Date approved or revised January 2014 Angelina College Health Careers Division DMSO 1355 Sonographic Pathophysiology General Syllabus I. BASIC COURSE INFORMATION A. Course Description: Pathology and Pathophysiology of the abdominal structures visualized with ultrasound. Includes abdomen, pelvis, and superficial structures. Three credit hours. Forty-eight contact hours. B. Intended Audience: Sonography Program students Class time: Tuesday 8:00am-10:50am C. Instructor: Casey Davis Office Location: HC II 222D Office phone: 936-633-5268 Office email: cdavis@angelina.edu Office hours: Tuesday & Thursday 11:00am-12:00pm, Friday 9:30am-11:30am II. INTENDED STUDENT OUTCOMES: A. Core Objectives – (Basic Intellectual Competencies-Tentative) 1. Critical Thinking Skills: Includes creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information. 2. Communication Skills: Includes effective development, interpretation and expression of ideas through written, oral, and visual communication. 3. Empirical and Quantitative Skills: Includes the manipulation and analysis of numerical data or observable facts resulting in informed conclusions. 4. Teamwork: Includes the ability to consider different points of view and to work effectively with others to support a shared purpose or goal. 5. Personal Responsibility: Includes the ability to connect choices, actions, and consequences to ethical decision making. 6. Social Responsibility: Includes intercultural competence, knowledge, and civic responsibility, and the ability to engage in regional, national, and global communities. 5/9/2011 B. Course Objectives for all sections – 1. Correlate the clinical indications and laboratory values associated with hepatic disease. 2. Discuss and describe the sonographic appearance of hepatic pathology differentiating between extra and intrahepatic masses and between benign and malignant focal neoplasms. 3. Describe associated pathologies and sequelae relative to hepatic disease. 4. Describe the causes, clinical symptoms and sonographic appearance of parasites, pyogenic, amoebic, and fungal infections of the liver. 5. Identify abnormal flow characteristics and waveforms of liver vasculature relative to hepatic disease. 6. Correlate clinical indications and laboratory values associated with biliary disease. 7. Identify the sonographic appearances of biliary pathology, sequelae, and associated pathologies. 8. Describe associated pathologies and sequelae relative to biliary disease. 9. Identify abnormal flow characteristics and waveforms as relative to biliary pathology. 10. Correlate the clinical indications and laboratory values associated with pancreatic disease. 11. Describe and discuss pancreatic pathology in terms of sonographic appearances, sequelae, and associated pathologies. 12. List all possible locations of a pancreatic pseudocyst. 13. Name the clinical symptoms associated with AAA. 14. List the types of dissection possible. 15. Describe the appearance of tumor or thrombus in the vascular system. 16. Correlate the clinical indications and laboratory values associated with urinary tract disease. 17. Describe the sonographic appearances of urinary tract pathology. 18. Describe associated pathologies and sequelae relative to urinary tract disease. 19. Describe the causes and sonographic appearances of renal failure and renal obstruction. 20. Identify and discuss the abnormal flow characteristics and waveforms relative to urinary tract disease. 21. Describe the use of ultrasound in the evaluation of renal transplants. 22. Correlate the clinical indications and laboratory values associated with splenic disease. 23. Describe splenic pathology in terms of sonographic appearance, sequelae, and associated pathologies. 24. Describe the associated pathologies and sequelae relative to splenic disease. 25. Identify normal and abnormal flow characteristics and waveforms relative to splenic disease. 26. Correlate the clinical indications and laboratory values associated with adrenal pathology. 27. Describe adrenal pathology in terms of sonographic appearances, sequelae, and associated pathologies. 28. Describe vascular pathology in terms of sonographic appearances, sequelae, and associated pathologies. 29. Correlate the clinical indications and laboratory values associated with GI tract disease. 30. Describe GI tract pathology in terms of sonographic appearances, sequelae, and associated pathologies. 31. Correlate the clinical indications and laboratory values associated with abdominopelvic wall and cavity pathology. 32. Describe abdominopelvic wall and cavity pathology in terms of sonographic appearances, sequelae, and associated pathologies. 33. List indications for organ transplant, correlate indications and laboratory values. 34. Describe associated pathology and sequelae relative to organ transplants. 35. Correlate the method used to transplant the organ and the expected sonographic findings. 36. Describe the types of breast pathology and correlating sonographic appearances. 37. Correlate the clinical indications and laboratory values associated with thyroid, parathyroid and other neck structures pathologies. 38. Define neck masses evaluated with sonography. 39. Identify the clinical indications and laboratory values associated with prostate disease. 40. Describe prostate pathology in terms of sonographic appearances, sequelae, and associated pathologies. 41. Identify the clinical indications and laboratory values associated with scrotal disease. 42. Describe scrotal pathology including the sonographic appearance. 43. Identify normal and abnormal flow characteristics and waveforms relative to scrotal disease. 