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Schedule

Master Gross Anatomy Schedule 2013

The basic schedule for this course can also be found on BlueDocs. We provide below a schedule that allows you to see in more detail what is being covered and provides specific information about each lecture and lab.

You will find the lab instructions at http://www.duke.edu/web/anatomy/.

“GAS” refers to your required textbook: Gray’s Anatomy for Students 2nd edition
“LME” refers to the embryology textbook: Langman’s Medical Embryology12th edition

 

Week 1

Fri (9/27)        9:10 – 10:30 GA 1 Introduction to the course and typical body segment (TBS)
This lecture deals with course mechanics, introduces lecture and lab faculty, and introduces the over-arching conceptual theme that drives the teaching of Gross Anatomy at Duke: The Typical Body Segment (and variation therefrom).
 
                        Reading GAS: Chapter 1

10:40 – 12:00 EB 1 Introductory Embryology
This lecture will serve as an introduction to the embryology content in the Normal Body course and will focus on early events of human embryonic development from conception through establishment of the basic body plan at about 4 weeks of development.

This and all other “EB” events are mostly lectured by Dr. Velkey. Material from this and all other EB will be integrated in the GA exam.

Reading LME: Chapters 3-7

                        1:10 – 2:00 GA 2 Typical Spinal nerve
This lecture focuses on the main anatomical principles governing the arrangement and function nervous system that supplies the body wall (the nervous system to organs is covered later)
 
                        Reading GAS: Chapter 2

**Note that this lecture and a number of other lectures can go to 2:30. We will not necessarily use that time. It allows for expanded discussion and/or provide clinician time when needed.

                        2:10 – 5:00 GAL 1 Skin and epaxial muscle
This is the first lab. You will get a lot of instructions on how to prepare the cadaver. There is information on the requirements of the lab, lab protocols, and how to use your online dissection guide along with a video introducing the lab component of the course on the course-specific website. Your main goals in this lab are to prepare your cadaver, learn dissection technique, and expose the epaxial muscles of the back.
 
Occasionally visiting faculty will enter the lab and work with students. In this and in other labs on the trunk and head and neck, Dr. Christine Hulette will be present to discuss the difference between normal and pathological conditions and answer any questions about pathologies you may observe in your cadaver.
                                   
Lab tutorial (Johnson): Back muscles
A tutorial on the muscles of the back focusing on the deep or epaxial back muscles, their attachments, innervation and function.

There will not be an in-lab lecture. In some cases these will be small group mini-lectures, in other cases we will provide a do-it-yourself tutorial (as in this lab). We note which faculty member produces the tutorial or delivers the lecture so you can discuss it with him or her. In a few cases we will demonstrate prosected material for small groups. When that happens it is always indicated after the topic.
                       
                        Pre-lab: Skin and bones of the back

 

Week 2

Mon (9/30)      12:00 – 1:00 Introduction to the Anatomy Experience
This is a Dean’s lunch to discuss issues surrounding a cadaver-based approach to anatomy.

                        1:10 – 2:00 GA 3 Body Wall andautonomics I
This lecture continues our exploration of the body wall and moves to thoracic contents and the nerves that supply them.

Reading GAS: Chapter 3

                        2:10 – 5:00 GAL 2 Vertebra, laminectomy, ventral body wall
This second lab has the objective of exposing the spinal cord by removing parts of the vertebral column (laminectomy). The lab ends with observation of the ventral body wall. There is a video guide for this lab.
                                   
Lab talk (Johnson): Spinal cord and meninges
Lab talk on the thoracic body wall, emphasizing the muscles, nerves and vessels                
                        Pre-lab: Vertebrae and rib osteology.

Thurs (10/3)   9:10-10:00 EB 2 Part 1Cardiovascular System Development
This lecture will focus on the development of the heart and blood vessels presented in two lectures. This is part 1.

Reading LME: Chapter 13

Fri (10/4)        9:10-10:00 EB 2 Part 1Cardiovascular System Development
This lecture will focus on the development of the heart and blood vessels presented in two lectures. This is part 1.

1:10 – 2:00 GA 4 Mediastinum and heart
Here we talk in more detail about the autonomic nervous system and review some anatomy of the heart in preparation for lab. We look at the specific regions of the mediastinum and discuss the functional anatomy of the heart.
                                   
