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Welcome

Dear Students,

Welcome to the second year medicine. As you have already started in the

Faculty curriculum (System- Based Curriculum), this year you are in Phase II of

the program.

Phase I : Premedical Year (First Year)

Phase II : Second and Third Years

Phase III : Fourth, Fifth and Sixth Years

Congratulations, you passed phase I. But what about phase II? Phase II

includes many core modules and also System-Based Modules. The aim of this

phase is to lay down a solid foundation for the subsequent full-time clinical

study in stage III of the MBBS program. It will also integrate the basic sciences

knowledge with the clinical sciences. This include knowledge, skill and

attitudes, particularly attitudes towards the learning process. The curriculum

philosophy in stage II is enforcing the development of a mixture of teaching

approaches including System-Based Learning, Problem-Based Learning and

also stressing on the idea of "Student Self-Directed Learning".

The department has the honor to introduce this study guide to you hoping

that it may be helpful in making you oriented with the aims, objectives, contents

of our courses, and through it, you will find the answers of the frequently asked

questions.

All the Best

Department Chairman

VIII

TABLE OF CONTENTS

Topic Page

THE OUTCOMES OF THE UNDERGRADUATE CURRICULUM 1

CURRICULUM MAP 2

PHASE 2 3

STRUCTURE OF THE MODULE 3

INTRODUCTION 4

AIMS & OBJECTIVES 4

TEACHERS CONTACTS 6

ASSESSMENT 7

ICONS 8

TOPIC OUTLINES 9

Lectures

Lecture Title of the lecture

1 Front and medial sides of the thigh and femoral triangle

(1/2).

11

2 Front and medial sides of the thigh and femoral triangle

(2/2).

13

3 Gluteal region. 15

4 Back of thigh and popliteal fossa. 17

5 Anterior compartment of the Leg and dorsum of the foot. 19

6 Lateral and Posterior Compartments of the Leg. 21

7 The foot and venous and lymphatic drainage of the lower

limb.

23

8 Dermatomes and nerve injury of the lower limb. 25

9 Pectoral region and breast. 27

10 Axilla (1/2): Boundaries and axillary vessels. 29

11 Axilla (2/2): Brachial plexus, axillary lymph nodes and

lymphatic drainage of the upper limb.

31

12 Back and scapular region. 33

13 Arm, cubital fossa and superficial veins of the upper limb. 35

IX

14 Anterior Compartment of the Forearm. 37

15 Lateral and Posterior Compartments of the Forearm. 39

16 Hand. 41

17 Dermatomes and nerve injuries of the upper limb (1/2). 43

18 Nerve injuries of the upper limb (2/2). 45

19 Intercostal spaces and pleura. 47

20 Lungs and bronchopulmonary segments. 49

21 Major Blood vessels of the Thorax. 51

22 Blood Supply of the Heart. 53

23 Superior mediastinum. 55

24 Posterior mediastinum. 57

25 Nerves, vessels and lymphatic drainage of the thorax. 59

26 Blood, lymph and nerve supply of the abdomen. 61

27 Anal and urogenital triangles. 63

28 Pelvic peritoneum, fasciae and muscles. 65

29 Pelvic nerves and vessels. 67

30 Male and female pelvic viscera. 69

Practical

Practical Title of the Practical Session

1 Hip bone, femur and patella and femoral triangle. 71

2 Front and medial sides of the thigh. 72

3 Gluteal region. 73

4 Back of the thigh, and popliteal fossa. 74

5 Hip joint, tibia, fibula and skeleton of the foot. 75

6 Anterior and lateral compartments of the leg and dorsum

of the foot.

76

7 Posterior compartment of the leg and sole of the foot. 77

8 - Joints of the lower limb.

- Surface and radiological anatomy of the lower limb.

78

9 Scapula, clavicle, humerus, sternum, 1st and typical rib. 79

10 Pectoral region, breast and Axilla (1/2) 80

11 Axilla (2/2), sternoclavicular and acromioclavicular joints. 81

X

12 Back and scapular region. 82

13 - Radius, ulna and skeleton of the hand.

