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Transcript
Clinical Anatomy/Embryology/Imaging
BMS 6115
Andrew F. Payer, Ph.D.
Course Director
[email protected]
(850) 644-7501
2004 – 2005 Course Calendar
Color Codes for sessions:
Payer lectures
Payer radiology
Payer case wrap up
Payer cadaver updates and review
Paull lectures
Cavanagh clinical discussions
Laboratories
Clinical case small-group sessions
Examinations
Week 1 Thorax - 2004
Monday
6-7-04
Tuesday
6-8-04
Wednesday
6-9-04
Thursday
6-10-04
Course Introduction to
lectures, laboratory, smallgroups, clinical discussions,
radiology, cross-sections, etc
Payer
Embryology
Weeks 1 –
3
Paull
Heart and
great vessels
Payer
Embryology
Week 4 – to
Birth
Paull
Radiology of
Thorax
Payer
Posterior and
superior
mediastinum
Intro. to nervous
system
Payer
Clinical
Discussion
Cavanagh
Hour
1:00
1:30
2:00
2:30
Pleural
cavity
&
Lungs
Payer
Anterior thoracic wall
Payer
Laboratory
Pericardial
sac
Heart
&
great vessels
3:00
3:30
4:00
Laboratory
Thoracic wall
Laboratory
Pleural cavity
&
Lungs
4:30
Practice
small-group
session
Laboratory
Posterior
And
Superior
Mediastinum
Friday
6-11-04
Practice
small-group
Session wrap
up
Payer
Cadaver
Reports
Anatomy
review
Payer
Week 2 Back and Upper Extremity- 2004
Hour
1:00
1:30
2:00
Monday
6-14-04
Tuesday
6-15-04
Wednesday
6-16-04
Thursday
6-17-04
Friday
6-18-04
Back
And
Spinal
cord
Payer
Embryology of the
heart and great
vessels
Paull
Brachial plexus
Paull
Arm
And
Forearm
Paull
Radiology of
vertebral column
and spinal cord
Payer
Laboratory
Laboratory
Laboratory
Laboratory
Cases 1 & 2 wrap
2:30
3:00
3:30
4:00
4:30
Muscles,
nerves
and
vessels of
the back
Vertebral column
and demonstration
of spinal tap
Skin upper
extremity
Shoulder and
Brachial plexus
Scapula and deltoid
region
Paull
Case 1
Continue brachial
plexus and begin
Arm
And
Forearm
up
Payer
Cadaver Reports
Anatomy review
session
Payer
Clinical discussion
Cavanagh
Case 2
Week 3 Upper Extremity, Abdominal Wall & Cavity- 2004
Hour
1:00
1:30
Monday
6-21-04
Tuesday
6-22-04
Wednesday
6-23-04
Thursday
6-24-04
Hand and
Joints
Of the
upper
extremity
Paull
Embryology of
extremities and
integument
Paull
GI Tract and
associated organs
Part 1
Paull
GI tract and
associated organs
Part 2
Paull
Laboratory
Joints of upper
extremity
Begin anterior
abdominal wall
Laboratory
Anterior abdominal
wall, spermatic
cord and testis
Case 4
Clinical Discussion
Cavanagh
2:00
2:30
3:00
Laboratory
Arm
And
Forearm
Anterior abdominal
wall, spermatic
cord and testis
Payer
3:30
4:00
4:30
Laboratory
Hand
Case 3
Friday
6-25-04
Radiology
Upper extremity
Payer
Cases 3, & 4
Wrap up
Payer
Cadaver reports
Anatomy review
Payer
Week 4 Abdominal Cavity Continued - 2004
Hour
1:00
1:30
Monday
6-28-04
Tuesday
6-29-04
Wednesday
6-30-04
Thursday
7-1-04
GI Tract and
associated
organs
Part 3
Paull
Posterior
abdominal wall
and kidney
Payer
Embryology of