Reading GAS: Chapter 3

                        2:10 – 5:00 GAL 3 Heart
Your objective for this lab is to examine the mediastinum and locating the associated vessels and nerves. The anatomy of the heart will be explored. This takes careful work and requires time.

Lab talk (Rabey): Coronary circulation
This lab talk will focus on the anatomy and clinical aspects of the coronary circulation.

 

Week 3

Mon (10/7) 1:10 – 2:00 GA 5 Breathing and Autonomics II
This lecture puts together all the pieces of the thorax that we have talked about into a complete functioning piece. The anatomical elements and the biomechanics of breathing are discussed. The sympathetic, parasympathetic, and sensory innervation of the thorax is explored.

Reading GAS: Chapter 3

                        2:10 – 5:00 GAL 4 Lungs
We will focus on lungs and posterior thorax in this lab. The relationship of the thorax and the neck structures is observed.
                                   
Lab talk (Preece): Radiology

Lab tutorial (Zeininger): Lungs
This tutorial will discuss the lobes of the lung, bronchopulmonary segments, and the bronchial tree.
Thu (10/10)    9:10 – 10:00 EB 3 Development of the Diaphragm and Lungs
This lecture will focus on the development of the diaphragm, pleural cavities, trachea, and lungs.

                        Reading LME: Chapter 14

 

Week 4

Mon (10/14)    9:10 - 11:00 GA Exam 1
Begins at 9:10 and continues to 11. There is no practical exam with this exam. This written exam covers the body wall and autonomics as well as all the structures of the thorax.

Fri (10/18)      10:10 – 11:30 EB 4 Gut Development
This session will focus on the development of the esophagus, stomach, small intestine, large intestine, colon, rectum, and anus.  We will also consider liver and pancreas, which develop from buds off the gut tube as well as the mesenteries that suspend these organs within the abdominal and pelvic cavities.

                        Reading LME: Chapter 15

1:10 - 2:00 GA 6 Celom and foregut
We move on to the abdomen. We can divide the abdomen into foregut, midgut and hindgut. The foregut is the most complex, so we dedicate a full lecture on its function, arterial supply and clinical implications.
                                   
Reading GAS: Chapter 4

2:10 – 5:00 GAL 5 Body wall and abdominal viscera
Examine the abdomen muscles and then open up the abdominal region to find the key organs (liver, stomach, spleen, pancreas etc.) as they are in the body. Observe the abdominal viscera, their functional anatomy, and their arterial supply.

Lab talk (Miller): Duodenum
This lab talk focuses on the role played by the duodenum with the digestive system.

 

Week 5

Mon (10/21)    1:10 – 2:00 GA 7 Midgut, hindgut, and posterior gut
In this lecture we take a look at the structures derived from the midgut and hindgut and discuss at the muscular and visceral components of the posterior abdominal wall.

                        Reading GAS: Chapter 4

                        2:10 – 5:00 GAL 6 Removal of gut and posterior abdomen
In this lab, the abdominal viscera are removed. This will allow us to examine the guts in more details as well as the back of the abdomen
                                   
Lab talk (Preece): Radiology

                        Lab tutorial (Larsen): Portal Hypertension
Covers the portal venous system, the portal veins, venous tributaries, defines portal hypertension, explains venous anastomoses, and lists some of the consequences of portal hypertension.

Tues (10/22)   11:10 – 12:00 EB 5 Urogenital development
This lecture will focus on the development of the kidneys, ureter, and bladder as well as the male and female reproductive tracts and external genitalia.  A much more detailed session led by Dr. Blanche Capel and Dr. David Weiner regarding the development of male and female gonads and how clinicians can offer treatment for infants born with ambiguous external genitalia will follow later in the week (Thus, Oct 24).

Reading LME: Chapter 16

Wed (10/23) 9:10 – 12:00 GAL 7 Inguinal region
In this lab you will be dissecting and comparing male and female inguinal regions. The pelvic viscera of both male and female are also observed and compared.

                        Lab talk (Preece): Radiology

                        Pre-lab: Pelvis bones

Thu (10/24)    10:10 – 11:30 EB 6 Sexual differentiation
Dr. Blanche Capel and Dr. David Weiner will lecture on the development of male and female gonads and how clinicians can offer treatment for infants born with ambiguous external genitalia will follow later in the week.

Reading LME: Chapter 16

 

Week 6

Mon (10/28)    11:10 – 12:00 GA 8 Pelvic Organization and hernia
This lecture will discuss organ arrangement with a clinical focus on defects in the inguinal canal that lead to abdominal contents escaping. We will also have an at-home tutorial on pelvic muscles.