5/9/2011 WECM End-of-Course Outcomes: Identify abnormal sonographic patterns and pathological processes in the organs of the abdomen, pelvis, and superficial structures. C. Course Objectives as determined by the instructor – III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES: A. Assessments for the Core Objectives – (tentative—pending approval by Coordinating Board) 1. Critical Thinking Skills – 2. Communication Skills – 3. Empirical and Quantitative Skills – 4. Teamwork– 5. Personal Responsibility – 6. Social Responsibility – B. Assessments for Course Objectives for all sections – SCANS Skills Assessments Foundation Skills Required Reading Written Assignments Decision making & Problem Solving Mathematical Calculations Demonstrated Competency in Lab Workplace Competencies Acquires and Evaluates Information Organizes and Maintains Information Applies technology Participates as a Team Member Demonstrated Competency in Clinical C. Assessments for the Course Objectives as determined by the instructor – Non-applicable IV. INSTRUCTIONAL PROCEDURES: A. Methodologies common to all sections Discussion, demonstration, return demonstration/performance, video. Additional methods designed for remediation or enrichment may be individually tailored as needed. B. Methodologies determined by the instructor-same as above One or more of the following methods will be employed: 1. Power Point Presentations 2. Lecture 3. Lecture notes on web enhancement page 4. Laboratory demonstrations 5. Discussion 6. Demonstration 7. Individualize instruction (as needed) V. COURSE REQUIREMENTS AND POLICIES: A. Required Textbooks, Materials, and Equipment – “Textbook of Diagnostic Ultrasonography”, 6th edition, Hagen-Ansert “Clinical Guide to Ultrasonography”, Henningsen “Clinical Sonography A Practical Guide”, 4th edition, Sanders 5/9/2011 B. Assignments – 1. Come to class prepared by reading the pertinent chapters prior to lecture. 2. Watch the specified webinars/online lectures and complete quiz. a. (Category View-Abdomen-Abdomen) Sonography of Liver Masses, William Middleton, MD—Sonoworld b. (Category View-Abdomen-Hepatobiliary) Diffuse Liver Disease Pitfalls and Hints, Philip Ralls, MD—Sonoworld c. (Category View-Abdomen-Hepatobiliary) Ultrasound of the Gallbladder, Faye C. Laing, MD-Sonoworld d. (Category View-Retroperitoneum-Pancreas)Ultrasound of the Pancreas(part 2 & 3), Anne Kennedy, MD, BCh—Sonoworld e. (Category View-Abdomen-Spleen)Spleen and Retroperitoneum (Part 1), Andrew M. Fried, MD—Sonoworld f. (Category View-Retroperitoneum-Kidneys,Ureters) Rena/Adrenal/Retroperitoneal Ultrasound, Ethan J. Halpern, MD, Sonoworld g. (Category View-Abdomen-Spleen)Spleen and Retroperitoneum (Part 3-Adrenal), Andrew M. Fried, MD—Sonoworld h. TBA i. TBA j. TBA Day 01 3. Lecture—you will be required to present a lecture on a specific organ’s physiology and relevant lab values (kidney, thyroid, prostate). A separate sheet detailing the requirements and grading rubric will be provided. Date Lecture/Discussion Due Next Class 1/21 Review syllabus; Webinar quiz--a Begin discussion on Liver. Webinar quiz—b Quiz over Infection & Quiz over Fluid, Electrolyte, & Acid-Base Imbalance 02 1/28 Liver 03 04 05 06 2/4 2/11 2/18 2/25 Liver, Biliary System Biliary System, Pancreas Pancreas, Spleen Exam 1 Webinar--f 07 3/4 Urinary Tract, Adrenal Webinar--g 08 3/11 3/18 Webinar--h 09 3/25 SPRING BREAK MID-SEMESTER Urinary Tract Retroperitoneum (Great vessels & branches), Scrotal 10 11 12 13 14 15 16 4/1 4/8 4/15 4/22 4/29 5/6 5/13 Exam 2 Webinar--i Webinar--j Thyroid, Parathyroid Prostate, Peritoneal Cavity GI tract (hernia, appendix, pylorus) Assigned LFT Webinar--c Webinar--d Webinar--e Exam 3 Review for Final FINAL EXAMINATION 5/9/2011 C. Course Policies – (This course conforms to the policies of Angelina College as stated in the Angelina College Bulletin and Sonography Program Handbook.) Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution, you must selfidentify as a person with a disability; Ms. Bowser will assist you with the necessary information to do so. Angelina College admits students without regard for race, color, creed, sex, national origin, age, religion, or disability. Inquiries concerning sex equity, disability or age should be directed to Dr. Patricia McKenzie at (936) 633-5201, Angelina College Administration building, Room A105. Attendance – See Sonography Student Handbook 2012-2014 (Attendance Information and Policies). Students considering withdrawing from the program should speak with the Program Coordinator for withdrawal and re-entry information. Additional Policies Established by the Individual Instructor – 1. If a student is absent on the day of a scheduled Unit Examination, the instructor reserves the right to issue an essay examination. 2. According to the college handbook, academic dishonesty to include, but not limited to, cheating, plagiarism, and collusion will not be tolerated. Violation of this policy will result in a grade of zero on the assignment in question and the violator will automatically be referred to the Sonography Program Coordinator for further disciplinary action. 3. The established class times will be observed. Students arriving late disrupt others who arrive on time. Roll will be taken at 8:08 a.m. and absences will be recorded without further changes. Please refer to the college General Bulletin and Sonography Handbook regarding tardy absence policies. Note: Family members are not allowed in the classroom during class time as they provide disruption to others. 4. Cell phones should be set so they provide no disruption to the class. Cell phones are not allowed during examinations and must be brought to the front of the class with all other items. 5. If necessary, information in this course syllabus may be altered by the instructor. Students will be given adequate notice of any schedule changes. VI. COURSE CONTENT: A. Required Content/ Topics – B. Additional Content -none VII. EVALUATION AND GRADING: A. Grading Criteria Unit examinations (3) Daily grades Lecture Project Final Examination 45% 15% 20% 20% 100% B. Determination of Grade 92-100 = A 70-74 = D 83-91 = B 0-69 = F 75-82 = C VIII. SYLLABUS MODIFICATION: The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made. 5/9/2011