Passaic County Community College Science Department BS-205, Physiology of Disease Master Course Syllabus 2010-2011 I. Course Code # BS-205 II. Course Title Physiology of Disease III. Prerequisite BS-104 IV. Number of Credits 3 credits lecture V. Instructor Information Course Coordinator: Prof. Anne LaGrange Loving aloving@pccc.edu VI. Catalog Description Introduces the study of disease pathology. Includes description, etiology, signs and symptoms, diagnostic procedures, current medical treatment including pharmacology, progress and prevention of diseases of the major body systems, with emphasis on basic concepts and the terminology of pathology. 3 hours lecture Prerequisite: BS 104 VII. Course Objectives At the end of BS-205 the students will be able to: explain essential terms that apply to pathophysiology. explain various aspects of cancer, including treatments and prevention. explain the symptoms, diagnostic tests, and pharmacological treatments for the primary pathophysiological conditions of the body. *analyze a problem and draw conclusions from data and evidence by applying the scientific method. * demonstrate understanding of basic terminology, major concepts and fundamental theories in science. * apply scientific theories and principles to the solving of current issues and problems. * NOTE: these are Science General Education Goals specifically applied to this course. The objective of this course is to introduce the student to the study of pathophysiology. This course will expand on the foundations of normal physiology that were introduced in BS-103 and BS-104, Anatomy & Physiology I & II. The purpose of this course is to give an overview of the prevalent clinical conditions that affect the major organs systems of the body along with the current treatment regimens being followed to deal with conditions. Pharmacological aspects of disease intervention will also be introduced. VIII. Tentative Course Outline Week Lecture Topic/s Chapter Textbook 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Introduction to Cellular Injury Inflammation and Healing Review of Normal and Abnormal Immunity Neoplastic Disorders Cardiovascular Exam #1 tentatively scheduled Respiratory Digestive Urinary Neurological Exam #2 tentatively scheduled Endocrine Musculoskeletal Skin Pregnancy Complications Exam #3 Comprehensive Final Examination 1 2 3 Pages 2-17 18-43 44-75 5 18 104-127 302-361 19 20 21 22 362-421 422-491 492-521 522-569 25 26 27 9 612-643 644-669 670-689 188-199 IX. Required Texts and Materials Pathophysiology for the Health Professions, 3rd Edition, by Barbara E. Gould. Saunders Elsevier Company, 2006 X. Methods of Evaluation NOTE: this course is also offered online. The same material is covered in the online section as in the “live” sections of this course. However, there are some differences in how students are evaluated. a) Summary Exams (3 exams at 20% each) Case Study Final Exam 60% 15% 25% Grade Scale A=93-100% A-=90-92% B+=88-89% B=83-87% B-=80-82% C+=78-79% C=70-77% D=60-69% F=<60% b) Exams The three exams will cover the material indicated in the Course Outline and in the lectures. All three of these exams count; that is, none of these grades will be dropped. They will be worth 20% each, for a total of 60% of the overall course grade. Each will be announced one week in advance, and the format and material to be included will be clearly explained. They will include a variety of questions, including multiple-choice, mini case studies, and some writing. There will be no make-up exams. c) Case Study 3 Each student will have to write one complete Case Study. The topic (disease) will have to be approved by me. Topics will be due to me in writing the second class meeting. Go online, read your textbook, and use any other sources you wish to find a disease that you find interesting (perhaps a condition that you, a friend, or a family member has experienced). There is no point in choosing a topic that is of no interest to you. The Internet should be your primary source of information. Case Studies will involve details about the disease, as well as creative writing. Your writing will count – papers that are written in very poor English will not be graded. If you are unsure of your writing, find a trusted friend or family member who can help you. However, make sure the paper is written in your own words – I will easily be able to see if you have plagiarized someone else’s words from a textbook or from the Internet. A paper that includes plagiarized work will be graded as a ZERO, and this may result in dismissal from the course. When you write a Case Study, you should initially gather information about the disease, including symptoms, pertinent diagnostic tests and laboratory and physical findings, treatments, and prognoses. Acquire this information from the Internet, as well as textbooks and any other pertinent literature. After you have your facts in front of you, then you will “create” an imaginary patient. You get to decide the patient’s profile; however it must correspond with the disease you have chosen. For example, if you are going to write a paper on osteoporosis, you would not have the patient be a oneyear-old child. The format of the Case Study will be as follows: Background In this section, you introduce the patient and describe his or her symptoms and the course of the illness. For example, you might begin as follows: “Mary B., a 41-year-old Caucasian female, came to the clinic complaining of recurrent episodes of diarrhea, abdominal pain, and nausea that had persisted for 2 weeks. She is a school teacher, but during a vacation one month prior she traveled to Montevideo, Uruguay.” You would go on to add any other information that might pertain to the disease, such as: does she own a pet? is she married? does she have small children? does she live in the city? does she have any other diseases? etc. Make sure that you include information that pertains to the disease. If the patient’s profession puts him at risk for your disease, be sure to include that. You can also add information or symptoms that do not necessarily relate to the disease; for example you might add that Mary B. suffers from alopecia, even if this ultimately has nothing to do with the case at hand. Physical Findings In this section, include the patient’s weight, blood pressure, temperature, pulse rate, chest sounds, abdominal sounds, or whatever seems to apply to the disease you have chosen. In this section you will also include any tests that were ordered, such as an EKG or blood work, and what the results were. You will have this information available from your research of the disease – for example, if the disease you have selected is characterized by obesity, make sure that your patient is overweight. If anemia is a symptom, make sure the laboratory results for the hemoglobin and hematocrit are appropriate. Diagnosis and Discussion In this