Course Calendar

BONE PATHOLOGY I - XR 4424
Kenneth D. Garrett, DC, DACBR
Spring 2007

 

 *The instructor reserves the right to revise the course outline to meet the needs of a particular topic.

 

 

Date

Topic

Week 1

Jan. 15

Martin Luther King Holiday

 

Jan. 17

Introduction to class and overview

 

Jan. 19

 

Skeletal development, histology, physiology, and anatomy 
Objectives: 
Students should gain a working knowledge / review of the normal human skeletal system as it relates to bone pathology. 

Week 2

Jan. 22

 

Skeletal development, histology, physiology, and anatomy continued
Objectives: 
Students should gain a working knowledge / review of the normal human skeletal system as it relates to bone pathology. 

 

 

Jan. 24

Imaging techniques for bone pathology
Objectives:
To gain a working knowledge of imaging techniques for skeletal pathology, diagnostic imaging parameters such as gold standard, sensitivity, specificity, and utilization.  

 

 

Jan. 26

Imaging techniques for bone pathology, continued

Week 3

Jan. 29

Basic science of film interpretation, report writing, categorical approach to bone disorders.

Objectives:

An objective plain film radiographic search pattern will be presented and this should be applied to skeletal report writing and used for obtaining differential diagnoses.

 

 

 

 

Jan. 31

Radiographic principles.  How to describe bone pathology using proper descriptive terms

Objectives:

These lectures also provides the student with the radiographic terminology to be used in describing pathology such as location, position, origin, shape, size, margination, and cortical integrity. It is essential that a firm grasp on this material in order to ensure success in the upcoming lectures.

 

 

 

 

Feb. 2

Radiographic principles continued.  How to describe bone pathology using proper descriptive terms.

Objectives:

These lectures also provide the student with the radiographic terminology to be used in describing pathology such as Matrix patterns and periosteal reactions. It is essential that a firm grasp on this material in order to ensure success in the upcoming lectures.

Week 4

 

Lab Quiz 1 during regular lab period

 

Feb. 5

Primary benign osteogenic neoplasms 
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the primary bone tumors that produce bone such as: Osteoma, Gardner's syndrome, Enostosis, Osteopoikilosis, Osteoid osteoma

 

 

 

Feb. 7

Primary benign and malignant osteogenic neoplasms continued.

Objectives:

To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the primary bone tumors that produce bone such as: Osteoblastoma and osteosarcoma.

 

 

Feb. 9

 

 

 

 

 

Primary cartilaginous neoplasms 
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the primary bone tumors that produce cartilage, specifically: Osteochondroma, Hereditary multiple exostosis, endchondroma, Ollier's disease, and Maffucci's syndrome

Week 5

 

Lab Practical 1 during regular lab period

 

Feb. 12 

Primary cartilaginous neoplasms continued
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the primary bone tumors that produce cartilage, specifically: chondroblastoma, and chondromyxoid fibroma.

 

Feb. 14

Malignant Cartilaginous tumors and Fibrohistiocyte tumor
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the primary bone tumors that produce or originate from those cell types mentioned above, specifically: Chondrosarcoma and Giant cell tumor

 

Feb. 16

Marrow tumors
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the primary bone tumors that produce or originate from those cell types mentioned above, specifically: Multiple myeloma, plasmacytoma, Ewings sarcoma, primary non-Hodgkin's lymphoma of bone, Hodgkin's lymphoma of bone

Week 6

Feb. 19

President’s day holiday  (No labs this week)

 

Feb. 21

Written exam 1

 

Feb. 23

Primary tumors of various cell origin: 

Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the primary bone tumors that produce or originate from those cell types mentioned above, specifically:  Hemangioma, Lipoma, Chordoma, and Fibrosarcoma

Week 7

 

 

Lab Practical 2  and Lab Quiz 2 during regular lab period

 

Feb. 26

Tumor-like processes of bone 
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the cystic bone lesions and tumor like processes specifically: Solitary bone cyst, Aneurysmal bone cyst

 

Feb. 28

Tumor-like processes of bone (continued)

Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the cystic bone lesions and tumor like processes specifically: Fibrous cortical defect / nonossifying fibroma, Eosinophilic granuloma

