RAD - 312 Radiographic Pathology Spring 2015 Course Instructor: Sandi Watts MSHA, RT(R), ARRT Office: ASA 131 (681) 453- 7229 if no answer, please Hours: M & W 1-3 leave name, message and phone number T & H 1-3 E-mail: [email protected] Class Time: M,W 10-11:15 am, ASA Rm. 14 COURSE DESCRIPTION: This course is designed to focus on the characteristics and manifestations of diseases caused by alterations or injury to the structure and/or function of the human body. Concepts basic to pathophysiology as well as common disease conditions are studied to facilitate image correlation with these pathologies observed through diagnostic imaging. Distinguishing between additive pathologies, destructive pathologies, and how to adjust the exposure factors for optimum visualization of common disease conditions will be included in class discussions. PREREQUISITES: RAD 332 Co-Requisites: RAD 322, RAD 342 and RAD 352 REQUIRED TEXTBOOKS: Eisenberg, R.L. & Johnson, N.M. (2011). Comprehensive Radiographic Pathology, 5th edition. St. Louis, MO: Elsevier Science/Mosby Inc. ISBN-13: 978-0-323-03624-5 Recommended Textbook: Eisenberg, R.L. & Johnson, N.M. (2011). Workbook for Comprehensive Radiographic Pathology, 5th edition. St. Louis, MO: Elsevier/Mosby Supplemental Textbook(s): Bushong, S.C. (2013). Radiologic Science for Technologists: Physics, Biology and Protection, 10th edition. St. Louis, MO: Elsevier Science/Mosby Inc. ISBN-13: 978-0-323-04837-8 GENERAL COURSE OBJECTIVES: Upon completion of this course, the student shall be able to: 1. Define basic terms related to pathology. 2. Describe the basic manifestations of pathological conditions and their relevance to radiologic procedures. 3. Discuss the classifications of trauma. 4. Describe imaging procedures used in diagnosing disease. 5. List the causes of tissue disruption. 6. Describe the healing process. 7. Identify complications connected with the repair and replacement of tissue. 8. Describe the various systemic classifications of disease in terms of etiology, types, common sites, complications and prognosis. 9. Describe the radiographic appearance of diseases. RAD 312 Rev. Jan. 2015 10. Identify imaging procedures and interventional techniques appropriate for diseases common to each body system. 11. Identify diseases caused by or contributed to by genetic factors. 12. Correlate, register and present information through both written and oral means. ACADEMIC HONESTY: All students are expected to adhere to a strict code of academic honesty. Academic honesty is addressed according to the “Policies and Procedures Applicable to Academic Dishonesty” as stated in the “Important Information for Students, Faculty and Staff” booklet, available from the Office of Vice Chancellor for Student Affairs. ACTS OF ACADEMIC DISHONESTY, from the “SIUC Student Conduct Code”, section II Violations, article A (www.siuc.edu/~policies/conduct.html), but not limited to: A. Plagiarism, representing the work of another as one’s own work; B. Preparing work for another that is to be used as that person’s own work; C. Cheating by any method or measure; D. Knowingly furnishing false information to a University official relative to academic matters; E. Soliciting, aiding, abetting, concealing, or attempting conduct in violation of this code. Penalties will be imposed for violations of this policy in accordance with the SIUC Student Conduct Code. These penalties may include one or more of the following disciplinary measures for a case of academic dishonesty: A grade of zero (0) for the assignment, lab, quiz, or test. An “F” for the entire course. Recommendation of dismissal from the Program. METHODOLOGY: Students are required to keep current on the weekly reading assignments and to completely answer the related chapter objectives. Each test is based upon the following materials: o Textbook readings o Chapter objectives o Class lectures, presentations, and discussions o Any/all supplemental readings Each test will require the student to identify, apply knowledge, and make judgments based upon the learned material. RAD 312 Rad Pathology 2 January 2015 STUDENT EVALUATION & GRADING: Assignments, quizzes, presentations, tests: 75% of total grade Final test: 25% of total grade --------------------------------------------------------------------------- Total: 100% Grading Scale: 93 - 100 = A 85 - 92 = B 75 - 84 = C 0 - 74 = F All students must pass each of their Radiologic Sciences prefix courses (RAD) with a grade of “C” or better in order to satisfy Program requirements, to graduate, and to pass the National Board Exam in Radiography. This grade of “C” or better is based upon the Radiologic Sciences grading scale. Any student that fails a Radiologic Sciences course will not continue in our Program. When course failure occurs, the student will meet with the