- Superficial veins and cutaneous nerves of the upper limb.

83

14 Shoulder joint, arm and cubital fossa. 84

15 Anterior compartment of the forearm. 85

16 Posterior compartment of the forearm and dorsum of the hand. 86

17 Palm. 87

18 - Joints of the upper limb.

- Surface and radiological anatomy of the upper limb.

88

19 - Thoracic cage.

- Thoracic wall and pleura.

89

20 Lungs. 90

21 Major Blood vessels of the Thorax. 91

22 Blood Supply of the Heart. 92

23 Posterior mediastinum. 93

24 Surface Anatomy of the thorax. 94

25 Radiological anatomy of the thorax. 95

26 Anterior Abdominal Wall 96

27 Peritoneum and Visceral Arrangement 97

28 Gastrointestinal Tract 98

29 Kidney, Ureters, Suprarenal Gland. 99

30 Vessels of the Abdomen 100

31 Nerves of the Abdomen 101

32 Surface anatomy of the abdomen. 102

33 Radiological anatomy of the abdomen. 103

34 Perineum. 104

35 Muscles of the pelvis. 105

36 Nerves and vessels of the pelvis. 106

37 Male and female bony pelvis. 107

38 Male pelvic viscera. 108

39 Female pelvic viscera. 109

40 Radiological Anatomy of the Pelvis 110

Faculty of Medicine Anatomy (1) Core Course

1

OUTCOMES OF THE MEDICAL UNDERGRADUATE

CURRICULUM

1) Knowledge

Graduate should have sufficient knowledge and understanding of:

a. The normal structure, function and development of the human body and

interaction between body and mind

b. The normal pregnancy and child birth, the principles of antenatal and postnatal

care

c. The aetiology, pathogenesis, clinical presentation, natural history and

prognosis of common physical and mental disease, particular those which pose

acute danger to function, life or the community.

d. Common diagnostic tests and procedures, their uses, limitations and costs

e. The management of common conditions including pharmacological,

psychological, physical and nutritional therapy

f. The principles of health education, disease prevention, rehabilitation and the

care of the suffering and dying.

g. The principles and ethics related to health care and the Islamic and legal

responsibilities of the medical profession

2) Skills

Graduate should acquire the skills of

a. Take a tactful, accurate and organised medical history

b. Perform a gentle and accurate physical and mental examination

c. Integrate history and physical examination to reach a provisional diagnosis of

differential diagnosis

d. Select the most appropriate and cost effective diagnostic procedures

e. Formulate a management plan

f. Counsel patients and families clearly regarding diagnostic and therapeutic

procedures before eliciting consent

g. Perform common life-saving procedures

h. Use information resources to obtain further knowledge and interpret medical

evidence critically and scientifically

i. Communicate clearly and considerately with other health professionals

3) Attitudes

Graduate should have the attitude of

a. Respect for every human being and abide by relevant Islamic ethics

b. A desire to ease pain and suffering

c. Willingness to work in a team with other health professionals

d. Responsibility to remain a life-long learner and maintain the highest ethical

and professional standards

e. Referring patients to other health professional when needed

f. A realization that it is not always in the interest of patients to pursue every

diagnostic or therapeutic possibility


2

CURRICULUM MAP YOU ARE HERE…

GENERAL ANATOMY (I) CORE COURSE OUTLINES

Timetable of the module:

Module Units (Hours) Module Code/No.

Theoretical Practical Tutorials

Credit

Hours

GENERAL

ANATOMY

(I)

ANTM212 30 80 - 4

The Department: Anatomy

Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Internship

Phase I Phase II Phase III

STRUCTURE OF THE MODULE

Throughout this module the students should give complete details about

the structures of the muscular system of both upper and lower limbs and the

abdominal, thoracic and pelvic viscera. By the end of this module, the

students have the ability to correlate between the anatomical structure and its

relation. This course trains the student to solve any related clinical problem by

simple and short way. Practically, the students will see the listed anatomical

subjects and its relations.


