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Musculoskeletal Pathology Cases

About the cases:
These cases were developed for the Musculoskeletal Organ System Course by Dr. Juliana Szakacs and Yasuko Erickson, MSIV in the Department of Pathology at the University of Utah for use in the Pathology laboratory. Olympus and RadWeb are the electronic record systems of the University Hospital and are restricted to physicians and care givers with passwords. Please respect the privacy and confidentiality of patients at all times. The cases published on this web-site contain no personal identifiers.

Instructions for Medical Students:
1. The initial cases will guide you through the use of the electronic medical record and reference sources at the Medical Library.
2. Computer access will be available in the lab and in the library. If you have your own laptop and wireless card you can bring them to the lab.
3. Go through part by part of the assigned Cases and review the gross materials at your lab station during the first lab period. Discussion of each of the questions in small group format is encouraged.
4. Groups of about three or four students will be assigned one case to present at the next lab meeting. During the week between the first and second lab sessions, review the comprehensive case materials linked to the last part of the case, complete your research on the disease entity being presented in the case, and answer the questions in the last part of the case. Prepare a 5-7 minute oral presentation as you would for attending rounds. This includes a brief summary of the chief complaint, pertinent history, labs, X-rays and hospital course; pay close attention to how the diagnosis was made and the outcome. Be sure to reference the data you give in answering the questions of the last part of the case.
5. A written copy of your presentation with the answers to the questions at the end of the case must be turned in to your facilitator during the second lab; your report will be graded. If you worked with other students in the class on one case, turn in one report with all the names. You will each receive the same grade.

Goals and Objectives:
Following the participation in lab sessions one and two the student will be able to:

1. Use the electronic medical record and or computer to gather data on patients

2. Use the library electronic reference system to research data on diseases, therapies and drugs

3. Understand the basic pathology, presentation, and treatment of bone disorders including:

      a. Osteomyelitis

      b. Osteonecrosis

      c. Osteosarcoma

      d. Fractures

      e. Metastatic disease

      f. Multiple Myeloma

      g. Osteochondroma

      h. Chondrosarcoma

      i. Osteoporosis

4. Understand the basic pathology, presentation, and treatment of muscle disorders including:

      a. Rhabdomyosarcoma

      b. Rhabdomyolysis

5. Compile data on a patient and present it in the form of a Clinical Pathological Correlation.