DMS 231 Abdominal/Small Parts Sonography II

This course provides the skills necessary to produce diagnostic sonographic images of peritoneal and retroperitoneal structures, the urinary system, spleen, and superficial structures.

Credits

2

Prerequisite

Prerequisite: DMS 131

See Course Syllabus

Course Number and Title:

DMS 231 Abdominal/Small Parts Sonography II

Campus Location

  • Georgetown
  • Wilmington

Effective Date

202351

Prerequisites

Prerequisite: DMS 131

Course Credits and Hours

2 credit(s)

2 lecture hours/week

1 lab hours/week

Course Description

This course provides the skills necessary to produce diagnostic sonographic images of peritoneal and retroperitoneal structures, the urinary system, spleen, and superficial structures.

Additional Materials

None

Required Text(s)

Obtain current textbook information by viewing the campus bookstore - https://www.dtcc.edu/bookstores online or visit a campus bookstore. Check your course schedule for the course number and section.

Disclaimer

None

Core Course Performance Objectives (CCPOs)

  1. Examine the cross-sectional anatomy of the abdominal viscera and superficial structures. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4)
  2. Explain the principles of scanning technique in examining the abdominal viscera, superficial structures, and small parts. (CCC 1, 2, 4, 5, 6; PGC 1, 2)
  3. Identify the sonographic appearance of abdominal viscera, superficial structures, small parts, and vasculature. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4)
  4. Identify and document the sonographic appearance of pathology and pathophysiology relating to abdominal viscera, superficial structures, and small parts. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4)
  5. Discuss the laboratory testing associated with the abdominal viscera, superficial structures, and small parts. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4)
  6. Explain and document the preparation that should precede a sonographic examination of the abdominal viscera, superficial structures, and small parts. (CCC 1, 2, 4, 5; PGC 3, 4)
  7. Perform basic abdominal imaging techniques. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4)
  8.  Explain and document the completion process of a sonographic examination of the abdominal viscera, superficial structures, and small parts. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4)

See Core Curriculum Competencies and Program Graduate Competencies at the end of the syllabus. CCPOs are linked to every competency they develop.

Measurable Performance Objectives (MPOs)

Upon completion of this course, the student will:

  1. Examine the cross-sectional anatomy of the abdominal viscera and superficial structures.
    1. Explain the normal gross anatomy, location, size, and adjacent organ relationships of abdominal viscera, superficial structures, and small parts including but not limited to gastrointestinal tract, spleen, adrenal glands, urinary tract, retroperitoneum, lymphatic system, neck, breast, scrotum, prostate, penis, extremity non-vascular, superficial soft-tissue structures, and lung/pleura
    2. Discuss the importance of a technical systematic approach in examining the normal morphological structures.
    3. Explain directional terms, anatomic position, and anatomic planes relating to cross-sectional anatomy.
    4. Explain image quality terms and internal echo patterns used in sonographic procedures.
  2. Explain the principles of scanning technique in examining the abdominal viscera, superficial structures, and small parts.
    1. Explain the importance and benefit of using proper transducer selection and technique in sonographic examinations.
    2. Perform the accepted guidelines and scanning protocols and modifications used in sonographic examinations based on sonographic findings and the differential diagnoses.
      1. Indications and contraindications
      2. History and physical examination
      3. Related imaging, laboratory, and functional testing procedures
      4. Clinical differential diagnosis
      5. Contrast-enhanced imaging
      6. Role of sonography in patient management
      7. Use scan protocol while remaining within allowable scan time.
  3. Identify the sonographic appearance of abdominal viscera, superficial structures, small parts, and vasculature.
    1. Discuss visceral physiology and its essential importance to life.
    2. Discuss and identify the sonographic appearance of relational anatomy of abdominal viscera and superficial structures including gastrointestinal tract, pancreas, spleen, adrenal glands, retroperitoneum, lymphatic system, thyroid, breast, scrotum, prostate, and musculoskeletal.
  4. Identify and document the sonographic appearance of pathology and pathophysiology relating to abdominal viscera, superficial structures, and small parts.
    1. Describe and identify the sonographic appearances of pathologies relating to inflammatory, neoplastic, infectious, obstructive, metabolic, traumatic, degenerative, iatrogenic, congenital, and immunologic process of gastrointestinal tract, spleen, adrenal glands, urinary tract, retroperitoneum, lymphatic system, thyroid, breast, scrotum, prostate, penis, extremity non-vascular, superficial soft-tissue structures, and lung/pleura.
    2. Explain and identify specific anatomic variants.
    3. Demonstrate knowledge of the physiology, pathophysiology, sonographic technique, measurements, sonographic appearance, and Doppler patterns, where applicable, in both normal and abnormal structures.
  5. Discuss the laboratory testing associated with the abdominal viscera, superficial structures, and small parts.
    1. Discuss tests of adrenal function.
    2. Discuss tests of thyroid and parathyroid function.
    3. Discuss prostate specific antigen (PSA) tests.
    4. Discuss the role of urinalysis, urine pH, specific gravity, blood, hematocrit, protein, creatinine clearance, blood urea nitrogen, and serum creatinine in kidney function. 
  6. Explain and document the preparation that should precede a sonographic examination of the abdominal viscera, superficial structures, and small parts.
    1. Apply the steps involved in patient preparation for abdominal studies.
    2. Apply and demonstrate the scanning unit preparation with regard to transducer selection, exam table height, and patient body habitus.
    3. Explain IV insertion and injection with use of contrast-enhanced imaging and basic pharmacology as related to the concentration.
  7. Perform basic abdominal imaging techniques.
    1. Perform imaging techniques required to evaluate normal relational anatomy of organs/systems, including but not limited to gastrointestinal tract, spleen, adrenal glands, retroperitoneum, lymphatic system, thyroid, breast, scrotum, and prostate.
    2. Perform imaging techniques required to evaluate abdominal vascular Doppler assessment including hepatic, mesenteric, and renal.
  8. Explain and document the completion process of a sonographic examination of the abdominal viscera, superficial structures, and small parts.
    1. Write reports of findings using sonographic terminology.