3

TIMETABLED HOURS:

TEACHING

DEPARTMENTS:

30 Lectures, 40 Practicals

Anatomy Department

Second Year Courses

Semester 3

Cells & Tissues General Anatomy

(2)

Biochemical Basis

of Medicine (1)

Biochemical Basis

of Medicine (2)

Basic Emergency

Care

Embryology Cardiovascular

System

STRUCTURE OF THE MODULE

Pathology (1) Respiratory System

Musculoskeletal

System

Immune, Blood,

Lymphatic Systems

English Language Islamic Medical

Ethics

Arabic Language

Islamic Studies

Islamic Studies


4

INTRODUCTION

WELCOME to the basic science anatomy 1 module. This course aimed to introduce

a simplified data about the upper and lower limbs structures as well as the morphology of

the viscera of thoracic and abdominal cavity. The course will cover the theoretical and the

practical aspects of the previously listed subjects. This course provides the students with all

clinical and basic data to support them for the clinical practice in the future.

AIMS & OBJECTIVES At the end of this course, you should be able to:

On completion of the courses of study in General Anatomy (I) module, the

students shall be able to:

1. Comprehend the anatomical terms, use them correctly, and develop a positive approach-

to the subject.

2. Understand important single muscles, their origin, insertion, nerve supply, actions and

important relations. Describe Muscle Groups, their actions, nerve supply and effects of

nerve injury.

3. Recognize anatomical structures correctly and comprehend the topographic anatomy of

the regions of abdomen, pelvis, perineum, thorax and extremities by actual dissection,

prosection and museum study.

4. Understand the classifications of bones, their general features, structure, functions and

the mechanism of displacement of bone fragment at common sites o£ fractures.

5. Understand the important joints of the body, their movements and the muscles

producing these movements.

6. Acquire information of different fascial planes in different regions and their surgical

importance.

7. Understand the general plan of lymphatic drainage of the body, regional lymph nodes

where the common malignant growth can spread.

8. Interpret normal radiograms and C.T. scans of the body and demonstrate, by inspection,

palpation and percussion, important bony landmarks, muscles, tendons, blood vessels,

nerves and viscera on the living body.

9. Apply the knowledge and skill in solving clinical problems and interpret anatomical

relationship to common clinical conditions.

10. Develop concepts and sufficient understanding of the subject to be able to pursue post-

graduate studies and continuing medical education and develop habits of self-learning.


5

Expected Outcomes:

A. Knowledge:

By the end of the General Anatomy (I) module the student will demonstrate the ability

to assimilate and integrate information from lectures, practicals, tutorial and training

sessions and independent activities on the anatomy of the human body regarding upper

limb, Thorax, Abdomen, Pelvis & Perineum and Lower limb.

B. Cognitive Skills:


to gain practical skills associated with the dissection of cadavers enabling him to

recognize and differentiate bones, muscles, vessels, nerves and viscera of the body. The

student can gain skill in reading and understanding radiological images of the body and

identify through palpation the anatomical landmarks on the surface of the body.

C. Interpersonal Skills and Responsibilities:


to apply his basic knowledge and cognitive skills to solve problems and understand

some related areas beyond the General Anatomy course and appreciate the major

supporting evidence based on text-books reviews and electronic learning materials.

D. Analysis and Communication:

By the end of the General Anatomy (I) module the student will have the

experience through small group teaching and group discussion to analyze

any related clinical problem and to communicate with other students and

teaching staff.

Module Text Books:

1. Human Anatomy and Musculo-skeletal System, Part I (Lower Limb) Department of

Anatomy, Faculty of Medicine, KAU, KSA. 2007

2. Human Anatomy and Musculo-skeletal System, Part II (Upper Limb) Department of

Anatomy, Faculty of Medicine, KAU, KSA. 2007

3. Clinical Anatomy for Medical Students; Richard S Snell, Lippincott Williams and

Wilkins, 7th

ed. 2004.

