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LOG BOOK Student's name: Group: ID:

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Anatomy: Code: AE 301 Basic Information

Program Title Bachelor of Medicine and Surgery; MB, BCh

Department Offering the Course

Anatomy

Academic Year / Level

First year

Date of Specification Approval

4 / 9/ 2011(department council approval)

Total Teaching Hours

Total: 240 Lecture: 120 Tutorials: 10 Practical: 110 (including 40 hour e-lab)

Allocated Marks 250 Marks

Allocated Duration September through May (as per student)

Course Director Prof. Dr. Mohamad Kamal Tawfik Head of Department

Teaching Staff 22 Professors 7 Assistant Professors 17 Lecturers 13 Assistant lecturers, and 10 Demonstrators

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Course contents

Topics

Teaching and Learning Methods

% L T

P/ C

O

INTRODUCTION TO ANATOMY (11.25%)

Anatomical Terminology and Anatomical Terms of Movements

3 3

Body Tissues Skin Layers, Langers Lines Fascia (Types, Functions and Sites Where The Deep Fascia is Absent or Thickened) Serous Membrane

1 1

Skeleton : Types of Cartilage, Bones Forming The Axial And Appendicular Skeleton Types of Joints.

8 4 4

Muscles: Skeletal, Smooth and

4 2 2

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Cardiac Muscle

Nervous System Components Segments Of The Spinal Cord Spinal Nerve

4 2 2

Cardiovascular System Types of Circulations Chambers of The Heart Connection Between Arteries and Veins Functional and Anatomical End Arteries

2 1 1

Lymphatic System Lymph, Lymphatic Aggregations And Clinical Correlates

2 1 1

Endocrine System Endocrine Gland in Male & Female and The Secreted Hormones

1 1

DIAGNOSTIC IMAGING X-RAY CT SCANS MRI

2 1 1

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EMBRYOLOGY (12.5%)

Gametogenesis Reproductive Cycles in Female

3 3

Fertilization and Cleavage

1 1

Implantation 2 1 1

Trophoblast & Chorion

2 2

Gastrulation 2 2

Neurulation 1 1

Folding & Derivatives of The Three Germ Layers

2 2

Placenta 2 1 1

Fetal Membranes 1 1

Congenital Anomalies & Teratology and Twins

2

1 1

Development of Limb Bud

2

1

1

Development of The Respiratory System

2 1 1

Development of The Cardiovascular System

8 7 1

UPPER LIMB (28.3%)

Bones of The Upper Limb

6 6

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Pectoral Region Mammary Gland Structure Blood Supply and Lymphatic Drainage Clinical Problems (Cancer Breast)

6 3 2 1

Axilla (Boundaries And Contents)

7 3 4

Back 2 1 1

Scapular Region 3 2 1

Upper Arm Cubital Fossa (Boundaries And Contents)

8 3 5

Forearm 8 4 4

Hand And Digital Muscles

8 4 4

Joints of The Upper Limb Types and Structure of Joints Blood And Nerve Supply of Joints Movements and Stability of Joints

8 3 4 1

Dermatomes of The Upper Limb Lymphatic Drainage Groups of Lymph Nodes, Afferent And Efferent

2 1 1

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Arterial Anastomosis of The Upper Limb

2

2

Venous Drainage of The upper Limb

1 1

NervesOrigin, Course, Branches, Surface Anatomy, Relations of Nerves of The Upper Limb Effect Of Nerve Injury (Motor, Sensory, Deformity)

5 2 2 1

X-Ray Of The Upper Limb

2 2

THORAX (20 %)

Bones: Sternum, Ribs & Thoracic Vertebrae General and Special Features

5 1 4

Thoracic Wall (Intercostals Space, Intercostal Muscles, Vessels And Nerves)

5 3 2

Diaphragm Origin, Insertion, Nerve Supply & Actions, Levels of Main Openings, Structures

3 1 2

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Passing Through

Pleura and Lungs 5 3 2

Pericardium and Heart 8 4 4

Mediastinum -Divisions -Boundaries -Contents

7 3 4

Nerves of The Thorax Lymphatic Drainage of The Thorax Groups of Lymph Nodes, Afferents and Efferents

5 2 2 1

Joints of The Thorax Types and Structure of Joints Blood And Nerve Supply of Joints Movements and Stability of Joints

