LINCOLN MEMORIAL UNIVERSITY

SCHOOL of NURSING and ALLIED HEALTH

MEDICAL TECHNOLOGY PROGRAM

 

MEDT 452:  Clinical Chemistry II

3 Credit Hours          Spring Semester

 

INSTRUCTOR:         Dr. Bill Engle, Th.D., MT(ASCP)

                                    Office:    208 Farr-Chinnock Hall

                                    Telephone:        LMU:        1-800-325-0900, ext. 6471

                                                            Home:       (606) 337-5201

                                    E-mail:      bengle@lmunet.edu

                                    Office Hours:    Tuesday:           8:00am to 11:00 am

                                                                                    2:00 pm to 3:00 pm

                                                           

                                                            Thursday:         8:00 am to 11:00 am

 

                                    Instructor will be available for student conference during

                                    office hours and also by appointment.

 

 

PREREQUISITE:      MEDT 451:  Clinical Chemistry I

 

 

COREQUISITE:        MEDT 492:  Advanced Clinical Practice II

                                    (Chemistry Section)

 

 

COURSE DESCRIPTION:   This course consists of pathophysiology, principles          of biochemical tests, and methods of analysis in Clinical Chemistry.  Correlation of laboratory results with the diagnosis of disease is emphasized.

 

 

TEXTBOOKS:           Kaplan, Lawrence A. and Pesce, Amadeo J.  (2003).  Clinical

                                    Chemistry:  Theory, Analysis, and Correlation,  4th Edition. 

                                    Philadelphia:  C.V. Mosby Company.

 

                                                Kee, Joyce Lefever.  (2002).  Laboratory and Diagnostic Tests,

                                    6th Edition.  New Jersey:  Prentice Hall.

 

 

METHODS OF INSTRUCTION:          Lecture and Discussion

                                                                  Assigned Reading

                                                                  Case Studies

                                                                  Clinical Correlation

 

 

 

 

 

 

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COURSE OBJECTIVES:    Upon completion of this course, the student will be responsible for attaining the following objectives:

 

  1.  Be able to interpret chemistry results in case studies to identify diseases or

       abnormal conditions, as discussed in class.

 

  2.  Describe hormone regulation of bones, identify change of analytes in disease, and

       discuss methods of analysis.

                                                                                                                                                                 

  3.  Explain the physiology of pancreatic function, recognize change of analytes in disease,

       and identify methods of analysis.

 

  4.  Recall the physiology of gastrointestinal function, identify change of analytes in

       disease, and recognize methods of analysis.

 

  5.  Describe the purpose of each gastrointestinal function test, as studied in class, and be

       able to interpret results.

 

  6.  Identify the enzymes associated with muscle, recognize change of enzymes and

       isoenzymes in disease, and discuss methods of analysis.

 

  7.  Distinguish among the types of diabetes, and summarize methods of glucose analysis.

 

  8.  Classify lipoprotein disorders as to type, and describe methods of analysis.

 

  9.  Assess iron, porphyrin, and hemoglobin formationthrough laboratory tests, as

       discussed in class, and correlate with methods of analysis.

 

10.  Distinguish between water-soluble and water-insoluble vitamins.

 

11.  Identify analytes associated with pregnancy, and discuss methods of analysis.

 

12.  Associate each hormone, as discussed in class, with its function;  describe methods of

       measuring hormones in special chemistry. 

 

13.  Define tumor marker and relate each tumor marker to its origin, as discussed in

       the textbook.

 

14.  Describe the process of therapeutic drug monitoring, and discuss techniques that are

       commonly used in toxicology.

 

15.  Demonstrate mature behavior by attending class on time and reviewing notes

       from the previous lecture prior to each class.

 

 

 

 

 

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EVALUATION METHOD:   

 

There will be four written exams and a comprehensive final exam in this class.  Quizzes and homework assignments will also be given, and these will count toward the overall grade as indicated below.

 

            Exam  #1:                                 15% of final grade

            Exam  #2:                                 15% of final grade

            Exam  #3:                                 15% of final grade

            Exam  #4:                                 15% of final grade

            Quizzes/Homework:                 15% of final grade

            Final Exam:                               25% of final grade

 

Grading scale is:            A   =       90-100%

                                    B+ =        87- 89 % Medical Technology students are

                                    B   =        83- 86 % required to maintain an average of

                                    B-  =        80- 82 % 80% or above in order to pass this

                                    C+ =        77- 79 % course.

