Introduction to Clinical Medicine

Course
Semester
Spring
Year
2022
Faculty and Staff Information

Course Director: Dr. Inga Karasek BSc., DVM, MSc, CVA, Associate Professor ikarasek1@sgu.edu

Office Hours: Zoom Office Hours on selected Fridays at 12:30 pm AST, or by appointment.

Dr. Talia Guttin, VMD, MEd. DACVIM (SAIM), Associate Professor, tguttin@sgu.edu

Dr. Anne Corrigan MS DVM MS DACVIM (SAIM), Professor, acorrigan@sgu.edu

Dr. Stacey Byers DVM, MS, DACVIM(LA), Associate Professor sbyers1@sgu.edu

Dr. Tara Paterson DVM, MS, Associate Professor, tpaterson@sgu.edu

Dr. Firdous A. Khan BVSc, MVSc, DVSc, Diplomate ACT, Associate Professor fkhan8@sgu.edu

Dr. Catherine Werners-Butler DVM, PhD, MRCVS, Dipl. ECEIM, Dipl. RNVA, Professor cwerners@sgu.edu

Dr. Heidi Janicke VetMed, PhD, MRCVS, Dipl. ECVS, SFHEA, Professor hjanicke@sgu.edu

Dr. Kerri Nigito, DVM, CPH, MPH, DABVP, Assistant Professor Nigker1@sgu.edu

Dr. Jill Narak DVM MS DACVIM (Neurology), Private Practitioner, Veterinary Referral Surgical Practice Atlanta, jillnarakdvm@vrspatl.com

Dr. Kimberly Johnson DVM DACVIM (Oncology), Private Practitioner, petcancerconsulting@gmail.com

Dr. Nyoni Winchester DVM, MV, Clinical Instructor, nwinches@sgu.edu

Mrs. Frances Emmanuel, Executive Secretary, SAMS Dept, femmanuel@sgu.ed

Course Location

This course is being offered in person, in Ray and Jan Sis Hall #2, as well as online. There will be some lectures that will be offered online only. This will be made clear to students. Sakai will be where lectures are posted using Panopto/Zoom. The Lessons tool in Sakai will detail what lectures and materials will need to be reviewed each week.

Forums will be used to generate discussion on the material. There will be optional Zoom sessions (office hours) on selected Fridays, approximately every 2 weeks, for students to interact with faculty.

Required Resources

Laptop with functional microphone, and camera. Lecturers will use notes and/or PowerPoint slides available on Sakai. For certain classes or subjects, scientific articles, videos, or textbook references maybe be assigned and made available on Sakai. Ettinger and Feldman Textbook of Small Animal Internal Medicine 8th edition or Nelson and Couto Small Animal Internal Medicine. Large Animal Internal Medicine, Bradford P. Smith, 5th edition

Recommended Resources

Any Veterinary Physiology text, Guyton or Cunningham, Kirk’s Current Veterinary Therapy, Bonagura, Saunders, XIV and XV editions.

Accommodation
  1. Students with disabilities who need accommodations should contact Student Accessibility and Accommodations Services (SAAS), located in the Dean of Students Office.
  2. Information can be found at mycampus.sgu.edu/group/saas
Other Requirements

Articles and/or online resources may be assigned during the term

Course Rationale

This course is a keystone course in the veterinary curriculum. It was designed to use a team-teaching approach to tie together the basic science courses in the first 1 1/2 years and prepare the students for the third-year medicine and surgery courses. We use presenting complaints, history, clinical signs, PE findings and specific diagnostic testing with the goal of students being able to develop problem lists, differential diagnoses, and introduce veterinary methods for case work up of large and small animal species.

Course Learning Outcomes

Upon successful completion of this course, the student will be able to:

  1. Extrapolate relevant clinical data from presenting complaints, clinical signs, history, and physical examination for major organ systems in both large (including production) and small animal species.
  2. Use relevant clinical data to create differential diagnosis list for conditions in major organ systems.
  3. Use relevant clinical data to select appropriate diagnostic testing for conditions in major organ systems to diagnose a disease.
  4. Recognize emergency presentations for all major organ systems.
  5. Analyze clinical data to design and calculate appropriate fluid therapy plans for small and large animals.
  6. Analyze clinical data to accurately localize and diagnose neurologic abnormalities.
Lesson Learning Outcomes

Lecture Topic

Instructor

LLOs

Course Orientation: Clinical Reasoning

Dr. Karasek

Understand and utilize the SOAP medical records format and the problem-oriented approach to medicine.