5 2 2 1

X-Rays CT MRI Images And Cross-Section

2 2

LOWER LIMB (27.9 %)

Bones of The Lower Limb

6 6

Lower Limb Organization & Functions (Transmission Of Body Weight)

1 1

Front of The Thigh 7 3 4

The Femoral Triangle 5 3 2

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and Femoral Sheath (Boundaries and Contents)

Medial Side of The Thigh / Adductor (Subsartorial) Canal

4 2 2

Gluteal Region 4 2 2

Back of The Thigh Popliteal Fossa (Boundaries And Contents)

6 2 4

Leg (Anterior/ Lateral/ Posterior Compartments)

10

5 5

Dorsum of The Foot 2 1 1

Sole of The Foot 4 2 2

Joints of The Lower Limb Types and Structure of Joints Blood And Nerve Supply of Joints Movements and Stability of Joints

6 2 2 2

Arches Of The Foot 1 1

Nerves Origin, Course, Branches, Surface Anatomy, Relations Of Nerves Of The Upper Limb, Effect Of Nerve Injury

4 2 1 1

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L: lecture, T: Tutorial, P: Practical including e- lab, O: Other: Directed Self Learning

(Motor, Sensory, Deformity)

Arterial Anastomosis of The lower Limb

1 1

Venous Drainage of The Lower Limb

1 1

Dermatomes Lymphatic Drainage Groups of Lymph Nodes, Afferent And Efferent

3 1 1 1

X-Ray Of The Lower Limb

2 2

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Weighing of Assessments

Method Weight %

Continuous Assessment

20%

Quizzes 8% (20 Mark)

Practical exam 4% (10 Mark)

Mid-year Examination

Written Exam 8% (20 Mark)

Final 80%

Written Exam 50% (125

Mark)

Oral Exam 4% (10 Mark)

Practical Exam 24% (60 Mark)

Research activity

2% (5 marks)

Total 100% 250 Mark

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List of References

Course Notes: Departmental books

Essential Books (Text Books) (Available at faculty library): Gray's Anatomy.

Recommended Books:

1. Snell RS: Clinical Anatomy by Regions

2. Moore KL and AF Dalley: Clinically Oriented Anatomy

3. Keith Moore, L and Persaud, TVN; The Developing Human

Periodicals, Web Sites: http://mic2.shams.edu.eg/

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The Lab stations I- Introduction of anatomy: Station1: Axial & appendicular skeleton On the articulated skeleton;

1. Give names of bones of axial skeleton & appendicular skeleton

Name the bone of the Axial skeleton: skull, sternum, ribs, vertebral column

Name the bone of the Appendicular skeleton:

i. Upper limb: clavicle, scapula, humerus, radius, ulna, carpus, metacarpals, phalanges

ii. Lower limb: hip, femur, tibia, fibula, tarsus, metatarsu, phalanges

2. Lining anatomy: feel the subcutaneous parts on himself (herself)

Station2: Morphological classification of bones. 1. Long bone = clavicle, humerus or radius or ulna 2. Short bone = carpus 3. Short long bones = metacarpals 4. Flat bone = scapula 5. Irregular bone = vertebra 6. Pneumatic bone = skull (frontal, maxilla, sphenoid) 7. Sesamoid bone = pisiform

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Station3: Types of synovial joints. ILOs: by the end of the station, the student should be able to locate an example of each type of the synovial joint on the skeleton (with special focus on the upper limb) Specimen: articulated skeleton

1. Uniaxial • Hinge = elbow & IP • Pivot = radioulnar

2. Biaxial • Ellipsoid = wrist • Saddle = CMC of thumb • condylar = knee

3. Multiaxial • Ball & socket = shoulder

4. Plane = acromio-clavicular Station4: Display movements. ILOs: by the end of the station, the student should be able to define, describe & perform different movements. Station5: Muscles (types: skeletal, smooth & cardiac ms.) Specimen: Fleshy specimens (example of skeletal muscles: muscles of limbs- smooth muscles: intestine & stomach- Cardiac muscle: heart) ILOs: by the end of the station, the student should be able to describe different characteristics of each type & to define examples of each type.

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Station6: Types of skeletal muscles. ILOs: by the end of the station, the student should be able to describe the different types (according to arrangement of muscle fibers) of skeletal muscles & give an example of each. Parallel (e.g. Sartorius) Triangular (e,g. temporalis) Station7: Brain (main parts: flesh & plastic models). Specimen: Fleshy specimens & plastic models & Diagrams of the brain ILOs: by the end of the station, the student should be able to list the main parts of the brain & their relative position to each other. Station8: Spinal cord. Specimen: Diagrams of a section in the spinal cord. ILOs: by the end of the station, the student should be able to define the count of spinal segments in each region & to describe the main parts of the internal structure of the spinal cord (horns of grey matter, white matter & central canal). Station9: Spinal nerves & their role in formation of N plexuses. Specimen: Diagrams of a spinal nerve. ILOs: by the end of the station, the student should be able to describe the formation of a spinal nerve (roots & dorsal root ganglion) &to describe fate of spinal nerves (rami & formation of plexuses) & to enumerate nerve plexuses of the body.

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Station10: Heart specimen ILOs: at the end of the practical student should be able to:

1. Place the heart in the anatomical position. 2. Identify the right and left atria, right and left ventricles and apex of the heart. 3. demonstrate the valves (atrioventricular, aortic and pulmonary)

Station11: arteries and veins ILOs: at the end of the practical student should be able to:

1. Name and locate the veins (SVC, IVC, coronary sinus) and arteries (Aorta, pulmonary trunk, coronary arteries).

2.Compare by feeling the difference between an artery (axillary, brachial) and a vein (axillary, subclavian) regarding the thickness of wall and elasticity

Station12: Imaging ILOs: at the end of the practical student should be able to:

1. Demonstrate different types of imaging (plain x-ray, x-ray with dye, CTs and MRI) 2. Compare between the appearance of hard (bone) and soft tissues in each

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II- The upper limb: Station 1: Clavicle ILOs: at the end of the practical student should be able to:

1. Identify the general features of the clavicle (medial & lateral end, curvature, upper & lower surfaces). 2. Place the bone in the anatomical position to identify its side (right or left). 3. Recognize its articulation with the manubrium and acromion (type of joint) 4. Comments on the type of bone and the common site of fracture.

Station 2: Scapula ILOs: at the end of the practical student should be able to:

1. Identify the general features of the scapula: borders (medial, lateral, and upper), surfaces (anterior, posterior) processes( coracoid, acromion, spine), angles (superior, inferior, lateral) 2. Place the bone in the anatomical position to identify its side (right or left). 3. Comments on the type of bone and its articulation with the clavicle and humerus (type of joint).

Station3: Humerus ILOs: at the end of the practical student should be able to:

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1. Identify the general features of the humerus (upper & lower ends, medial and lateral borders, anterior & posterior surfaces). 2. Place the bone in the anatomical position to identify its side (right or left). 3. Recognize its articulation with the scapula, radius and ulna (type of joints) 4. Comments on the important features e.g. bicipital and spiral grooves.

Station 4: Pectoral muscles ILOs: at the end of the practical student should be able to:

1. Identify the pectoral muscles (pectoralis major, minor, and subclavius) 2. Demonstrate the attachment of pectoralis major to humerus, feel the thick lower border of the muscle (anterior fold of axilla). 3. Demonstrate the attachment of pectoralis minor to ribs and coracoid process of scapula 4. Identify the medial & lateral pectoral nerves.

Station 5: breast ILOs: at the end of the practical student should be able to:

1. Identify the position, structure and

relation of the breast.

2. Identify its blood supply and

lymphatic drainage.

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Station 6: Boundaries of Axilla ILOs: at the end of the practical student should be able to:

1. Identify the: anterior wall (pectoralis major et minor), posterior wall (subscapularis, teres major, latissimus dorsi), medial wall (serratus anterior), lateral wall (humerus, coracobrachialis and biceps). 2. Demonstrate the structures bounding the inlet of axilla. 3. Feel in his colleague the anterior and posterior folds of axilla and realize why it was thick and rounded.

Station 7: Contents of Axilla ILOs: at the end of the practical student should be able to:

1. Identify the axillary artery (beginning, course and termination). 2. Demonstrate the relation of the axillary artery to pectoralis minor. 3. Identify the branches of the 1st, 2nd and 3rd parts of the artery. 4. Demonstrate in a diagram the different groups of the axillary lymph node and their relation.

