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RADIOGRAPHIC PATHOLOGY III

RADT 216
Spring 2006

INSTRUCTOR: Jeannie Kilgore


OFFICE: 604
OFFICE PHONE: 769-4996
HOME PHONE:
CELL PHONE:
OFFICE HOURS: Tuesday 2:00 PM – 2:45 PM
4:15 PM – 5:30 PM
Wednesday 4:00 PM – 5:30 PM
Thursday 1:00 PM – 2:45 PM
4:15 PM – 5:30 PM
Call for appointments at other times. You may call me at
home if necessary.

TEXT: Comprehensive Radiographic Pathology, 2nd edition by Ronald L.


Eisenberg and Cynthia A. Dennis, (1995). St. Louis: The C.V.
Mosby Company.

Diseases of the Human Body, Warden-Tamparo & Lewis, (1989),


Philadelphia: F. A. Davis Company.

A Medical Dictionary

PREREQUISITE: RADT 140, 207

COURSE DESCRIPTION:
Continuation of Radiographic Pathology II. Discussion of the diseases of the
genitourinary system, the osseous system, and the joints to include statistical
data, diagnosis with emphasis on radiological imaging used, and treatment.
Examples of normal radiographic studies are included in addition to those
demonstrating specific disease processes. Course offered Spring Semester
only.

INSTRUCTIONAL GOALS:
1. Describe the physiology of the skeletal system.
2. Identify anatomic structures on both diagrams and radiographs of the
skeletal system.
3. Be able to define terminology relating to the skeletal system.

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4. Be able to describe the various pathologic conditions affecting the
skeletal system, as well as their radiographic manifestations.
5. Be familiar with the changes in technical factors required for obtaining
optimal quality radiographs in patients with various underlying
pathologic conditions of the skeletal and urinary systems.
6. Describe the physiology of the urinary system.
7. Identify anatomic structures on both diagrams and radiographs of the
urinary system.
8. Be able to define terminology relating to the urinary system.
9. Be able to describe the various pathologic conditions affecting the
urinary system and their radiographic manifestations.
10. Be able to critique radiographs of patients with various underlying
pathologic conditions of the skeletal and urinary systems.
11. You are responsible for any information presented in any previous
course or any concurrently run course.

ATTENDANCE REQUIREMENTS:
Attendance is required at all sessions in each course for which students
enroll. When circumstances make attendance impossible, such absences
should be reported to the instructor as soon as possible. Messages may be
left on my voice mail or with the Phase VI secretarial staff. If you leave a
message be sure you get the name of the person you leave the message
with. Students are responsible for all work assigned by the instructor. No
extensions of the vacation periods or assignments are given. Class non-
attendance due to late registration is considered the same as absences
incurred after registration.

Students should become familiar with the following attendance policy:


1. After three unexcused absences during one semester, students will be
notified that they have reached the established limit for absences, and
additional unexcused absences may jeopardize the successful
completion of the course.
2. Instructors may, at their discretion, grant excused absences if they feel
that students are absent for reasons beyond their control. Examples of
excused absences are absences due to participation in CCC
sanctioned projects or functions, illnesses, or emergencies.

The Vice President of Educational Services may request the Office of


Admissions and Records to withdraw students from classes for persistent
absences when withdrawal is recommended by instructors.

READING ASSIGNMENTS
The topics for discussion each class period are listed on the attached class
schedule. You are responsible for the material about the listed topics in any

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of the three texts listed above. Taber's is available in the classroom as well
as in the library if you do not own one and do not wish to purchase one.
Disease of the Human Body is available on reserve in the library if you do not
own one and do not wish to purchase one. Any other material you will be
held responsible for will either be provided for you in the form of a case study
that one of you do, a handout, or a worksheet.

GRADING POLICY:
Assignments: Points:
Attendance 5
Case Study 10
Homework 15
Quizzes 50
Pop Quizzes 20
Total points possible 100

To get the attendance points you need to be in class within five minutes of
the starting time and return from breaks on time.