                        Reading GAS: Chapters 4 and 5
1:10 – 2:00 GA 9 Abdominal and pelvic autonomics
This is the third lecture on autonomics. This follows the path of autonomic signals to the gut and to pelvic organs.
                                   
Reading GAS: Chapters 4 and 5

2:10 – 5:00 GAL 8 Perineum
In this lab you will explore the pelvic viscera of both the male and the female. You will also be examining the muscles, nerves and vessels of this region. This is a challenging dissection in a small space. This dissection especially benefits from preparation using images before hand. There is a video guide for this lab and for you to get a full sense of the muscles, nerves, and vessels that are found in this region.

Lab talk (Doyle): Perineum
The talk will focus on the complicated area of the perineum. It will focus on the muscles, ligaments and nerves that make up this region. There will be two clinical cases presented to show the unique anatomy of the male and female perineum.
 
                        Pre-lab: Pelvis bones

Tues (10/29)   9:10 – 10:10 GA 10 Pelvic and Abdominal Vessels [Mandatory TBE]
This is an ideal topic for an at-home tutorial and in-class TBE. We will follow that with discussion.

Wed (10/30)    9:10 – 12:00 GAL 9 Pelvic contents
Examine the organs of the pelvis and then bisect the pelvis to examine the internal structures of the pelvic viscera.

                        Lab talk (Doyle): Pregnancy and parturition
There are many anatomical, hormonal and physiological changes that occur during pregnancy. This talk will focus on these changes as well a the steps that initiates and accompany partuition.

Fri (11/1)        1:10 – 2:00 GA 11 Brachial Plexus and Arm
This lecture defines the movement of the upper limbs as well as the location and function of the brachial plexus.

                        Reading GAS: Chapter 7

2:10 – 5:00 GAL 10 Shoulder and arm
This lab skins the shoulder and arm, and focuses on the brachial plexus. The key is to trace all the branches and follow them out to muscles of the upper limb.

Ultrasound imaging staff may be present for all limb labs
                                   
Lab talk (Zeininger): Rotator cuff
This lab talk reviews the bones and muscles of the shoulder joint, with specific reference to the rotator cuff muscles and common injuries.

                        Pre-lab: Arm osteology and surface anatomy

 

Week 7

Mon (11/4)      9:10 – 12:00 Exam 2
Begins at 9:10 and continues to 11. Practical exams follow the written portion. Written exam covers all the structures of the abdomen and pelvis. The practical exam covers all that we have seen the labs so far (back, thorax, abdomen and pelvis)

1:10 – 2:00 GA 12 Forearm and wrist
                        Clinical correlation with clinicians
Looks at the muscles of the forearm that move the wrist and fingers.
                                   
Reading GAS: Chapter 7

                        2:10 – 5:00 GAL 11 Flexor compartment
In this lab you carefully dissect the muscles that originate in the forearm and flex the fingers and wrist. You will want to look at the tendon system that exists in this region.

                        Lab talk (Doyle): Case study: carpal tunnel syndrome
The symptoms of carpal tunnel syndrome can be explained by knowledge of the anatomy of this region. This lab will describe the symptoms that are often reported with this syndrome and the anatomy that underlies these symptoms.
 

Tues (11/5)     9:10-10:00 GA 13 Hand/Limb development
This lecture looks at the muscles and movements of the hands. This will be a joint lecture with Dr. Velkey where he will focus on the development of the upper and lower limbs emphasizing the events that regulate growth and patterning of the limbs.

                        Reading GAS: Chapter 7
Reading LME: Chapters 9 and 10

Wed (11/6)      9:10 – 12:00 GAL 12 Extensor compartment and hand
This lab focuses on muscles that extend the wrist and fingers. You want to look at the tendon system that exists in this region. 

                        Lab talk (Preece): Radiology

Lab tutorial (Miller): Extensor injuries
This tutorial follows Dr. Doyle’s talk on the carpal tunnel, emphasizing the structure of the wrist bone complex and complications resulting from another common clinical problem – injuries resulting from a fall on an outstretched hand.

Fri (11/8)        1:10 – 2:00 GA 14 Lumbosacral plexus
This lecture focuses on the nerve plexus that innervates the muscles of the lower limb as well as the mechanics of human posture and locomotion.

