Pathophysiology Course Syllabus

Kelly Jones

Instructor: Kelly Jones
Office Hours:

In general, office hours are Friday mornings from 9-12.  Exceptions will be posted ASAP on the calendar outside my office - 160A.  Additional meeting times are available with scheduled appointments.

Catalog Year: 2010-2011
Disability Statement: Any student who, because of a disabling condition, may require some special arrangements in order to meet course requirements should contact disAbility Services (Student Service Center room 119, phone 371-5436) as soon as possible.
Course Title: Pathophysiology
Course Name and Number: PTHA-1321
Course Section:
Semester: Fall

Corequisite: BIOL 2401

Course Description:

Study of the pathophysiology of diseases/conditions commonly encountered in physical therapy.

Department Expectations:
Hours: (3 sem hrs; 3 lec)
Class Type: On Campus Course

 Pathophysiology for Health Professions by Gould, 4th ed.

Therapeutic Exercise: Foundations and Techniques by Kisner & Colby, 5th ed.


flash drive


computer with internet access

Student Performance:

This course is designed to give students the background information at the PTA level needed to understand the rationale used in treatment formation, progression, and termination.

 Goals: Given the course textbook, personal notes, handouts, and other material, the student should begin to:
i.    Demonstrate effective verbal and nonverbal communication skills.
ii.    Develop a working knowledge about the etiology of specific diseases.
iii.    Understand how the normal function of the body is altered by the disease process and be familiar with the results produced by this altered body function.
iv.    Be able to apply knowledge of diseases and the disease process to treatment formation, progression, and termination.
v.    Recognize clinical conditions/ changes in patient status which prohibit therapeutic intervention.
vi.    Review current physical therapy literature.

The student will know that these goals have been successfully completed if he or she earns a final grade of “C” or higher as evaluated by the faculty of the department.