4. Grant Atlas of Anatomy; Grant G.C.B., Lippincott Williams and Wilkins, 11th

ed. 2003.

5. Other Information Resources:

1. Anatomical website on the Internet.

2. Anatomical CD.


6

TEACHERS CONTACTS

Name / Position

Room

No. Extension

No. Email Address

1 Dr. Hamid Abdul Raoof Saleh

Chairman, Anatomy Department G 812 20064 [email protected]

2

Dr. Abdul Monem Abdul Salam

Al-hayani

Vice Dean for Development

G 815 20097 [email protected]

3 Prof. Adel Mostafa G 834 20124

4 Prof. Saeed Ahmad Mehmood

Zaghlol G 837 20126 [email protected]

5 Dr. Raid Mahmoud Hamdy G 816 20096 [email protected]

6 Dr. Gamal Saeid G 833 20123 [email protected]

7 Dr. Mohamad Hasan Badawod G 813 20049 [email protected]

8 Dr. Sherif Mohammad Hassan G 836 20125 [email protected]

9 Dr. Ashraf Yousaf Nasr G 850 20099 [email protected]

10

Prof. Amira Al-Haggagi

Coordinator, Female Section,

Anatomy Department

G711 23039 [email protected]

11 Dr. Allya Khalil G 713 23041

12 Dr. Fatehia Ahmed G 713 23387 [email protected]

13

Dr. Samar Al-Saggaf

Dean, Female Section, King

Abdul Aziz University

G 712 23040 [email protected]

15 Dr. Azza Zaki G 734 23050 [email protected]

16 Dr. Wafaa Ramadan G 736 23051 [email protected]

17 Dr. Hanan Ali Amin G 716 23046 [email protected]

18 Dr. Eman Abd Al-Aal G 712 24017 [email protected]

19 Dr. Siham Abu Nasif G 716 23046 [email protected]


7

ASSESSMENT

1. Formative:

This form of assessment is designed to give you feedback to help you to identify areas for

improvement. It includes a mixture of MCQs, short answer-questions (SAQs), extended

matching questions (EMQs), problems-solving exercises and independent learning

activities in all subjects. These will be given during tutorial sessions and practicals. The

Answers are presented and discussed immediately with you after the assessment. The

results will be made available to you.

2. Summative

This type of assessment is used for judgment or decisions to be made about your performance.

It serves as:

a. Verification of achievement for the student satisfying requirement

b. Motivation of the student to maintain or improve performance

c. Certification of performance

d. Grades

In this Course your performance will be assessed according to the following:

Module Assessment:

- Continuous assessment quizzes 40 %

- Written Exams 40 %

- OSPE 20 %

- Total: 100 %


8

Icons The following icons have been used to help you identify the various experiences

you will be exposed to.

Learning objectives

Content of the lecture

Independent learning from textbooks

Independent learning from the CD-ROM. The computer cluster is in the 2

nd floor of the medical library, building

No. 7.

Independent learning from the Internet

Problem-Based Learning

Self- Assessment (the answer to self-assessment exercises will be

discussed in tutorial sessions)

The main concepts


9


11

Lecture (1):

Front and medial sides of the thigh and femoral hernia (1/2)

Department: Anatomy

Lecturer: Prof. Amira Al-Haggagy(Female Section)

: Dr. Mohamed Badaoud (Male section)

Teaching Location: Auditorium

After this lecture, student should be able to:

1. Describe the relationships of structures found in

femoral triangle.

2. Illustrate that there are two compartments

formed by deep fascia.

� Boundaries and contents of the femoral

triangle.

� Femoral nerve.

� Femoral artery.

� Femoral vein.

� Inguinal lymph nodes.

� Femoral sheath.

- Remember that: the femoral artery begins at

the midinguinal point and ends at the

adductor hiatus where it continues as

popliteal artery

- The femoral vein drains into the external

iliac vein

- The femoral nerve supplies the muscles of

the front of the thigh

- The femoral hernia passes through the

femoral ring deep to the inguinal ligament

to enter the femoral canal in the front of the

thigh.