appropriate faculty member and academic advisor to discuss the student’s future educational goals. This discussion may include referring the student to the University Career Services office (www.siu.edu/~ucs; Woody Hall B 204; Ph: 618-453-2391) for testing via the “Strong Interest Inventory” to identify the academic majors that best fit the student’s personality, values, interests, and skills. Evaluation and Point Value of Written Assignments: Assignments earning an “A” grade will be of excellent quality, reflecting critical thinking, creativity and mastery of course material. They will be well organized and clear. They will be free of errors in syntax, grammar and format and will be typed. The standard percentile rank for an “A” grade is 93-100. Assignments earning a “B” will be of good quality, reflecting a solid grasp of course material. They will be well organized, but may contain some errors in syntax, grammar and format. They may be handwritten. The standard percentile range for a “B” grade is 85-92. Assignments earning a “C” will be of acceptable quality, reflecting familiarity with course material. They may be weak in syntax, grammar or formatting. The standard percentile range for a “C” is 77-84. Assignments earning a “D” will be of barely acceptable quality, they will contain weakness in syntax, grammar and formatting. They will be almost unacceptable, reflecting little understanding of course materials. The standard percentile range for a “D” is 70-76. Assignments earning an “F” grade will be of unacceptable quality. They will reflect little or no understanding of the course material. They may contain grievous errors in syntax, grammar and formatting. Any percentage below 70 will be considered failing. RAD 312 Rad Pathology 3 January 2015 ADA Accommodations: Under the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act, educators and students have both rights and responsibilities. It should be the mutual goal of the student and university to maximize the likelihood that students with disabilities succeed. Accommodation sometimes is necessary. If you think you have a learning disability, or know you have a disability but have not been tested, then please contact SIUC Disability Support Services (618-453-5738) for an appointment for the evaluation of your learning disability. Once you have been diagnosed as having a learning disability, we, the faculty of the Radiologic Sciences Program, strongly encourage you to tell us what type of learning disability and what type of accommodation is needed to help you succeed in our Program. If you do not notify us (prior to the end of the first week of the semester) that you have a disability, and you do not request accommodation during this course, then you accept full responsibility for your own success or failure in this course. Ultimately, YOU are responsible for your own success or failure, and the resulting consequences. ATTENDANCE: Please note: 1. Due to the frequently graphic content presented in this course, bringing infants and/or children to class is strongly discouraged! 2. Blogging, Tweeting, texting, sexting and all other electronic communications during class time is prohibited. 3. Please turn off all cell phones/smart phones, MP3 players, PDAs, iPads, Kindlelike devices, headsets, pagers, beepers, all other personal communication devices, and remove all types of earbuds/earphones. 4. If it’s necessary to be in constant communication with your children, their school, business associates, spouse, friends, etc., then now is not the right time for you to be in our RADS Program! A record of daily attendance will be kept. Attendance is mandatory for this course. Habitual tardiness to class will result in points being deducted from the final grade. Each late arrival or absence will result in 0.5 point, daily deduction from the student’s semester grade. Any student that misses class is responsible for the material covered. Whenever it is possible, advance notice of absence is appreciated. An email message is generally adequate. If you are unable to contact me prior to class, please do so as soon as possible. Missed Quizzes/Exams: If absences occur on days when quizzes/exams are scheduled the ability to make up the quiz/exam will lie solely with the instructor. No guarantee is made, nor given, about the possibility of making up missed examinations. The opportunity of make up a missed quiz/exam will be given only in extreme circumstances. These include but are not limited to family death, grave illness, etc…. I must be notified in advance of your absence for a make-up quiz/exam to be given. Quizzes may not be announced. RAD 312 Rad Pathology 4 January 2015 EMERGENCY PROCEDURES: Southern Illinois University Carbondale is committed to providing a safe and healthy environment for study and work. Because some