CHI336 Unit guide in detail with categories PDF

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summary of the unit in detail for the academic year 2021...

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CHI336 Diagnosis II Semester 2 2021 Unit Information and Learning Guide

Unit Coordinator Dr Sasha Aspinall

Contents 1

Introduction ................................................................................................................................................................. 3 1.1

Unit Overview ........................................................................................................................................................ 3

1.2

Prerequisites ......................................................................................................................................................... 3

1.3

Aims and Objectives ............................................................................................................................................. 3

2

Contact Information .................................................................................................................................................... 5

3

How To Study This Unit .............................................................................................................................................. 6 3.1

Learning Activities ................................................................................................................................................. 6

3.2

Time Commitment ................................................................................................................................................. 6

3.3

Attendance ............................................................................................................................................................ 6

4

Resources for the Unit ................................................................................................................................................ 7

5

Practical Classes ........................................................................................................................................................ 8 5.1

Expectations .......................................................................................................................................................... 8

5.2

Safety and Hygiene ............................................................................................................................................... 8

5.3

Student Obligations Information Letter ................................................................................................................. 9

6

Study Schedule ......................................................................................................................................................... 10

7

Assessments ............................................................................................................................................................ 11 7.1

Assessment Weightings and Timetable for Submission ..................................................................................... 11

7.2

Assessment Information ...................................................................................................................................... 11

7.3

Determination of the Final Grade ........................................................................................................................ 12

7.4

Supplementary Assessments .............................................................................................................................. 13

7.5

Other Information ................................................................................................................................................ 13

© Published by Murdoch University, Perth, Western Australia, 2006. Latest revision 2021.

This publication is copyright. Except as permitted by the Copyright Act no part of it may in any form or by any electronic, mechanical, photocopying, recording or any other means be reproduced, stored in a retrieval system or be broadcast or transmitted without the prior written permission of the publisher.

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1

Introduction

1.1

Unit Overview

Welcome to CHI336 Diagnosis II. This unit builds on Diagnosis I and develops a principles approach to the neurological component of clinical pathology and differential diagnosis. It will integrate clinical sciences, history taking, and physical examination with a particular emphasis on neurology. This unit has a strong focus on theoretical concepts relating to the clinical features and differential diagnosis of neurological disorders relevant for a chiropractor. A case-study approach alongside revising physical examination during workshops will be used to illustrate the conditions presented and develop skills in specific neurological diagnostic tools and interpretation. Throughout the semester there are two lecture hours and two hours of practical class per week. Practical classes will carry a significant element of discussion and student participation.

1.2

Prerequisites

Enrolment in BSc/BClinicalChiro and successful completion of CHI203 Human Anatomy III and CHI335 Diagnosis I.

1.3

Aims and Objectives

Unit Aims The broad aims of this unit are to: 1. To provide knowledge of physiological processes and basic clinical aspects of neurological diseases; 2. Expand the student’s knowledge of the various neurological conditions a patient may present with from a symptom-based perspective; 3. Further develop the integration of the basic sciences concepts into the clinical arena, in areas such as neurology, history taking and specific physical examination; 4. Build upon existing skills in physical examination skills, training the students to distinguish normal findings from abnormal findings and make a clinical plan of how to proceed given abnormal findings during the physical examination with specific emphasis on neurological conditions; 5. Perform complete neurological examinations at a clinically competent level.

Learning Objectives On successful completion of the unit you should be able to: 1. Describe and discuss the nature, causes, and clinical presentation of neurological disease, including normal function and dysfunction (practice competency 3.4 and 3.5) 2. Be able to evaluate clinical cases to provide neurological differential diagnoses and give reasoning (practice competency 3.5)

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3. Communicate an ability to make appropriate clinical decisions based on available information, including red flags, acknowledging limitations in current scientific and/or clinical knowledge (universal competency 1.3 and practice competency 3.3 and 3.5). 4. Perform complete history-taking and neurological examinations at a clinically competent level and understand the meaning of physical examination findings (universal competency 2.2 and practice competency 3.1, 3.2, and 3.5) 5. Be able to critically reflect on practical skills covered in the unit (universal competency 1.5 and 2.1) 6. Demonstrate professional skills in simulated clinical environments, including respectful behaviour, appropriate communication, and acceptance of diversity including but not limited to gender, age, race, and disability (universal competency 1.1 and 1.2) Please note that where applicable, learning outcomes have been linked to the relevant competency standards as outlined by the Council on Chiropractic Education Australasia.