B.    Objectives:
a.    Given the course textbook, personal notes, handouts, and other material, the student should be able to do each of the following on a written and/or practical examination with an accuracy of 75% or higher as evaluated by faculty of the department:
i.    Goal #1
1.    Demonstrate understanding of language and terminology regarding etiology, pathology, signs/symptoms, diagnosis, treatment, and prognosis of diseases and injuries.
ii.    Goal #2
2.    List the etiology, pathogenesis, signs and symptoms, and treatment  for various neurological, musculoskeletal, immunological, cardiac, vascular, pulmonary, integumentary, and endocrine disorders.
3.    Explore etiology, pathogenesis, signs and symptoms, and treatement for various types of cancer.
iii.    Goal #3
4.    Contrast health and disease in terms of homeostasis.
5.    Define and describe the etiology, pathogenesis, and effects of inflammation.
6.    Outline the classification of inflammation and describe the pathological results of inflammation.
7.    Define and describe the process of repair including which cells are/are not able to regenerate.
8.    Differentiate between primary, secondary, and tertiary intention.
9.    Relate the connection between the inflammatory process and repair.
10.    Describe remodeling of tissue.
11.    Explain complications of wound healing as well as factors that effect wound healing.
12.    Define and describe types of immunity, antigens, antibodies and be able to explain the purpose for each.
13.    Explain the immune response.
14.    Define and describe hypersensitivity.
15.    Classify the types of immune diseases as well as the types of hypersensitivity diseases.
16.    Explain the effects of bone infection.
17.    Explain the effects of vitamin and mineral deficiencies on the bone.
18.    Explain the effects of delayed bone healing, mal-union of bone, and non-union of bone.
19.    Define and describe common musculoskeletal injuries/diseases including whiplash, torticollis, kyphosis, scoliosis, lordosis, spondylolisthesis, rotator cuff tears, bicipital tendonitis, epicondylitis, Dupuytren’s contracture, deQuervain’s disease, GameKeepers thumb, Volkmann’s ischmic contracture, Carpal tunnel syndrome, Legg-Perthes disease, chondromalcia of the patella, talipes equinovarus, talipes calcaneovalgus, metatarsus varus, pes cavus, pes planus, hallux valgus, osteomyelitis, tuberculosis of bone, rickets, osteomalacia, osteitis fibrosa cystica, Osgood Schlatter, osteoporosis, herniated nucleus pulposus, bursitis, fibromyalgia, myofacial pain syndrome, fractures, dislocations, sprains, strains, avulsions, soft tissue injuries, muscular dystrophy, and arthritis.
20.    Describe the significance of fractures, dislocations, avulsions, and soft tissue injuries for various areas of the body.
21.    Describe the most prevalent areas for herniated nucleus pulposus.
22.    Define and describe neurological injuries/diseases including spina bifida, cerebral palsy, CVA, head injuries, spinal cord injuries, peripheral nerve injuries, myasthenia gravis, thoracic outlet syndrome, meningitis, encephalitis, poliomyelitis, tetanus, rabies, herpes zoster, brain abscess, tabes dorsalis, Guillain Barre Syndrome, Multiple Sclerosis, Parkinson’s Disease, Friedreich’s Ataxia, ALS, Huntington’s Chorea, Charcot-Marie-Tooth disease, chronic pain, facial palsy, Paget’s disease, hydrocephalus, syringomyelia, and epilepsy.
23.    Describe types/classifications of muscular dystrophies, spina bifida, and cerebral palsies.
24.    Differentiate between CVA’s caused by hemorrhage, thrombosis, and embolism.
25.    Describe the different types of head injuries, spinal cord injuries, and peripheral nerve injuries.
26.    Contrast the postictal phase of epilepsy with petit mal and grand mal seizures.
27.    Define and describe pulmonary diseases/injuries including bronchitis, emphysema, bronchial asthma, pneumothorax, atelectasis, pneumonia, pleurisy, bronchiectasis, COPD, and pulmonary tuberculosis.
28.    Define and describe cardiac diseases/injuries including atherosclerosis, arteriosclerosis, coronary artery disease, hypertensive heart disease, coarctation of the aorta, patent ductus arteriosus, pulmonary stenosis, atrial septal defect, ventricular septal defect, tetralogy of Fallot, valvular heart disease, rheumatic heart disese, endocarditis, and pericarditis.
29.    Define and describe vascular diseases including anemia, hemophilia, aneurysms, Raynaud’s disease, causalgia, Sudeck’s atrophy, Buerger’s disease, phlebitis, and varicose veins.
30.    Define and describe integumentary diseases including herpes simplex, ringworm, pediculosis, lupus erythmatosus, scabies, psoriasis, and warts.
31.    Define and describe endocrine disorders including cystic fibrosis and diabetes mellitus.
32.    Define hepatitis.
33.    Define and describe various types of neoplasms.
34.    Contrast benign and malignant tumors.
35.    Describe classification of tumors according to cellular content.
36.    Describe estimation of malignancy and prognosis by grading and staging.
37.    Describe metastasis.
38.    Investigate how genes transmit information and various genetic disorders.
39.    Define and describe Alzheimer’s Disease and HIV/AIDS.
iv.    Goal #4
40.    Be able to apply knowledge of disease/injury to clinical treatment progression and termination.
v.    Goal #5
41.    Given specific diseases, identify precautions, contraindications, and signs/symptoms which prohibit physical therapy treatment.
vi. Goal #6
42.     Complete 3 abstracts regarding disease/injury from peer-reviewed journals.
Students Rights and Responsibilities: Student Rights and Responsibilities
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Expected Student Behavior:
Learners must attend, prepare and study to be successful. Learners are expected to be present for all classes and are responsible for all information presented, assigned, and tested over in order to be successful in this course. It is the learner’s responsibility for turning in all assigned work, completing all projects, and completing all assigned readings for the course. It is the learner’s responsibility to read, understand and keep in possession a copy of the course syllabus.
Students are to read the Amarillo College "Student Rights and Responsibilities" handout with emphasis placed on the Academic Information, Student Conduct and Responsibilities, Alcohol and Drug Abuse Education/Prevention Program sections. 
Learners will not use pagers or cell phones in the classroom. All such devices must be placed on silent mode. Texting in class will result in the student being asked to leave the class and being counted absent for the lecture/lab.
When asked, the student will attend class in professional dress including black, navy, or khaki pants for men and women or skirt for women, shirt with collar, shirt able to be tucked into pants at waist upon request, and closed toe white tennis shoe or colored dress shoe with heel not exceeding 1 inch with socks or hosiery to compliment pant/skirt. Amarillo College Badge/ID's are also part of the professional dress to be worn and are expected whenever the student is participating in off-campus program-related activities.
Jewelry and cologne are to be kept to a minimum. No tattoos are allowed to be seen or show at off-campus activities. Piercings allowed are a single pair of ear studs for women only. All other piercings on men and women must be removed prior to entering off-campus sites. If professional dress code is not followed the student will receive a 0 grade for the day, will not be allowed to accompany the class on assignment and will not have an option to makeup the assignment.
Courtesy and respect are expected between the learner and instructor. Learners are expected to be attentive to instructor and guests and oral presentations of other learners. Learners are to extend highest respect to patients/clients/others when making off campus contact. Lack of regard to this expectation at any time by any single learner or group of learners may result in immediate dismissal of the learner/s from the situation by the instructor, guest lecturer, or patient/client/other.
Dishonesty in the classroom or in completing any assignment will not be tolerated.  Students demonstrating academic dishonesty as defined in the "Student Rights and Responsibilities" publication will receive a grade of "F" in the course and will be subject to all PTA Program policies regarding course failure.
Student Grievance: A student who has a problem with the course or course instructor should make every attempt to resolve the problem with the course instructor.  If that is not successful, the student may appeal the decision of the instructor to the program director, Allied Health Dean, Dean of Instruction, and the Amarillo College President - IN THAT ORDER.
Grading Criteria:
Homework     10%
Quizzes*          15%
Tests(4)*         35%
Final*              40%
*Students must have a minimum of 74.5% when all quizzes, tests, and application exams are averaged together. The combined assignment grade will not be included in the course average until the 74.5% requirement is met. A student who does not achieve at least a 74.5% average on all quizzes, tests, and applications with the final exam will receive an F in this course. In other words, a student must have a passing grade with all exams/applications, quizzes and the final averaged together in order to successfully pass the course.
If the midterm grade is failing as indicated by the grade report, the student must contact the course instructor to schedule a planning meeting. At this meeting, the student will be expected to develop an action plan for successful completion of the course. This action plan should include a detailed study schedule, should identify any areas of weakness in understanding course content, and must include methods/strategies that will be used to correct the learning deficit. Failure to meet with the instructor or to complete the action plan will result in a 10 point deduction from the final grade.
Test/application exams will be available for review for one week following the return of the graded exam/application. The exam/applications will be kept in the instructor’s office; each student will need to set up an individual time to review the materials.
Students are responsible for correctly completing their scantron sheets. Once the scantron is turned into the instructor, no changes will be allowed on the scantron. Therefore, we strongly recommend you are careful with imprinting your responses.
A = 100-92.5
B = 92.4-83.5
C = 83.4-74.5