health and safety circumstances are beyond our control, we ask that you become familiar with the SIUC Emergency Response Plan and Building Emergency Response Team (BERT) program. Emergency response information is available on posters in buildings on Campus, available on the BERT website (www.bert.siu.edu), the Department of Public Safety’s website (www.dps.siu.edu; disaster drop down) and in the Emergency Response Guidelines pamphlet, “Know how to respond to each type of emergency”. Instructors will provide guidance and direction to students in the classroom in the event of an emergency affecting your location. It is imperative that you follow these instructions and stay with your instructor during an evacuation of sheltering emergency. The Building Emergency Response Team (BERT) will provide assistance to your instructor in evacuating the building or sheltering within the facility. ASSIGNMENTS: Readings: Students are required to keep current on the weekly reading assignments as outlined in the course schedule. Changes in the course schedule will be announced in class. Chapter Terms and Objectives (100 pts each): Students will define all key terms listed at the beginning of each text chapter as well as completely answer the specified objectives for each chapter. These are to be typed using a 12 point font and submitted via assignment drop box in SIU Online, no later than 10:00am (class time) on the date due. These assignments can be submitted early. However, late assignments will be subject to a 10 point grade deduction for each day late. All assignments must be submitted to receive a grade for the course. Failure to submit all assignments will result in an incomplete for the course and the student will not be allowed to advance in the program. Pathology Presentations (100 pts each): Each student will be required to research and report various pathologies during the course of the semester. The pathologies will be randomly assigned; therefore, the due dates will vary. Reports must include the following information: disease name(s) classification etiology signs and symptoms general information radiographic presentation RAD 312 Rad Pathology 5 January 2015 diagnosis treatment prognosis Presentations will be given orally in class, at the time appropriate to the chapter and disease being discussed. Be prepared to discuss and answer any questions posed by the instructor or the class. Students will also prepare and print a concise, well-organized, single-page, one sided, typed summary to be handed out to the instructor and each classmate at the time of the presentation. Students are encouraged to create a pathology binder from the handouts in order to help prepare for the ARRT examination. I do not need a copy of your presentation script; only the handout given to the class. Each presentation must also include AT LEAST two images which clearly identify the pathology being presented. The computer will be available for PowerPoint presentations, flash drives, links to images, etc. Points (100 pts each) will be assigned based on the delivery, content, images, handout, and ability to answer questions about the topic. PowerPoint's may be used for the presentations, but are not required. TIME FRAMES & WORK RESPONSIBILITIES DATE LECTURE ASSIGNMENT ____________________________________________________________________________________________________________________ Jan. 19, 2015 Week 1 NO School SIUC Holiday: Martin Luther King, Jr. Birthday _____________________________________________________________________________________________________________________ Jan. 21, 2015 Introduce course & syllabus. Introduction to Pathology Chapter 1 _____________________________________________________________________________________________________________________ Jan. 26 Week 2 Continue Chapter 1 Pathology Presentations (3) _____________________________________________________________________________________________________________________ RAD 312 Rad Pathology 6 January 2015 DATE LECTURE TOPIC/ASSIGNMENT _____________________________________________________________________________________________________________________ Jan. 28 Continue Chapter 1; Pathology Presentations (3) Omit Chapter 2 _____________________________________________________________________________________________________________________ Feb. 2, 2015 Week 3 Finish Chapter 1 Chapter 3“Respiratory System” Pathology Presentations (3) _____________________________________________________________________________________________________________________ Feb. 4 Begin/Continue Chapter 3 Pathology Presentations (3) ______________________________________________________________________________ Feb. 9 Week 4 Pathology Presentations (3) Continue Chapter 3 _____________________________________________________________________________________________________________________ Feb. 11 Finish Chapter 3 Pathology Presentations (3) _____________________________________________________________________________________________________________________ Feb. 16th Week 5 Test #1 over Chapters 1 & 3 _____________________________________________________________________________________________________________________ Feb. 18 Begin Chapter 4 “Skeletal System” Pathology Presentations (3) _____________________________________________________________________________________________________________________ Feb. 23 Week 6 Continue Chapter 4 Pathology Presentations (3) _____________________________________________________________________________________________________________________ Feb. 25 Finish Chapter 4 Pathology Presentations (3) _____________________________________________________________________________________________________________________ March 2, 2015 Week 7 Pathology Presentations (3) Finish Chapter 4 if needed; Begin Chapter 5 “Gastrointestinal System” _____________________________________________________________________________________________________________________ March 4 Continue Chapter 5 Pathology Presentations (3) _____________________________________________________________________________________________________________________ March 9 - 13 Week 8 SPRING BREAK – NO CLASS ____________________________________________________________________________________________________________________ March 16 Week 9 Continue Chapter 5 Pathology Presentations (3) _____________________________________________________________________________________________________________________ March 18 Test #2 over Chapters 4 & 5 _____________________________________________________________________________________________________________________ March 23 Week 10 Begin Chapter 6 “Urinary System” Pathology Presentations (3) _____________________________________________________________________________________________________________________ March 25 Continue Chapter 6 Pathology Presentations (3) _____________________________________________________________________________________________________________________ March 30 Week 11 Pathology Presentations (3) Finish Chapter 6 if needed Begin Chapter 7 “Cardiovascular System”. _____________________________________________________________________________________________________________________ April 1, 2015 Begin/Continue Chapter 7 Pathology Presentations (3) _____________________________________________________________________________________________________________________ April 6 Week 12 Continue Chapter 7 Pathology Presentations (3) _____________________________________________________________________________________________________________________ April 8 RAD 312 Rad Pathology Test #3 over Chapters 6 & 7 7 January 2015 _____________________________________________________________________________________________________________________ DATE LECTURE ASSIGNMENT _____________________________________________________________________________________________________________________ April 13 Week 13 Begin Chapter 8 “Nervous System” Pathology Presentations (3) _____________________________________________________________________________________________________________________ April 15 Continue Chapt. 8 Pathology Presentations (2) _____________________________________________________________________________________________________________________ April 20 Week 14 Finish Chapter 8 if needed; Begin Chapter 9 “Hematopoietic System” Pathology Presentations (2) Selected pages in Chapter 9 _____________________________________________________________________________________________________________________ April 22 Chapter.10 “Endocrine System” Chapter 11 “Reproductive System”. Pathology Presentations (2) Selected pages in Chapt. 10 Selected pages in Chapt. 11 _____________________________________________________________________________________________________________________ April 27 Week 15 Finish Chapter 11 Pathology Presentations (2) _____________________________________________________________________________________________________________________ April 29 Finish Chapt. 11 if needed Pathology Presentations (2) Begin Chapter 12 “Miscellaneous Diseases” _____________________________________________________________________________________________________________________ May 4, 2015 Week 16 Test #4 over selected pages in Chapters 8-12 _____________________________________________________________________________________________________________________ May 6 Review for FINAL _____________________________________________________________________________________________________________________ May 11 (tentative) RAD 312 Rad Pathology Week 17 Final Comprehensive Exam 8 January 2015 RAD 312 - RADIOGRAPHIC PATHLOGY TOPICAL OBJECTIVES I. Introduction to Pathology, Eisenberg & Johnson Chapter 1 A. INSTRUCTIONAL METHODS 1. Lecture & PPT slides 2. Discussion 3. Animated tutorial(s) where applicable B. ASSIGNMENTS 1. Eisenberg, R.L. & Johnson, N.M. (2007). Comprehensive radiographic th pathology, 4 edition, Chapter 1. 