Station 8: Brachial plexus ILOs: at the end of the practical student should be able to:

1. Identify the different stages of the brachial plexus (roots, trunks, division, cords, branches)

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2. Demonstrate branches of the lateral cord (lateral pectoral, musculocutanous, and lateral root of median nerves), the medial cord (medial pectoral, medial cutanous nerve of arm & forearm, ulnar and medial root of median nerves) and posterior cord (upper & lower subscapular, thoracodorsal, axillary and radial nerves)

Station 9: Muscles of the back. ILOs: by the end of the station, the student should be able to: 1. Identify the layers of back muscles. 2. List muscles forming each layer. 3. Identify each of them on the fleshy specimen. 4. Identify their bony attachment. Station 10: Rotator cuff muscles + deltoid + teres major ILOs: by the end of the station, the student should be able to: 1. List muscles of shoulder region. 2. Identify the muscles forming the rotator cuff. 3. Identify each of them on the fleshy specimen. 4. Identify their bony attachment. Station 11: Shoulder joint ILOs: by the end of the station, the student should be able to: 1. Describe the parts of the bones articulating together. 2. Determine the capsular attachment.

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3. To identify the intra-articular structures. Station 12: movements at shoulder region ILOs: by the end of the station, the student should be able to: 1. Define the different movements of both shoulder joint & shoulder girdle joints. 2. Identify the muscles performing each movement. Station 13: Radius ILOs: at the end of the practical student should be able to:

1. Identify the general features of the radius (ends, borders &surfaces). 2. Place the bone in the anatomical position to identify its side (right or left). 3. Recognize its articulation with the humerus, ulna and carpal bones (name and type of joints) 4. Comment on the important features e.g. radial tuberosity and styloid process.

Station 14: Ulna ILOs: at the end of the practical student should be able to:

1. Identify the general features of the ulna (ends, borders &surfaces). 2. Place the bone in the anatomical position to identify its side (right or left). 3. Recognize its articulation with the humerus and radius (name and type of joint)

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4. Comment on the important features e.g. olecranon and cornoid processes and trochlear notch.

Station 15: Front of arm ILOs: at the end of the practical student should be able to:

1. Identify the different muscles of the front of arm (biceps, coracobrachialis, and brachialis) 2. Demonstrate the proximal and distal attachments of the muscles. 3. Comments on their relation to the brachial artery, median nerve and musculocutanous nerve.

Station 16: Back of arm ILOs: at the end of the practical student should be able to:

1. Identify the triceps muscle. 2. Demonstrate the proximal and distal attachments of the 3 heads and comment on their relation to the profunda artery and radial nerve.

Station 17: Superficial veins ILOs: at the end of the practical student should be able to:

1. Identify the cephalic, basilic, and median cubital veins.

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2. Demonstrate the relation of the median cubital vein, to the brachial artery and bicipital aponeurosis.

Station 18: cubital fossa ILOs: at the end of the practical student should be able to:

1. Identify the brachial a (beginning, course and termination). 2. Demonstrate the relation of the brachial artery to the biceps tendon. 3. Demonstrate the biceps tendon in living arm and locate the brachial and realize their clinical importance in measuring the blood pressure.

Station 19: Superficial muscles of forearm ILOs: by the end of the station, the student should be able to:

1. Identify the superficial muscles of the front of the forearm on the cadaver.

2. Identify their tendons on his/her own forearm.

Statiion 20: Attachment of superficial muscles of forearm ILOs: by the end of the station, the student should be able to:

1. Identify the bony attachment (origin & insertion) of the superficial muscles of the forearm

2. Display the action of each of them.

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Station 21: Deep muscles of the front of forearm ILOs: by the end of the station, the student should be able to:

1. Identify the deep muscles of the front of the forearm on the cadaver. 2. Identify their tendons near their insertion in the hand.

Station 22: Attachment of deep muscles of forearm ILOs: by the end of the station, the student should be able to:

1. Identify the bony attachment (origin & insertion) of the deep muscles of the forearm.

2. Describe the action of each of them. Station 23: Vessels & Nerves of the forearm ILOs: by the end of the station, the student should be able to:

1. Identify the vessels & nerves in the front of the forearm.

2. Demonstrate their relation to each other & to the surrounding muscles. 3. Feel the radial pulse on his/her own forearm.