Learning and Study Assistance Generic information that students need to know is available through MyMurdoch. This includes: • • • • •

Links to the Assessment Policy A description of Academic Integrity Links to information about: Examinations; Non-discriminatory language; Student appeals; Student complaints; Conscientious objection and assessment policy Determination of grades Information for equity students

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2

Contact Information

Unit Coordinator Dr Sasha Aspinall Lecturer in Clinical Chiropractic College of Science, Health, Education and Engineering Room: 460.2.056 Telephone: +61 8 9360 2114 Email: [email protected]

Administration Colette Larsen Academic Support Officer College of Science, Health, Education and Engineering Room: 461.1.003 Telephone: +61 8 9360 6019 Email: [email protected]

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3

How To Study This Unit

Lectures allow for face-to-face delivery of material and the opportunity to engage and ask questions for further clarification. Each week will have an associated textbook chapter which will form the reading for that week. Practical sessions for this topic will involve a combination of: •

Theory revision and case study workshops

• •

Revising history taking Revising physical examination of the nervous system (motor-sensory examination, gait and coordination examination, and cranial nerves examination)

3.1

Learning Activities

CHI336 will consist of 2 hours of lectures and 2 hours of practical sessions each week. In addition to this, there will be directed self-study including weekly readings to complete. The theory content for this unit is delivered in a mixed format, combining lectures, online learning material, and workshops where students will engage in group discussion and case presentations. It is essential that students participate in all aspects in order to fully understand the material presented in this unit.

3.2

Time Commitment

As this is a 3-credit point unit, you are expected to spend on average 12.5 hours per week for the total weeks of this teaching period (or approximately 150 hours overall) working on this unit.

3.3

Attendance

Attendance to all lectures and practicals is highly recommended. Weekly lectures will be recorded where possible. Material will be covered that may not be in the notes or in the recommended texts and the student is responsible for any and all of this information. Please note: For the practicals, you should only attend your assigned class. If you need to switch permanently, you must find someone to switch with you and then notify the unit coordinator. This change must be arranged and completed by the end of week 2. One-off changes may be allowed for unavoidable reasons, please seek permission in advance from the unit coordinator.

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4

Resources for the Unit

To undertake study in this unit, you will need:

Recommended Textbook

Simon, R., Aminoff, M., & Greenberg, D. Clinical Neurology 10th ed. 2018.

Equipment Diagnostic Kit with supplies for neurological examination (including reflex hammer, tuning fork, cotton balls, cotton buds, and toothpicks).

Online Resources

The LMS and any Echo360 recordings can all be accessed from your MyMurdoch page. Lecture recordings will be available when possible, which can be accessed from the unit LMS page.

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5

Practical Classes

5.1

Expectations

Students should dress appropriately for practical classes to allow for effective neurological evaluation, which often necessitates exposing the skin on the arms and legs and at times the abdomen. Shorts and a singlet or t-shirt (and sports bra for women) is ideal. Denim or other heavy and restrictive clothing is inappropriate. Please ensure you bring a large towel and small face towel with you to each laboratory session for hygiene purposes. Failure to dress appropriately may affect your ability to participate in the session. It is also important that you take care not to damage the equipment in the labs. Technique Shed and Diagnostic Lab rules: • • • • • • • • •

5.2

No food or drink allowed in the lab at any time (only water bottles) Shoes must be removed before getting onto tables No belts, shoes, chains or sharp objects allowed on the treatment tables You are responsible for all your own items, any items left in the lab after class may be discarded Must use a towel on the treatment table at all times All bags, clothes, shoes, and equipment (other than lab notes and water bottles) should be stored safely to reduce trip hazards (Tech Shed: in the lockers, Diagnostic Lab: under your table or to the side of the room) No unsupervised chiropractic adjustments or manipulations are to be performed The lab should be left in proper condition; all tables cleaned and neat, all stools and equipment put back where they belong NO MOBILE PHONE USE - all mobiles must be on silent

Safety and Hygiene

It is important that you take measures to protect yourself and your fellow student from potential harm whilst in the technique labs. Hand-washing is generally considered the most important hygiene measure in preventing the spread of infection. Routine hand-wash should include the removal of jewellery and the use of a cleaning solution (detergent with or without disinfectant) and water for 15 to 20 seconds, followed by drying with a single-use towel. Alcohol-based hand rubs can be used in the absence of appropriate washing facilities. Skin care is important because healthy, unbroken skin provides a valuable, natural barrier to infection. Skin breaks should be covered with a water-resistant dressing. Hand-washing should occur: 1. 2. 3. 4. 5. 6.