Note: A grade of C or better is required to complete the PTA major.

All assignments are due AT THE BEGINNING OF CLASS TIME on the assigned due date.  NO LATE HOMEWORK WILL BE ACCEPTED.

There will be NO make-ups on quizzes, homework assignments, or the final exam.  Absence of a test or application exam results in a five-point deduction from the earned grade.  All absences will be treated equally, regardless of the reason.  The student should expect to take the missed examination the day the student returns to school unless otherwise notified by the instructor.  It is the responsibility of the student to seek out the lead instructor and inform the instructor that he/she is prsent.  If the student fails to notify the lead instructor of his/her return to school, an additional five(5) point penalty will be applied for each day of the week that the student has returned to school and has not taken the missed exam.  The make-up test or make-up application exam may vary in format from the original examination.


ATTENDANCE:  Attendance is required for successful completion of all lectures and labs in the Physical Therapist Assistant program.  At the beginning of each lecture and lab, students will be expected to sign the roster provided by the course instructor.  Even if a student is present in class and seen by the instructor, failure to sign in will result in the student being marked absent for attendance purposes.  If a student signs in another student, both students will be counted absent.  Each student will be allowed only one absence for lecture only courses and two absences for lecture/lab courses.  After the first absence for lecture courses and second absence for lecture/lab courses, a penalty of five points will be deducted from the student’s final course grade for each subsequent absence.  For example, a student who misses 3 lectures in a lecture only course will have 10 points deducted from the his/her final grade in that course.  A student will be considered “tardy” if he/she arrives to class 1-10 minutes late or leaves before class is dismissed by the instructor.  Two “tardies” will be considered one absence.  Students arriving to class after 10 minutes will not be permitted to enter the lecture or lab until the next course begins.  Exceptions to this policy will only be made under extenuating circumstances and only if the course instructor receives the appropriate written documentation to support the event within 5 days of the absence.

Full attendance of class time is also expected.  A student will be counted as “absent” if the student is out of class more than 20 minutes of a class time. For example, if in a given day a student arrives 10 minutes late to class, takes an extra 5 minutes for break and leaves class for 5 minutes for any reason(phone calls, appointments, bathroom breaks, illness), that student is then considered “absent” for the day. This type of absence counts in the total number of absences resulting in lowering of the final course grade.


Students are expected to bring 1 scantron form, unless otherwise instructed, for all major tests/exams

The final exam for this course will be comprehensive.

 Pathophysiology 2010 Tentative Schedule


8/24/10 Intro

·         Chapter 1 – Introduction to Pathophysiology

8/26/10 Inflammation & Healing

·         Chapter 2 – Inflammation & Healing

8/31/10 Immunity & Abnormal Responses

·         Chapter 3 – Immunity & Abnormal Responses

9/2/10 Infection

·         Chapter 4 - Infection

9/7/10 Immobility

·         Chapter 11 – Effects of Immobility

9/9/10 Stress

·         Chapter 12 – The Influence of Stress



·         TEST #1

9/16/10 Neoplasms

·         Chapter 5 - Neoplasms

9/21/10 Fluid, Electrolyte, & Acid-Base Imbalances

·         Chapter 6 – Fluid, Electrolyte, & Acid-Base Imbalances

9/23/10 Congenital & Genetic Disorders

·         Chapter 7 – Congenital & Genetic Disorders

9/28/10 Musculoskeletal (will need Kisner & Colby book for this section)

·         Chapter 26 – Musculoskeletal Disorders







·         TEST #2

10/21/10 Neuromuscular

·         Chapter 22 – Acute Neurologic Disorders

·         Chapter 23 – Chronic Neurologic Disorders



11/2/10 Cardiopulmonary

·         Chapter 18 – Cardiovascular Disorders

·         Chapter 19 – Respiratory Disorders





·         TEST #3

11/18/10 Integumentary

·         Chapter 27 – Skin Disorders


11/25/10 Happy Thanksgiving!!!

11/30/10 Endocrine Disorders

·         Chapter 25 – Endocrine Disorders


12/6-12/9/10 Finals Week

Additional Information: