Fundamentals of Medical Science

I.     Course Prefix/Number: HIT 201

       Course Name: Fundamentals of Medical Science

       Credits: 3 (3 lecture; 0 lab)

II.    Prerequisite

HIT 105 with minimum grade of C or concurrent enrollment; HIT 108, HIT 170, and BIO 232 with minimum grades of C; and consent of instructor or department chair.

III.   Course (Catalog) Description

Course provides introduction to medical science. Content includes study of nature and cause of disease, treatment and management of patients, and practical application of knowledge by health information management professional.

IV.   Learning Objectives

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

  1. Define and use medical terminology appropriately.
  2. Identify characteristic symptoms, major clinical manifestations and treatment of abnormal conditions or specific diseases.
  3. Analyze clinical patient information contained in the medical record to assign principal diagnosis and principal procedure
  4. Interpret the difference between normal and abnormal findings of selected diagnostic tests and readings of vital signs.
  5. Use ICD and CPT coding systems to assign appropriate codes for diagnoses and procedures using encoder software.
  6. Determine complications and comorbid conditions given a case abstract or patient record.
  7. Evaluate documentation to support principal diagnoses with specific information about symptoms and signs, diagnostic information treatment.

V.    Academic Integrity and Student Conduct

Students and employees at Oakton Community College are required to demonstrate academic integrity and follow Oakton's Code of Academic Conduct. This code prohibits:

• cheating,
• plagiarism (turning in work not written by you, or lacking proper citation),
• falsification and fabrication (lying or distorting the truth),
• helping others to cheat,
• unauthorized changes on official documents,
• pretending to be someone else or having someone else pretend to be you,
• making or accepting bribes, special favors, or threats, and
• any other behavior that violates academic integrity.

There are serious consequences to violations of the academic integrity policy. Oakton's policies and procedures provide students a fair hearing if a complaint is made against you. If you are found to have violated the policy, the minimum penalty is failure on the assignment and, a disciplinary record will be established and kept on file in the office of the Vice President for Student Affairs for a period of 3 years.

Please review the Code of Academic Conduct and the Code of Student Conduct, both located online at

VI.   Sequence of Topics

  1. Neoplasms
    1. Classifying Neoplasms
      1. Benign vs Malignant
      2. Carcinomas
      3. Sarcomas
      4. Leukemias
    2. Etiology of Neoplasms
    3. Diagnosis of Neoplasms
      1. Early recognition signs
      2. Biopsy
      3. Exfoliative Cytology
      4. Biochemical Tests
    4. Approaches to Treatment
      1. Surgery
      2. Radiation Therapy
      3. Chemotherapy
  2. Urinary System Diseases
    1. Kidney Function
      1. Volume indicators
      2. Urinalysis
    2. Manifestation of Urogenital Disease
      1. Five signals
    3. Kidney Conditions
      1. Pyelonephritis
      2. Glomerulonephritis
      3. Renal failure
      4. Renal calculi
    4. Lower Urinary Tract Infections
      1. Cystitis/urethritis
    5. Neurogenic Bladder
    6. Tumors of the Urinary System
    7. Diagnostic Tests for Renal Disorders
      1. Creatinine clearance/serum creatinine
      2. BUN
      3. Urine culture
      4. IVP
      5. RP
      6. Ultrasound
      7. CT of kidney
  3. Reproductive System Diseases
    1. Male Reproductive Diseases
      1. Benign prostatic hypertrophy
      2. Prostatic Cancer
      3. Testicular Cancer
    2. Female Reproductive Diseases
    3. Disorders - reproductive system
      1. Endometriosis
      2. Leiomyomas
      3. PID
    4. Disorders - breast
      1. Fibrocystic disease
      2. Benign Fibroadenomes
      3. Carcinoma
    5. Disorders of pregnancy and delivery
      1. Ectopic pregnancy
      2. Placenta previa
      3. Abruptio placentae
    6. Classification Systems for PAPs
  4. Digestive System Diseases
    1. Major Manifestations
    2. Diagnostic Evaluation
    3. GI disorders
      1. Peptic ulcer
      2. Duodenal Ulcer
      3. Acute appendicitis
      4. Irritable bowel syndrome
      5. Crohn's disease
      6. Ulcerative colitis
      7. Diverticulitis
    4. Pancreas, Gallbladder, Liver Disorders
      1. Pancreatitis
      2. Chronic Pancreatitis
      3. Pancreatic Cancer
      4. Cholelithiasis
      5. Cholecystitis
      6. Cirrhosis
      7. Acute Viral Hepatitis
    5. Gastrointestinal drugs
  5. Respiratory System Disorders
    1. Signs and symptoms of pulmonary disease
    2. Diagnostic Procedures
    3. Respiratory Condition
      1. Pneumonia
        1. bacterial
        2. viral
        3. other
      2. Pleurisy
      3. Pleurial effusion
      4. COPD
        1. asthma
      5. Chronic Bronchitis
      6. Chronic Pulmonary Emphysema
      7. Asthma
      8. Pulmonary edema
      9. Corpulmonale
      10. Pulmonary embolism
      11. Respiratory distress
        1. hypercapnia
        2. hypocapnia
    4. Therapeutic procedures
      1. Mechanical ventilation
  6. Circulatory System Disorders
    1. Diagnostic Evaluation
    2. Circulatory Conditions
      1. Coronary Artery Disease
      2. Angina pectoris
      3. Myocardial infarction
      4. Arteriosclerosis and Atherosclerosis
      5. Congestive heart failure
      6. Cardiac arrest
      7. Thrombophlebitis
      8. Anemias
    3. Therapeutic procedures
      1. VAD
    4. Cardiovascular Drugs
  7. Nervous System Disorders
    1. Neurological Examination
    2. Conditions
      1. Meningitis
      2. Encephalitis
      3. Epilepsy
      4. CVA
      5. TIA
      6. Degenerative diseases
        1. Alzheimer's
        2. Parkinson's
        3. Multiple Sclerosis
      7. Hemiplegia
      8. Bells palsy
  8. Endocrine Disorders
    1. Conditions
      1. Diabetes mellitus
      2. Diabetes Insipidus
      3. Hypothyroidism
      4. Hyperthyroidism
      5. Hyperparathyroidism
      6. Cushing's syndrome
    2. Drugs for Endocrine System
  9. Musculoskeletal Disorders
    1. Conditions
      1. Systemic lupus erythmatosis
      2. Fractures
      3. Osteomyelitis
      4. Osteoporosis
      5. Osteomalacia
      6. Gout
      7. Osteoarthritis
      8. Pathologic fractures
    2. Trauma
      1. Open vs Closed reduction of fracture
  10. Skin Diseases
    1. Systemic Indicators
    2. Diagnosis of Skin Disorders
    3. Conditions
      1. Dermatitis
      2. Psoriasis
      3. Herpes zoster
      4. Impetigo
      5. Furuncles and carbuncles
      6. Decubitus ulcers
      7. Dermatophytoses
      8. Discoid lupus erythematosus
      9. Malignant melanoma
  11. Special Senses
    1. Eye disorders
      1. cataract
      2. glaucoma
      3. retinal detachment
      4. inflammations
    2. Ear disorders
      1. otitis media
      2. otosclerosis
      3. Meniere's syndrome