                        Reading GAS: Chapter 6

2:10 – 5:00 GAL 13 Gluteal region
This lab explores the muscles around the hip including some very small muscles around the joint and very large muscles that form the “gluts” and “hamstrings”.  You also get a look at the sciatic nerve.

                        Lab talk (Rabey): Gluteal region
This lab talks helps you better understand the complicated gluteal region where many blood vessels, nerves, and muscles are found. The talk ends with a discussion on injection sites.

                        Pre-lab: Pelvis and femur osteology

 

Week 8:

Mon (11/11)    1:10 – 2:00 GA 15 Lower Limb Muscles and Actions
                        Clinical correlation with clinicians
This is a review of muscles of the lower limbs with a discussion of their actions. We will try to explore this topic in more depth with clinical connections.
                                   
Reading GAS: Chapter 6

                        2:10 – 5:00 GAL 14 Anterior Thigh and Leg
This lab dissects the muscle groups of the thigh and leg, and observed the blood vessels and nerves associated with the musculature.
                                   
Lab talk (Miller): Pulses
This lab exercise connects vascular and surface anatomy to explore the basis for the locations used when feeling for peripheral pulses.

                        Lab tutorial (Schmitt): Knee
This tutorial focuses on the biomechanics of the knee with a concentration on injury. It will explore muscles and ligaments that serve to stabilize the knee and transfer force along the limb.

Tues (11/12)   9:10 – 10:00 GA 16 Foot
This lecture deals with the complex joints of the human foot, discusses the movement of the joints, as well as the muscles, arteries and nerves that are found in this region. The lecture ends with a discussion of possible injuries of the foot.

                        Reading GAS: Chapter 6

Wed (11/13)    9:10 – 12:00 GAL 15 Foot
In this lab you will dissect the layers of the foot from the plantar aponeurosis all the way down to the deep muscles. One of the objects of this lab is to compare this anatomy to the hand.

Lab talk (Preece): Radiology

Lab tutorial (Schmitt): Ankle sprains
This tutorial focuses on the biomechanics of the ankle with a focus on ankle sprain. It will look at foot movements and the factors that lead to the most common forms of ankle sprains.

Fri (11/15)      1:10 – 2:00 GA 17 Orthopedics [Mandatory TBE]
This is an ideal topic for an at-home tutorial and in-class TBE. We will follow that with discussion.

2:10 – 5:00 GAL 16 Joints of the Upper and Lower Limb
All tables dissect the knee and one other joint.  Students go from table to table and show each other their dissections.
                                   
Lab talk (Zeininger): Hindlimb development
This lab talk reviews the skeletal development, including the timing of epiphyseal fusion, in the leg and foot.

 

Week 9

Mon (11/18)    9:10 – 12:00 Exam 3
Begins at 9:10 and continues to 11. Practical exams follow the written portion. Both the written exam and the practical exam cover the limbs only.

Tues (11/19)   9:10 – 10:00 GA 18 Head and Neck
This lectures looks at the understanding of the head and neck anatomy. It introduces the way in which the head and neck differ from all other segments.

                        Reading GAS: Chapter 8

                        10:10 – 11:00 GA 19 Skull and facial structures
This lecture reviews the bones of the skull and associated facial structures.
                                   
Reading GAS: Chapter 8

Wed (11/20)    9:10 – 12:00 GAL 17 Face and Scalp
In this lab, we expose the muscles of facial expression and some of our salivary glands.
                                   
Lab tutorial (Johnson): Vasculature of the face and scalp
This lab talk is on the branches of the external carotid artery supplying the face and scalp and the venous drainage to the same region.
                       
Fri (11/22)      11:10 – 12:00 GA 21 Topic [Mandatory TBE]
Focuses on blood flow around the brain and majority arteries and venous sinuses. This is an ideal topic for an at-home tutorial and in-class TBE. We will follow that with discussion.

                        Reading GAS: Chapter 8

1:10 – 2:00 GA 20 Cranial Nerves
Clinical correlations with clinicians
                        This lecture reviews all 12 cranial nerves and clinical tests for dysfunction.

                        Reading GAS: Chapter 8
                       
                        2:10 – 5:00 GAL 18 Interior of cranium
A great lab exercise, in which we remove the brain and examine the cranial nerves and circulation. Instructors from Brain and Behavior often attend.
                                   