2. Frank, E.D., Long, B.W. & Smith, B.J. (Ed.). (2007). Merrill’s atlas of radiographic positions and radiologic procedures, 11th edition, Volume 1, pages 68-74. 3. Web article(s) pertaining to inflammation, to enhance textbook reading: www.sportsinjuryclinic.net/cybertherapist/general/inflammation.php www.medterms.com/script/main/art.asp?articlekey=3979&pf=3&page=1 www.medterms.com/script/main/art.asp?articlekey=19501pf=3&page=1 http://arthritis.webmd.com/about-inflammation?print=true C. OBJECTIVES 1. In addition to the words at the top of page 2 in the Eisenberg & Johnson text, define these common terms associated with the study of disease. a. pathology f. etiology b. physiology g. nosocomial c. pathogenesis h. pathophysiology d. manifestations i. idiopathic e. acute j. chronic 2. Explain the difference between: a. signs and symptoms b. diagnosis and prognosis c. congenital and hereditary d. lesion and tumor 3. List and describe the 6 major types of disease classifications. 4. Explain the difference in origin between carcinoma and sarcoma. 5. Correctly answer the 7 objectives listed on page 2 in the Eisenberg & Johnson text. II. Respiratory System, Chapter 3 Objectives A. INSTRUCTIONAL METHODS 1. Lecture & PPT slides 2. Discussion 3. Animated tutorial(s) where applicable RAD 312 Rad Pathology 9 January 2015 B. ASSIGNMENTS 1. Eisenberg, R.L. & Johnson, N.M. (2007). Comprehensive radiographic pathology, 4th edition, Chapter 3. 2. Frank, E.D., Long, B.W. & Smith, B.J. (Ed.). (2007). Merrill’s atlas of radiographic positions and radiologic procedures, 11th edition, Volume 1, pages 501-541. 3. Web article(s) pertaining to the respiratory system, to enhance textbook reading: a. Asthma www.medicinenet.com/asthma_pictures_slideshow/article.htm www.asthma.com/learn/main-causes-of-asthma.html b. Bronchitis & COPD www.medicinenet.com/bronchitis_pictures_slideshow/article.htm c. Mild Emphysema www.medicinenet.com/top_health_and_medical_news_of_the_week_slideshow/article.htm go to slide 2 d. Whooping Cough (Pertussis) www.medicinenet.com/pertussis_and_whooping_cough_pictures_slideshow/article.htm C. OBJECTIVES 1. Given a diagram of the respiratory system, correctly label the component parts of the human respiratory system. 2. Explain how inflammation is manifested in these component parts of the respiratory system. a. Upper Air Way (Upper respiratory tract) b. Lower Air Way (Lower respiratory tract) 3. Using your favorite spreadsheet software, and given the following common chest pathologies, use your PPT slides, your textbook, the Internet, and/or a medical dictionary to identify each one as congenital, inflammatory, acquired from another disease, or neoplastic. If the pathology is acquired from another disease, state the original disease. a. asthma g. hemothorax b. atelectasis h. pleural effusion c. bronchiectasis i. pneumonia (viral) d. bronchitis j. pneumoconiosis (asbestosis) e. cystic fibrosis k. tuberculosis (primaryTB) f. emphysema l. empyema 4. Continuing with all the pathologies listed in item #3: a. identify the etiology of each one, b. list its respective treatment, and, c. classify the pathology as additive or destructive. You may create a new spreadsheet to answer this Objective, or you may use the same spreadsheet created for Objective #3. RAD 312 Rad Pathology 10 January 2015 5. Explain the changes in technical factors required to obtain optimal quality radiographs for: a. patients with an additive chest/lung pathology b. patients with a destructive chest/lung pathology 6. Correctly answer the 6 objectives listed on page 40 in the Eisenberg & Johnson text. III. Skeletal System, Eisenberg & Jonhson Chapter 4 A. INSTRUCTIONAL METHODS 1. Lecture & PPT slides 2. Discussion 3. Animated tutorial(s) where applicable B. ASSIGNMENTS 1. Eisenberg, R. L. & Johnson, N. M. (2009). Comprehensive radiographic pathology, 4th edition, Chapter 4. 2. Merrill’s Atlas of Radiographic Anatomy & Positioning, 11th edition, volume 1, pp. 174, 242, 343, 388. 3. Web article(s) pertaining to bone diseases, to enhance textbook reading: a. Rheumatoid Arthritis (RA) www.webmd.com/rheumatoid-arthritis/slideshow-rheumatoid-arthritis-overview www.medicinenet.com/rheumatoid_arthritis_pictures_slideshow/article.htm b. Gout http://arthirits.webmd.com/slideshow-gout www.medicinenet.com/gout_pictures_slideshow/article.htm c. Ankylosing Spondylitis http://arthritis.webmd.com/understanding-ankylosing-spondylitis-treatment?print=true d. Osteoporosis www.medicinenet.com/osteoporosis_pictures_slideshow/article.htm e. Lumbar Spinal Stenosis www.medicinenet.com/script/mail/art.asp?articlekey=84876&pf=3&page=1 C. OBJECTIVES 1. List the 5 basic functions of the human skeleton. 