Station 24: skeleton of hand ILOs: at the end of the practical student should be able to:

1. Identify the different bones of the hand (carpals, metacarparls and phalanges). 2. Demonstrate the important features of the hand skeleton (e.g. groove, hook, tubercle and process)

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3. Recognize the important attachment to the hand skeleton (e.g. flexor retinaculum to carpals, flexor carpi radialis and ulnaris, adductor pollicis, FDS and FDP tendons)

Station 25: Palm ILOs: at the end of the practical student should be able to:

1. Identify the palm muscles (thenar, hypothenar, short muscles of the digits). 2. Demonstrate the relation of the long flexor tendons (flexor digitorum superficialis & profundus).

Station 26: Vessels & nerves of palm ILOs: by the end of the station, the student should be able to:

1. Describe nerve course & distribution of the arteries and nerves of the palm.

2. Identify the arterial arches in the hand and recognize the main artery forming each arch. 3. The student should be able to identify the site of each arch on his own hand.

Station 27: Dorsum of hand ILOs: at the end of the practical student should be able to:

1. Identify the dorsal venous arch and the beginning of cephalic and basilic veins. 2. Identify the tendons at the dorsum of the hand. 3. Identify the extensor expansion and the muscles attached to it.

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4. Demonstrate the radial artery (course and branches).

Station 28: Anatomical snuff box ILOs: at the end of the practical student should be able to:

1. Identify the boundaries of the snuff-box in both cadaver and living. 2. Demonstrate the radial artery crossing the floor of the snuff box (scaphoid) in the cadaver and to feel its pulsation in living.

Station 29: Hand grips. ILOs: by the end of the station, the student should be able to:

1. Describe all movements of the hand.

Firm (Power) grip

Hook grip

Precise (writing position)

Resting position (of casts) 2. Recognize the main muscles involved in such action

Station 30: Display the movement of the wrist and radioulnar joints ILOs: at the end of the practical student should be able to:

1. Compare between wrist and radioulnar joints regarding type (uni, bi or multiaxial) 2. Demonstrate the movement performed at each joint.

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3. List the muscles inducing each movement

Station 31: Anastomosis around the scapula and the elbow ILOs: at the end of the practical student should be able to:

1. Demonstrate/list the arteries contributing in the anastomosis. 2. Realize the clinical importance of such anastomosis.

Station 32: Surface anatomy of the vessels of the UL ILOs: by the end of the station, the student should be able to:

1. Identify the site of the vessels of the UL on his own body.

2. Locate the pulse point of each artery.

Station 33: Bony prominences of upper limb ILOs: at the end of the practical student should be able to palpate the following:

1. Clavicle 2. Scapula: tip of the coracoid process/ acromion/crest of the spine of the scapula/ superior angle of the scapula/ inferior angle of the scapula. 3. Humerus: greater tuberosity of the humerus /medial and lateral epicondyle/ olecranon process of the ulna 4. Radius & ulna: The head of the radius/ posterior border of the ulna/ styloid processes of the radius and ulna/ dorsal

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tubercle of the radius/ head of the ulna 5. Carpals: pisiform bone/ hook of the hamate bone

Station 34: Plain x-ray of shoulder ILOs: at the end of the practical student should be able to:

1. Identify the bones appearing in the plain x-ray of shoulder. 2. Demonstrate the site of articulations between the different bone (acromioclavicular and glenohumeral) 3. Comment on the age of the specimen (infant or adult) and any clinically related problem (fracture, dislocation)

Station 35: Plain x- ray of arm and forearm ILOs: at the end of the practical student should be able to:

1. Identify the features of the humerus, radius and ulna. 2. Comment on the age of the specimen (infant or adult) and any clinically related problem (fracture, dislocation) 3. Recognize the articulation between the humerus, radius and ulna and carpal bones (name and type of joints)

Station 36: X-ray of the hand ILOs: by the end of the station, the student should be able to identify the different bones of the hand

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III- General Embryology: Station: Implantation sites ILOs: at the end of the practical student should be able to:

1. Identify the implanting stage, time and normal site of implantation. 2. Recognize the abnormal site of implantation (ectopic) 3. Comment on the clinical complication of ectopic pregnancy

Station: Chorionic villi ILOs: at the end of the practical student should be able to:

1. Name the layers forming the chorion. 2. Recognize the difference between the 3 types of the chorionic villi (1ry, 2ry, and 3ry). 3. Comment on the placental barrier (early and late) between the fetal and the maternal blood.