Understand the importance of signalment, clinical signs, relevant history, and physical examination findings to help create a

differential diagnosis/rule out list.

 

 

Utilize the DAMNIT scheme for differential diagnosis development.

Small animal cases- CBC/Chem/UA

Dr. Corrigan

Review and analyze CBC, Serum Chemistry and Urinalysis results and use them to create differential diagnoses/rule outs.

Recognize and understand the implications of different leukogram patterns.

Introduction to fluid therapy- equations/considerat ions, acid/base, electrolytes

Dr. Corrigan

Understand electrolyte balance and control mechanisms.

Review physiology basics of fluid compartments, Starlings’ forces, and homeostatic mechanisms to be able to determine fluid therapy needs of a given patient in a variety of species.

Review acid/base balance and interpret a variety of venous and arterial blood gas case examples.

Calculate and interpret anion gap.

Describe appropriate catheter selection and

placement in a variety of species.

Fluid therapy LA cases

Dr. Byers

Formulate a fluid therapy plan for patients, including route of fluid delivery, type of fluids, rate of fluid delivery, and over what

time in large animal species.

Fluid therapy EQ cases

Dr. Werners- Butler

Be able to recognize clinical dehydration and hypovolemia in horses.

Know the acceptable routes of fluid administration in horses.

Identify which fluids are used in specific cases and select acceptable rates of fluid administration Know the steps to create an appropriate fluid therapy plan. Explain the differences in fluid therapy between horses

and small animals.

Fluid Types

Dr. Guttin

Formulate a fluid therapy plan for patients, including route of fluid delivery, type of fluids, rate of fluid delivery, and over what time.

Compare and contrast crystalloids vs. colloids and the indications for use.

Compare and contrast a variety of crystalloid

fluid types and the indications for use.

Fluid therapy SA cases 1

Dr. Guttin

Describe how to monitor a patient receiving fluid therapy in a variety of species.

Fluid therapy SA cases 2

Dr. Guttin

Describe common electrolyte abnormalities including diagnosis and treatment plans.

EQ/LA sick animal nutrition

Dr. Werners- Butler

Review the basics of large animal nutrition, with focus on the basics for equine nutrition.

 

 

Know when nutritional support is indicated. Know the different options available for nutritional support.

Describe the potential advantages and disadvantages of the different ways of

providing nutritional support.

SA nutrition for sick animals

Dr. Guttin

Discuss the importance of in-hospital nutrition and its indications.

Compare and contrast nutritional needs in healthy patients to that of an ill, hospitalized patient.

Describe the different routes to feed a hospitalized patient

Calculate RER and select a feeding route for

patients.

LA theriogenology intro

Dr. Khan

Review clinical reproductive anatomy and physiology of cattle and compare it briefly with those of sheep, goats, and pigs.

Identify a reproductive abnormality based on history and clinical findings.

Formulate treatment plans based on reproductive physiology.

EQ theriogenology intro

Dr. Khan

Review clinical reproductive anatomy and physiology of horses.

Identify reproductive abnormalities based on history and clinical findings.

Formulate diagnostic and treatment plans.

SA theriogenology intro

Dr. Khan

Review the basic reproductive anatomy and physiology of dogs and cats.

Apply the basic knowledge to different clinical scenarios.

Dermatology Introduction

Dr. Paterson

List the basic structures of the skin & cite the functions of the skin.

Explain the difference between primary & secondary derm lesions; give examples of each.

Describe the following dermatologic lesions and cite one dermatological disease in which that lesion is manifested: macule, patch, hyperpigmentation, hypopigmentation, papule, pustule, nodule, wheal, abscess, vesicle, bulla, erosion, ulcer, excoriation, lichenification, epidermal collarette, comedo,

alopecia, crust, scale.

Dermatology Diagnostics/SA cases

Dr. Paterson

Understand the diagnostic tools appropriate for working up a suspected case of parasitic dermatitis.

Identify common parasitic species causing

disease in dogs and cats.

 

 

Describe the various techniques for obtaining samples for cytology when concerned about bacterial or yeast infection. List other indications for performing cytology.

Identify the following microbes: cocci bacteria, rod-shaped bacteria, yeast3 List the diagnostic tools appropriate for working up a suspected case of dermatophytosis. Discuss the diagnostic limitations associated with Wood’s lamp. Cite the indications for trichography.

State the diagnostic tests which comprise

the dermatology minimum database.

EQ Dermatology introduction

Dr. Werners- Butler

Realize the importance of a systematic diagnostic approach for a patient with skin disease.

