Course Calendar

BONE PATHOLOGY I - XR 4424
Kenneth D. Garrett, DC, DACBR
Fall 2006


 

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

 

 

Date

Topic

Week 1

Sept. 4

Labor Day Holiday

 

Sept. 6

Introduction to class and overview

 

Sept. 8

 

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

Sept. 11

 

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. 

 

 

Sept. 13

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.Imaging

 

Sept. 15

Classes cancelled – National Board Exams

Week 3

Sept. 18

techniques for bone pathology, con’t.

 

Sept. 20

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.

 

 

 

 

Sept. 22

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.

Week 4

 

Lab Quiz 1

 

 

 

 

Sept. 25

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.

 

Sept. 27

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

 

 

 

Sept. 29

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.

 

 

 

Week 5

 

 

 

 

Lab Practical 1 during regular lab period

 

 

Oct. 2

 

 

 

 

 

 

 

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

 

Oct. 4 

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.

 

Oct. 6

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

Week 6

 

Lab Practical 2  and Lab Quiz 2 during regular lab period

 

Oct. 9

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

 

Oct. 11

Written exam I

 

Oct. 13

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 3 during regular lab period

 

Oct. 16

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, Aneurismal bone cyst

 

Oct.18

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

 

Oct. 20

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

 

Oct. 23

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

 

Oct. 25

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

 

Oct.27 

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

 

Oct. 30 

Infectious diseases of bone

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

 

Nov. 1 

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)

 

Nov. 3

Osteomyelitis, con’t

Week 10

 

Lab Quiz 4

 

Nov. 6

 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

 

Nov. 8

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

 

Nov. 10

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

 

Nov. 13

Written exam II  (Comprehensive)

 

Nov. 15

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

 

Nov. 17

No class – Clinic Entrance Exam

Week 12

 

No Labs this week

 

Nov. 20

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

 


Nov. 22

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

 

Nov. 24

No Class - Thanksgiving

Week 13

 

Lab Quiz 5

 

Nov. 27

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

 

Nov. 29

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

 

Dec. 1

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

Dec. 4

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

 

Dec. 6

Final Practical Exam  (Comprehensive)

 

Dec. 6

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

 

Dec. 8

Review

Week 15

 

 

Final Written Exam  (Comprehensive)