Student Notes


12

- Human Anatomy and Musculo-skeletal

System, Part I (Lower Limb) Department

of Anatomy, Faculty of Medicine, KAU,

KSA. 2007; Pages: 10-34

- Clinical Anatomy for Medical Students;

Richard S Snell, Lippincott Williams and

Wilkins, 7th ed. Pages: 614-633.

- Independent learning from the CD-ROM.

The computer cluster is in the 2nd

floor of

the medical library, building No. 7.

- Anatomical website on the Internet.

-Web site of anatomy department;

kaauanatomy .com- link

- Discuss the anatomy of the femoral triangle

- Discuss the anatomy of femoral artery,

nerve and vein.


13

Lecture (2):

Front and medial side of the thigh ( 2/2)

Department: Anatomy


Dr. Mohamed Badaoud (Male section)



1- Illustrate the two components of the

deep fascia.

2- Know the muscles of the front and

medial thigh compartment and

summarize their functions.

3- Understand the action of the individual

muscle of the two compartments

1- Muscles of the front of the thigh:

quadriceps femoris, sartorius, iliopsoas

2- Subsartorial canal

3- Muscles of the medial side of the thigh:

adductor longus, adductor brevis,

adductor magnus, Pectineus, obturator

externus, gracilis

4- Obturator nerve

- Remember, the obturator nerve supplies

the adductor muscles

- The muscles of the front of thigh

innervate by the femoral nerve

- The Subsartorial canal contains femoral

artery, femoral vein, nerve to vastus

medialis and saphenous nerve

Student notes


14




KSA. 2007; Pages: 10-34






floor

of the medical library, building No. 7.


kaauanatomy .com- link


Discuss the anatomy and contents of the

frontal and medial side of the thigh


15

Lecture( 3):

Gluteal region

Department: Anatomy




After this lecture, student should be able

to:

1. Understand important muscles, their

nerve supply, actions and effects of

their nerve injuries.

2. Know how to test the integrity of

superior gluteal, inferior gluteal nerves.

1- Muscles, vessels, nerves of the gluteal

region.

2- Structures passing through the greater

and lesser sciatic foramina

Remember that,

1- Superior gluteal nerve supplies the

gluteal minimus, medius and tensor

fascia lata muscles

2- The Inferior gluteal nerve supplies the

gluteus maximus muscle

3- The Gluteal muscles originate from the

gluteal surface of iliac bone

4- The gluteal vessels form a part of the

cruciate anastomosis

5- The sciatic foramina contain structures

passing from the pelvic cavity to the

inguinal region and the perineum

Student Notes


16




KSA. 2007; Pages: 2-10




Independent learning from the CD-ROM.


floor



kaauanatomy .com-


Discuss the anatomy of the gluteal

muscles, blood vessels and nerves of

the gluteal region.


17

Lecture (4):

Back of Thigh & Popliteal Fossa

Department: Anatomy





1. Describe the relationship of structures

found in the popliteal fossa.

2. Summarize the functions of the muscles

of the back of the thigh

1- Muscles of the back of the thigh

2- Sciatic, tibial, and common peroneal

nerves

3- Popliteal fossa

Remember that,

1- Hamstring muscles are the

Semimembranosus, semitendinosus,

biceps femoris and the ischial part of

gluteus magnus.

2- The sciatic nerve supplies the hamstring

muscles

3- The popliteal fossa is present posterior to

the knee joint

4-The sciatic nerve divides into common

peroneal nerve (laterally) and tibial

Students notes


18

nerve (medially)

5- The popliteal fossa contains popliteal

vessels, sciatic nerve and its divisions,

small saphenous vein and cutaneous

nerves




KSA. 2007; Pages: 45-49



Wilkins, 7th ed. Pages: 634 – 636; 648-

654



floor



kaauanatomy .com-


Discuss the anatomy of the back of thigh

and popliteal fossa.