The Case Study will be graded as follows:


1. Definition of disease process or condition. Include the medical dictionary
definition as well as the definition in every day language. Do not use the
term being defined in the definition. This section will be worth a
maximum of six (6) points.
2. Etiology. This section will be worth a maximum of six (6) points.
3. Symptoms of disease process or condition. You need to include number
wise 90% of the number of symptoms I found to receive full credit in this
section. They do not have to be the same symptoms I found. This
section will be worth six (6) points.
4. How disease process or condition is diagnosed. Explain the diagnostic
procedure (including all terms and abbreviations used). This section will
be worth a maximum of six (6) points.
5. If a radiographic procedure is used in the diagnosis, state the patient
preparation. This section will be worth a maximum of six (6) points.
6. Identify what you need to know as a radiographer to produce diagnostic
radiographs. This section will be worth a maximum of six (6) points.
7. Identify (list) the radiographic manifestations of the disease. Listing only
the pages and figures in the book will not gain you points. This section is
worth a maximum of six (6) points.
8. Use radiographs if possible (ask me if we already have radiographs). If
we do not already have radiographs, you may be able to make copies
from the clinical sites. If radiographs are not available, you may use
slides. As a last resort, you may use pictures with the opaque projector.
This is worth a maximum of six (6) points. If radiographs are available
but not used, points will be deducted. If radiographs are not available but

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slides are and are not used, points will be deducted. You may want to
use a combination of radiographs, slides, and pictures. If you use the
best medium that is available you will receive the maximum points.
9. Identify anything the radiographer needs to be aware of as far as patient
care when working with a patient with this disease. This section will be
worth a maximum of six (6) points.
10. Treatment of disease process or condition. Be specific. Explain any
terms or abbreviations. This section is worth a maximum of six (6)
points.
11. Complications. This section will be worth a maximum of six (6) points.
12. Prognosis of disease process or condition. This section is worth a
maximum of six (6) points.
13. Prevention of disease. This section is worth a maximum of six (6) points.
14. How disease process or condition affects the patients on a day-to-day
basis (daily living). This section is worth a maximum of six (6) points.
15. How disease process or condition affects the patient’s family, friends,
etc. This section is worth a maximum of six (6) points.
16. List a minimum of four (4) references. This section is worth a maximum
of four (4) points. At least one source must be within the last year. One
reference needs to be an interview with an expert or authority. This may
be someone from the clinical site, a patient, or a patient's family member
or friend. If the reference is a patient or the family member or friend of a
patient that should not be identified you may list "patient" or "family
member of a patient" or "patient's friend".
17. Overall Impression. This will include how well you give your report,
creativity, etc. This section will be worth a maximum of six (6) points.

Be able to answer the question, "What significant thing(s) do I need to know


about this?"

Failure to include any of the above or not being complete in any area will
result in a lowered grade. If you do not find something for a particular area,
say so. Do not ignore that area. Remember that for the effects on the daily
life, you may have to look at the symptoms and use your mind to relate how
that would affect daily life. "Not applicable" is not appropriate for these
sections.

The case study needs to be written and turned in the class period before it is
presented. It will be presented orally to the class. Ten points will be
deducted if it is not presented on the assigned day unless a doctor's note or
equivalent is turned in.

Credit needs to be given for direct quotes. Refer to the handout entitled
“Integrating Quotations”. Also don’t hesitate to go to the Writing Center in
room 171. Call extension 4095 for an appointment with an English instructor.

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HOMEWORK consists of various assignments. Five (5) points per weekday
for each day it is late will be deducted for homework assignments turned in
late.

Chapter questions are to be answered also giving the page number the
answer is found on in the chapter (not the page that gives all answers at the
back of the book).

The radiographer notes section and physiology section of the chapter will be
outlined as assigned.

The diseases listed in the book will be defined.

Case study outlines will be filled out on all topics listed on the syllabus.
Information in any of the three required texts needs to be included.

These homework assignments will not be graded for content. They will only
be graded for completion.

Worksheets are designed to review related anatomy, physiology, and


procedures that are not covered in the text. Therefore, most of the answers
will not be found in the text for this course. Sources for worksheet answers
will be specified on the worksheet. If there is a problem, contact me before
the worksheet is due. Other answers will not be accepted. All material in
your answer needs to be specific to the question asked. Extra material may
result in points being deducted. The worksheets will be graded for content.

Another homework assignment is to correct, with references, each quiz. If


you received a 100 on the quiz, you will automatically receive a 100 for the
correction assignment. When corrections are to be turned it, turn it in even if
you have a 100 for me to check off your homework sheet. Do your
corrections on a separate sheet of paper. Both your quiz and the corrections
on the separate sheet of paper will need to be turned in.

