PROPOSAL FOR THE INSTITUTION OF VDIM 352 VETERINARY ECHOCARDIOGRAPHY I. IDENTIFYING AND DESCRIPTIVE INFORMATION A. Course Catalogue Description 1. Course number: VDIM 352 2. Course Title: Veterinary Echocardiography 3. Course Description: Application of diagnostic ultrasound for cardiovascular diseases and disorders of animals 4. Prerequisite: VSUR 154 or COI 5. Semesters offered: 2nd semester 5. Course credit: 3 units 6. Number of hours: 5 hours a week (2 class, 3 lab) 7. Course goal: For the student to apply ultrasonography in the diagnosis of cardiovascular diseases and disorders of animals. B. Rationale Diagnosis of cardiovascular diseases and disorders of animals has always posed difficulty for veterinarians. Reliance upon history, clinical signs, laboratory examinations and even radiography has often led to incorrect diagnosis. Many of these cardiovascular disorders are diagnosed during necropsy. Recently, however, the use of diagnostic ultrasound for examination of the heart and vessels, i.e. echocardiography, has become popular because of ultrasonography’s ability to characterize internal architecture of the heart and blood vessels. Currently, no veterinary school in the Philippines has been offering a course in echocardiography. This course, therefore, aims equip the students on the application of ultrasonography for diagnosis of cardiovascular diseases and disorders in animals. C. Course Outline 1. Specific Course Objectives: Upon completion of the course, the student should be able to: a. Discuss B-mode and M-mode echocardiographic procedures. b. Describe the ultrasound features of the heart and surrounding blood vessels in animals; c. Apply ultrasonography for examination and measurement of the heart and surrounding blood vessels in animals; and d. Interpret ultrasonograms for diagnosis of cardiovascular diseases and disorders of animals. 2. Course Content: Lecture Topics 1. Equipment and guidelines for echocardiography 1.1. Ultrasound machine 1.2. Guidelines 2. B-mode echocardiographic examination 2.1 Patient preparation 2.2 Patient positioning 2.3 Transducer selection 2.4 Two-dimensional images 2.5 Imaging controls 3. M-mode echocardiographic and Doppler examinations No. of hours 2 6 6 3.1 M-mode echocardiography 3.2 Color-flow Doppler 3.3 Spectral Doppler 3.4 Tissue Doppler imaging 4. Evaluation of size, function and hemodynamics 4.1. Measurement and assessment of two-dimensional images 4.2. Measurement and assessment of M-mode images 4.3. Measurement and assessment of Doppler images 5. Echocardiographic measurements in different species 5.1. Equine 5.2. Bovine 5.3. Canine 5.4 Feline 5.5 Miscellaneous species 6. Echocardiography of valvular diseases 6.1. Mitral regurgitation 6.2. Aortic regurgitation 6.3. Tricuspid regurgitation 6.4 Pulmonary regurgitation 6.5 Endocarditis 7. Echocardiography of myocardial diseases 7.1. Cardiomyopathy 7.2. Outflow obstruction 7.3. Moderator bands 7.4 Myocardial infarction 7.5 Myocardial contusion 8. Echocardiography of pericardial disease, effusions and masses 8.1. Pericardial effusion 8.2. Pericardial disease 8.3 Pericardial cysts 9. Echocardiography of congenital shunts and AV valve dysplasia 9.1. Ventricular septal defect 9.2. Patent ductus arteriosus 9.3 Aorticopulmonary window 9.4 Right to left shunting 9.5 Atrial septal defect 9.6 Atrio-ventricular valve dysplasia 10. Echocardiography of stenotic lesions 10.1. Outflow obstructions 10.2 Inflow obstructions 10.3 Tetralogy of Fallot Examinations TOTAL 4 2 2 2 2 2 2 2 32 Laboratory: Exercise No. 1 2 Title Equipment and guidelines for ultrasonography B-mode echocardiographic examination in large animals No. of Meetings 1 1 3 4 5 6 7 8 9 10 11 B-mode echocardiographic examination in small animals M-mode echocardiographic examination in large animals M-mode echocardiographic examination in small animals Measurement and assessment of two-dimensional images in large animals Measurement and assessment of two-dimensional images in small animals Measurement and assessment of M-mode images in large animals Measurement and assessment of M-mode images in large animals Echocardiography of cardiovascular