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BIOG 115: Body Structure & Function 2011-2012 Instructor: Holly K. Sofia, B.S., M.T., B.Ed. e-mail : [email protected] (440) 774-1051ext.2508 Textbook: Delmar’s Fundamentals of Anatomy & Physiology by Donald C. Rizzo, Third Edition, 2010 Course objectives: 1. 2. 3. 4. 5. Describe gross anatomy of the human body and body organ systems. Describe the basic physiology associated with body organ systems. Contrast normal function with abnormal function of body processes. Gain knowledge necessary to enhance the understanding of disease conditions. Use appropriate terminology to describe location of body structures to the body and to one another. 6. Discuss the interdependency of body systems as an influence on the proper functioning of the body. 7. Become aware of how to treat the human body to keep it healthy and promote a longer and richer life. Attendance: Class attendance for lectures is required, and is highly recommended. The material which will be on the exams will be covered in the lecture and some may not be found in the textbook. Attendance is required for all exams. There will be no make-up exams given, except under extenuating circumstances, as to be determined by the instructor. If you are unable to attend class on an exam day, contact the instructor, preferably before the exam, but no later than 24 hours after the exam, if you want to be considered for making up the missed points; otherwise you will receive a zero for the exam points. If I am not in my office when you call, leave a message on my voicemail. Cheating is inappropriate behavior for anyone, especially those in the medical profession, and will not be tolerated in this class. If you are caught cheating (supplying or receiving answers), your exam will be destroyed, and you will receive a zero for that exam. This score will not be replaced by your score on the midterm or final exams. Grading: HW/Assignments Anatomy practicals Exams - lecture Case studies Comprehensive final exam 10% 15% 50% 5% 20% 100% A: B: C: D: F: (100-90%) (89-80%) (79-70%) (69-60%) (<60%) Each of the Exams will consist of 30-60 multiple choice questions covering the material from the previous lectures of that unit. Distribution of questions for the material covered will be given to you prior to each exam. The cumulative final will consist of 100 multiple choice questions covering material from the entire semester. Case Studies: The case studies will be exercises in critical thinking and presented in a “story” format or as questions – be sure to focus on the question; do not fill the space with a lot of random facts that do not pertain (and don’t write more than a few paragraphs). Responses are to be in your own words in written form (no cutting or pasting from the internet). These will be distributed randomly throughout the semester. Student needs: Students who have been identified by the Office of Special Needs must notify the instructor of any special instructions for learning that have been determined by that office. Every effort will be made to provide Special Needs students with these considerations. Many students find it beneficial to tape the lectures. That is fine. Some also find it helpful to create study cards to prepare for the exams. Others prefer to summarize their notes into a more compact version for studying. Some students find it helpful to find a study partner. See what works best for you. Many of you will be proceeding onto clinical programs later in your career training. The material that you learn in this course will be a necessary building block for your future clinical classes. This course will be time-consuming but well worth the time and effort you spend on it. I'm sure that you will find the study of the body a fascinating subject. LCCC Credit In order to earn articulated LCCC college credit, the following conditions must be met: A final grade of “C” (70% or higher) is required. You must complete both years of the AHS program must utilize the credit within 2 years of high school graduation (this is standard across all agreements, as course content changes) TOPICAL OUTLINE: (COMMON CORE TOPICS) Homeostasis Cells, tissues and membranes transport Integumentary system Skeletal system Muscular system Nervous system Endocrine system Cardiovascular System: blood, heart, and vasculature Lymphatic system and immunity Digestive system Respiratory system Urinary system Reproductive system COURSE OUTCOMES & ASSESSMENT: Outcomes (Tools, Methods, and Expected Results) Assessment Method(s) *Most courses will address all three domains. In the instance when only two domains are addressed, include a justification in the Division cover letter. 1. Cognitive/Knowledge Describe the gross anatomy of the human body systems. 2. Cognitive/Knowledge Describe the basic physiological processes associated with the human body systems. 3. Cognitive/Knowledge Predict the effect of disease on the normal functioning of the body. 4. Cognitive/Knowledge Summarize the interaction between body organ systems. Item analysis of selected anatomy quiz questions which require the identification of anatomical structures with expected student performance level of 70% or higher. Item analysis of selected exam questions which require understanding of organ system physiology with expected student performance level of 70% or higher. Item analysis of situation-based exam questions, group activities, or homework assignments which require understanding of normal function and disease with expected student performance level of 70% or higher. Rubric analysis of case study exercises with expected student performance level of 70% or higher Item analysis of situation-based exam questions, group activities, or homework assignments which require understanding of body structure and function in health and with disease with expected student performance level of 70% or higher. 5. Psychomotor/Skills Operate computer components to investigate structure of the human body. 6. Affective/Disposition Identify activities that promote health and a longer and richer life. Item analysis of selected quiz questions related to on-line exercises with expected student performance level of 70% or higher. Rubric analysis of on-line case study exercises with expected student performance level of 70% or higher Item analysis of situation-based exam questions, group activities, or homework assignments which require understanding of the effects of internal and external factors on health with expected student performance level of 70% or higher. GENERAL EDUCATION REQUIREMENT: OUTCOMES AND ASSESSMENT Core course outcomes: C1: English: Demonstrate logical organization, coherent thinking, and precision in writing. C2: Mathematics: Utilize college mathematics to solve problems. C3: Natural Science: Apply scientific concepts and methods of inquiry. C4: Social Science: Apply concepts, principles and methods of inquiry in the social sciences. C5: Humanities: Examine the nature of human expression and/or artistic creativity. Infused outcomes: In1: Critical Thinking: Employ critical thinking skills in addressing issues and problems. In2: Communication: Demonstrate competence in verbal and nonverbal communication. In3: Diversity: Analyze the role of diversity in the development of the individual, the community, and the global society. In4: Ethics: Apply personal, professional, social and civic values. In5: Health: Identify behaviors that promote health of the individual. General Education Outcomes C3: Natural Science: Apply scientific concepts and methods of inquiry. Natural Science core course In1: Critical Thinking: Employ critical thinking skills in addressing issues and problems. In5: Health: Identify behaviors that promote health of the individual. Corresponding Course Outcomes #2-4 #3 and 6 #3 and 6 SUGGESTED INSTRUCTIONAL METHOD(S) AND TECHNIQUE(S): Classroom lecture and discussion, group activities, online anatomy exercises and analysis of case scenarios. LECTURE AND EXAM SCHEDULE Week Lecture topic Text reference 1 Terminology/body organization Cells Chapters 1 Chapter 3 & 2 (p. 3034 only) 2 Tissues Skin (Integumentary system) Chapter 5 Chapter 6 Con’t Skin, Oncology Exam I: Chap 1,2,3,5,6 Begin Skeletal system Chapter 6 Skeletal system Exam IIA: Chap 7&8 Begin Muscular system Chapter 7&8 5 Muscular System, Con’t Exam IIB: Chap 9 Nervous system Chapter 9 6 Nervous system, cont. Special senses Chapter 10 Chapter 11 7 Special senses Exam III: Chap 10&11 Chapter 11 8 Blood Chapter 13 9 Blood Cardiovascular system Chapter 13 Chapter 14 10 Lymphatic system Exam IV: Chap 13, 14, 15 Chapter 15 11 Respiratory system