CLINICAL PRACTICE 3 -DIAGNOSIS, PROGNOSIS, TREATMENT - HAEMOPOIETIC, NEURO, ENDOCRINE & ORGANS OF SPECIAL SENSES SYSTEMS - 2017/8

Module code: VMS3006

Module provider

School of Veterinary Medicine

Module Leader

DIAZ-CARRETERO P Ms (Vet Med)

Number of Credits

15

ECT Credits

15

Framework

FHEQ Level 6

JACs code

D210

Module cap (Maximum number of students)

N/A

Module Availability

Semester 2

Overall student workload

Lecture Hours: 35

Assessment pattern

Assessment type Unit of assessment Weighting
School-timetabled exam/test SUPERVISED ONLINE OR IN CLASS SESSIONS 20%
Examination WRITTEN EXAMINATION 80%
Practical based assessment CLINICAL SKILLS PORTFOLIO (OSCE) 0%

Alternative Assessment

N/A

Prerequisites / Co-requisites

Successful completion of all first and second year BVMSci year units

Module overview

This module aims to deliver the core knowledge and skills required for the clinical evaluation, diagnostic investigation, management and therapy of conditions affecting the  haemopoietic, neurological, endocrine systems and organs of special senses across all veterinary species

Module aims

To give the students the skills to diagnose and treat and give a prognosis for diseases of the organs of special sense, endocrine, nervous and haemopoietic systems in livestock, companion and the other veterinary species.

To gain knowledge of the therapeutic agents relevant to the systems above. 

Learning outcomes

Attributes Developed
Apply core structure, function and pathophysiological knowledge to common clinical scenarios of the haemopoietic, neurological, endocrine systems and organs of special sense RCVS 18,22,24 KU 5, KT
Establish a holistic clinical approach to animals with haemopoietic, neurological, endocrine and organs of special sense disorders, including integration of detailed system-specific examinations. RCVS 5, 16,18, 20 KCPT
Assess the different clinical presentations associated with conditions of the haemopoietic, neurological, endocrine systems and organs of special sense and formulate differential diagnoses. RCVS 21, 22 KU 5 KCT
Develop knoweldge and skills appropriate to the investigation of haemopoietic, neurological, endocrine systems and organs of special sense disorders and apply evidence-based clinical reasoning to establish a diagnosis and assess prognostic indicators. RCVS 10, 12, 22, 24 KCPT
Recommend appropriate medical and surgical interventions in the management and treatment of conditions affecting the haemopoietic, neurological, endocrine systems and organs of special sense, and determine control measures appropriate for disease prevention RCVS 19, 20, 34, 37 KU 8, KU 9 KPT

Attributes Developed

C - Cognitive/analytical

K - Subject knowledge

T - Transferable skills

P - Professional/Practical skills

Module content





1. Disorders of the special senses




1.1 Conditions of the eye (adnexa globe and orbit) – diagnosis and treatment and prognosis




1.2 Conditions of the eye (conjunctiva and cornea) – diagnosis and treatment and prognosis




1.3 Conditions of the eye (lens and anterior chamber) – diagnosis and treatment and prognosis – emergency management of the red eye.




1.4 Conditions of the eye (posterior chamber and optic nerve) – diagnosis and treatment and prognosis. Screening for retinal disease




1.5 Therapeutics for ophthalmic disease




1.6 Equine ophthalmology




1.7 Ophthalmology for exotic pets




1.8 Small animal otology




1.9 Large animal otology




1.10 Therapeutics for aural disease




2. Neurological disease




2.1 Neurological examination including cranial nerve disorders (excluding special senses)

Conditions of altered mentation and behaviour (forebrain disease) – diagnosis, treatment and prognosis.




