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Schedule

Master Gross Anatomy Schedule 2014

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

Unless otherwise noted:

Lectures are in TSC Learning Hall 2050

Labs are in DS 042 PZ

Lab talks are in DS 0101A 

 

Week 1

Mon (9/22)      9:00 – 10:00 GA: Introduction to the Normal Body Course
This lecture deals with course mechanics and introduces lecture and lab faculty.

Tues (9/23)     8:30 – 10:00 GA 1 & 2:  Typical Body Segment and Typical Spinal Nerve 
This lecture introduces the over-arching conceptual theme that drives the teaching of Gross Anatomy at Duke, the Typical Body Segment (TBS) and variation therefrom. It also focuses on the main anatomical principles governing the arrangement and function of the nervous system that supplies the body wall.                      

Reading GAS: Chapters 1 and 2

10:10 – 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.         

Reading LME: Chapters 3-7

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.

Wed (9/24)      1:10 – 2:30 GA 3 TBE 1:  Vertebrae [Mandatory TBE]
This is a small-group learning event where you will explore the different types of vertebrae and their basic components. You will be put into groups based on your lab tables. More directions will be posted on where and which instructor.

Tutorial (Schmitt and Johnson): Vertebral Movements
This is a tutorial on the way vertebral anatomy influences movement and injury.

**Note that lectures or team-based events can sometimes go to 2:30 or 3:00. We will not necessarily use that time, but it allows for expanded discussion and/or provide clinicians time when needed.

2:40 – 5:00 GAL 1: Skin and Hypaxial Muscles
Pre-lab: Skin and Bones of the Back
Pre-lab Quiz:  The pre-lab quizzes are online exercises with questions related to the dissection procedures and/or the anatomical structures that will be encountered in the lab for that day.  These exercises must be completed PRIOR to the start of each lab.  These quizzes are open-resource and not timed and most of the questions can be answered by referring to the online dissector or your textbooks.

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 and learn dissection technique as well as find the hypaxial muscles.

There will not be an in-lab lecture (lab talk) this time. In some cases these will be small group 20-minute 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.

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.

Fri (9/26)        1:10 – 3:00 GA 4: Body Wall and Autonomics I & Intro to Radiology
This lecture continues our exploration of the body wall and moves to thoracic contents and the nerves that supply them. A resident in radiology, Dr. Manisha Bahl, will present information that will introduce you to radiological imaging.  

Reading GAS: Chapter 3

3:10 – 5:00 GAL 2: Epaxial Muscles
Pre-lab: Skin and Bones of the Back
Pre-lab Quiz

This second lab focuses on exposing the epaxial muscles of the back and finding the muscles and nerves of the suboccipital triangle.

Lab talk (Johnson): Back Muscles
This is lab talk discusses the muscles of the back focusing on the deep (epaxial) back muscles, their attachments, innervation and function.

 

 

Week 2

Mon (9/29)      12:10 – 1:00 Orientation to the Experience of Cadaveric Dissection
This is a Dean’s lunch to discuss a cadaver-based approach to anatomy.

1:10 – 2:30 GA 5: Ventral Body Wall, Mediastinum and Heart
This lecture continues our exploration of the body wall and discusses in more detail about the autonomic nervous system and reviews 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

                        2:40 – 5:00 GAL 3: Laminectomy and Ventral Body Wall
Pre-lab: Vertebrae and Rib Osteology
Pre-lab Quiz

This 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 tutorial (Johnson): Spinal Cord and Meninges
This tutorial focuses on the thoracic body wall, emphasizing the muscles, nerves and vessels.

Thurs (10/2)   9:10-11:00 EB 2: Cardiovascular System Development
This lecture will focus on the development of the heart and blood vessels. 

Reading LME: Chapter 13

 

Week 3

Mon (10/6)      3:10 – 5:00 GAL 4: Mediastinum and Heart
Pre-lab Quiz

Your objective for this lab is to examine the mediastinum and locate the associated vessels and nerves. The anatomy of the heart will be explored, however this takes careful work and requires time.

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

Tues (10/7)     11:10 – 12:00 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

Wed (10/8)      1:10 – 2:30 GA 6: Breathing and Autonomics II
This lecture focuses on the anatomical elements and the biomechanics of breathing. The sympathetic, parasympathetic, and sensory innervation of breathing is explored.  

Reading GAS: Chapter 3

2:40 – 5:00 GAL 5: Lungs and Posterior Thorax
Pre-lab Quiz

We will focus on lungs and posterior thorax in this lab. The relationship of the thorax and the neck structures is observed.

Lab talk (Bahl): Radiology - Thorax

Lab tutorial (Zeininger): Lungs
This tutorial will discuss the lobes of the lung, bronchopulmonary segments, and the bronchial tree.