the GI tract
Paull
Nervous system
in the abdomen
Payer
Laboratory
Posterior
abdominal wall
and
Kidney
Laboratory
Review of thorax
and abdomen
Demonstration of
surgical
procedures in the
abdomen
Case 6
Clinical
Discussion
Cavanagh
2:00
2:30
3:00
3:30
4:00
4:30
Laboratory
GI Tract and
associated
organs
Part 1
Laboratory
GI Tract and
associated
organs
Part 2
Case 5
Friday
7-2-04
Radiology
Abdomen
Payer
Cases 5 & 6
wrap up
Payer
Cadaver
Reports
Anatomy
Review
Payer
Week 5 Head and Neck- 2004
Hour
Monday
7-5-04
1:00
Holiday
1:30
2:00
2:30
3:00
3:30
Tuesday
7-6-04
Wednesday
7-7-04
Thursday
7-8-04
Friday
7-9-04
Neck & cervical
viscera Part 1
Payer
Neck & cervical
viscera
Part 2
Payer
Face and
parotid region
Payer
Radiology
Neck
Payer
Laboratory
Neck and cervical
viscera
Part 1
Emergency
tracheotomy
Laboratory
Neck and
cervical viscera
Part 2
Laboratory
Face and
parotid region
Cases 7 & 8
wrap up
Payer
Cadaver
report
Anatomy
review
Payer
4:00
Case 7
4:30
Clinical
Discussion
Cavanagh
Case 8
Week 6 Skull and Brain- 2004
Hour
Monday
7-12-04
1:00
1:30
2:00
2:30
3:00
3:30
Mid-Term
Written
&
Laboratory
Examinations
8:00 AM
to
4:00 PM
Tuesday
7-13-04
Wednesday
7-14-04
Thursday
7-15-04
Infratemporal
region
Payer
Scalp,
cranium, dural
meninges
Payer
Embryology of
face and neck
Paull
Radiology
Skull, brain,
vessels,
sinuses
Payer
Laboratory
Infratemporal
region
Laboratory
Scalp,
cranium, dural
meninges
Embryology of
nervous system
Paull
Cases 9 & 10
wrap up
Payer
4:00
Case 9
4:30
Case 10
Laboratory
Brain
Arteries, veins,
sinuses and
cranial nerves
Friday
7-16-04
Clinical
discussion
Cavanagh
Cadaver
report
anatomy
review
Week 7 Orbit, Eye, Nasal and Oral Cavities- 2004
Hour
Monday
7-19-04
Tuesday
7-20-04
Wednesday
7-21-04
Thursday
7-22-04
Friday
7-23-04
Orbit and
eyeball
Paull
Craniovertebral
joint, base of skull
and
retropharyngeal
space
Payer
Pharynx, Oral
and nasal
cavities
Part 1
Paull
Pharynx, Oral
and nasal
cavities
Part 2
Paull
Radiology
Head
Laboratory
Orbit and
eyeball
Laboratory
Craniovertebral
joint, base of skull
and
retropharyngeal
space
Laboratory
Pharynx, oral
and nasal
cavities
Part 1
Laboratory
Pharynx, oral
and nasal
cavities
Part 2
Case 12
Clinical
Discussion
Cavanagh
1:00
1:30
2:00
2:30
3:00
3:30
4:00
4:30
Case 11
Cases 11 & 12
wrap up
Cadaver
report
Anatomy
review
Payer
Week 8 Larynx, Ear and Introduction to Pelvis/Perineum- 2004
Hour
Monday
7-26-04
Tuesday
7-27-04
Wednesday
7-28-04
Thursday
7-29-04
Larynx
Payer
Ear
Paull
Embryology of
sensory systems
Paull
Vessels, nerves
and lymphatics
of pelvis Rectum
and anal canal
Payer
1:00
1:30
2:00
2:30
3:00
3:30
Laboratory
Larynx
Laboratory
Ear
Introduction to
pelvis and
perineum
Payer
Laboratory
General
disposition of
pelvic organs
Laboratory
Complete
General
disposition of
pelvic organs
and perineal
structures for
both male and
female
Friday
7-30-04
Radiology
Review
Payer
Cases 13 & 14