diseases in large animals Echocardiography of cardiovascular diseases in small animals Examination TOTAL 1 1 1 1 1 1 1 3 3 1 16 3. Course requirements: Examinations, Quizzes, Exercises and Case Report 4. References Books Barr F. 1990. Diagnostic ultrasound in the dog and cat. London: Blackwell Scientific Publications. Boon JA. 2011. Veterinary Echocardiography (2nd ed.). West Sussex, UK: WileyBlackwell Publsihing. Bushong SC and Archer BR. 1991. Diagnostic Ultrasound: Physics, Biology and Instrumentation. St. Louis: Mosby-Year Book, Inc. Farrow CS. 2003. Veterinary Diagnostic Imaging in the Dog and Cat. St. Louis, Missouri: Mosby, Inc. Fleischer AC and James AE. 1989. Diagnostic Sonography: Principles and Clinical Applications. Philadelphia: W.B. Saunders Co. Kealy JK and McAllister H. 2000. Diagnostic Radiology and Ultrasonography of the Dog and Cat, 3rd ed. Philadelphia: W.B. Saunders Company. Kienle RD and Thomas WP. 1995a. Echocardiography. In: Nyland TG and Mattoon JS. 1995. Veterinary Diagnostic Ultrasound. Philadelphia: W. B. Saunders Co. Kienle RD and Thomas WP. 1995b. Equine Echocardiography. In: Nyland TG and Mattoon JS. 1995. Veterinary Diagnostic Ultrasound. Philadelphia: W. B. Saunders Co. Lamb CR. 1994. Diagnostic Imaging of the Dog and Cat. England: Mosby-Year Book Europe Limited. Lutz H and Meudt R. 1984. Manual of Ultrasound. New York: Springer-Verlag. Mannion P. 2006. Diagnostic Ultrasound in Small Animal Practice. Blackwell Publishing Company. Morgan JP. 1993. Techniques of Veterinary Radiography. 5th ed. Ames: Iowa State University Press. Nyland TG and Mattoon JS. 1995. Veterinary Diagnostic Ultrasound. Philadelphia: W.B. Saunders Company. Thrall DE. 1994. Textbook of Veterinary Diagnostic Radiology. 2nd ed. Philadelphia: W.B. Saunders Company. Journals American Journal of Veterinary Research Equine Veterinary Journal Journal of Veterinary Internal Medicine Philippine Journal of Veterinary and Animal Sciences Philippine Journal of Veterinary Medicine The Japanese Journal of Veterinary Research The Japanese Journal of Veterinary Science Veterinary Diagnostic Ultrasound Veterinary Radiology Veterinary Radiology and Ultrasound II. ANALYTICAL INFORMATION A. Instructional Model 1. Teaching Method: Type of session Preferred class size Lecture (relay) 5-10 Laboratory 5-10 Staff required 3 1 No. of hours per week 2 3 No. of credits 2. Mode of Delivery: Lecture and Laboratory B. Special or Additional Resources and Personnel Requirements 1. Special Facilities: Existing 2. Library and other learning resources: Existing 3. Special staff competencies required: None 4. Names of staff qualified to teach part(s) of the course: From the College of Veterinary Medicine Jezie A. Acorda, PhD Large Animal Surgery Rio John T. Ducusin, PhD Ruminant Medicine Eduardo B. Torres, PhD Theriogenology Conrado A. Valdez, PhD Theriogenology From other units in the University College of Agriculture: Antonio A. Rayos, PhD Theriogenology Jose Arceo N. Bautista, PhD Theriogenology C. Relation to Other Courses: 1. Offered by the Department a. Course replaced by this course: None b. Prerequisite course: VSUR 154 c. Course for which this course is a prerequisite: None d. Course containing similar content: VSUR 154 (10%), VSUR 254 (10%) 2. Offered by Other Departments: None D. Size and Source of Enrollment 1. Department majors: 3-5 2. Majors in other departments, curricula, or college: 3-5 2 1 3. Anticipated enrollment in first and second years of offering: 12-20 E. Estimated Funds Required by the Institution of this Course: 1. Salaries: None 2. Supplies and materials: Php10,000 Books and journals (PHP 10,000) 3. Equipments: Existing F. Proposed Laboratory fee: Php: 3,800 Breakdown of laboratory fees (for 5-6 students): Item Quantity & Unit cost Cost (PhP) Tissue paper PHP 100/pack x 5 packs 500 Ultrasound gel PHP 1000/gallon x 2 gallons 2,000 Thermal paper PHP 1000/roll x 5 rolls 5,000 Shaving blade PHP 15/pc. x 100 pcs = 1,500 Rental fee” or depreciation cost of PHP 200/hr x 45 hrs 9,000 the ultrasound machine Miscellaneous supplies (soap, 1,000 brush, etc.) Total 19,000 PhP 19,000/5 students ;PhP 3,800