoperative assessment of the surgical patient. Preoperative and critical patient. Clinical record. 11. Haemostasis. Concept and generalities. Preventive and definitive haemostasis. 12. Fluid therapy. Introduction. Fluid therapy in the surgical patient. Indications and techniques. Fluid therapy control. Complications of fluid therapy. Blood transfusions. 13. Division of tissues. Incisions, punctures, resections, dissection, ligatures, strangulation, pull-outs, etc. Surgical dissection. Injections. Types of injections. Inoculations. Techniques for different species. 14. Sutures. Sutures. Instruments. Materials. Techniques and patterns. Cutaneous-muscular, tendon, nerve, vascular and intestinal sutures. Other types of sutures. Tissue adhesive materials. 15. Drains, cures and bandages. Drains: classification; indications and techniques; complications. Dressings: instruments; materials; types of dressings; complications. Dressings: concept; types; materials; indications and techniques; complications. 16. Postoperative period. General principles: potential complications. Postoperative control. The convalescence period. Parenteral nutrition. III. ANAESTHESIOLOGY 17. Anaesthesia. Concept of anaesthesia. Historical memory. Reasons for the administration of anaesthesia. Pre-anaesthetic assessment of the patient. Selection of the anaesthetic agent. Routes of administration of anaesthetics: subcutaneous, intramuscular, intravascular, intraperitoneal and inhalation. 18. Tranquillisation and pre-anaesthesia. Anticholinergic agents. Tranquillisers. Analgesics. Muscle relaxants. Neuroleptoanalgesia. 19.Types of anaesthesia. Local anaesthesia. Drugs used and their properties. Surface anaesthesia. Infiltration anaesthesia. Indications in different species and cases. 20. General anaesthesia. Concept, stages, signs. Types of general anaesthesia. Fixed anaesthetics. Other methods of general anaesthesia. 21. Inhalation anaesthesia. Types and agents used. Equipment for inhalation anaesthesia. Methods and systems of administration. Artificial ventilation. 23. Anaesthesia in equines. 24. Anaesthesia in ruminants. 25. Anaesthesia in dogs and cats. 26. Anaesthesia in other mammals, wild, docile and dangerous animals. Anaesthesia in birds. Anaesthesia in swine. Anaesthesia in amphibians, fish, reptiles and laboratory animals. IV. SYSTEMIC SURGICAL PATHOLOGY. 27. Skin and subcutaneous cellular tissue. Traumatic injuries: contusions, abrasions, wounds. Inflammatory lesions: of the pilosebaceous duct. Sweat glands. Other dermatitis of surgical interest. Circulatory disorders: ischaemia and hyperhaemia. Hot oedema. Elephantiasis. Decubitus ulcers. Hygromas. Tumours. Correction of skin defects. Plasties, flaps and skin grafts. Concept and techniques. 28. Muscular tissue. Congenital anomalies. Traumatic injuries: contusions, wounds, ruptures, hernias and dislocations. Post-traumatic muscular ossifications. Inflammatory conditions: myositis. muscular dystrophies Tumours. Muscular surgery. 29. Tendons and ligaments. Congenital anomalies. Traumatic injuries, contusions, wounds, ruptures, dislocations. Inflammatory tenopathies. Surgical diseases of ligaments and aponeurosis. Tendon and ligament surgery. Tenotomies and tenorrhaphy. Demotomies. Tendon synovium. Anomalies. Traumatic injuries Contusions and injuries. Inflammatory processes of tendon synovium. Synovitis . Puncture of tendon sheaths. 30. Bones. Congenital anomalies. Traumatic injuries: fractures, aetiology. Mechanism of fracture production. Symptoms. Repair. Complications of the fracture repair process. 31. Treatment of fractures. First aid. General techniques. Osteosynthesis techniques. 32. Inflammatory bone diseases. Osteitis and osteomyelitis. Concept. Aetiology and pathogenesis. Clinical-surgical forms. Bone dystrophies. Bone neoplasms. Surgical treatment. 33. Joints. Congenital anomalies. Traumatic injuries: contusions. Injuries: periarticular and penetrating injuries. Inflammatory lesions: arthritis. Arthrosis. Arthrophytes. Ankylosis. Sprains and dislocations. Surgical treatment. Rehabilitation techniques in surgical joint diseases. 34. Veins and arteries. Congenital anomalies. Traumatic injuries: contusions and wounds. Inflammatory conditions: phlebitis and thrombosis. Aneurysms and varicose veins. Neoplasms. Vascular surgical techniques. Arterial and venous anastomoses. Grafts. 35. Lymphatic system. Lymphatic vessels. Traumatic injuries: contusions and wounds. Inflammatory conditions: lymphangitis. Lymphangectasia. Lymph node diseases. Traumatic injuries: contusions and wounds. Inflammatory conditions: adenitis. Lymph node removal. Lymphatic tumours. 36. Nerves. Abnormalities. Traumatic injuries: compression, contusions, distension, dislocation. Injuries: interruption and regeneration. Neuritis. Paralysis. Tumours. Peripheral nervous system surgery. Truncular and fascicular nerve anastomoses. Nerve grafts. V. RADIOLOGY 37. X-ray production. Image formation. Relationship of exposure factors. Image recording: radioscopy. Radiography. Digital imaging. Diagnostic radiology and therapeutic radiology. 38. Computerised axial tomography. Installations and equipment. Nuclear magnetic resonance. Installations and equipment. 39. Basic concepts in radiobiology. Biological effects of radiation. Radioprotection. 40. Hard tissues: generalities. Bone system. Fractures. Neoplasms. Other injuries. 41. Small animals. Head. Maxilla. Mandible. Larynx. Cervical spine. Thoracic spine. Lumbar spine. Sacrum and tail. Myelography in the dog (cervical, thoracic and lumbar). Thoracic cage. 42. Large animals. Head. Nasal cavity and nasopharynx. Sinuses. Guttural pouches. Maxilla. Mandible. Cervical spine. Thoracic spine. Lumbar spine. Sacrum and tail. Cervical myelography. Thoracic cage. 43. Small animals. Forelimb. Back region. Scapulo-humeral joint. Upper arm. Elbow joint. Forearm. Carpal joint. Hand. Hind limb. Pelvis. Coxofemoral joint. Femur. Knee. Inner part of the pelvic limb. Tarsal joint. Distal part of the pelvic limb. 44. Large animals. Fore limb. Back. Meeting. Humerus. Elbow. Lower forelimb. Carpus. Metacarpus. Phalanges and naviculars. Hind limb. Pelvis. Coxofemoral joint. Femur. Knee. Lower part of the pelvic limb. Tarsus. Metatarsus. Phalanges and naviculars. 45. Soft tissues. Generalities and techniques. Thoracic and abdominal cavity. Respiratory system. Diaphragm. Mediastinum. Heart. Digestive system. Urinary system. Genital system. 46. Special radiological explorations in contrast media: oesophagus; stomach; intestine; uterus; gall bladder. Cholecystography. Pneumoperitoneum. Pyelography. Urography. Retrograde cystography. Urinary bladder. 47. Special radiological explorations with contrast media: (continued): thorax. Bronchography. Representation of the vessels. Angiocardiography. Phlebography. Arteriography. 48. Radiology in birds and other exotic and experimental animal species. 49. Ultrasonography. Diagnosis by ultrasound. Other means of image diagnosis. VI. PRACTICES Clinical practical duration: 4 h (x 10 sessions) No. of groups: 6 x 2 Place: Depending on the availability of patients at the Veterinary Hospital, practical on patients or on specimens at the department's facilities will be scheduled. No. of teachers per group: 1 (1 per module). There will be two modules and two teachers per day, who will be in two separate departments in order to avoid the collapse of the facilities. Depending on the availability of space, a greater or, exceptionally, lesser dispersion will be sought. 1. Preparation of the patient for surgery. Assessment of the surgical patient. 2. Sutures. 3. Skin flaps. 4. Clinical case. Dressing and bandages. 5. Clinical case. Anaesthesia. 6. Clinical case. Anaesthesia. 7. Clinical case. General surgery. 8. Clinical case. Postoperative period. 9. Clinical case. Radiology. 10. Clinical case. Radiology.