19

Lecture (5):

Anterior compartment of Leg and dorsum of foot

Department: Anatomy





1. Illustrate the compartments of the leg

which are formed by the deep fascia.

2. Summarize the functions of muscles of

the anterior compartment of the leg.

3. Know the structures of the dorsum of

the foot.

4. Locate the site of feeling pulsation of

the Dorsalis pedis artery.

1- Muscles of the anterior compartment of

the leg and the dorsum of foot

2- Nerves and vessels of the anterior

compartment of the leg

3- Extensor retinacula

4- Muscles of the anterior compartment of

the leg: their functions and innervation.

Remember that:

1- The muscles of the anterior compartment

of the leg originate from the fibula

except tibialis anterior muscle

2- The nerve supply of the muscles of the

anterior compartment of the leg is the

Students Notes


20

deep peroneal nerve

3- the lesion of the common peroneal nerve

is drop foot

4- The pulse of the dorsalis pedis artery can

felt on the dorsum of the foot between

the two malleoli




KSA. 2007; Pages: 51- 57; 86- 85



Wilkins, 7th ed. Pages: 654 – 660; 676 -

678



floor



kaauanatomy .com-

- Anatomical website on the Internet

Discuss the anatomy of the anterior

compartment of the leg and the dorsum

of the foot.


21

Lecture (6):

Lateral and Posterior compartments of the Leg

Department: Anatomy





1. Develop clear concept of the muscles,

vessels and nerves of the lateral and

posterior compartments of the leg.

2. Understand the function and know the

innervations of these muscles

1- Muscles of the lateral and posterior

compartments of the leg: their functions

and innervation

2- Nerves and vessels of these compartment

3- Flexor and peroneal retinacula

Remember the innervation of the posterior

compartment of leg is the tibial nerve

- The innervation of the lateral compartment

is the superficial peroneal nerve

Students notes


22




KSA. 2007; Pages: 57 - 71



Wilkins, 7th ed. Pages: 660 - 666



floor of



kaauanatomy .com


Q- Discuss the anatomy of the posterior and

lateral compartment of the leg


23

Lecture (7):

The foot and the venous and lymphatic Drainage of lower limb

Department: Anatomy





1. Know the layers of the sole of the foot.

2. Know the bones and ligaments

participate in maintenance of the arches

of the foot.

3. Define the venous drainage (superficial

and deep) of the lower limb.

4. Understand the mechanism by which

the blood is pumped from the lower

limb and anatomical factors which

predispose to development of varicose

veins.

1- Layers of the sole of foot

2- Muscles, vessels and nerves of the sole

of the foot

3- Arches of the foot

4- Veins of lower limb: superficial and deep

5- Groups of lymph nodes

- The sole has four layers

- The foot and both longitudinal and

transverse arches

- The veins are superficial and deep

- There are superficial and deep lymph

nodes draining the lower limb

Students notes


24




KSA. 2007; Pages: 74-85






floor



kaauanatomy .com


Q- Describe the arrangement of the muscles

of the sole, their function and innervation


25

Lecture (8):

Dermatomes and nerve injury of lower limb

Department: Anatomy





1. Recall the cutaneous innervation of the

thigh, leg and foot.

2. Learn what is meant by dermatome.

3. List all of the components of the

lumbosacral plexus.

4. Describe the innervation of each

compartment and the specific deficits that

occur with lesions of individual nerves at

different parts along the course of each

nerve.

1- Nerves of the lower Limb: femoral,

obturator, superior and inferior gluteal,

Sciatic, common peroneal, superficial and

deep peroneal

2- Clinical effects of effects similar to injury

of sciatic, tibial and common peroneal

nerves of the lower limbs.

- The injury of common peroneal produce

drop foot

- The Injury to the Tibial nerve produce

inability to flex the ankle and paralysis of

sole muscles

- The injury to sciatic nerve produce effects

similar to both common peroneal and tibial


26

nerves in addition paralysis to the hamstring

muscles.