 

Mar. 2

Tumor-like processes of bone (continued)

Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the cystic bone lesions and tumor like processes specifically: Fibrous dysplasia and Myositis ossificans

Week 8

 

Lab Quiz 3 and Lab Practical 3 during regular lab period

 

March 5

Tumor-like processes of bone (continued)

Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the cystic bone lesions and tumor like processes specifically: Paget's disease of bone

 

March 7

Secondary malignant bone lesions
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of secondary malignant processes specifically: Metastatic disease to bone

 

March 9 

Secondary malignant bone lesions (continued)
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of secondary malignant processes specifically: Metastatic disease to bone

Week 9

 

Lab Practical 4 during regular lab period

 

March 12 

Infectious diseases of bone

Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of infectious bone lesions specifically: pyogenic osteomyelitis

 

March 14 

Infectious diseases of bone (continued)
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of infectious bone lesions specifically: Non-pyogenic osteomyelitis (TB, mycotic, syphilis)

 

March 16

No classes – National Board Exams

Week 10

 

Lab Quiz 4 during regular lab period

 

March 19

 Endocrine, metabolic, nutritional disorders of bone 
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of Endocrine, metabolic, nutritional disorders of specifically: Generalized osteoporosis, Disuse osteoporosis, RSDS, Transient osteoporosis of the hip

 

March 21

Endocrine, metabolic, nutritional disorders of bone (continued)
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the endocrine, metabolic, and nutritional disorders of specifically: Hyperparathyroidism, Osteomalacia, Rickets

Review

 

March 23

Endocrine, metabolic, nutritional disorders of bone (continued)
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the endocrine, metabolic, and nutritional disorders of specifically: Renal osteodystrophy, Scurvy, Acromegaly, and Lead poisoning

Week 11

 

Lab Practical 5 during regular lab period

 

March 26

Endocrine, metabolic, nutritional disorders of bone (continued)
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the endocrine, metabolic, and nutritional disorders of specifically: Hypervitaminosis D, Hypervitaminosis A, Hyperthyroidism, Hypothyroidism, Thyroid acropachy, Mastocytosis, Gaucher's disease

 

March 28

Written Exam 2

 

March 30

Blood-Vascular disorders of bone
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the blood-vascular disorders of bone specifically: Sickle cell anemia, Thalassemia, Hemophilia, Leukemia

Week 12

 

No Labs this week

 


April 2

Blood-Vascular disorders of bone (continued)
Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the blood-vascular disorders of bone specifically: Osteonecrosis

 

April 4

No class – Clinic Entrance Exam

 

April 6

No class – Good Friday

Week 13

 

Lab quiz 5 during regular lab period

 

April 9

Osteochondroses 

Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the osteochondroses specifically: Legg-Calve'-Perthes, Keinbock's, Preiser's, Freiberg's, Osgood-Schlatter's, Sinding-Larsen-Johanssen, Blount's, Kohler's, Panner's, Scheurmann's, Sever's, and Kummels

 

April 11

Skeletal dysplasia 

Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the skeletal dysplasias specifically: Achondroplasia, Cleidocranial Dysostosis, Chondrodysplasia Punctatia, Dysplasia Epipysealis Hemmelica, Multiple Epiphyseal Dysplasia, and Spondyloepiphyseal Dysplasia

 

April 13

Skeletal dysplasia (continued)

Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the skeletal dysplasias specifically: Nail-Patella syndrome, Fibrodysplasia Ossificans Progressiva, Infantile Cortical Hyperostosis, Marfan's Syndrome, Ehlers-Danlos Syndrome, and Homocytinuria

Week 14

April 16

Skeletal dysplasia (continued)

Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the skeletal dysplasias specifically: Neurofibromatosis, Melorheostosis, Osteopetrosis, Pyknodysostosis, Osteopathia Striata

 

April 18

Final Practical Exam  (Comprehensive)

 

April 18

Skeletal dysplasia (continued)

Objectives:
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the skeletal dysplasias specifically: Neurofibromatosis, Melorheostosis, Osteopetrosis, Pyknodysostosis, Osteopathia Striata

 

April 20

Written Exam 3

Week 15

 

 

Final Written Exam  (Comprehensive)