section, explain how the diagnosis was determined – from laboratory findings, symptoms, patient history, and other parameters. Give a brief summary of the disease, now that it has been named. For example, if your “patient” has rheumatoid arthritis, include a oneparagraph description of this disease, the prevalence in the United States, etc. Treatment 4 In this section, explain the course of treatment. Make sure you select appropriate drugs, exercises, surgery, or whatever fits for your disease. For example: The patient was put on a course of XXXX drug for 30 days, and was instructed to alter his diet to include XXXXX. Outcome In this final section, describe what happened to your patient. Perhaps you will decide to have your patient die. Maybe your patient has a chronic condition, and you summarize how he or she is doing, and that continued supervision will be necessary. Perhaps it appropriate to include that you have referred the patient and his family to a support group. Maybe the patient is completely cured, but then gets hit by a bus on the way home from the hospital. This is all up to you. References References will be listed at the end of the paper. The References page does not count toward the 5-8 pages. The paper must include at least five electronic references. Please note that if you provide only five references, this will be considered “fair” in terms of the grading rubric. Each listed reference should include the exact web address, the date it was posted, the date you accessed it, and as many other details as possible. The site must be available, as I will be spot-checking these references. The following example shows how a web reference should be listed: Washington State Department of Ecology (1998). Chemical testing methods for designating dangerous waste (Publication No. 97-407). Retrieved September 23, 2007, from http://www.ect.wa.gov/biblio/9740-7.html. Presentation The Case Study should be typed. If you do not own a computer, you can use one of the many that are available for students in the library and in Hamilton Hall. The paper should be typed in double-space, which makes it easier for me to read and to insert any comments. I cannot give you an exact length, but it should be in the range of 5-8 pages. Length is not as critical as quality; papers that are very long may not even be read. In other words, if you submit at 20page document, I might just grade it as a ZERO. The criteria I will use to grade your paper include: accuracy, thoroughness, and creativity. Yes, I will be including creativity as part of your grade – that is, did you make the “story” interesting, as well as accurate? Make sure you include all the sections that are defined, above. It will be worth 15% of your overall course grade. Grading for the Case Study Paper 5 This paper will be worth 15% of the grade for this course. The grade for the paper will be based on the following rubric: Unacceptable Background of the patient Poor Fair Good Above Average Excellent (0) (2) (5) (7) (10) (13) (0) (2) (5) (7) (10) (13) (0) (2) (5) (7) (10) (13) (0) (2) (5) (7) (10) (13) (0) (2) (5) (7) (10) (13) (0) (2) (4) (6) (9) (12) (0) (2) (5) (7) (10) (13) (0) (2) (4) Physical Findings Diagnosis and Discussion Treatment Outcome Creativity References Presentation – overall appearance of the paper (6) (8) (10) Maximum possible grade = 100% The Case Study will be due in the 10th week of class. You will have put a tremendous amount of work into your papers; I, therefore, need plenty of time to read them and grade them. No papers will be accepted late, for any reason whatsoever. Therefore, I suggest that you plan to submit your paper early, in order to avoid complications of last-minute “disasters” such as problems with a printer or a dog eating your Case Study. I will not give extra credit for papers that are submitted ahead of time, but the benefit to your peace of mind may be immeasurable! d) Final Examination The final examination will be comprehensive, covering all of the course material from the semester. This will be worth 25% of your overall course grade. It will be given during the last scheduled class meeting. Please do not make any travel plans that will prevent you from being present for the final examination. e) Attendance and Punctuality Students are expected to attend all lectures. Simply copying the lecture notes from a classmate, or reading the textbook will not suffice. My exams are heavily based on in-class lectures, discussion, and current news stories that apply to the course material. I will not reduce your grade if you miss class, but your potential for success in the class will be compromised. Regarding punctuality, I place a high priority on starting class promptly. I find it distracting and annoying when people wander in late, shuffling books and coats. Please figure out your commute, your parking situation, and other variables, and get to class on time. I will really appreciate this. f) Cheating Cheating will absolutely not be tolerated in this class. Every student will have to sign a disclaimer on each exam, indicating that s/he has not cheated during the exam. Plagiarism, likewise, will not be allowed in the Case Study. You must use your own words when you write the Case Study. Any 6 student who is caught cheating or plagiarizing will get a ZERO on that assignment or exam, and may be dismissed from the course. XI. Portal Assignments, outlines, the course syllabus, and other information for this course are posted on the portal. The information is accessed by following these simple directions: 1. go to the PCCC homepage: http://www.pccc.edu 2. click on “my PCCC account” at the bottom of the page 3. click on “log in” 4. enter your log-in ID and your password, and click “login” 5. enter the correct semester under “term”, for example “09/FA” is the Fall 2009 semester 6. click on the course name and section number 7. click on “shared files” 8. click on whatever file you need XII. Disabilities If you have a disability and believe you need accommodations during this course, please contact the Special Needs Counselor in the Center for Student Success. If you require testing accommodations, I must be notified by official channels in writing in advance of the test. XIII. Cellular Telephones Please turn your cell phone off before you come to class. Even “vibrating” phones are extraordinarily distracting, especially when followed by a hurried exit from the class by someone who “has to” take an “urgent call.” I don’t even bring my phone with me. There will be a break in the middle of our 2½-hour lecture, during which time you can check your messages. Thank you for respecting this. XIV. Children Children will not be permitted to come to class or laboratory sessions. Material discussed during lecture may be inappropriate for children, children may cause a distraction during an exam, and laboratories are completely unsafe for children. Rev. 1-2009, A.L.L.