2.2 Trauma to the neurological system, head trauma, spinal trauma, nerve injuries – diagnosis, treatment and prognosis.




2.3 Seizures and epilepsy – treatment and management




2.4 Ataxia and vestibular disease (Cerebellum, brain stem, spinal ear)




2.5 Weakness (spinal, neuromuscular – nerve, NM junction, muscle)




2.6 Equine neurology




2.7 Behavioural problems




2.8 Commonly encountered problems




3. Haemopoietic disorders and their presentations




3.1 Anaemia – diagnosis, treatment and prognosis




3.2 Bleeding disorders and coagulopathies – diagnosis, treatment and prognosis Polycythemia – diagnosis, treatment and prognosis

Immune-mediated disorders – diagnosis, treatment and prognosis




3.3 Platelet disorders – diagnosis, treatment and prognosis

Bleeding disorders and coagulopathies – diagnosis, treatment and prognosis. Blood transfusion




3.4 Neoplasia of the haemopoietic and lymphatic systems – diagnosis, treatment and prognosis




3.5 Therapeutics for the haemopoietic and lymphatic systems, chemotherapy




3.6 Therapeutics for the haemopoietic and lymphatic systems, immune mediated disease and immunosuppression




4. Endocrine disorders




4.1 Thyroid disorders – diagnosis, treatment and prognosis




4.2 Parathyroid disorders – diagnosis, treatment and prognosis




4.3 Pancreas disorders (Diabetes and insulinoma) – diagnosis, treatment and prognosis




4.4 Adrenal and Pituitary disorders – diagnosis, treatment and prognosis




4.5 Equine endocrine disorders




4.6 Therapeutics for the endocrine system – Thyroid replacements, Calcium supplementation, Vitamin D, adrenal function modifiers, Thyroid suppressants, PTHrp, insulin formulations




4.7 Nutrition for the endocrine patient




Practicals




Ophthalmic and otoscopic examination - images, and radiographs of CTs and skulls for ear canal

Live animals for examination, cats, dogs horses




Assessing conditions of the neurological system - CNS and PNS examination – dog and horse, videos cattle, sheep with neurologic disorders




Assessing conditions of the haematopoietic system – clinical pathology rich case-based studies with cost of cytology, FNAs of regional lymph nodes, bone marrow biopsy explained

Blood transfusion basics – go through the unit bags, demonstration of blood collection at a charity or locally?  What is platelet-rich plasma, vs. whole blood vs. fresh plasma, blood replacement products and when do we use them?




Workup of costs of various cases – on-line resources for costs of drugs, diagnostic procedures, surgical interventions





 

Methods of Teaching / Learning

The learning and teaching strategy is designed to:

Provide thorough understanding of the clinical conditions of the organs of special sense, endocrine, neurological and haemopoietic systems in the various veterinary species – their diagnosis, treatment and prognosis.

Highlight the similarities of the disease processes across the species and allow the concept of One Health, One Medicine to be considered for some conditions.

The learning and teaching methods include:


Lectures, flipped classroom, small group sessions, practical classes using image libraries, practical with clinical pathology specimens and costings, videos of surgcial conditions, live animal examination


3-4 lectures per week (37 hours), 2 hours practicals average per week (25 hours)

 

Assessment Strategy

The assessment strategy is designed to provide students with the opportunity to demonstrate

Practical skills in performing a clinical examination of these systems in relevant veterinary species

Content knowledge of conditions, their therapeutic options and prognosis

Knowledge of the drugs relevant to these systems

Understanding of the costs of therapies for the various conditions

 

Thus, the summative assessment for this module consists of:

Supervised on line or in class tests (20%)

Written examination – 80%

Clinical Skills Portfolio (OSCE) – PASS/FAIL

To pass the module, students are required to achieve a weighted aggregate mark of 50% and pass 80% of stations within the clinical skills portfolio

Formative assessment and feedback

Formative assessments: Instructor and peer assessments 0%

Reading list

Reading list for CLINICAL PRACTICE 3 -DIAGNOSIS, PROGNOSIS, TREATMENT - HAEMOPOIETIC, NEURO, ENDOCRINE & ORGANS OF SPECIAL SENSES SYSTEMS : http://aspire.surrey.ac.uk/modules/vms3006

Please note that the information detailed within this record is accurate at the time of publishing and may be subject to change. This record contains information for the most up to date version of the programme / module for the 2017/8 academic year.