Before and after each clinical contact with a patient Before and after eating After using the toilet Before and after using gloves After contact with used equipment Immediately following contact with body substances

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5.3

Student Obligations Information Letter

You will be asked to read and indicate whether or not you consent to the following at the start of the semester via LMS. This unit, as part of the Chiropractic program here at Murdoch University, requires each student to develop their psychomotor skills in the art of manual procedures. To fulfil this requirement, it is necessary for the student to practise, demonstrate, and perform various manoeuvres on other students and to be a model themselves for their various classmates. Modelling may involve photographs for evaluation of static structure. It is understood that the student is NOT to perform a manipulation or an adjustment on a fellow student without the permission of the instructor and the patient they are practising on at the time. Some or most of the equipment may be new to you. For safety reasons, please do not use the equipment until appropriately educated on its use. We suggest that you follow these recommendations:

1. 2. 3. 4. 5. 6. 7.

Come to the lab prepared and loosened up ready for the day. Dress appropriately. Must provide and use table towel. Must remove shoes and belts when using examination tables. Be careful with your patients as you are going to be their patient next. Notify the unit coordinator immediately if there is any problem or injury. Notify us in writing of any aliment or condition that may be irritated or injured due to the procedures we are practising. 8. We recommend that you see a Chiropractor for any problems you might have and for a pre-unit evaluation.

With simple care and respect for each other I am sure we will have an enjoyable, educational, and enthusiastic unit. With proper instruction, practice, perseverance and fortitude you will gain knowledge and practical experience to assist your process of becoming a clinician.

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6

Study Schedule

Week

Lecture

Practical Class

Reading

1

Intro to Neurology Differential Diagnosis

History Taking

Ch 1 (Neurologic Examination) pg 7-10 and pg 17-26

2

Headaches

Motor Sensory Examination: Upper Limb

3

Cerebrovascular Disease and Trauma

Motor Sensory Examination: Lower Limb

4

Motor and Sensory Disorders 1

Myotomes and Dermatomes

5

Ch 6 (Headaches & Facial Pain) pg 140165 (excluding tables 6-6, 6-7, 6-8, 6-9) Ch 13 (Stroke) pg 369-405 (excluding table 13-5) Ch 9 (Motor Disorders) pg 221-277

Study Break (Self-Reflective History Assignment due Friday) Ch 10 (Sensory Disorders) pg 279-310

6

Motor and Sensory Disorders 2

Workshop (theory revision/case studies)

7

Motor and Sensory Disorders 3

Workshop (theory revision/case studies)

-

8

Cranial Nerve Disorders

Cranial Nerve Examination

Ch 1 (Cranial Nerves) pg 10-17

9

No lecture

No lab

-

10

11

Study Break (Mid-Semester Theory Exam)

Dizziness

Workshop (theory revision/case studies)

12

Episodic Loss of Consciousness, Tumours, and Hydrocephalus

Workshop (theory revision/case studies)

13

Movement Disorders

Gait, Coordination and Special Tests

14

Memory Dysfunction and Confusion

15 Note:

(excluding table 10-1, 10-2)

Prac Exam Prep

Ch 8 (Disorders of Equilibrium) pg 191218 (excluding tables 8-10, 8-11) Ch 12 (Seizures & Syncope) 344-368 (excluding figures 12-6, 12-7, tables 12-4, 12-5, 12-6, 12-7, 12-8, 12-9) Ch 11 (Movement Disorders) pg 312-343 (excluding table 11-9) Ch 5 (Dementia & Amnestic Disorders) pg 106-138 (excluding tables 5-5, 5-6, 5-8, 5-9, 5-14)

Study Break (Final Practical Exam) This schedule is subject to change. Whenever possible, advanced notice will be provided to students.

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7

Assessments

7.1

Assessment Weightings and Timetable for Submission Assessment

Section

Description

Value

Due Date

Week 1 lab

Video recording of history taking, followed by written self-reflection

15%

Friday of wk 5 (27th Aug) by 11:59pm)

Mid-Semester Theory Assessment

Week 1-7 lectures

May include multiple choice, matching list, short answer, case scenarios

20%

Wk 10 (nonteaching week), during normal lecture time

Final Practical Assessment

Week 2, 3, 4, 8 and 13 labs

Demonstration of neurological physical examination skills

25% (must pass component)

Wk 15 (nonteaching week)

Final Theory Assessment

Week 1-4, 5-9, 11-14 lectures

May include multiple choice, matching list, essay, short answer, case scenarios

40% (must pass component)

Assessment period

Self-Reflective History Assignment
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