Create a differential diagnosis list based on clinical presentation, signalment, historical data and a thorough PE + dermatological exam.

Decide on additional diagnostic techniques based on a prioritized differential diagnosis. Recognize different skin diseases based on

typical appearance.

FA Dermatology introduction

Dr. Nigito

Demonstrate a systematic approach to dermatologic case investigations in food animal species.

Describe pertinent signalment and herd history information when investigating dermatology case presentations.

Differentiate and define normal skin coat physical exam findings from abnormal dermatologic lesions.

Discuss and identify common differentials and presentations of dermatology diseases

in livestock production.

Intro to Neurology- comparative

Dr. Narak

Describe the functions and locations of upper and lower motor neurons.

List the components (and corresponding

functions) of the forebrain.

Localizing/Neuroima ging intra-species

Dr. Narak

Describe the functions of the cerebellum. List the clinical signs of cerebellar syndrome. Describe the functions of the vestibular system.

Compare and contrast head tilt, falling, nystagmus, and postural reactions to localize

vestibular disease.

 

 

Compare and contrast motor function, postural reactions, muscle tone and reflexes

and be able to localize a lesion

SA Neuro cases

Dr. Narak

Using PLRs as a guide, neurolocalize blindness.

List the four cardinal signs of Horner’s

syndrome in small animals.

Review the cranial nerves, including testing,

origin, and function.

Equine Neuro

Dr. Karasek

Identify when an equine neurologic exam is indicated.

Describe the elements of a basic equine neurologic exam.

Contrast the differences between a neurologic exam in horses and small animals.

Identify which additional diagnostic tools are available / indicated for an equine neurologic

patient.

GI Physiology Review LA

Dr. Byers

Explain the anatomy and physiology of the ruminant GIT.

Describe the various disorders that alter the

“shape” of the abdominal profile. Describe the anatomical differences in a neonate and adult ruminant.

Explain the tests used to diagnose GI

disorders.

GI Physiology Review SA

Dr. Guttin

Differentiate specific GI signs, including vomiting vs. regurgitation, small intestinal vs. large intestinal diarrhea.

Use clinical signs to localize the anatomic region causing the clinical sign.

Based on clinical signs and anatomic localization of the signs.

Ask key clinical questions and prioritize emergency presentations.

Discuss the main diagnostic tests for the corresponding signs.

Know the most common etiologies for each

clinical sign.

GI SA cases

Dr. Guttin

As above.

GI FA cases

Dr. Byers

As above.

Equine GI Intro

Dr. Karasek

Recognize the signs of colic in an equine patient and be able to differentiate between mild, moderate, and severe signs.

Understand the particularly unique equine GI tract anatomy and how it relates to colic. Determine the location of the problem in

terms of small intestine, large colon/cecum

 

 

and type of lesion based on history, clinical signs, and response to treatment.

Differentiate between a case that can be managed on the farm and one that is a

referral to hospital case.

Intro to Oncology

Dr. Bechtel/Dr. Johnson

Describe how to diagnose cancer, the limitations of each procedure, and which procedure is appropriate for diagnosis.

Describe how to diagnose lymphoma compared to other differential diagnoses for enlarged lymph nodes.

Interpret lab work associated with a cancer patient.

Formulate a problem list and a list of differential diagnoses for a cancer patient. Recommend diagnostic procedures appropriate for a cancer patient based on

presentation.

Introduction to lameness LA & EQ

Dr. Janicke

Describe how to localize a lameness. Identify appropriate diagnostic tests to identify the location and cause of lameness. Identify possible species-specific causes of

lameness.

Introduction to clinical lameness in SA

Dr. Guerrero

Identify appropriate diagnostic tests to identify the location and cause of lameness Describe how to localize a lameness.

Large Animal Emergency- situational/environm ental concerns

Dr. Karasek

Define what types of conditions constitute

“emergencies” in large animals. Demonstrate a systematic approach when addressing an emergency in a large animal. Determine when euthanasia may be

warranted.

Introduction to Endocrine

Dr. Corrigan

Review and explain the anatomy and physiology/pathophysiology of the major endocrine organs.

Compare and contrast different endocrine diagnostic tests, understand how to perform them and using epidemiology concepts select an appropriate test in dogs, cats, and

horses.

Common Endocrine Diseases

Dr. Corrigan

Using presenting complaints, clinical signs, history, and PE findings develop a differential diagnosis/rule out list and select appropriate testing to diagnose Diabetes mellitus, hyperthyroidism, hyperadrenocorticism,

PPID and Equine metabolic syndrome.