VII.  Methods of Instruction

The course will be a workshop in applying the clinical knowledge base to skills practiced by a health information practitioner.  Students will complete case studies and website activities from the text web site and the Internet.  Class time will include some lecture relating to diseases and case studies, abstracts of patient records.  Students will use both code books and the encoder software for coding diagnoses and procedures.

Course may be taught as face-to-face, hybrid or online course.

VIII. Course Practices Required

Participation in small groups and discussion are required, as well as use of Internet resources.

IX.   Instructional Materials

Note: Current textbook information for each course and section is available on Oakton's Schedule of Classes.

Essentials of Human Diseases, and Conditions, Fifth edition, Frazier and Drzymkowski.

Supplemental handouts provided by the instructor.

X.    Methods of Evaluating Student Progress

Evaluation methods include examinations, quizzes from the Mulvihill website, Web-based and research-based projects and assignments using professional literature.

Grades will be determined on a cumulative point basis:

A = 100 - 94%
B =  93 - 88%
C =  87 - 82%
D =  81 - 76%
F =  Below 76%

XI.   Other Course Information

CAHIIM Curriculum Competencies and Knowledge Clusters for Health Information Management (HIM) Education at the Associate Degree Level

Student Learning Outcome
Classification Systems
I.A.1. Apply diagnosis and procedure codes according to current guidelines
Supporting Body of Knowledge

Analyzing health information documentation to determine nature and cause of disease, treatment and management options.

If you have a documented learning, psychological, or physical disability you may be entitled to reasonable academic accommodations or services. To request accommodations or services, contact the Access and Disability Resource Center at the Des Plaines or Skokie campus. All students are expected to fulfill essential course requirements. The College will not waive any essential skill or requirement of a course or degree program.

Oakton Community College is committed to maintaining a campus environment emphasizing the dignity and worth of all members of the community, and complies with all federal and state Title IX requirements.

Resources and support for
  • pregnancy-related and parenting accommodations; and
  • victims of sexual misconduct
can be found at

Resources and support for LGBTQ+ students can be found at

Electronic video and/or audio recording is not permitted during class unless the student obtains written permission from the instructor. In cases where recordings are allowed, such content is restricted to personal use only. Any distribution of such recordings is strictly prohibited. Personal use is defined as use by an individual student for the purpose of studying or completing course assignments.

For students who have been approved for audio and/or video recording of lectures and other classroom activities as a reasonable accommodation by Oakton’s Access Disabilities Resource Center (ADRC), applicable federal law requires instructors to permit those recordings. Such recordings are also limited to personal use. Any distribution of such recordings is strictly prohibited.

Violation of this policy will result in disciplinary action through the Code of Student Conduct.