Station36: Embryology; paraxial mesoderm. ILOs: by the end of the station, the student should be able to describe origin & derivatives of somites. The student should also be able to suggest the age of the embryo from the count of somites.

Station: Development of limbs (Anomalies of L.L)

ILOs: by the end of the station, the student should be able

to identify the name of the different limb anomalies

(Amelia, phocomelia, syndactyly, polydactyly, club foot &

lobster claw hand or foot).

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IV- Thorax: Station 1: Ribs At the end of the practical students should be able to:

1. Describe the different parts of the rib. 2. Compare between typical and atypical ribs. 3. Identify the articular part of the ribs and realize to which bone they articulate and the type of joint.

Station 2: Thoracic vertebrae At the end of the practical students should be able to:

1. Describe the thoracic vertebra (identifying features). 2. Compare between typical and atypical vertebrae. 3. Demonstrate how vertebrae articulate together.

Station 3: intercostal muscles At the end of the practical, students should be able to:

1. Name the intercostal muscles. 2. Identify the attachment of these muscles. 3. Recognize the difference between the muscles regarding their extension and direction of fibers.

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Station 4: intercostal vessels and nerve At the end of the practical, students should be able to:

1. Identify the anterior and posterior intercostal arteries; origin and distribution. 2. Define the typical and atypical intercostal nerves 3. Identify the course and distribution of the intercostal nerves.

Station 5: Diaphragm (attachment) At the end of the practical, students should be able to:

1. Identify the costal and vertebral origin of the diaphragm 2. Identify the insertion (central tendon) of the diaphragm. 3. Demonstrate the arcuate ligaments (median, medial and lateral).

Station 6: Major foramina At the end of the practical, students should be able to:

1. Name the major foramina in the diaphragm. 2. Realize the vertebral level of each foramen. 3. Identify the structures passing through each foramen.

Station 7: Right Lung (gross features) At the end of the station student should be able to:

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1. Identify; apex, base, surfaces, borders and place the right lung in the proper anatomical position 2. Identify the lobes and fissures of the right lung. 3. Demonstrate and identify the structures at the hilum of the right lung. 4. Demonstrate the grooves and impressions on the mediastinal surface of the right lung and name their related structures.

Station 8: Left Lung (gross features) At the end of the station student should be able to:

1. Identify; apex, base, surfaces, borders and place the left lung in the proper anatomical position 2. Identify the lobes and fissures of the left lung. 3. Demonstrate and identify the structures at the hilum of the left lung. 4. Demonstrate the grooves and impressions on the mediastinal surface of the left lung and name their related structures.

Station 9: vessels in the superior mediastinum At the end of the station student should be able to:

1.Define the mediastinum and its subdivisions. 2.Identify the veins in the superior mediastinum

(brachiocephalic and SVC). 3.Identify the arteries in the superior mediastinum (arch of

aorta and branches).

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4.Realize the relation between the vessels and other structures.

Station 10: cross sections of superior mediastinum (2 levels T3 and T4) At the end student should be able to:

1. Identify the trachea, esophagus in the superior mediastinum.

2. Identify the nerves in the superior mediastinum (vagus and phrenic) and their relation to other structures.

3. Demonstrate the arrangement of the structures in cross sections of the superior mediastinum.

Station 11: Anomalies of respiratory development At the end of the station student should be able to:

1. Identify in a diagram the different forms of tracheoesophageal fistula with and without esophageal atresia.

2. Recognize the cause of such problem and realize the manifestation of such condition.

Station 12: Heart (external feature) At the end of the station student should be able to:

1. Identify the surfaces and external features of the heart. 2. Identify the pericardial sinuses (transverse and oblique) and realize their clinical importance. 3. Describe the surface anatomy of the heart, coronary groove and valves (living).