Endocrine/therio diseases

Dr. Corrigan and Dr. Khan

TBA

Intro to Respiratory – PE, physiology comparative

Dr. Corrigan

Using presenting complaints, clinical signs, history PE so select appropriate diagnostic tests and be able to diagnose foreign bodies, fungal infections, neoplasia and nasopharyngeal polyps, laryngeal paralysis, brachycephalic airway syndrome, collapsing trachea, infectious and inflammatory parenchymal diseases.

Compare and contrast airway sampling techniques and be able to select the appropriate choice for a given case example. Distinguish between hypoxemia and hypoxia.

Explain the A-a gradient.

SA Respiratory Cases

Dr. Corrigan

As above.

EQ Respiratory Cases

Dr. Karasek

Review anatomy and physiology of the equine respiratory system and discuss the diagnostic tests to choose for a given anatomical area.

Compare and contrast airway sampling techniques and be able to select the appropriate choice for a given case example.

LA Respiratory Cases

Dr. Nigito

Explain the common clinical signs of respiratory disease in ruminants.

Explain the diagnostic tests for common respiratory diseases in ruminants.

Differentiate common differential diagnoses for respiratory disease in various ruminant

species.

Intro to cardiology- history, clinical signs, PE across species

Dr. Corrigan

Review pertinent anatomy and physiology and apply it to case examples.

Describe common clinical signs of cardiac disease and explain the physiology/pathophysiology

Evaluate the heart’s priorities and utilize this to explain CHF. Discuss and recognize the clinical signs of CHF.

Diagnostics for cardio- ECG, radiology, echo

Dr. Corrigan

Compare and contrast the major diagnostic tests available for cardiac patients and know

when to select appropriate choices.

SA Cardio cases

Dr. Corrigan

Describe common murmurs and be able to grade them. Describe the importance of systemic blood pressure monitoring for a variety of diseases.

Using presenting complaints, clinical signs, history, and PE finding to select appropriate

diagnostic tests and be able to diagnose

 

 

CHF, MVD, HCM, DCM, systemic hypertension, pulmonary hypertension, atrial vs. ventricular arrhythmias, ventricular tachycardia, atrial fibrillation, and heart

blocks

EQ Cardio cases

Dr. Werners- Butler

Review the specifics for the equine heart. Know the most common cardiac arrhythmias and murmurs in the horse. Know the additional diagnostic tools to confirm cardiac abnormalities.

Describe the similarities and differences between equine and small animal cardiology.

ECCM: Patient Assessment and Triage and Shock

Dr. Guttin

Recognize the clinical signs of shock. Identify the different categories of shock. Explain the differences in pathophysiology. Use this to direct treatments for each category.

Describe what goal-directed treatment of

shock Is, and what parameters are assessed.

Liver Physiology Review

Dr. Guttin

Use history and blood work to categorize liver disease patients into: Enzyme patterns: hepatocellular vs. cholestatic vs. decreased function–Icterus: pre-hepatic/hepatic/post- hepatic.

Recognize the clinical signs of liver disease: subclinical vs. clinical.

Recognize the tests for liver enzymes and the tests for liver function.

Be familiar with the liver diagnostics: What they can and cannot tell us.

Diagnostic plan by liver enzyme pattern.

SA Liver Diagnostics/Cases

Dr. Guttin

As above.

FA Liver-Cases

Dr. Byers

Explain the common clinical signs of liver disease in ruminants.

Explain the liver enzymes and diagnostic tests appropriate for ruminants.

Work through a case.

Discuss the common differential diagnoses for acute and chronic liver disease in various

ruminant species.

EQ Liver-Cases

Dr. Karasek

Describe the common clinical signs of liver disease in horses.

Recognize the important liver enzymes and diagnostic tests appropriate for horses.

 

 

Remember the species differences of horses- no gallbladder, yellow plasma, anorexia causing icterus.

Note the common differential diagnoses for

acute and chronic liver disease in horses.

Biosafety and Biosecurity

Dr. Karasek

Understand the basic principles of biosafety/biosecurity as it relates in small animal and large animal medicine.

Recognize the need for appropriate biosecurity protocols in veterinary practices and farms.

Know the 5 main routes of pathogen transmission. Understand the veterinarian's

role in the current pandemic.

Renal Physiology Review comparative SA vs. LA

Dr. Guttin

Know the top differential diagnoses for each. Be familiar with a lower urinary tract

diagnostic plan.

