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Pathology: Digestive and Endocrine Systems

5 Hour CE Course

Average rating based on the following evaluation questions:

  1. The presentation of the subject was clear and to the point.
  2. Content was interesting to me.
  3. I gained new knowledge.
  4. The materials held my attention.
  5. I can use this information in my practice.
  6. This program met my personal expectations.
  7. Overall quality of course content and materials were excellent.

Enrollment Options

Fully Online Materials and Test

Contents: online manual; plus online multiple-choice test


Materials and Test Shipped to You

Contents: Manual and workbook with multiple-choice test shipped to you.



Deepen your understanding of pathology from a body/mind approach. Learn key concepts about how to recognize and confidently respond to soft tissue and movement therapy indications, precautions and contraindications related to the digestive and endocrine systems. This course also provides an excellent reference for future use.

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Content Outline

Digestive and Endocrine System Disorders 1.5 hour
Assessment and Therapeutic Action 1.5 hour
Research Findings; Case Presentations 1.5 hour
Open-book Test and Course Evaluation 0.5 hour
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This was a great adjunct. I have a lot of clients who are diabetic as well as have some of the other disorders studied in this program. It gave me more of a affirmation that I am on the right track in caring for my clients. This class will help give me more credibility within my medical community.

S. Page, LMT

Great course and content layout. Thank you!

A. Mimeles

Arranged nicely, concise, and to the point. Thank you!

P. Werner, LMP

Excellent, thank you very much. A lot of the course info comes up often with clients.

W. Child, LMT

I really enjoyed the course. it was very direct and straight to the point. That's how I like my courses.

Amie Malanda, LMP

The course was very informative and easy to understand. the whole process of taking the test after studying the course was simple and I will most certainly take another course in the future.

Mary DeJacomo, LMT

Wow! This exceeded my expectations! I had a great refresher and found that after I had done what I thought was a mock test after reading the printed book that it was the actual test!! I was so happy to find that out and as weird as this sounds, cannot WAIT to study and complete my next test!

Heidi Mayo, LMT

I enjoyed the course. It will enhance my skills as a professional massage therapist.

Les Nuckles

Great course! I haven't refreshed about the endocrine system in a while and it was much needed! It defiinitely made me look up other information about my practice/clients. Thanks!

Sandra Corbitt, LMT

I wanted more, the material is written very well, easy to understand and comprehend. Very pleased with what I learned and want more! Thank you.

Roxanne Grondin

The questions were relevant to my occupation, useful and supportive of some theories I had with some new insights.

Vivian Hutchinson, LMT

This course was informative. The most helpful parts to me were those that described symptoms clients may present.... especially pain referral! Diabetes is such a prevalent disease. It would be helpful to learn more specific contraindications with its symptoms. Most diabetic clients have already seen a primary care practitioner and are looking for pain relief with massage. I was hoping for more specific indications and contraindications for the wide variety of endocrine and digestive disorder symptoms. Thank you for a fun and thorough review of the systems. I learned something new!

Carol Nadasen, LMT

This was an excellent overview of digestive and endocrine system diseases and contraindications.

Therese L. Emil, LMT

I thought the course was very informative and was a nice review on material I haven't studied for a while.

Matthew Langley, LMT

Really interesting course - a great refresher on a lot of key issues we're presented with as therapists. Thank you!

Melanie Ashmore, LMT

I enjoyed learning at my own pace and gathered a lot of valuable information. I now have more information on guiding my clients to healthier lives.

Amanda Harrison, LMT

Very convenient and easy to sign-up, complete.

JoAnn Padro-Alvarado, LMT

Information in this course will be beneficial to myself, family and clients.

Jean Nottage Van Horn, LMBT

Great course!! Thank you for the info!!

Renee Surette

Great review of the endocrine system! Very clear and informative.

Lauren Nogrady, LMT

Provided me with new insights as well as providing me with the necessary credits. Thank you

Pamela M. Mason, LMT

It was useful information and I will definitely use this website in the future.

Somphachanh Byrd, LMT

I learned a lot of very important information.

Karen L. Ingerman, RMT

Very worthwhile.

Patricia Cosima Leedom, LMT

I found this really interesting. Thanks.

Barbara Bueck, LMT

Great course gained knowledge.

Kathryn Trisler, CMT

Clearly presented material, without excessive details.

Efrom M. Rachim Baskin, LMT

Great information, very easy to read!

Tonya Esmond, LMT

what a great experience...

Nicol Driscoll, LMT

Will order more courses with you. Very informative information.