Evaluation Criteria/Policies

The grade will be determined using the Delaware Tech grading system:

90-100 = A
80-89 = B
70-79 = C
0-69 = F
Students should refer to the Catalog/Student Handbook for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.

Final Course Grade

Calculated using the following weighted average

Evaluation Measure

Percentage of final grade

Tests (6) (Equally Weighted) (summative)

50%

Quizzes (5) (Equally Weighted)

5%

Simulator & Classroom/Workbook Assignments

10%

Professional Behaviors

5%

Lab Competencies (2)  (Equally Weighted) (summative)

10%

Final Exam (summative)

20%

TOTAL

100%

 

Program Graduate Competencies (PGCs are the competencies every graduate will develop specific to his or her major)

AHTAASDMO

  1. Graduates will demonstrate clinical competence by performing a full range of diagnostic medical sonography procedures on all patient populations pertaining to their learning concentration.
  2. Graduates will professionally utilize verbal, nonverbal, and written communication skills in patient care, procedure intervention, and professional relationships.
  3. Graduates will demonstrate professional growth and development by acting in a professional and ethical manner and comply with the professional scope of practice.
  4. Graduates will integrate critical thinking and problem solving skills as expected of a healthcare professional.

 

AHTAASDMS

  1. Perform competently a full range of diagnostic medical sonographic procedures pertaining to their learning concentration.
  2. Utilize professional verbal, nonverbal, and written communication skills in patient care, procedure intervention, and professional relationships.
  3. Act in a professional and ethical manner and comply with professional scope of practice.
  4. Integrate critical thinking and problem solving skills as expected of a healthcare professional.

Core Curriculum Competencies (CCCs are the competencies every graduate will develop)

  1. Apply clear and effective communication skills.
  2. Use critical thinking to solve problems.
  3. Collaborate to achieve a common goal.
  4. Demonstrate professional and ethical conduct.
  5. Use information literacy for effective vocational and/or academic research.
  6. Apply quantitative reasoning and/or scientific inquiry to solve practical problems.

Students in Need of Accommodations Due to a Disability

We value all individuals and provide an inclusive environment that fosters equity and student success. The College is committed to providing reasonable accommodations for students with disabilities. Students are encouraged to schedule an appointment with the campus Disabilities Support Counselor to request an accommodation needed due to a disability. The College's policy on accommodations for persons with disabilities can be found in the College's Guide to Requesting Academic Accommodations and/or Auxiliary Aids Students may also access the Guide and contact information for Disabilities Support Counselors through the Student Resources web page under Disabilities Support Services, or visit the campus Advising Center.

Minimum Technology Requirements

Minimum technology requirements for online, hybrid, video conferencing and web conferencing courses.