Azotemia & Urolithiasis

Dr. Guttin

Identify differentiating characteristics of acute kidney injury vs. chronic kidney disease.

Know the top differential diagnoses for acute kidney injury.

Be familiar with an upper urinary tract

diagnostic plan.

PU/PD

Dr. Guttin

Polyuria and polydipsia–top ddxs and what can be ruled in/out with a CBC/Chem/UA.

SA Behavior

Dr. Bain

Understand underlying causes of separation anxiety and be able to develop a plan to treat and prevent.

Understand, identify triggers and/or stimuli that provoke anxiety/phobias in dogs, and develop a plan for DS/CC

ID the families of medications used in treating these problems, and the indications

for prescribing them.

LA Behavior

Dr. Karasek

Understand very basic husbandry related to behavior for large animals.

Understand basic welfare concerns

surrounding livestock.

Introduction to Production Animal Medicine

Dr. Byers

Discuss the veterinarian’s role in livestock

production systems. Discuss some controversies.

Become familiar with common production systems.

Discuss changes occurring.

Become familiar with various feeding

strategies in livestock.

Small Ruminant Production

Dr. Winchester

Apply a general understanding of the different small ruminant (SR) breeds and uses for those animals.

Compare and contrast the safe handling techniques and housing needs between sheep and goats.

Discuss the various herd health issues veterinarians can be involved in vaccine protocols, deworming protocols nutritional

needs, castration, and disbudding.

Beef Production

Dr. Nigito

Basic terminology and breeds. Different beef production systems. Beef cow housing and handling.

Production cycle of a beef cow Understand how the vet come into all this:

production, reproduction, herd health issues,

welfare issues.

Dairy Production

Dr. Nigito

Distinguish different housing and management systems used in dairy production.

Identify advantages and disadvantages of calf management systems.

Discuss diseases commonly encountered in calves and cattle in dairy production

systems.

Poultry & Pork Production

Dr. Byers

Know the terminology.

Know what the big swine and poultry states are.

Know what some of the current disease concerns with swine production and the major risk factors are.

Explain the various “stages” in raising swine

and morbidity/mortality risks.

Understand the differences in layer and broiler production and what is the end goal of each.

Describe a common method to reduce diseases in swine and broiler production

systems.

Alignment of Course Learning Outcomes with Program Learning Outcomes

Course Level Outcome

Program Level Outcome

1. Extrapolate relevant clinical data from presenting complaints, clinical signs, history, and physical examination for major organ systems in both large (including production) and small animal species

A1, A2, A4, A6

2.     Use relevant clinical data to create differential diagnosis list for conditions in major organ systems

A2, A3, A4, A6

3. Use relevant clinical data to select appropriate diagnostic testing for conditions in major organ systems to diagnose a disease

A1, A2, A3, A6

4.     Recognize emergency presentations for all major organ systems

A2, A4

5.     Analyze clinical data to design and calculate appropriate fluid therapy plans for small and large animals

A2, A5, A6

6.     Analyze clinical data to accurately localize and diagnose neurologic abnormalities

A3, A4, A11

7. Select a research topic to model lifelong learning and practice self-reflection

A11, B15

8. Recognize zoonotic and contagious disease routes of transmission and

select patients for isolation

A9

9. Understand the practices of biosecurity and biosafety within veterinary medicine.

A8, A9, B18

Course Schedule

Lecture Number

LECTURE TOPIC

Instructor

1

9:30 am

Jan 17

Course Orientation: Clinical Reasoning

Karasek

2

10:30 am

Jan 18

CBC/ acid/base, electrolytes-SA Cases

Corrigan

3

10:30 am

Jan 19

Introduction to fluid therapy

Corrigan

4

10:30 am

Jan 20

Introduction to fluid therapy- equations/considerations, acid/base, electrolytes

Corrigan

5

10:30 am

Jan 21

Fluid Types*

Guttin

6

10:30 am

Jan 24

Fluid therapy SA cases 1*

Guttin

7

10:30 am

Jan 25

Fluid therapy SA cases 2*

Guttin

8

10:30 am

Jan 26

Fluid therapy LA

Byers

9

9:30 am

Jan 27

Fluid therapy LA cases

Byers

10

10:30 am

Jan 28

Fluid therapy EQ cases*

Werners-Butler

11

Jan 31

Introduction to Production Animal Medicine*

Byers

12

10:30 am

Feb 1

Intro to Neurology-comparative

Narak

13

10:30 am

Feb 2

Localizing/Neuroimaging intra-species

Narak

 

 

 