Fri (10/10)      8:30 – 10:00 GA 7 TBE 2: Thorax [Mandatory TBE]

This is a small-group learning event where you will be in your lab table groups and you will discuss a case on the thorax.

Week 4

Mon (10/13)    9:10 - 11:00 GA/EB Exam 1
Lecture exam begins at 9:10 and continues to 11. There is no practical exam with this exam. This lecture exam covers the body wall and autonomics as well as all the structures of the thorax.

Fri (10/17)      10:10 – 11:30 EB 4: GI 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 - 2:30 GA 8: 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

2:40 – 5:00 GAL 6: Anterior Body Wall and Abdominal Viscera
Pre-lab Quiz

In this lab you will examine the abdominal muscles and then open up the abdomen 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 (Zeininger): Duodenum
This lab talk focuses on the role played by the duodenum with the digestive system.

 

Week 5

Mon (10/20)    1:10 – 2:30 GA 9: Midgut, Hindgut, and Posterior Abdominal Wall
In this lecture we take a look at the structures derived from the midgut and hindgut and discuss the muscular and visceral components of the posterior abdominal wall.    

Reading GAS: Chapter 4

2:40 – 5:00 GAL 7: Removal of GI and UG Tracts, and Posterior Abdominal Wall
Pre-lab Quiz

In this lab, the abdominal viscera are removed. This will allow us to examine the gastrointestinal tract in more details as well as the back of the abdomen.

Lab talk (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.

Fri (10/24)      1:10 – 2:00 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.            

Reading LME: Chapter 16

2:10 – 5:00 GAL 8: Inguinal Region and Gonads
Pre-lab: Pelvis and Perineum
Pre-lab Quiz

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 (Malinzak): Radiology - Liver

Week 6

Wed (10/29)    11:10 – 12:00 GA 10: 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.            

Reading GAS: Chapters 4 and 5

1:10 – 2:30 GA 11: 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

2:40 – 5:00 GAL 9: Perineum
Pre-lab: Pelvis and Perineum
Pre-lab Quiz

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 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.

Fri (10/31)      9:10 – 10:45 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.

Reading LME: Chapter 16

1:10 – 2:30 GA 12 TBE 3: Pelvic and Abdominal Vasculature [Mandatory TBE]
This is a small-group learning event where you will be in your lab table groups and you will discuss a case on pelvic and abdominal blood vessels.

2:40 – 5:00 GAL 10: Pelvic Contents
Pre-lab: Pelvis and Perineum
Pre-lab Quiz

This lab examines the organs of the pelvis and then bisects 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 as the steps that initiate and accompany parturition.

 

Week 7

Mon (11/3)      9:10 – 12:00 GA/EB Exam 2
Lecture exam begins at 9:10 and continues to 11. The practical exam follows the lecture portion. The lecture exam covers all the structures of the abdomen and pelvis. The practical exam covers all that we have seen in the labs so far (back, thorax, abdomen and pelvis).

Wed (11/5)      1:10 – 2:30 GA 13: 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

2:40 – 5:00 GAL 11: Shoulder, Axilla, and Arm
Pre-lab: Forelimb Osteology and Surface Anatomy
Pre-lab Quiz

This lab removes the skin of 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.

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.

Fri (11/7)        1:10 – 2:30 GA 14: Forearm and Wrist
This lecture discusses the muscles of the forearm that move the wrist and fingers.                                     

Reading GAS: Chapter 7

2:40 – 5:00 GAL 12: Flexor Compartment and Palm
Pre-lab: Forelimb Osteology and Surface Anatomy
Pre-lab Quiz

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 (Hash): Radiology - Shoulder

 

Week 8:

Mon (11/10)    1:10 – 2:30 GA 15: Hand
This lecture looks at the muscles and movements of the hands.       

Reading GAS: Chapter 7

2:40 – 5:00 GAL 13: Extensor Compartment and Hand
Pre-lab: Forelimb Osteology and Surface Anatomy
Pre-lab Quiz

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 (Marigo): Wrist/Hand

Wed (11/12)    1:10 – 2:30 GA 16: 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

2:40 – 5:00 GAL 14: Gluteal Region and Posterior Thigh
Pre-lab: Hind Limb Osteology
Pre-lab Quiz

This lab explores the muscles around the hip including some very small muscles around the joint and very large muscles that form the “glutes” 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.

Thurs (11/13) 9:10 – 10:00 EB 7: Limb Development
This lecture will focus on the development of the upper and lower limbs emphasizing the events that regulate growth and patterning of the limbs.  