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Station 13: Heart (blood supply) At the end of the station student should be able to:

1. Identify the right and left coronary arteries and their main branches.

2. Identify the coronary sinus and the main veins draining the heart.

3. Judge on the role of the anastomosis of coronary arteries in case of ischemia (angina and myocardial infarction).

Station 14: Heart (internal feature and valves) At the end of the station student should be able to:

1. Identify the internal features of the heart chambers, orifices (atrioventricular, pulmonary and aortic) and valves.

2. Correlate between the development of the heart and the structures of the right and left atrium.

Station 15: Posterior mediastinum At the end of the station student should be able to:

1. Define the mediastinum and its subdivisions. 2. Identify the boundaries of the posterior mediastinum. 3. List the contents of it and the relationship of these

contents to each other. Station 16: Imaging (X-ray, CTs, MRI, and cross section) At the end of the station student should be able to:

1. Identify on the plain x ray the structures in the right and left borders of the heart, right and left dome of diaphragm, ribs and costodiaphragmatic pleural recess.

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2. Identify the different chambers of the heart, interventricular septum in the CT, MRI and cross section.

3. Identify the structures in relation to the heart (contents of the mediastinum).

4. Recognize the vertebral level of the cross section.

Station 17: Congenital Anomalies of heart At the end of the station student should be able to:

1. Correlate between the development of heart and the common cardiovascular anomalies.

2. Describe the development of arteries including early vessels, fate of aortic arches and branches of aorta and the vascular anomalies as patent ductus arteriosus & coarctation of aorta.

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V- Lower limb: Station 1: Hip bone At the end of the station student should be able to:

1. Identify the general features of the hip bone (parts, borders &surfaces). 2. Place the bone in the anatomical position to identify its side (right or left). 3. Recognize its articulation with the femur and sacrum (name and type of joint) 4. Comment on the important features e.g. acetabulum and obturator foramen.

Station 2: Femur At the end of the station student should be able to:

1. Identify the general features of the femur (ends, borders &surfaces). 2. Place the bone in the anatomical position to identify its side (right or left). 3. Recognize its articulation with the hip bone and tibia (name and type of joint).

Station 3: Front of the thigh At the end of the station student should be able to:

1. Identify the structures in the superficial fascia e.g. cutanous nerves and the Great saphenous vein (beginning, location, termination).

2. Identify the iliotibial tract and the muscles attached to it (tensor fascia lata and gluteus maximus).

3. Identify the quadriceps muscle (parts, origin and insertion)

Station 4: Femoral triangle At the end of the station student should be able to:

1. Identify the boundary and the contents of the

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femoral triangle. 2. Identify the Femoral sheath (shape,

formation, compartments and contents). 3. Examine the extension of the femoral canal

and identify the boundaries of the femoral ring mainly the lacunar ligament.

Station 5: Femoral vessel and femoral nerve. At the end of the station student should be able to:

1. Identify the femoral artery (origin, termination, course, branches, and important relations).

2. Identify the femoral vein (beginning, termination, course, important relations and tributaries).

3. Identify the course and branches of the femoral nerve. Station 6: Medial side of the thigh At the end of the station student should be able to:

1- Identify the medial femoral muscles (pectineus, adductor longus & gracilis, adductor brevis and adductor magnus).

2- Identify the course, relations and distribution of the obturator nerve.

3- Identify the course, branches and termination of the profunda femoris artery.

4- Identify the extension, boundaries and contents of the Adductor (subsartorial) canal.

Station 7: Gluteal region 1 At the end of the station student should be able to:

1- On a pelvis identify the attachments of the sacrotuberous and sacrospinous ligaments and the boundaries of the greater and lesser sciatic foramena.

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2- Identify the three glutei (maximus, medius and minimus).

Station 8: Gluteal region2 At the end of the station student should be able to:

1. Identify the six lateral rotators of the thigh (piriformis, superior and inferior gemelli, quadratus femoris, obturator internus and obturator externus).

2. Identify the nerves of the gluteal region (sciatic, pudendal, superior and inferior gluteal, nerve to obturator internus and nerve to quadratus femoris).

3. Identify the superior and inferior gluteal arteries (course, and branches) and the internal pudendal artery.

4. Name the structures passing through the greater and lesser sciatic foramena.

Station 9: Tibia At the end of the station student should be able to:

1. Identify the general features of the tibia (ends, borders &surfaces). 2. Place the bone in the anatomical position to identify its side (right or left). 3. Recognize its articulation with the femur, fibula and talus of foot (name and type of joint).

Station 10: fibula At the end of the station student should be able to:

1. Identify the general features of the fibula (ends, borders &surfaces).

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2. Place the bone in the anatomical position to identify its side (right or left).

