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1 /Embryology/Imaging BMS 6115 rew F., Ph.D. Course Director (850) Course Calendar Color Codes for sessions: lectures radiology case wrap up cadaver updates lectures clinical discussions Laboratories case small-group sessions Examinations Course Introduction to lectures, laboratory, smallgroups, clinical discussions, radiology, cross-sections, etc Anterior thoracic wall Back Spinal cord Thoracic wall 1 Thorax Embryology s 1 3 Pleural cavity Lungs Pleural cavity Lungs Heart great vessels Pericardial sac Heart great vessels Practice small-group session Embryology 4 to Birth Posterior superior mediastinum Intro. to nervous system Posterior Superior Mediastinum 2 Back Upper Extremity the heart great vessels Brachial plexus Arm Forearm of Thorax Practice small-group Session wrap up Reports of vertebral column spinal cord Cases 1 2 wrap

2 Muscles, nerves vessels of the back Case 1 Vertebral column demonstration of spinal tap Scapula deltoid Skin upper Shoulder Brachial plexus Case 2 Continue brachial plexus begin Arm Forearm discussion 3 Upper Extremity, Abdominal Wall Cavity H Joints Of the upper Arm Forearm Case GI Tract associated organs Part 3 GI Tract associated organs extremities integument Anterior abdominal wall, spermatic cord testis H Wednesda y GI Tract associated organs Joints of upper Begin anterior Case GI tract associated organs Anterior abdominal wall, spermatic cord testis 4 Abdominal Cavity Continued Posterior kidney GI Tract associated organs the GI tract Posterior Kidney Case 5 Case Holiday 5 Head Neck Neck cervical viscera Neck cervical viscera Emergency tracheotomy Neck cervical viscera Neck cervical viscera Thursda y Nervous system in the abdomen Review of thorax abdomen Demonstration of surgical procedures in the abdomen Thursda y Face parotid Face parotid up Reports sessio n Upper Cases 3, 4 Wrap u p s Abdomen Cases 5 6 Reports Review Neck Cases 7 8

3 Mid-Term Written Examinations 8:00 AM to PM Case 7 6 Skull Brain Infratemporal Infratemporal Wednesda y Scalp, cranium, dural meninges Scalp, cranium, dural meninges Case 9 Case 10 Case face neck nervous system Brain Arteries, veins, sinuses cranial nerves 7 Orbit, Eye, Nasal Oral Cavities Orbit eyeba ll Orbit eyeball Craniovertebral joint, base of skull retropharyngeal space Craniovertebral joint, base of skull retropharyngeal space Wednesda y Pharynx, Oral nasal Pharynx, oral nasal Case 11 Case Pharynx, Oral nasal Pharynx, oral nasal 8 Larynx, Ear Introduction to Pelvis/Perineum Larynx Larynx Ear Ear sensory systems Introduction to pelvis perineum General disposition of pelvic organs Vessels, nerves lymphatics of pelvis Rectum anal canal Complete General disposition of pelvic organs perineal structures for both male female Skull, brain, vessels, sinuse s Cases 9 10 discussion anatomy Head Cases wrap up Review Cases 13 14

4 8:00 AM 1 noon 5:00 PM Case Ischiorectal Fossa perineum Ischiorectal fossa perineum of the male female Case Anterior thigh Superficial anterior thigh anterior medial compartment perineal structures for both male female 9 Pelvis Perineum Tuesda y Pelvic viscera, nerve blood supply Placenta Extraembryonic Membranes Hemisect cadaver sagittal section pelvis to study pelvic organs in the male the genitourinary systems Complete all pelvis perineum dissections. Compare male female cadavers Begin skin removal from lower female Case Lower Extremity Leg Foot Popliteal fossa leg Joints of lower Foot joints of the lower Case 17 Case Final Examination Written Exam In the AM Lab Practical In the PM Examination NBME Subject examination 8 AM to 12 noon Case Gluteal posterior thigh Gluteal posterior thigh discussion Lower Cases wrap up Final cadaver s given by each table Pelvis Perineum Cases Report Review Complete cadaver s SPOT/SUSSAI evaluations Review Session Review session Order of ly Content Areas

5 Time 1 WEEK 1 Thorax REGION 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 Ear 9 Pelvis Perineum 10 Lower Extremity Dissection Schedule Student Dissection* Introduction to lab, anterior chest wall Pleural cavity lungs breast x Demonstrated on select cadavers** sympathetic trunk, splanchnic nerves, segmental structures Hansen Dissector Pages xiii-xv, 1-8 up to pleural cavities lungs 8-11 Heart great vessels coronary circulation Posterior superior mediastinum Superficial back Vertebrae spinal cord Scapula, deltoid axilla Arm forearm lig arteriosum, recurrent laryngeal, thoracic duct spinal cord meninges, suboccipital suprascapular ligament, artery, nerve brachial plexus Superficial veins nerves of arm, forearm h up to vertebral canal spinal cord 87-90, View suboccipital on prosection up to arm , Up to joints of upper limb

6 4 5 6 H Joints of upper begin Ant, scrotum, testes General disposition of abdominal organs, bile passages, celiac trunk portal vein Sup inf mesenteric a/v, start remove gut Posterior abdominal wall, nerves Finish all dissections Begin anterior posterior triangles of neck Complete neck Face parotid Temporal infratemporal s Scalp, cranium dura deep palmar arch, recurrent median n Joint dissections of shoulder, elbow wrist inguinal canal of male female, cremaster muscle contents of hepatoduodenal ligament marginal artery, arcades vasa recti in large/small bowel comparative gut anatomy, kidney adrenal gl lumbar sympathetic chain, celiac ganglion, splanchnic n. Cutaneous nerves, interscalene triangle Recurrent laryngeal, parathyroid gls Facial nerve branches Begin Complete up to superior mesenteric vessels up to carotid triangle up to face Deep infratemporal Arachnoid granulations Removal of brain Cavernous sinus, cranial nerves 7 Orbit eyeball CV joint, base of skull retropharyngeal space Extraocular eye muscles on enucleated eye Alar cruciform ligaments, base of skull Bisect head, pharynx, Cranial nerves lateral to pharynx up to removal of brain up to orbit up to pharynx up to tongue

7 8 Tongue, nasal cavity, palate mouth Larynx Pterygopalatine ganglion, submibular ganglion duct Laryngeal intrinsic muscles nerves up to larynx up to ear Ear Middle Ear dissection General disposition of pelvic organs 9 10 Gluteal begin Perineum Perineum continued Split pelvis, pelvic organs, vessels, nerves, pelvic diaphragm Complete dissections compare male female anatomy Finish gluteal posterior thigh Superficial lower, anterior medial thigh Popliteal fossa leg Foot joints of lower Male female perineum Short gluteals, sacrotuberous sacrospinous ligaments Nerve plexuses pelvic splanchnics Femoral triangle, medial lateral femoral circumflex Hip, knee, ankle subtalar joints, spring ligament then up to posterior thigh *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.

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