System, Part I (Lower Limb) Department of

Anatomy, Faculty of Medicine, KAU, KSA.

2007; Pages: 110-117



Wilkins, 7th ed. Pages: 710- 712.



floor of



kaauanatomy .com


Describe the effects of Sciatic, tibial and

common peroneal nerves injury.


27

Lecture (9):

Pectoral Region and breast

Department: Anatomy

Lecturer: Prof. Amira Al-Haggagy

: Dr. Raid Hamdy



to:

1. Develop clear concept of the pectoral

region including muscles, vessels,

nerves and lymphatics.

2. Know the location, description and

blood supply of the breast.

3. Know the lymph nodes which are

involved in carcinoma of the breast.

4. Explain on anatomical basis the clinical

features of carcinoma of the breast and

why radial incision is used to drain

breast abscess.

1- Muscles of the pectoral region

2- Vessels, nerves and fasciae of pectoral

region

3- Breast: location, description, blood

supply and its lymphatic drainage

4- Clinical features of cancer breast

5- Drainage of breast abscess

- The pectoral muscles are supplied by the

medial and lateral pectoral nerves.

2- The breast is present superficial to the

deep fascia of the pectoral region

3-The cancer breast can spread by direct,


28

lymphatic and blood to the other

structures


System, Part II (Upper Limb)

Department of Anatomy, Faculty of

Medicine, KAU, KSA. 2007; Pages: 1-

19


Richard S Snell, Lippincott Williams

and Wilkins, 7th ed. Pages: 457- 463;

472-474

- Independent learning from the CD-

ROM.


floor



kaauanatomy .com


Discuss the anatomy of the pectoralis

major muscles and breast.


29

Lecture (10):

Axilla: boundaries and Axillary blood vessels

Department: Anatomy


: Dr. Raid Hamdy



to:

1- Develop clear concept of the axilla

including boundaries and contents.

2. Know the course, branches and main

relations of the axillary artery and its

surface anatomy and site of feeling its

pulsation.

3. Know the course and tributaries of the

axillary vein.

4. Know the clinical aspects of the region.

1- Shape and boundaries of the axilla:

apex, base, walls, folds and muscles

contribute to each wall and fold.

2- Description serratus anterior, winging

of the scapula

3- An overview of the contents of the

axilla

4- Axillary artery: course, branches of

each part, main relations, surface anatomy

and site of its pulsation

5- Axillary vein: course and tributaries

6- Clinical aspect of the region

- The axilla is hollow space between the

upper arm and the upper part of the trunk.

- the axilla has anterior, posterior, lateral,

Student notes


30

medial walls and base and apex

- Axilla contains the axillary blood vessels

and the brachial plexus cords and its

braches





19



Wilkins, 7th ed. Pages: 468-477



floor



kaauanatomy .com


Discuss the anatomy of the axilla and its

contents.


31

Lecture (11):

Axilla: brachial plexus, axillary lymph nodes and lymphatic drainage of the upper limb

Department: Anatomy


in female Section

: Dr. Raid Hamdy



to:

1. Understand the formation of brachial

plexus, its branches.

2. Understand the scheme of the regional

lymph nodes and know the regions

from which the nodes receive its

lymphatic vessels.

3. Know the superficial and deep

lymphatic drainage of the upper limb

and its clinical importance.

1- Brachial plexus: formation and

branches

2- Axillary groups of lymph nodes: sites,

afferents and efferent and clinical

importance

3- Lymphatic drainage of the upper limb

and its clinical importance

- 1- The roots of brachial plexus are C5,C6,

C7,C8 and T1

- 2- The Brachial plexus has three cords:

lateral, medial and posterior

- 3- The axillary lymph nodes are the main

lymphatic drainage of the upper limb


32





19


Richard S Snell, Lippincott Williams

and Wilkins, 7th ed. Pages: 477 - 485

- Independent learning from the CD-

ROM.


floor



kaauanatomy .com


Discuss the anatomy of the brachial

plexus and its branches.