2. List the elements or minerals found in the skeletal bony matrix. 3. Explain the difference between: a. axial skeleton and appendicular skeleton b. periosteum and endosteum c. osteoblasts and osteoclasts d. compact bone and cancellous bone e. a primary ossification site and a secondary ossification site f. disease flare-up and disease remission g. joint subluxation and joint dislocation h. metastasis and metatastases RAD 312 Rad Pathology 11 January 2015 4. Using your favorite spreadsheet software, and given the following pathologies of the skeletal system, characterize each one as congenital or hereditary, inflammatory, degenerative or arthritic, metabolic, traumatic, or neoplastic. a. bursitis u. bone cyst b. fracture (fx) v. congenital clubfoot (talipes) c. Hill-Sachs Defect (fx) w. Pott’s fx d. Spondylolysis x. Jones fx e. osteoarthritis (degenerative joint disease) f. osteopetrosis y. gout g. rheumatoid arthritis z. Osgood-Schlatter Disease h. tendonitis aa. rickets (osteomalacia) i. chondrosarcoma bb. osteomyelitis j. osteoporosis cc. Pagett’s Disease k. endochondroma dd. Ewing’s sarcoma l. exostosis (osteochondroma) ee. multiple myeloma m. osteoid osteoma ff. osteosarcoma n. ankylosing spondylitis gg. Clay Shoveler’s fx o. compression fx hh. Hangman’s fx p. Jefferson fx ii. herniated disk (HNP) q. kyphosis jj. lordosis r. Scheuermann’s Disease (adolescent kyphosis) s. scoliosis kk. spina bifida t. giant cell tumor (osteoblastoma) ll. spondylolisthesis 5. Continuing with all the pathologies listed in item #4, identify the etiology of each one. You may create a 2nd spreadsheet to answer this Objective, or you may use the same spreadsheet that you created for Objective #4. 6. Given the neoplastic diseases, identified in #4, state the tissue of origin 7. each one as: Using all the pathologies listed in Objective #4, identify (1) additive (constructive) (2) destructive (subtractive) rd You may create a 3 spreadsheet to answer this Objective, or you may use the same spreadsheet created for Objective #4. 8. IV. List the common 6 primary tumor sites for metastatic bone cancer. Abdomen & Gastrointestinal System, Chapter 5 A. INSTRUCTIONAL METHODS 1. Lecture & PPT slides 2. Discussion 3. Animated tutorial(s) where applicable B. ASSIGNMENTS 1. Eisenberg, R.L. & Johnson, N.M. (2007). Comprehensive radiographic RAD 312 Rad Pathology 12 January 2015 pathology, 4th edition, Chapter 5. 2. Frank, E.D., Long, B.W. & Smith, B.J. (Ed.). (2007). Merrill’s atlas of radiographic positions and radiologic procedures, 11th edition, Volume 2, pp. 98, 129. 3. Frank, E.D., Long, B.W. & Smith, B.J. (Ed.). (2007). Merrill’s atlas of radiographic positions and radiologic procedures, 11th edition, Volume 2, for anatomy review a. Abdomen: (1) Chapter 16, pp.93, 96-107. (2) Chapter 18, pg. 213, Figure 18-31. b. Upper GI, Chapter 17, pp. 121-123, 130-134, 140-159. c. Small Bowel, Chapter 17, pp. 124-125, 160-165. d. Colon, Chapter 17, pp. 126-127, 166-194 e. Merrill’s Vol. 3, pp. 147-163. 4. Web article(s) pertaining to the abdomen and to the digestive system, to enhance textbook reading: a. Colorectal Cancer www.webmd.com/colorectal-cancer/slideshow-colorectal-cancer-overview b. Diverticulitis www.medicinenet.com/diverticulitis_diverticulosis_pictures_slideshow/article.htm c. Pancreatic Cancer www.medicinenet.com/pancreatic_cancer_pictures_slideshow/article.htm C. OBJECTIVES 1. Given a diagram of the abdomen, correctly label its component parts. 2. Given the AP, Lateral, and Lateral Decubitus projections of the abdomen, correctly identify the abdomen anatomy best demonstrated in each projection. 3. Using your favorite spreadsheet software, and given the following digestive system pathologies, use a medical dictionary, your textbook, PPT slides, www.wikipedia.com or www.emedicinenet.com to identify each one as (1) congenital (4) obstructive (2) hereditary (5) neoplastic (3) inflammatory If none of these categories applies, state the name of the disease from which this condition originates. If the term describes a medical/surgical procedure, state the reason for performing the procedure. a. achalasia t. esophageal varices b. appendicitis u. gastritis c. ascites v. hiatal hernia d. colostomy w. ileostomy e. Crohn’s disease x. intussusceptions f. diverticulosis y. irritable bowel syndrome g. diverticulitis z. peptic ulcer RAD 312 Rad Pathology 13 January 2015 h. i. j. k. l. m. n. o. p. q. r. s. 4. dysphagia enteritis gastroesophageal reflux ulcerative colitis pancreatitis choledocholithiasis ileus bezoar diverticulum ulcer inguinal hernia celiac disease aa. bb. cc. dd. ee. ff. gg. hh. ii. jj. kk. ll. peritonitis polyp pyloric stenosis volvulus cholecystitis cholelithiasis Barrett’s esophagus colitis Hirschsprung’s megacolon malabsorption syndrome Zenker’s diverticulum Meckel’s diverticulum Continuing with the pathologies listed in item #3, a. identify the etiology of each one, b. list its respective treatment, and, c. classify the pathology as radiographically additive or destructive. You may create a new spreadsheet to answer this Objective, or you may use the same spreadsheet created for Objective #3. 