14

11:30 am

Feb 3

SA Neuro cases

Narak

15

9:30 am

Feb 4

SA Behavior

Bain

16

Feb 8

Beef Production*

Nigito

17

10:30 am

Feb 9

Dairy Production

Nigito

18

10:30 am

Feb 10

Small Ruminant Production

Winchester

19

10:30 am

Feb 11

Poultry & Pork Production

Byers

20

9:30 am

Feb 15

Large Animal Emergency- situational/environmental concerns

Karasek

21

9:30 am

Feb 16

Biosafety and Biosecurity SA

Karasek

22

9:30 am

Feb 17

Biosafety and Biosecurity LA

Karasek

23

9:30 am

Feb 18

Equine Neuro

Karasek

24

Feb 21

GI Physiology Review LA*

Byers

25

10:30 am

Feb 22

GI FA cases

Byers

26

10:30 am

Feb 23

Equine GI Intro

Karasek

27

10:30 am

Feb 24

GI Physiology Review SA*

Guttin

28

10:30 am

Feb 25

GI SA cases*

Guttin

29

10:30 am

Mar 1

Introduction to clinical lameness LA

Janicke

30

10:30 am

Mar 2

LA Behavior

Karasek

31

10:30 am

Mar 3

SA nutrition for sick animals*

Guttin

32

10:30 am

Mar 4

ECCM: Patient Assessment and Triage and Shock*

Guttin

 

MIDTERM WEEK

March 11th, 12 pm AST

 

33

9:30 am

Mar 15

 

Dermatology Introduction

 

Paterson

34

10:30 am

Mar 15

Dermatology Diagnostics/SA cases

Paterson

35

10:30 am

Mar 17

EQ Dermatology introduction

Werners-Butler

36

10:30 am

Mar 18

FA Dermatology introduction

Nigito

37

11:30 am

Intro to Respiratory – PE, physiology comparative

Corrigan

Mar 21

 

 

38

10:30 am

Mar 22

SA Respiratory Cases

Corrigan

39

9:30 am

Mar 23

LA Respiratory Cases

Nigito

40

9:30 am

Mar 24

EQ Respiratory Cases

Karasek

41

10:30 am

Mar 25

Intro to cardiology- history, clinical signs, PE across species

Corrigan

42

10:30 am

Mar 28

Diagnostics for cardio- ECG, radiology, echo

Corrigan

43

10:30 am

Mar 29

SA Cardio cases

Corrigan

44

10:30 am

Mar 30

EQ Cardio cases

Werners-Butler

45

10:30 am

Apr 1

Liver Physiology Review

Guttin

46

11:30 am

Apr 4

SA Liver Diagnostics/Cases

Guttin

47

10:30 am

Apr 5

EQ Liver-Cases

Karasek

48

10:30 am

Apr 6

FA Liver-Cases

Byers

49

9:30 am

EQ/LA sick animal nutrition

Werners-Butler

Apr 7

 

 

50

10:30 am

Apr 8

Renal Physiology Review comparative SA vs. LA

Guttin

51

Apr 11

Azotemia & Urolithiasis*

Guttin

52

10:30 am

Apr 12

PU/PD

Guttin

53

11:30 am

Apr 13

Intro to Oncology

Johnson

54

10:30 am

Apr 14

LA theriogenology intro

Khan

55

10:30 am

Apr 20

EQ theriogenology intro

Khan

56

10:30 am

Apr 21

SA theriogenology intro

Khan

57

10:30 am

Apr 22

Introduction to clinical lameness SA

Guerrero

58

9:30 am

Apr 25

Introduction to Endocrine

Corrigan

59

9:30 am

Apr 26

Common Endocrine Diseases

Corrigan

60

9:30 am

Apr 27

Therio/ Endocrine

Khan/Corrigan

 

FINALS WEEKS

May 11th, 12 pm AST

 

 

Where all * lectures are recordings, NOT in person lectures

Optional Office Hours via ZOOM – selected Fridays 12:30 pm- 1:20 pm various faculty.'

Weekly time commitments:

Week number

Material

Time Commitment

1

Clinical reasoning, CBC/Chem/UA, Introduction to fluid therapy, fluid types

6 hours:

5 lecture hours 1 Quiz on Sakai

2

Fluid therapy SA cases LA and EQ fluid therapy and cases

6 hours:

5 lecture hours 1 Quiz on Sakai

1 Zoom office hours

(optional)

3

Introduction to production animal medicine. Intro to neurology, localizing/neuroimaging, and small animal neurology cases. SA

behavior

5 hours:

5 lecture hours

4

Small ruminant, beef, dairy, and poultry/pork production.