3. Recognize its articulation with the tibia and talus of foot (name and type of joint)

4. Comment on the important features e.g. maleolar fossa.

Station 11: Hip joint At the end of the practical students will be able to:

1. Identify the articular surfaces. 2. Describe the site of attachment of the

capsule. 3. Comment on the type of joint.

Station 12: Back of thigh At the end of the station student should be able to:

1- Identify the hamstring muscles (name, origin, and insertion).

2- Identify the course and relation of the sciatic nerve and its branches.

Station 13: Popliteal fossa At the end of the station student should be able to:

1. Identify the shape, extension and boundaries of the popliteal fossa.

2. Identify the contents traversing the fossa including: i. Nerves: common peroneal and tibial. ii. Popliteal artery iii. Popliteal vein

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Station 14: Skeleton of foot ILOs: at the end of the practical student should be able to:

1. Identify the different components of the skeleton of foot.

2. Describe the special features of the tarsals and metatarsals (groove, tuberosity,…)

3. Demonstrate the important structures attached and the structures related to these bones.

Station 15: Front of leg ILOs: at the end of the practical student should be able to:

1. Identify the different muscles in the front of leg.

2. Demonstrate the nerve and vessels in the anterior leg.

Station 16: Lateral side of leg ILOs: at the end of the practical student should be able to:

1. Identify the muscles of the lateral compartment of leg.

2. Demonstrate the superficial peroneal (musculocutanous) nerve

3. Demonstrate the attachment of the peroneal retinacula.

Station 17: Dorsum of foot ILOs: at the end of the practical student should be able to:

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1. Identify the muscle and tendons at the dorsum of foot.

2. Recognize the attachment of the superior and inferior extensor retinacula.

3. Demonstrate the course of dorsalis pedis artery and anterior tibial nerve and their relations to the long extensor tendon.

Station 18: Back of leg (superficial muscles) ILOs: at the end of the practical student should be able to:

1. Identify the superficial muscles in the back of leg (gastrocnemius, plantaris and soleus).

2. Demonstrate the tendon attached to calcaneus.

Station 19: Back of leg (deep muscles, vessels and nerve) ILOs: at the end of the practical student should be able to:

1. Identify the deep muscles of the back of leg. 2. Demonstrate the vessels and nerve of the

back of leg. 3. Demonstrate the attachment of the flexor

retinaculum and the arrangement of the structures passing deep to it

Station 20: sole of foot At the end of the practical students will be able to:

1. Demonstrate the muscles at the layers of the sole.

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2. Locate the neurovascular plane and identify the vessels and nerves.

Station 21: Knee joint At the end of the practical students will be able to:

1. Identify the articular surfaces. 2. Describe the site of attachment of the

capsule. 3. Demonstrate the features on the tibial

plateau and name the structures attached to the intercondylar area.

4. Comment on the type of joint. Station 22: ankle joint At the end of the practical students will be able to:

1. Identify the articular surfaces. 2. Describe the site of attachment of the

capsule. 3. Comment on the type of joint.

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الريادة و االشراف على االبحاث

التدريس هيئة اعضبء الطالة جلوس ارقبم

توفيق كمبل محمد. د.ا 20 -- 1

21 -- 40

41 -- 70

71 -- 90

91 -- 110

111 -- 140

141 -- 170

171 -- 200

201 -- 230

231 -- 260

261 -- 290

291 -- 320

321 -- 350

351 -- 380

381 -- 410

411 -- 440

441 -- 470

471 -- 500

501 -- 530

531 -- 560

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561 -- 590

591 -- 620

621 -- 650

651 -- 680

681 -- 710

711 -- 740

اهيي اتراهين ًجىي.د 780 -- 741

781 -- 820

الديي صالح احود ًياار.د 860 -- 821

عثداهلل اتراهين هشام.د 900 -- 861

حثية كوال ايواى.د 940 -- 901

طاش فتحً ريهام.د 980 -- 941

السيد مصطفى سيد. د 1020 -- 981

العال عثد شكري يىسف.د 1060 -- 1021

اتراهين هحود حسيي.د 1100 -- 1061

الحفيظ عثد ايٌاس.د 1140 -- 1101

حود هحود هها.د 1180 -- 1141

يىسف سعد عادل شريي.د 1220 -- 1181

وهثه طلثه رحاب.د 1260 -- 1221

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Attendance of lab

Date Signature

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Date Signature

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Date Signature

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Date Signature