SECTION
I
COURSE SYLLABUS
LABORATORY DIAGNOSIS I
COURSE #CL06707
FALL
TRIMESTER 1999
45 CLOCK
HOURS/3 CREDITS
INSTRUCTOR(S): N. Kettner, B.S., D.C., D.A.C.B.R.
OFFICE G111 PHONE EXT. 230
DIVISION OF CLINICAL
SCIENCE
CATALOGUE DESCRIPTION: This
course involves the study of clinical hematology and urinalysis. Examples of
abnormal cases are presented with emphasis on pathophysiology. Cases emphasize
the laboratory differential diagnosis of primary care disorders.
REQUIRED TEXT(S): A
Manual of Laborite & Diagnostic Tests,
QY/25/F528m/1996/5th ed. by F. Fischbach, Lippincott,
1996, 5th ed.
RECOMMENDED TEXTS: None required
REFERENCE TEXTS: None required
COURSE MATERIALS: None
required
COURSE DESCRIPTION: A lecture
course to the clinician to make a proper and correct diagnosis of the more
common hematological and systemic disorders.
1
COURSE RELATIONSHIP Skills acquired
in this course expand the clinicians
TO COLLEGE MISSION: armamentarium
of diagnostic tools. Indications and the role of the routine lab testing are
stressed in order to enhance clinical reasoning.
PREREQUISITE COURSES: Biochemistry
#BS02502
Physiology
I #B503503
Physiology
II #BS04504
Pathology
I #B503602
Pathology
II #B504604
Histology
#BS01402
Laboratory
Technique #CL05703
KNOWLEDGE ASSUMED: Student must have
an understanding of basic chemistry as presented in general chemistry courses
at the undergraduate level. The student should have a working knowledge of
human biochemistry and physiology to include normal metabolic, catabolic and
synthetic processes occurring in the human body.
RELATIONSHIP TO CLINICAL The
following clinical competencies, as listed in the
COMPETENCIES: Logan College
Catalog, are addressed in this course:
#5,6
2
SECTION II
LECTURE/LABORATORY SERIES
OUTLINE:
|
|
Hematology |
Reading |
|
Week 1-2 |
Differential Diagnosis. Learn an approach to
classify disorders in a systematic
method of clinical rationale. Overview of Basic Blood
Tests. |
Handout provided pp.24-31 |
|
Week 3-4 |
Red blood cell tests. Iron Tests. Tests of White Cells. Blood tests for Anemia. Tests of Hemostasis. |
pp.51-73, 86 pp.82-85 pp.33-48 pp 99-100 pp.102-103, 118,122-130 |
|
Week 5-7 |
Interpreting the CBC. Learn to integrate the
pathophysiology of the hematopoietic system
using patient problems on a CBC. |
|
|
|
Mid-term exam |
|
|
|
Urinalysis |
|
|
Week 8 |
Overview of Urine Studies
and Testing. Routine Urinanalysis
Testing. |
pp. 148-154 pp. 154-188 |
|
Week 9-11 |
Microscopic Exam - Learn
the components of the urine sediment for
differential diagnosis. |
pp. 190-199, 202-203 |
|
Week 12 |
Other Tests used in the
evaluation of the Urinary System. |
pp.210,211,237 |
|
Week 13-15 |
Interpreting Urinalysis
Reports. Learn how to integrate the
pathophysiology of the Urinary System with
patient problems on a urinalysis report. |
|
|
|
FINAL EXAM CUMULATIVE |
|
3
SECTION III
COLLEGE POLICIES
Any student observed exiting
the classroom will be counted as an absence.
This course will follow the
institutional policies and procedures as delineated in the current College
Catalog and Student Handbook, i.e., grading scale, attendance, cheating,
professional behavior, midterm and final exams, etc.
It is understood that no adjusting
or manipulative procedure shall be performed except under the present and
direct supervision of a duly licensed and qualified instructor. Unauthorized
adjusting procedures performed either on or off campus shall subject the
individual(s) so charged to a hearing before the Professional Committee and
possible dismissal from Logan College.