Laurie Coleman, LMP

Good information.

Nancy Grimes, LMT

These courses are awesome!

Sarah Wanzek, LMT

This course is too easy to test on, but has a great deal of useful information, if one really is interested and studies it.

Jason Ryan, LMT, NCTMB

Very thorough information on the pathologies in the two systems!! Very well put together! Will use in my practice!

Robin Warren, LMT

Excellent review of digestive and endocrine pathologies! This information is important for every therapist to know. Would definitely recommend this course for anyone looking for a good refresher on these topics.

Rebecca Mabe, LMT, NCTMB

A clear easy to understand presentation of the course material. Contains important information needed by massage therapists.

John D. Busch, LMT, NCTMB

Well written course which I can refer to as needed.

Grace Boland, LMT

This program was easy to understand and very informative.

Elissa Johnson, LMT

This was a very interesting and great update and reminder of information every therapist should know and use.

Roxanne Grondin

Nice content, easy to follow, very informative.

Margaret Shay, LMT, NCTMB

An excellent review of both systems.

Patricia Allwein, LMT

This course was interesting and informative. I had no problem finding what I was looking for. Thank you.

jackie wimberly

Lots of great informative detail and content. Plan to put it to use immediately with clients, friends and family members. Thanks, once again, IIHS for a great course!

Charlene D. Crane

Packed with pertinent information that is readily usable.

John Pitrelli, LMT

Excellent Material, Great questions and course content

Herbert Schlichting, LMT

Great information & presentation! Easily understood & useful.

Kathryn F. Kalinin, LMT

This was a great course, I learned a lot! It will be very helpful in my practice.

Elizabeth Ehrhardt, LMT


Jason Kinn, LMT

Very clear and readable presentation, designed to be effectively memorized, and thereby applicable in my practice. One of the best of your many courses I’ve taken.

Jason Ryan, LMT, BCTMB

I think Pathology is very important in the field of massage because people have different health problems and we as massage therapist need to be educated on the health problems. Thank you are a great and informative course.

Billie Ruth Hausen, LMBT

This was a great course for those with little knowledge of pathology of the endocrine system.

Janna C. Westbrook, CMT, BCTMB

Very helpful course for myself and my clients health

Vanessa Johnson, LMT

Great information for new and seasoned therapist.

Heather Jones, LMT, BCTMB

Every LMT should take this course! It teaches such valuable information about what to potentially look for in all your clients to keep them safe during your practice.

Terri Rogers, LMT

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Learning Objectives

  1. Define the following words: cholesterol, colostomy, digestion, elimination, endocrine, hormone, nutrition, peristalsis
  2. Compare the differences between hyperglycemia and hypoglycemia and identify the primary danger from diabetic crisis
  3. Identify at least three benefits that massage and bodywork give to the endocrine and/or digestive systems
  4. Identify at least three contraindications for therapeutic actions in relation to the endocrine and/or digestive systems
  5. Identify at least three endocrine or digestive system signs or symptoms that you might recognize and refer the client to a primary care provider for evaluation
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Sample Text

“The following are descriptions of abnormal endocrine and digestive system findings. Refer clients with the following findings to a primary care provider for evaluation:

  • abdominal masses or nodules
  • acute or persistent chronic abdominal pain
  • an unusually rigid or board-like abdomen
  • blood in bowel movements or in vomit
  • changes in mood, energy level, sleep pattern, skin or hair
  • cold, clammy skin
  • depression
  • difficulty swallowing
  • dyspnea
  • excessive perspiration
  • excessive thirst
  • excessive urination
  • faintness; dizziness; light-headedness
  • lethargy; weakness
  • mouth, tongue or lip lesions
  • nervousness, anxiety or agitation
  • numbness in fingers, toes or mouth
  • pain in the upper abdomen or esophagus 1 to 3 hours after meals
  • painless foot sores
  • persistent or recurring nausea or vomiting
  • pigment changes in skin or mucous membranes
  • rapid heartbeat
  • rebound tenderness 
  • recurrent skin, gum or bladder infections
  • sexual dysfunction
  • significant fluid retention
  • significant obesity or thinness
  • soft protrusions through the abdominal wall
  • thyroid nodule
  • tremors
  • unexplained fatigue
  • unexplained weight loss"
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Sample Test Question

Which of the following may indicate that your client may have endocrine system abnormalities and needs to be referred to a primary care practitioner?

  1. excessive perspiration
  2. unexplained weight loss
  3. pigment changes in skin
  4. all of the above
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