4 hours:

4 lecture hours

1 Zoom office hours

(optional)

5

Large animal emergency- environmental concerns.

Biosafety and biosecurity for SA and LA. EQ

neurology.

5 hours:

4 lecture hours 1 Quiz on Sakai

6

GI physiology review for LA and SA. Small animal

5 hours:

5 lecture hours

 

and large animal cases. Intro to EQ GI.

 

7

Intro to lameness LA/EQ LA behavior.

Sick animal nutrition for small animals

ECCM

6 hours:

4 lecture hours 1 Quiz on Sakai

1 Zoom office hours

(optional)

8

MIDTERM WEEK

 

9

Dermatology introduction, small animal dermatology/cases. EQ

and LA dermatology

4 hours:

4 lecture hours

10

Introduction into respiratory, SA respiratory cases, EQ and LA respiratory cases.

Introduction to

cardiology

6 hours:

5 lecture hours 1 Quiz on Sakai

1 Zoom office hours (optional)

11

Diagnostics for cardiology. SA cardio cases and EQ cardio cases. Liver physiology

review

4 hours:

4 lecture hours

12

SA liver cases and EQ liver cases. LA Liver cases. EQ/LA sick nutrition.

Renal physiology- comparative SA vs. LA.

5 hours:

5 lecture hours

1 Zoom office hours (optional)

13

Azotemia and urolithiasis. PU/PD. Intro to oncology.

LA theriogenology.

4 hours:

4 lecture hours

14

EQ and SA theriogenology. Intro to SA clinical

lameness

4 hours:

3 lecture hours

1 Zoom office hours

(optional)

15

Introduction to endocrine, common endocrine diseases, and

therio/ endocrine

3 hours:

3 lecture hours

16 & 17

FINALS WEEKS

 

 

Grading and Assessment Policy

There will be 2 examinations worth a total of 70 % of the class grade. The exam material will come from the Panopto lectures and PowerPoints. There will be approximately 3 questions/lecture of new material for both the midterm exam and the final exam. These examinations take place on ExamSoft using ExamMonitor and comprise of Multiple-Choice Questions (MCQ’s).

A grade reduction of 5% will be applied to that exam if students do not observe the following parameters during exams monitored online:

  1. Avoid talking out loud.
  2. Avoid looking away from the monitor.
  3. Avoid having distractions (animals, people) in or walking through the room or making noise during the exam.
  4. Check that your webcam is always recording your full face with adequate lighting.

There will be 5 Sakai Quizzes throughout the semester. These will have one week to be completed and MUST be turned in by the due date. No late assignments will be accepted. These will be worth 30% of the grade.

Assessment Summary:

Total points = 100

Midterm exam 35 points-Friday, March 11th, 2022, 12 pm AST Final exam 35 points- Wednesday, May 11th, 2022, 12 pm AST

Both the midterm and final exams are on ExamSoft using ExamMonitor.

Sakai Assignments 30 pts (6 pt. each) *

  1. Week 1 Quiz -Sunday, January 23rd
  2. Week 2 Quiz -Sunday, January 30th
  3. Week 5 -Sunday, February 20th
  4. Week 10 -Sunday, March 27th
  5. Week 12 – Sunday, April 10th

*All due by 11 pm AST

SVM Grading Scale:

>89.5%

A

84.5-89.4

B+

79.5-84.4

B

74.5-79.4

C+

69.5-74.4

C

64.5-69.4

D+

59.5-64.4

D

<59.4

F

Recommended Study Strategies

Zoom office hours are optional but strongly recommended. These are scheduled Zoom sessions where the class material is discussed, and students can pose questions to teaching faculty. These have been exceedingly helpful to the students who have attended in the past.

Additional recommendations:

  • Reading up on material covered in that week’s Lesson plan in the relevant textbook (e.g., Ettinger's Textbook of Small Animal Internal Medicine).
  • Posing questions in the Forums and perusing other questions and comments to clarify topics.
  • Contacting the relevant Faculty member promptly if there are any questions regarding the material.
  • After viewing each lecture, summarizing, and making an outline of the most Important points.
  • Using the Lecture learning objectives for each lecture and "Talia's Tips" for Dr. Guttin's material to guide studying.
Instructor's Expectations of the Student

To attend in-person lectures if on campus, and otherwise to engage with the weekly posted material that will be detailed in the Lessons portion of the Sakai course site. This includes listening to the lectures on Panopto, reading through posted PowerPoints, completing any weekly assignments, and participating on Forums, as necessary. Attending Zoom office hours would be another recommended activity. Reading Ettinger or Nelson and Couto or Smith sections in the text that complement the material presented will be exceedingly helpful to your success.