COURSE REGULATIONS:
An unexcused absence from an
exam will result in a failing grade of that exam. Makeup exams are scheduled
the Tuesday following the midterm. Final exam makeups are scheduled the first
Tuesday of the next semester. Makeup exams are only provided by approval of the
instructor.
There will be two exams,
each counting 50% of the final grade.
All problems regarding an
examination must be resolved within 10 school days after the grade is posted.
Any student wishing to see and discuss their examination is directed to make an
appointment with the instructor within 10 days after posting. After that
period, the matter is closed, papers destroyed, and the score remains as is.
Exam papers will not be returned to the student.
Tutoring: "Request for
tutoring should be directed through the Dean of Students office."
OFFICE HOURS:
Office Hours: Monday - Friday, 11:05a.m. to 11:55a.m. by
appointment.
4
COURSE EDUCATIONAL OBJECTIVES
LABORATORY DIAGNOSIS I
COURSE #CL06707
COURSE DESCRIPTION: A lecture course to the
clinician to make a proper and correct diagnosis of the more common
hematological and systemic disorders.
GENERAL OBJECTIVES:
Upon satisfactory completion
of this course the student will:
I.
Demonstrate knowledge
and skill in the interpretation of common laboratory tests used to evaluate the
hematopoietic system.
A. The student should be able to:
1.
Demonstrate familiarity
with hematopoietic physiology including erythropoiesis and hemolysis
2. Know
the role of platelet function in the physiology of hemostasis
B.
The student should be
able:
1.
Define the
pathophysiology of common hematologic disease
2.
Determine the
appropriate tests for the common hematologic disorders, i.e., anemia, leukemia
3. Interpret
the abnormal findings for a specific disorder
4.
Determine the appropriate course of management for these disorders
5
II.
Demonstrate knowledge
and skill in the interpretation of common laboratory tests used to evaluate
renal function.
A. The student should be able to:
1.
Demonstrate familiarity
with renal physiology including filtration, tubule function and secretion.
2.
Define the pathophysiology
of common genitourinary conditions.
3.
Determine the
appropriate lab tests in their evaluation.
4.
Interpret the abnormal
findings for a specific condition.
5.
Outline the appropriate
course of management for a disorder.
6
LOGAN COLLEGE OF CHIROPRACTIC
CLINICAL SCIENCE DIVISION
POSITION STATEMENT
INDEPENDENT STUDY
The Faculty of the Clinical
Science Division of Logan College strongly supports the individual faculty
members right to refuse an independent study option of their courses. The
reasons for this position are enumerated below:
1.
Independent study is
most often requested by a student who has a schedule conflict due to previous
poor academic performance in another area. Of all students, this student is
often least equipped for the initiative and discipline required of the
independent study experience.
2.
In a curriculum as
highly structured and specific as the curriculum at Logan College, independent
study significantly dilutes the programmed nature of the educational experience
in a given course. It is difficult to supervise an independent study student
sufficiently to insure that all essential information needed from a course is
passed on at a comparable quality level. This is compounded if the student is
already academically deficient.
3.
It is a faculty members
primary responsibility to provide comprehensive exposure of a high quality to
the subject matter that he or she is required to teach. A students desire to
reduce expenditure or graduate with a specific class, while understandable,
should never take precedence over this primary objective. Such items, while
quite capable of causing uncomfortable situations for a student, do not fall
under the responsibility of any faculty member--rather they belong to the
student.
The above statements shall
not be construed as a denial of the right of any faculty member to make
individual arrangements on a case-specific basis at their discretion. They
shall also not be construed as affecting the possibility of a student placing
out of a course based upon previous proficiency which has been duly
demonstrated to the instructor's satisfaction.
7
GLOSSARY
LABORATORY DIAGNOSIS I
Erythropoiesis
Hemolysis
Sensitivity
Specificity
Hematocrit
Hemoglobin
Anemia
Platelet
Erythrocyte
sedimentation rate
Schilling
test
Anisocytosis
Poikilocytosis
Polycythemia
Leukemia
Psychoneuroimmunology
Hodgkin's
disease
Uremia
Mononucleosis
Nephron
Antidiuretic
hormone
Hematuria
Proteinuria
Ketonuria
Glycosuria
8