5. Explain the changes in technical factors required to obtain optimal quality radiographs for: a. patients with an additive GI pathology b. patients with a destructive GI pathology 6. Explain the rationale for limiting the kvp range to 90-115 kVp, when performing exams of the digestive system using either a barium sulfate suspension or iodine-based ‘Gastrografin’. V. Urinary System, Chapter 6 A. INSTRUCTIONAL METHODS 1. Lecture & PPT slides 2. Discussion 3. Animated tutorial(s) where applicable B. ASSIGNMENTS 1. Eisenberg, R.L. & Johnson, N.M. (2007). Comprehensive radiographic th pathology, 4 edition, Chapter 6. 2. Frank, E.D., Long, B.W. & Smith, B.J. (Ed.). (2007). Merrill’s atlas of radiographic positions and radiologic procedures, 11th edition, Volume 2, Chapter 18, pp. 197-205, 208, 210-221, 223-225. C. OBJECTIVES—You may use one or more of the following resources to answer these objectives. (1) a medical dictionary (2) the Merck manual RAD 312 Rad Pathology 14 January 2015 (3) www.webmd.com, www.mayoclinic.com, www.learningradiology.com, www.emedicinemedscape.com, www.nlm.nih.gov/medlineplus and/or www.labtestsonline.org. 1. Given a diagram of the urinary system, correctly label its component parts. 2. Given these lab tests (below), state: (1) the body fluid that is tested (2) definition of each test (3) the normal range for males & females (4) 2 pathologies that cause an abnormally high value (5) 2 pathologies that cause an abnormally low value a. b. BUN creatinine c. glomerular filtration rate (GRF) 3. Given each of these devices, state the organ(s) it may be inserted into, and what each is used for. If desired, prepare a spreadsheet to organize your answers. a. urinary retention catheter (Foley catheter) b. nephrostomy tube c. ureteral stent 4. Using your favorite database software or spreadsheet software, and given the following urinary system pathologies, conditions or procedures (below), use two or more resources (identified at the beginning of item “C.”) to identify each pathology as: (1) congenital (4) obstructive (2) hereditary (5) acquired (3) inflammatory (6) neoplastic If none of these categories applies, state the name of the disease from which this condition originates. a. b. c. d. e. f. g. h. j. k. l. m. n. 5. RAD 312 Rad Pathology acute glomerulonephritis cystitis double collecting system fistula horseshoe kidney hydronephrosis bladder carcinoma incontinence nephroptosis benign prostatic hypertrophy polycystic kidney disease nephrolith phlebolith o. p. q. r. s. t. u. v. w. x. y. z pyelonephritis renal carcinoma renal hypertension stenosis extracorporeal shock wave lithotripsy (ESWL) ureterocele vesicoureteral reflux (VUR) Wilms’ tumor (nephroblastoma) uremia nephrolithiasis urolith urolithiasis Continuing with the pathologies listed in item #4: a. identify the etiology of each one, b. list its respective treatment, and, 15 January 2015 c. classify the pathology as radiographically additive, destructive or neither. You may create a new spreadsheet to answer this Objective, or you may use the same spreadsheet created for Objective #4. 6. Explain the changes in technical factors required to obtain optimal quality radiographs for: a. patients with a radiographic additive urinary system pathology b. patients with a radiographic destructive urinary system pathology VI. Cardiovascular System, Chapter 7 A. INSTRUCTIONAL METHODS 1. Lecture & PPT slides 2. Discussion 3. Animated tutorial(s) where applicable B. ASSIGNMENTS 1. Eisenberg, R.L. & Johnson, N.M. (2007). Comprehensive radiographic pathology, 4th edition. Chapter 7. 2. Frank, E.D., Long, B.W. & Smith, B.J. (Ed.). (2007). Merrill’s atlas of radiographic positions and radiologic procedures, 11th edition, Volume 3, pp. 19-53, 70-117, 135-146 (axial CT images of thorax). a. Specifically, pp. 19-24, 54-57, 70-78. b. Specifially, pp. 80-82, 87-90. 3. Web article(s) pertaining to the cardiovascular system, to enhance textbook reading. a. Heart disease: www.medicinenet.com/heart_disease_pictures_slideshow_visual_guide/article.htm b. Hypertension: www.youtube.com/wtch?v=jvE6at_i_Tw&NR=1 c. Tetralogy of Fallot: www.chop.edu/service/cardiac-center/heart-conditions/tetralogy-of-fallot.html www.chop.edu/healthinfo/tetralogy-of-fallot.html (1) chop = The Children’s Hospital of Philadelphia C. OBJECTIVES—You may use one or more of the following resources to answer these objectives. (1) your textbook (2) a medical dictionary (3) the Merck manual (4) www.webmd.com (5) www.medicinenet.com (6) the same resources listed in the Objectives for Urinary System. 