                                    C   =        73- 76 %

                                    C-  =        70- 72 %

                                    D   =        60- 69 %

                                    F   =        below 60%

 

Class attendance is expected.  Exams and quizzes must be taken on assigned day unless prior arrangements are made with instructor.  If a student misses an exam and/or a quiz, a make-up exam or quiz will be offered, but the format will be at the instructor’s discretion.

 

Disability Statement:   Any student with a disability requiring special accommodation(s) should make an appointment with the Vice-President for Student Affairs (LMU extension 6393) to discuss specific needs.

 

Academic Integrity:  It is the aim of the faculty of Lincoln Memorial University to foster a spirit of complete honesty and a high standard of integrity.  The attempt of any student to present work that he/she has not honestly performed is regarded by the faculty and administration as a very serious offense, which renders the offender liable to severe consequences and possible suspension.  Please see 2003-2004 LMU Undergarduate Catalog, page 39.

UNITS  OF  INSTRUCTION:          

 

            UNIT I:           Acid-Base Balance

                                    Renal Function

                                    Liver Function

                                    Bone Disease

                                    Pancreatic Function

                                    Gastrointestinal Function

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UNITS OF INSTRUCTION  (continued):

 

            UNIT  II:        Cardiac Function

                                    Diabetes Mellitus

                                    Coronary Artery Disease

                                    Iron and Bilirubin Metabolism

                                    Trace Elements

                                    Vitamins.

 

            UNIT  III:       Pregnancy and Fetal Development

                                    Endocrinology

                                    Thyroid Function

                                    Adrenal Hormones.

 

            UNIT  IV:       Clinical Enzymology

                                    Isoenzymes

                                    Toxicology

                                    TDM

                                    Substance Abuse.

               

 

Tentative Lecture Schedule

 

       Date                      Textbook Assignment                        Topics                                        

 

Tues.  1/13/04              Chapter 25                               Welcome to Class

                                                                                    Review of Syllabus

                                                                                    Review of Acid-Base Balance & Control

 

Thurs. 1/15/04              Chapter 26                               Renal Function

 

Tues.  1/20/04              Chapter 27                               Liver function

 

Thurs. 1/22/04              Chapter 28                               Bone Disease

 

Tues.  1/27/04              Chapter 29                               Pancreatic Function

 

Thurs. 1/29/04              Chapter 30                               Gastrointestinal Function                                                                                                           and Disease

 

Tues.  2/03/04             EXAM  I

 

 

 

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Tentative Lecture Schedule  (continued):

 

      Date                       Textbook Assignment                         Topics                                       

 

Thurs.  2/05/04 Chapter 31                               Cardiac and Muscle Disease

 

Tues..  2/10/04 Chapter 32                               Diabetes Mellitus

                                                                                                                       

Thurs. 2/12/04              Chapter 33                               Coronary Artery Disease

 

Tues.  2/17/04              Chapter 35                               Iron and Bilirubin Metabolism

 

Thurs. 2/19/04              Chapter 38                               Trace Elements

 

Tues.  2/24/04              Chapter 39                               Vitamins

 

Thurs. 2/26/04            EXAM  II

 

Tues.  3/2/04                Chapter 40                               Pregnancy and Fetal Development

 

Thurs. 3/4/04                Chapter 43                               Endocrinology

 

Tues.  3/9/04                Chapter 44                               Thyroid Function

 

Thurs. 3/11/04              Chapter 45                               The Gonads

 

Tues.  3/16/04              Chapter 46                               Adrenal Hormones

 

Thurs. 3/18/04            EXAM  III

 

Spring Break (no classes) March 22 thru March 26, 2004

 

Tues.  3/30/04              Chapter 54                               Enzymology

 

Thurs. 4/01/04              Chapter 55                               Isoenzymes and Isoforms

 

Tues..  4/6/04               Chapter 51                               Toxicology

 

Thurs. 4/8/04                Chapter 56                               TDM

 

Tues.  4/13/04              Chapter 52                               Addiction Abuse

 

Thurs. 4/15/04            EXAM  IV

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Tentative Lecture Schedule  (continued):

 

 

      Date                       Textbook Assignment               Topics                                                 

 

Tues.  4/20/04              Chapter 49                               Neoplasia

 

Thurs. 4/22/04              Chapter 48                               Molecular Diagnostics

 

Tues.  4/27/04             FINAL  EXAM

 

 

 

 

 

 

 

 

 

 

 

DATE OF REVISION:         January, 2004