Planning
Methodologies  ::  Tests
  Class hours Hours outside the classroom Total hours
Clinical practicums 40 28 68
 
Assignments 1 3 4
Personal tuition 3 0 3
 
Lecture 49 98 147
 
Objective multiple-choice tests 1 0 1
Practical tests 1 0 1
Objective short-answer tests 1 0 1
 
(*)The information in the planning table is for guidance only and does not take into account the heterogeneity of the students.

Methodologies
Methodologies   ::  
  Description
Clinical practicums Clinical work: 10 clinical practices of approximately 4 hours each. The teacher will help the student, but it will be the student who will personally carry them out.
Assignments This is voluntary. Students are required to write a paper on the activities carried out in the clinical practices.
Personal tuition Personalised attention to students through individual virtual and face-to-face tutorials. The purpose of these will be to clarify any concepts or techniques requested by the student. Personalised attention, in the face-to-face modality, will be scheduled one day a week.
Lecture Session Lecturers will present the theoretical content of the subject. However, at the end of the lecture, questions on the subject explained will be admitted. Students will also be provided with summaries of the lectures or, in other cases, the complete subject.

Personalized attention
 
Lecture
Description
3 hours for each student. One day a week will be set.

Assessment
  Description Qualification
Lecture Se reserva 1/10, de la nota para la participación en el aula

Se reservan 6/10 de la nota a los exámenes escritos que se hagan en forma de test o preguntas cortas

 
Other comments and second call

Sources of information
Access to Recommended Bibliography in the Catalog ULE

Basic Fossum TW, Cirugía en pequeños animales, Barcelona: Elsevier, 2013
Auer JA, Stick A, Equine surgery, St. Louis (Missouri): Elsevier/Saunders, 2012
Muir WW, Manual de anestesia veterinaria, Madrid: Elsevier, 2008
Thrall DE , Manual de diagnóstico radiológico veterinario , Madrid: Elsevier , 2017
Ginja M, Ferreira AJ, Ribeiro J, Varejão ASP, Gonzalo-Orden JM, Ressonância magnética em medicina veterinária , Vila Real: Editorial dos SDE. UTAD, 2012
Slatter DH, Textbook of small animal surgery textbook of small animal surgery: Vol. 1 y Vol. 2, Philadelphia: Elsevier, 2003

Complementary Gonzalo JM y col., Cirugía veterinaria , New York: Interamericana Mc Graw-Hill , 1996
Slatter DH , Manual de cirugía en pequeñas especies , Madrid: Interamericana Mc Graw-Hill , 1997
Slatter DH , Texto de cirugía de los pequeños animales. Tomo I y II , Barcelona: Salvat , 1989


Recommendations


Subjects that it is recommended to have taken before
ANATOMY I / 00106002
PHYSIOLOGY I / 00106003
ANATOMY II / 00106006
PHYSIOLOGY II / 00106007
GENERAL PATHOLOGY / 00106016
GENERAL PATHOLOGICAL ANATOMY / 00106017
VETERINARY PHARMACOLOGY / 00106019
MEDICAL PATHOLOGY I / 00106030