You may turn in one homework assignment late without penalty. This does
not excuse you from doing the homework. If you do all homework on time,
you will receive five (5) extra credit points. All extra credit points are
averaged in with quizzes.

You may receive an additional five (5) extra credit points by turning in your
case study topic for next semester by the day you take the last quiz. Next
semester we will be covering chapters 7, 10 and 11.

Quizzes will cover the chapter specified on the syllabus which is from the
Comprehensive Radiographic Pathology book, topics outlined on the
syllabus, and worksheets specified on the syllabus, and any handouts you

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have received. Any information in the "Radiographer Notes" and
"Physiology" sections is fair game. Also the definition of any disease
discussed in the designated chapter whether it was discussed in class or not
and whether it is a topic specified on the syllabus or not. Concerning the
topics specified, you should know anything specified for case studies
whether that topic was covered in class or not. Any question from the back
of the chapter or on a worksheet may appear on a quiz as it is or reworded.
Quiz questions may cover anatomy, physiology, imaging procedures, patient
care, as well as pathology.

Quizzes will not be given early.

Make up quizzes will be given. It is the student's responsibility to make the


arrangements to make up the quiz. Ten points will be deducted for each
week the quiz is taken late. If the class missed is the class period just before
or just after a school break, twenty points will be deducted for the first week it
is late. The last quiz may be made up if the exam is missed for the following
reasons:
1. Death in the family.
2. Illness of student or child with a doctor's note.
3. Hospitalization of self or immediate family member.

Other circumstances will be considered on an individual basis.

Make up quizzes will be based on the same content as the scheduled quiz.
Questions from the scheduled quiz may or may not be repeated on the
makeup quiz. The highest score that may be earned on a make up quiz is
90, unless it is just before or after a school break when the highest grade is
an 80.

Pop quizzes may be given at any time. Circumstances that may prompt a
pop quiz are:
A. The same student being late repeatedly.
B. A number of students being late or absent on the same day.
C. Multiple conversations going on at the same time.
D. Basically, anything that causes a distraction for classmates that
are trying to pay attention.
E. The appearance of not coming to class prepared (you should at
least know the topics for discussion and the definition of any
disease process included in that list.

Pop quizzes will be content related and will count in the course grade. If no
pop quizzes are given, quizzes will count 70%.
Ten (10) points are deducted from any assignment or exam the second time
and thereafter that a student turns a paper in without his/her name on it.

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No grades will be dropped.

If you suspect an item has been misgraded, turn in a written request for that
item to be reviewed along with the documentation to support the answer that
you think is correct. The time to do this is with the quiz corrections.

Grading Scale:
A 90.0 - 100
B 80.0 - 89.99
C 70.0 - 79.99
D 65.0 - 69.99
F Below 65

ACADEMIC INTEGRITY:
Students are responsible for achieving academic and course goals and
objectives as prescribed by their instructors and for demonstrating attainment
in an honest manner. Failure to do so may result in either grade changes
and/or disciplinary action. Misrepresentation of knowledge can influence a
course grade or determination of satisfactory fulfillment of an academic
requirement. In addition, the following acts, or any other acts of academic
dishonesty, compromise the integrity of the academic process and
community and are subject to disciplinary action:

Plagiarism which includes but is not limited to: offering the work of another as
one's own; offering the work of another without proper acknowledgement;
and/or failing to give credit for quotations or essentially identical expression
of material taken from books, encyclopedia, magazines, other reference
works, term papers, reports, or other writings of another individual.

Cheating behavior which includes but is not limited to: (a) dishonesty of any
kind on examinations, quizzes, written assignments and projects; (b)
unauthorized possession of examinations, quizzes or instructor records; (c)
use of unauthorized notes or information during an examination, quiz, or
exercise; (d) obtaining information during an examination or assignment from
another individual and/or assisting others to cheat; (e) alteration of grades on
an examination, an assignment or records of an instructor or the college; and
(f) illegal entry or unauthorized presence in an office of the college or
residence of an instructor or unauthorized access to grade records or
examination and assignment requirements; and (g) any act of fraud or
misrepresentation.