Lab talk (Preece): Radiology

Lab tutorial (Rabey): Interior of cranium
Tutorial explaining the cranial circulation and the region of the brain each vessel covers.

 

Week 10

Mon (11/25)   8:30 – 10:00 EB 7 Head and Neck development
This lecture will focus on the development of the skull, face, pharyngeal arches, and cranial nerves that contribute to structures of the lower face and neck in the adult.

                        Reading LME: Chapters 10 and 17
           

10:00 – 12:00 GAL 19 Skull (small groups)
This is a great small group experience in which we get together in our teams to explore the anatomy of the skull. It focuses on bones and foramina.

 

Week 11

Mon (12/2)      1:10 - 2:00 GA 22 Eye and Ear
                        Clinical correlation with clinicians
This is a gross anatomy of the sensory structures and lays a foundation for material covered later in Brain and Behavior.

                        Reading GAS: Chapter 8

2:10 – 5:00 GAL 20 Eye and orbit
During this lab, you will have to dissect the delicate region of the orbit. An optional ear dissection is also available.

                        Lab talk (Doyle): Eye muscles
This lab talk will focus on the movements of the muscles that move the eye and how they work together.

Tues (12/3)     1:10 – 2:00 GA 23 Anatomy of the neck
The neck is a transition point from the thorax to the head. The passage of the structures through that transitional space is explored.

Reading GAS: Chapter 8

Wed (12/4)      9:10 – 12:00 GAL 21 Neck, carotid sheath
In this lab we explore the scalene muscles of the neck as well as the major nerves and vessels (with a specific focus on the carotid sheath).
                                   
Lab talk (Larsen): Neck and Carotid Sheath
Reviews neck regional anatomy, the bifurcation of the common carotid, facial layers, innervation, the carotid body and carotid sinus, chemoreceptors and baroreceptors, and complications that can occur in the neck.

Pre-lab: Cross-section of the neck
                                   
Fri (12/6)        1:10 – 2:00 GA 24 TOPIC [Mandatory TBE]
This is an ideal topic for an at-home tutorial and in-class TBE. We will follow that with discussion.
Reading GAS: Chapter 8

                        2:10 – 5:00 GAL 22 Retropharyngeal space
In this lab we expose the back of the pharynx, explore the external pharynx and larynx including the nerves that innervate them.
                                   
Lab talk (Johnson): Larynx
Lab talk on the structure and function of the larynx.                        

                        Pre-lab: Atlanto-occipital joint and larynx

 

Week 12

Mon (12/9)      1:10 – 2:00 GA 25 Cranial autonomics
This lecture is the last of the autonomics lectures. It has a focus on how autonomic nerves get to structures in the head what they do in that region.

Reading GAS: Chapter 8

2:10 – 5:00 GAL 23 Bisected Head I
This lab first begins with the bisection of the head. This is an opportunity to explore the internal gross anatomy of all parts of the pharynx and the tongue.
                                   
                        Lab talk (Larsen): Tongue
Reviews tongue surface anatomy, papillae, vasculature, lymphatics, general and special sense, taste buds, and how we sense taste.

Tues (12/10)   1:10 – 2:00 GA 26 Swallowing and phonation
A lecture on the mechanics of that allows you to move your mouth and throat to speak, breath and swallow.
 
Reading GAS: Chapter 8

Wed (12/11)    9:10 – 12:00 GAL 24 Bisected Head II
This is an opportunity to explore the nasal anatomy as well as identifying the delicate muscles that move the palate and pharynx. This last section takes very careful work.
                                   
                        Lab talk (Preece): Radiology

Fri (12/13) 1:10 – 2 pm GA 27 Mastication
This last lecture focuses on the muscles of the first arch as well as food processing and chewing. We will screen the fine film “Say Hello to Your Face.”

                        2:10 – 5:00 GAL 25 First arch
In this last lab we examine the muscles that lie deep to the cheek bones (zygomatics) and the vessels and nerves that supply them as well as the jaws and teeth.

Lab talk (Schmitt): Infratemporal region
This is the final lab talk of the course. It focuses on a very complex region called the infratemporal fossa that contains important muscles of mastication as well as major arteries and nerves supplying the brain and face.

                        Pre-lab: Mastication

 

Week 13

Mon (12/16)    9:10-12:00 Exam 4
Begins at 9:10 and continues to 11. Practical exams follow the written portion. Both the written and practical exams cover the head and neck. 

 

 

 

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Updated 09/27/13 - Velkey