wrap up
Payer
Cadaver
report
Anatomy
review
4:00
4:30
Clinical Discussion
Cavanagh
Case 13
and perineal
structures for
both male and
female
Payer
Case 14
Week 9 Pelvis and Perineum- 2004
Hour
1:00
1:30
Monday
8-2-04
Tuesday
8-3-04
Wednesday
8-4-04
Thursday
8-5-04
Friday
8-6-04
Ischiorectal
Fossa and
perineum
Payer
Pelvic viscera,
nerve and blood
supply
Payer
Embryology of
the
genitourinary
systems
Payer
Gluteal region
and posterior
thigh
Paull
Radiology
Pelvis and
Perineum
Payer
2:00
2:30
3:00
3:30
4:00
4:30
Placenta and
Extraembryonic
Membranes
Paull
Laboratory
Ischiorectal
fossa and
perineum of the
male and
female
Laboratory
Hemisect cadaver
and sagittal
section pelvis to
study pelvic
organs in the male
and female
Case 15
Complete all
pelvis and
perineum
dissections.
Compare male
and female
cadavers
Begin skin
removal from
lower extremity
Laboratory
Gluteal region
posterior thigh
Case 16
Clinical
discussion
Cavanagh
Cases 15 & 16
wrap up
Payer
Cadaver
Report
Anatomy
Review
Payer
Week 10 Lower Extremity- 2004
Hour
1:00
1:30
2:00
2:30
3:00
3:30
4:00
4:30
Monday
8-9-04
Tuesday
8-10-04
Wednesday
8-11-04
Thursday
8-12-04
Anterior thigh
Paull
Leg and Foot
Paull
Joints of lower
extremity
Paull
Radiology
Lower
extremity
Payer
Complete
cadaver reports
SPOT/SUSSAI
evaluations
Laboratory
Superficial
anterior thigh
anterior and
medial
compartment
Laboratory
Popliteal fossa
and leg
Laboratory
Foot and joints
of the lower
extremity
Cases 18 & 18
wrap up
Review Session
Case 17
Case 18
Final cadaver
reports given
by each table
Payer
Friday
8-13-04
Review session
Examination Week 11- 2004
Hour
Monday
8-16-04
Tuesday
8-17-04
Wednesday
8-18-04
8:00 AM
12:00 noon
5:00 PM
Final
Examination
Written Exam
In the AM
Lab
Practical
In the PM
NBME
Anatomy
Subject
examination
8 AM
to
12 noon
Order of Weekly Content Areas
Thursday
8-19-04
Friday
8-20-04
WEEK
REGION
1
Thorax
2
Back & Upper Extremity
3
Abdominal Wall & Cavity
4
Abdominal Cavity completed
5
Neck & Head
6
Head, Skull & Brain
7
Orbit, Pharynx, Nasal & Oral cavities
8
Larynx and Ear
9
Pelvis & Perineum
10
Lower Extremity
x
Laboratory Dissection Schedule
Time
Student
Dissection*
Demonstrated on select
cadavers**
Week
1
Lab 1
Lab 2
Lab 3
Lab 4
Introduction to lab,
anterior chest wall
breast
Pleural cavity and
lungs
Heart & great vessels
Posterior & superior
mediastinum
sympathetic trunk, splanchnic
nerves, segmental structures
coronary circulation
lig arteriosum, recurrent laryngeal,
thoracic duct
Hansen
Dissector
Pages
xiii-xv, 1-8
up to
pleural
cavities and
lungs
8-11
12-18
19-22
Week
2
Lab 1
Superficial back
Lab 2
Vertebrae and spinal
cord
spinal cord & meninges, suboccipital
region
Lab 3
Scapula, deltoid
region & axilla
suprascapular ligament, artery,
nerve and brachial plexus
Arm and forearm
Superficial veins and nerves of arm,
forearm and hand
79-87 up to
vertebral
canal and
spinal cord
87-90, View