Urinary system Chapter 17 Chapter 18 12 Fluid/electrolyte/acid-base balance Exam V: Chap 17,18, notes Class notes 13 Digestive system Nutrition Chapter 16 Class notes, HCST Text, Chap 8 14 Exam VI: Chap 16, Nutrition, notes 3 4 Endocrine System Reproductive system/fetal development Cumulative final exam Chapters 7&8 Chapter 9 Chapter 10 Chapter 12 Chapter 19 Directions of the body: Inferior Superior Anterior Posterior Medial Lateral Proximal Distal Planes: Sagittal Midsagittal Horizontal/transverse Frontal/coronal Cavities: Dorsal cavity Cranial Spinal Thoracic Pericardial Pleural Mediastinum Abdominopelvic Abdominal Pelvic Regions hypochondriac (2) epigastric lumbar (2) umbilical inguinal (iliac) (2) hypogastric Integumentary system: Epidermis Dermis Hypodermis (subcutaneous) Hair shaft, root, follicle Sebaceous glands Sweat glands Arrector pili muscle Papilla Nail matrix Eponychium lunula Cells: cell membrane cytoplasm nucleus mitochondria lysosomes Endoplasmic reticulum golgi apparatus ribosomes nucleolus vacuoles cilia flagella Tissues: connective Loose: areolar, adipose, reticular dense: tendons, ligaments, Specialized: cartilage (chondrocytes) blood cells : Neutrophils, lymphocytes, monocytes, eosinophils, basophils Red Blood cells, platelets Bone (osteocytes) Muscle smooth striated (skeletal) cardiac Intercalated discs Nervous Epithelial Squamous cuboidal columnar simple stratified transitional Skeletal system X-section of bone structure ( periosteum, marrow, diaphysis, medullary cavity, osteon, epiphysis, Haversian vessels, Volkman canals) Frontal bone *Frontal sinus Parietal bone Temporal bone External auditory meatus Zygomatic process Mastoid process Styloid process Jugular foramen Carotid canal Ossicles (Incus, Malleus & Stapes) Occipital bone Foramen magnum Occipital condyles Sphenoid bone *Sphenoid sinus Sella turcica Pterygoid processes Ethmoid bone *Ethmoid sinuses Superior nasal septum (perpendicular plate) Crista gali nasal conchae Vomer Zygomatic bone Zygomatic arch Maxilla *Maxillary sinuses Infraorbital foramen Anterior hard palate Incisive foramen Anterior nasal spine Palatine bone Lacrimal bone Nasal bone Mandible Mandibular foramen Mental foramen Coronoid process Ramus Angle Body Hyoid bone * understand sinuses exist, but you do not need to ID on a model Vertebra spinous process Transverse processes Cervical Atlas Axis Dens Thoracic Lumbar Sacrum Coccyx Sternum Manubrium Gladiolus Xiphoid Process Ribs Costal cartilages Clavicle Scapula Glenoid fossa Acromion process Coracoid process Scapular spine Humerus Greater tubercle Head of humerus Radius Ulna Olecranon Carpals Metacarpals Phalanges Ilium Iliac crest Pubis Pubic symphysis Ischium Acetabulum Femur Head Neck Greater trochanter Tibia Medial malleolus Fibula Lateral malleolus Patella Tarsals Talus Calcaneus Metatarsals Phalanges For practical know: articular movements at synovial joints : ( abduction, adduction, hyperextension, flexion, extension, circumduction, pronation, supination, protraction, retraction, depression, elevation, dorsiflexion, plantar flexion, eversion, inversion, etc) Muscles Diaphragm Frontalis Orbicularis oculi Temporalis Levator labii Zygomaticus major Buccinator Risorius Depressor labii Orbicularis oris Mentalis Masseter Platysma Occipitalis Sternocleidomastoid Trapezius Rhomboids Erector spinae muscles Rotator Cuff muscles: Teres minor Infraspinatus Supraspinatus Subscapularis Teres major Pectoralis major Pectoralis minor Serratus anterior Latissimus dorsi Intercostal muscles Deltoid Levator scapulae Biceps brachii Triceps brachii Brachialis *Wrist and finger extensors Extensor carpi radialis longus Extensor carpi ulnaris Extensor digitorum Extensor retinaculum *Wrist and finger flexors Brachioradialis Flexor carpi ulnaris Flexor carpi radialis Flexor digitorum longus External abdominal oblique Internal abdominal oblique Transverse abdominis Rectus abdominis Iliopsoas (iliacus + psoas) Gluteus maximus Gluteus medius Adductor group (Gracilis and Adductors) - longus - magnus - brevis Quadriceps group (Vastus lateralis, V. intermedius, V. medialis and Rectus femoris) Hamstring group (Biceps femoris, Semitendinosus, and Semimembranosus) Sartorius Tibialis anterior Gastrocnemius Achilles tendon Soleus * Know they exist, not on models Know movements: adduction, pronation, flexion, abduction,etc