Reading LME: Chapters 9 and 10

Fri (11/14)      1:10 – 2:30 GA 17: Lower Limb Muscle Actions and Functions
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

2:40 – 5:00 GAL 15: Anterior Thigh and Leg
Pre-lab: Hind Limb Osteology
Pre-lab Quiz

This lab dissects the muscle groups of the thigh and leg, and observed the blood vessels and nerves associated with the musculature.

Lab talk (Marigo): Anterior Thigh and Leg

Lab tutorial (Schmitt): Anterior Thigh and Leg

Week 9

Mon (11/17)    1:10 – 2:30 GA 18: Foot Mechanics
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

2:40 – 5:00 GAL 16: Foot
Pre-lab: Hind Limb Osteology
Pre-lab Quiz

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 (Marigo): Ankle

Wed (11/19)    1:10 – 3:00 GA 19 TBE 4: Orthopedics [Mandatory TBE]
This is a small-group learning event where you will be in your lab table groups and you will discuss a case on orthopedics.

                        3:10 – 5:00 GAL 17: Joints of the Upper and Lower Limbs
Pre-lab: Forelimb and Hind Limb Osteology
Pre-lab Quiz

All tables dissect the knee and one other joint. Students go from table to table and show each other their dissections.

Lab talk (Hash): Radiology - Knee

Thurs (11/20) 1:10 – 2:00 GA 20: 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

Fri (11/21)      9:30 – 11:00 EB 8: 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

11:10 – 12:00 GA 21: Skull and Facial Structures
This lecture reviews the bones of the skull and associated facial structures.            

Reading GAS: Chapter 8

                        1:10 – 3:00 GAL 18: Dry Skull Lab
Pre-lab: Skull Osteology Video
Pre-lab Quiz

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.

                        3:10 – 5:00 GAL 19: Face and Scalp
Pre-lab Quiz

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 tutorial is on the branches of the external carotid artery supplying the face and scalp and the venous drainage to the same region.

 

Week 10

Mon (11/24)    9:10 – 12:00 GA/EB Exam 3
Lecture exam begins at 9:10 and continues to 11. The practical exam follows the lecture portion. Both the lecture exam and the practical exam cover the limbs only.

1:10 – 2:00 GA 22: Cranial Nerves
This lecture reviews all 12 cranial nerves and clinical tests for dysfunction.

Reading GAS: Chapter 8

2:10 – 5:00 GAL 20: Interior of the Cranium
Pre-lab: Removal of the Brain Video
Pre-lab Quiz

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 (Rabey): Interior of the Cranium
A lab talk explaining cranial circulation and the region of the brain each vessel covers.

 

Week 11

Mon (12/1)      1:10 - 2:30 GA 23: Special Senses
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

2:40 – 5:00 GAL 21: Eye and Orbit
Pre-lab Quiz

During this lab, you will get 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.

Wed (12/3)      1:10 – 2:30 GA 24: 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

2:40 – 5:00 GAL 22: Neck and Carotid Sheath
Pre-lab: Cross Section of the Neck
Pre-lab Quiz

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 (Malinzak): Radiology - Neuroradiology

Lab tutorial (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.

Fri (12/5)        1:10 – 2:30 GA 25 TBE 5: Facial and Cranial Vasculature [Mandatory TBE]
This is a small-group learning event where you will be in your lab table groups and you will discuss a case on facial and cranial blood vessels and structures.

Reading GAS: Chapter 8

2:40 – 5:00 GAL 23: Pharynx and Retropharyngeal Space
Pre-lab: Atlanto-occipital Joint and Larynx
Pre-lab Quiz

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
This lab talk discusses the structures and functions of the larynx.

Week 12

Mon (12/8)      1:10 – 2:30 GA 26: 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

2:40 – 5:00 GAL 24: Bisected Head I
Pre-lab Quiz

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.

Wed (12/10)    1:10 – 2:30 GA 27: 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

2:40 – 5:00 GAL 25: Bisected Head II
Pre-lab Quiz

This is an opportunity to explore nasal anatomy as well as identify the delicate muscles that move the palate and pharynx. This last section takes very careful work.

                        Lab talk (Larsen): Tongue
Reviews tongue surface anatomy, papillae, vasculature, lymphatics, general and special sense, taste buds, and how we sense taste.

Fri (12/12)      1:10 – 2:30 GA 28: 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.”

2:40 – 5:00 GAL 26: First Arch
Pre-lab: Mastication
Pre-lab Quiz

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 (Johnson): 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.

 

Week 13

Fri (12/19)      9:10 – 12:00 GA/EB Exam 4
Lecture exam begins at 9:10 and continues to 11. The practical exam follows the lecture portion. Both the lecture and practical exams cover the head and neck.

 

 

 

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Updated 09/27/13 - Velkey