1. RAD 312 Rad Pathology Briefly explain these terms related to blood pressure a. sphygmomanometer c. diastole b. systole 16 January 2015 2. through: 3. Given a diagram of the heart & great vessels, race the pathway of blood a. the heart c. systemic circulation b. the pulmonary circulation List and briefly describe the structural (anatomical) differences between: a. an artery d. a venule b. an arteriole e. a capillary c. a vein 4. The heart muscle has 3 tissue layers. Correctly list each tissue layer, from the inside, out. 5. Using your favorite spreadsheet software, and given the following Cardiovascular system pathologies, identify each one as congenital, inflammatory, obstructive, acquired or neoplastic. If none of these categories applies, state the name of the disease from which this condition originates. a. aneurysm h. myocardial infarction (MI) b. atherosclerosis i. pulmonary edema c. atrial septal defect j. tetralogy of Fallot (TOF) d. coarctation of aorta k. ventricular septal defect e. congestive heart failure (CHF) l. hypertension f. coronary artery disease m. cerebrovascular accident (CVA) g. deep vein thrombosis (DVT) 6. Continuing with the pathologies listed in item #5: a. identify the etiology of each one, b. list its respective treatment, and, c. classify the pathology as radiographically additive or destructive. You may create a new spreadsheet to answer this Objective, or you may use the same spreadsheet created for Objective #5. 7. Explain the changes in technical factors required to obtain optimal quality radiographs for: a. patients with a radiographically additive cardiovascular pathology b. patients with a radiographically destructive cardiovascular pathology VII. Central Nervous System (CNS), Chapter 8 and a few selected pathologies from the Endocrine System Chapter 10. A. INSTRUCTIONAL METHODS 1. Lecture & PPT slides 2. Discussion 3. Animated tutorial(s) where applicable B. ASSIGNMENTS 1. Eisenberg, R.L. & Johnson, N.M. (2007). Comprehensive radiographic pathology, 4th edition. Chapter 8 & Chapter 10. RAD 312 Rad Pathology 17 January 2015 2. Frank, E.D., Long, B.W. & Smith, B.J. (Ed.). (2007). Merrill’s atlas of radiographic positions and radiologic procedures, 11th edition, Volume 3, pp. 1-18. 3. Frank, E.D., Long, B.W. & Smith, B.J. (Ed.). (2007). Merrill’s atlas of radiographic positions and radiologic procedures, 11th edition, Workbook Volume 2, pp. 201-204 all exercises. 4. Ehrlich, R.A. and Daly, J.A. (2009). Patient care in radiography with an introduction to medical imaging, 7th edition, pp. 327-329. C. OBJECTIVES—You may use one or more of the following resources to answer these objectives. (1) your textbook (2) a medical dictionary (3) the Merck manual (4) www.webmd.com (5) the resources used for the Circulatory system. 1. structures. Given a diagram of the cerebral ventricles, correctly locate these a. b. c. d. e. e. f. g. 2. Rt. & Lt. lateral ventricles 3rd ventricle 4th ventricle median aperature (foramen of Magendie) lateral aperatures (foramina of Luschka) interventricular foramen (foramen of Monro) cerebral aqueduct (aqueduct of Sylvius) central canal Each lateral ventricle has 3 horns. Correctly list the 2 names for each horn. 3. Using your favorite spreadsheet software, and given the following central nervous system pathologies, use your PPT slides, a medical dictionary, and/or your textbook, identify each one as congenital, inflammatory, degenerative, vascular or neoplastic. If none of these categories applies, state the name of the disease from which this condition originates. a. bacterial meningitis i. cerebrovascular disease (CVD) b. subdural hematoma j. transient ischemic attack (TIA) c. subarachnoid hemorrhage k. multiple sclerosis d. hydrocephalus l. Huntington’s disease e. meningioma m. diabetes mellitus f. intracerebral hemorrhage n. pheochromocytoma g. epidural hematoma o. stroke h. Parkinson’s disease p. Tay-Sachs disease 4. Continuing with the pathologies listed in item #4: a. identify the etiology of each one, b. RAD 312 Rad Pathology list its respective treatment, and, 18 January 2015 c. classify the pathology as radiographically additive or destructive. You may create a new spreadsheet to answer this Objective, or you may use the same spreadsheet created for Objective #3. 5. Explain the changes in technical factors required to obtain optimal quality radiographs for: a. patients with an additive CNS pathology b. RAD 312 Rad Pathology patients with a destructive CNS pathology 19 January 2015
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