suboccipital
region on
prosection
121-131 up
to arm
Week
3
Lab 1
131-137,
142-147 Up
to joints of
upper limb
Lab 2
Hand
deep palmar arch, recurrent median
n
Lab 3
Joints of upper
extremity and begin
abdominal wall
Joint dissections of shoulder, elbow
and wrist
Ant abdominal wall,
scrotum, testes
inguinal canal of male and female,
cremaster muscle
Lab 4
138-142
147-150
Begin 23-31
Complete
27-31
Week
4
Lab 1
Lab 2
Lab 3
Lab 4
General disposition of
abdominal organs,
bile passages, celiac
trunk and portal vein
Sup & inf mesenteric
a/v, start remove gut
Posterior abdominal
wall, nerves
Finish all dissections
contents of hepatoduodenal ligament
marginal artery, arcades & vasa recti
in large/small bowel
comparative gut anatomy, kidney &
adrenal gland
lumbar sympathetic chain, celiac
ganglion, splanchnic n.
32-41 up to
superior
mesenteric
vessels
41-48
49-57
Week
5
Lab 1
Begin anterior &
posterior triangles of
neck
Cutaneous nerves, interscalene
triangle
Lab 2
Complete neck
Recurrent laryngeal, parathyroid
glands
Lab 3
Face and parotid
region
Facial nerve branches
Lab 1
Temporal and
infratemporal regions
Deep infratemporal region
Lab 2
Scalp, cranium and
dura
Arachnoid granulations
Lab 3
Removal of brain
151-159 up
to carotid
triangle
159-163 up
to face
163-167
181-183
Week
6
Cavernous sinus, cranial nerves
183-188
168-172 up
to removal
of brain
172-175
up to orbit
Week
7
Lab 1
Orbit and eyeball
Extraocular eye muscles on
enucleated eye
175-181
Lab 2
CV joint, base of
skull and
retropharyngeal
space
Alar and cruciform ligaments, base
of skull
189-193 up
to pharynx
Lab 3
Bisect head, pharynx,
Cranial nerves lateral to pharynx
193--198
up to
tongue
Lab 4
Tongue, nasal cavity,
palate and mouth
Pterygopalatine ganglion,
submandibular ganglion and duct
198-206 up
to larynx
Laryngeal intrinsic muscles and
nerves
Middle Ear dissection
206-208 up
to ear
208-211
Week
8
Lab 1
Larynx
Lab 2
Ear
General disposition of
pelvic organs
Gluteal region and
begin Perineum
Lab 3
Lab 4
59-64
Male and female perineum
98-101
then 65-69
Short gluteals, sacrotuberous &
sacrospinous ligaments
65-69
Nerve plexuses and pelvic
splanchnics
70-78
Week
9
Lab 1
Lab 2
Lab 3
Lab 4
Perineum continued
Split pelvis, pelvic
organs, vessels,
nerves, pelvic
diaphragm
Complete dissections
and compare male &
female anatomy and
review
Finish gluteal region
and posterior thigh
98-102 up
to posterior
thigh
Week
10
Superficial lower
Femoral triangle, medial & lateral
extremity, and
Lab 1
91-97
femoral circumflex
anterior & medial
thigh
Popliteal fossa and
Lab 2
103-110
leg
Foot and joints of
Hip, knee, ankle & subtalar joints,
Lab 3
111-119
lower extremity
spring ligament
*Basic dissections required for students to complete on their own cadavers.
** More difficult dissections prepared on selected student cadavers by teaching
assistants to aid students in their dissections of the same area.