GENERAL INFORMATION:
Consult the current semester calendar for information concerning course
withdrawal deadlines.

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This course, its contents and schedule, is subject to change without notice.
If you have any questions or problems feel free to discuss them with
me. I am not responsible for incorrect information you may get from
others.

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COURSE SCHEDULE/CALENDAR

DATE MATERIAL TO BE COVERED


-----------------------------------------------------------------------------

Jan 20 Introduction
Radiographer Notes – Skeletal System
Anatomy and Physiology – Skeletal System
Fractures

Jan 27 Fractures
Guest Speaker – Max Villareal

Outline Radiographer Notes & Anatomy and Physiology due


Fracture definitions due – see pages listed for quiz #1

Feb 3 Congenital Hip Dislocation

Chapter 3 Questions due


Worksheet #1 due

Feb 10 QUIZ #1 -- over pages 84 – 87 stopping at


congenital/hereditary diseases of the bone; pages 132
beginning with fractures -137 stopping at battered-child
syndrome; congenital hip dislocation (page 92); page 138
common fractures and dislocations to page 146 stopping at
herniation of intervertebral disks.

Feb 17 Battered Child Syndrome – Michelle Torres


Ischemic Necrosis of the Bone – Cresta Crow
Osteomyelitis – John Sena
Scoliosis
Osteoporosis

Mini-case studies on the above due

Feb 24 Bone Metastases

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Spina Bifida
Osteogenesis Imperfecta – Felix Gaytan
Exostosis – Noel Barela

Definitions page 87 starting with congenital/hereditary diseases


of the bone to page 92 stopping at congenital hip dysplasia;
page 102 beginning with osteomyelitis to 109 stopping at
osteomalacia; page 115 beginning with Ischemic Necosis of the
bone to page 132 stopping at fractures; and battered child
syndrome starting on page 137 and stopping on page 138 at
common fractures and dislocations due
Case study outlines on the above due
Quiz 1 Corrections due

March 3 Spring Skillfest

March 10 Scoliosis – Guest Speaker – Sherry Regnier


Osteoporosis/Bone Densitometry – Guest Speaker – Aaron
Reynolds

Mini-case studies on the above due

March 17 QUIZ 2# -- page 87 starting with congenital/hereditary diseases


of the bone to page 92 stopping at congenital hip dysplasia;
page 102 beginning with osteomyelitis to 109 stopping at
osteomalacia; page 115 beginning with Ischemic Necrosis of
the bone to page 132 stopping at fractures; and battered child
syndrome starting on page 137 and stopping on page 138 at
common fractures and dislocations

March 24 Rotator Cuff Tears


Rheumatoid Arthritis – Terri Gleaton
Degenerative Joint Disease
Bursitis

Worksheet #2 due
Case study outlines on the above due

March 31 Spring Break

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April 7 Herniation of Intervertebral Disk
Gout
Tears of Menisci of knee
Rickets

Definitions page 93 - start with rheumatoid arthritis to page 102


stopping with osteomyelitis; pages 109 beginning with
osteomalacia -115 stopping at Ischemic Necrosis of the bone;
page 146 - start with herniation of intervertebral disks to end of
chapter due
Case study outlines on the above due
Corrections Quiz 2 due

April 14 QUIZ #3 -- start with rheumatoid arthritis to page 102


stopping with osteomyelitis; pages 109 beginning with
osteomalacia -115 stopping at Ischemic Necrosis of the bone;
page 146 - start with herniation of intervertebral disks to end of
chapter

April 21 Radiographer Notes -- Chapter 5


Anatomy and Physiology -- Chapter 5
Anomalies of number, size, fusion, renal pelvis, ureter
Urinary Tract Obstruction – Josephine Armendaris
Kidney Stones – Ricky Richerson

Outline radiographer notes, A & P due


Definitions of anomalies due
Case study outlines on the above due
Worksheet #3 due

April 28 Renal Failure – Rebecca Hilburn


Cystitis – Angela Williams
Pyelonephritis
Polycystic Kidney Disease
Urinary Tract Infection – Denise Arguello

Definitions chapter 5 due


Case study outlines of the above due
Chapter 5 Questions due
Corrections Quiz 3 due

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May 5 New Mexico Society of Radiologic Technologists Annual
Meeting – No Class

May 12 Quiz 4 -- all of chapter 5

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