Nervous system Meninges (Dura Mater, Arachnoid, Pia Mater) Cerebrum – lobes (frontal, temporal, occipital, parietal) Cerebellum Arbor vitae Corpus callosum Logitudinal fissure Thalamus Hypothalamus Pituitary gland Pineal gland Midbrain Pons Medulla oblongata Insula Spinal cord Intercostal nerves 4 Nerve plexuses: 1)Cervical Phrenic nerve 2)Brachial Radial nerve Median nerve Ulnar nerve 3)Lumbar Sciatic nerve 4)Sacral Femoral nerve Saphenous nerve Cranial nerves Olfactory (I) Optic (II) Oculomotor (III) Trochlear (IV) Trigeminal (V) Ophthalmic branch (V1) Maxillary branch (V2) Mandibular branch (V3) Abducens (VI) Facial (VII) Vestibulocochlear (VIII) Glossopharyngeal (IX) Vagus (X) Accessory (XI) Hypoglossal (XII) Parts of the neuron: Nucleus Axon Dendrite Myelin sheath Synaptic knobs Efferent Afferent Cell body Axon terminals Synapse Nodes of Ranvier Schwann cells Sensory organs Eye Bony orbit Lacrimal gland Extrinsic eye muscles Cornea Sclera Choroid Lens Iris Pupil Ciliary body Retina Optic disk Optic nerve Vitreous humor Aqueous humor Macula lutea (fovea centralis is the depression) Ear Pinna (auricle) External auditory canal Tympanic membrane Ear ossicles (malleus, Incus, Stapes) Eustachian tube Cochlea Vestibule Semicircular canals Vestibulocochlear nerve Cardiovascular system Pericardial sac Left ventricle Right ventricle Chordae tendineae Papillary muscles Left atrium Right atrium Tricuspid valve Bicuspid (mitral) valve Aortic valve Pulmonic valve Aorta Pulmonary artery (trunk) Superior vena cava Inferior vena cava Coronary sinus Pulmonary veins Brachiocephalic a/v Left subclavian artery Left Common carotid artery Internal carotid artery Ophthalmic artery External carotid artery Facial a/v Maxillary a/v Jugular vein Retromandibular vein Subclavian a/v Vertebral artery Basilar artery Axillary a/v Brachial a/v Radial a/v Ulnar a/v Basilic vein Cephalic vein Accessory cephalic vein Median cubital vein Celiac artery (trunk) Superior mesenteric a. Renal a/v Inferior mesenteric a. Hepatic-portal vein Common iliac a/v Internal iliac a/v External iliac a/v Femoral a/v Popliteal a/v Anterior tibial a/v Posterior tibial a/v Great saphenous vein Layers in blood vessels: Tunica intima (or interna) Tunica media Tunica adventitia (or externa) Lymphatic system Tonsils Pharyngeal ("adenoids") tonsils Palatine ("tonsils") tonsils Lingual tonsils Thymus Spleen Lymph nodes Lymphatic vessels Right lymphatic duct Thoracic duct Blood Platelets (thrombocytes) Red blood cells (Erythrocytes) White blood cells (Leukocytes) Neutrophils Monocytes Lymphocytes Eosinophils Basophils Digestive system Tooth: Crown Dentin Pulp cavity Root canal Cementum Apical foramen Oral cavity Incisors Canines Premolars Molars Gingiva Hard palate Soft palate Uvula Tongue Salivary glands Parotid Submandibular Sublingual Pharynx Esophagus Gastroesophageal ( or esophageal)sphincter Stomach Fundus Body of the stomach Pylorus/antrum Pyloric sphincter Small intestine Duodenum Jejunum Ileum Large intestine Appendix Cecum Ascending colon Transverse colon Descending colon Sigmoid colon Rectum Anus Liver Falciform ligament (not on practical) Common hepatic duct Hepatic portal vein Gallbladder Pancreas Respiratory system External nares Nasal cavity Nasal conchae Nasal septum Pharynx Nasopharynx Oropharynx Laryngopharynx Larynx Thyroid cartilage Cricoid cartilage Arytenoid cartilage Epiglottis Vocal cords Trachea Bronchus Lung Bronchioles Alveoli Diaphragm Hyoid bone Urinary system Kidney Nephron Glomerular (Bowman’s) capsule Glomerulus Loop of Henle Major calyces Minor calyces Renal pelvis Renal Pyramid Ureter Urinary bladder Urethra Endocrine system Hypothalamus Pineal gland Pituitary gland Anterior lobe (not on practical) Posterior lobe (not on practical) Thyroid gland Thymus gland Parathyroid glands Adrenal glands Cortex (not on practical) Medulla (not on practical) Pancreas Ovary Testis (testicle) Reproductive system Male Scrotum Testis (testicle) Seminiferous tubules Epididymus Vas deferens (ductus deferens) Seminal vesicle Prostate Ejaculatory duct Bulbourethral (Cowper's) gland Urethra Penis Glans Prepuce (foreskin) Female Mons pubis Ovary Fallopian tube (oviduct) infundibulum Uterus endometrium myometrium perimetrium Cervix External os Vagina Labia majora minora Clitoris Suspensory ligament