Professionalism Statement

Students attending St. George’s University are expected to conduct themselves with integrity, dignity, and courtesy, according to a code of conduct that defines the interests, reputation, and stature of the University community. Learning experiences at St. George’s University are not only meant to develop strong academic skills, but also to cultivate students with positive professional attributes, who are well adjusted to the norms of social graces and good social behavior. The Code of Conduct includes student comportment and the honor code, as well as those actions that warrant disciplinary action. The University reserves the right to take any action that is sees fit to protect the rights of the student body, as well as the reputation of the University. Abuses of this Code, outline in the student manual, will result in disciplinary action, which may include suspension or dismissal. It is the responsibility of all students to know the University Code of Conduct. It is required that all students abide by the terms of the University Code of Conduct. Please exhibit professional behavior when communicating with your peers and with the faculty involved in this course.

Attendance/Participation Policy

Students are expected to attend lectures, if in Grenada, and otherwise engage with online content, and participate in all classes and clinical rotations for which they have registered. Employment is not an excusable absence. Although attendance, engagement, and participation may not be recorded at every academic activity, attendance, engagement, and participation is graded for mandatory sessions. Students’ lack of attendance, engagement, and participation may adversely affect their academic status as specified in the grading policy.

If failure to attend, engage, or participate in individual classes, examinations, and online activities, or from the University itself is anticipated, or occurs spontaneously due to illness or other extenuating circumstances, proper notification procedures must be followed.

Policy Regarding Missing Examinations and/or Failure of Submission of Assignments

Students who fail to attend an examination or submit an assignment by the deadline without a valid reason (see student manual: SGUSVM POLICY ON AN EXCUSED ABSENCE (EA) FOR

STUDENTS) will receive a score of “0” points for the examination. Students who have technical issues during the examination MUST inform the Course Director (ikarasek1@sgu.edu) and IT (tellexaminationservices@sgu.edu OR support@sgu.edu OR call 1- 631-665-8500 ext. 4444 (US, NU, International) OR 1-473-439-2000 ext. 4444 (Grenada), AND Dean of Students (DOS@sgu.edu ) during the open period for the examination. Failure to do so immediately will result in the student receiving the highest score recorded at the time, but NOT being eligible to take a completion examination.

Scheduling of examinations (regular, re-sit, completion, comprehensive, or exemption) is at the discretion of the University.

ExamSoft Policy

All students are responsible for knowing and complying with the University’s Code of Conduct and the guidelines. Students must read and then sign the Honor Code statement at the start of examinations to indicate that they will comply with the University Code of Conduct.

Prior to Exam Day

  1. Each student is required to have a laptop for the purpose of taking computer-based examinations (e-Exams) at SGU. Students must ensure that their laptops meet the current minimum system requirements prior to exam day:
  2. Examinees must use their MY SGU Member Center username and password to access the Custom Home Page (www.examsoft.com/sgu) created by ExamSoft for the University.
  3. Examinees are responsible for downloading and registering the latest version of Examplify on their laptop prior to exam day. Once Examplify has been successfully downloaded, examinees are strongly encouraged to familiarize themselves with the software by downloading and taking practice exams.
  4. Examinees are responsible for setting their laptop up for ExamMonitor prior to the exam (see links below).
  5. Examinees will be notified via MyCourses, of all exam related information. Email notifications will also be sent from ExamSoft Support to examinees, notifying them of examinations available for downloading.
  6. Examinees experiencing difficulties with their laptop are encouraged to visit the IT department for assistance prior to exam day. Examinees needing a laptop must visit the Office of Institutional Advancement (OIA) to request an exam loaner.
  7. Examinees should visit the following information to familiarize themselves with the online proctored exam format and set up their baseline photo.
    1. An Examsoft/ExamID quick guide for students (Please note that the current Examplify version is 2.3.8)
    2. The Examsoft student perspective video 30mins
    3. The Examsoft/ExamID FAQ
    4. Examsoft information page
    5. The general Reminders/Guidelines
Copyright Policy

The materials (such as slides, handouts and audio/video recordings) provided to students who are taking courses at St. George’s University (SGU) are the intellectual property of the Faculty and/or Administration of SGU. Students are free to use these materials solely for the purpose of group or individual study. Reproduction in whole or in part is prohibited.