33

Lecture (12):

Back and Scapular region

Department: Anatomy


in female Section

: Dr. Raid Hamdy



1. Know the muscles of the back and

scapular region.

2. Understand their functions and

innervation.

3. Know the arteries contribute to

anastomosis around the

Shoulder joint and its clinical importance.

4. Understand the clinical effects of

injuries of the spinal accessory, axillary

and suprascapular nerves.

1- Muscles of the back and scapular region,

their attachment, nerve supply, action

and its clinical importance.

2- Boundaries and contents of the

quadriangular space and its clinical

importance.

3- Anastomosis around the shoulder and its

clinical importance

4- Causes and clinical effects of the injuries

of spinal accessory, axillary and

suprascapular nerves

1- The anterior circumflex, posterior

circumflex and ascending branch of the


34

profunda brachii artery form the

anastomosis around the scapula.

2- The injuries of the nerves affect the

muscles supplying by that nerves


System, Part II (Upper Limb) Department


KSA. 2007; Pages: 23-33






floor



kaauanatomy .com


Discuss the anatomy of the scapular

muscles


35

Lecture (13): Arm, cubital fossa and superficial veins of the upper limb

Department: Anatomy


in female Section

: Dr. Raid Hamdy



1. Develop clear concept of the arm

including muscles, vessels and nerves.

2. Develop clear concept of the cubital

fossa.

3. Explain on anatomical basis why certain

superficial veins are used for

venipuncture.

1-Muscles of the arm, their functions and

innervation.

2- Nerves of the arm, their course and

branches

3- Brachial artery: course, branches, main

relations, surface anatomy and site of its

pulsation and compression

4- Superficial veins of the upper limb and

its clinical importance

5- Boundaries and contents of the cubital

fossa

1- The muscles of arm are flexor and

extensor groups. The flexor group is

supplied by musculocutaneous nerve

and the extensor muscle is supplied by

the radial nerve.

2-The superficial veins are the common site

for venipuncture

Student notes


36

3- The cubital fossa contains the brachial

artery and its two terminal branches

(radial and ulnar), median nerve and

biceps tendon.




KSA. 2007; Pages: 42-60






floor



kaauanatomy .com


Discus the anatomy of the arm muscles and

the contents of cubital fossa


37

Lecture (14):

Anterior compartment of Forearm

Department: Anatomy


in female Section

: Dr. Raid Hamdy



1. Develop clear concept of the muscles,

vessels and nerves of the anterior

compartment of the forearm.

2. Understand the clinical importance of

anastomosis around the elbow.

3. Understand the formation of carpal

tunnel and carpal tunnel syndrome.

4. Know the structures related to the flexor

retinaculum of the wrist.

1- Muscles of the anterior compartment of the

forearm, their functions and innervation

2- Nerves of the anterior compartment of the

forearm, their course and branches

3- Radial and ulnar arteries: their course,

branches, main relations, surface anatomy

and sites of feeling their pulsations

4- Anastomosis around the elbow and its

clinical importance.

5- Carpal tunnel: formation, contents and

causes, clinical effects & treatment of

carpal tunnel syndrome.

6- Flexor retinaculum of the wrist: attachment,

function and the structures related to it.

1- The muscles of the anterior compartment

of the front of the forearm is divided

into superficial and deep groups.


38

2- the superficial muscles have common

origin and are supplied by the median

and ulnar nerves

3- The ulnar and radial arteries are the

terminal branches of the brachial artery

and begin at the level of radial

tuberosity

3-Compression of the median nerve deep to

the flexor retinaculum produces the

carpal tunnel syndrome.




KSA. 2007; Pages: 62-76



Wilkins, 7th ed. Pages: 512 – 528



floor



kaauanatomy .com


1- Discus the anatomy of the muscles of the

front of the forearm.

2- Discuss anatomy of the flexor

retinaculum and its clinical significance.


39

Lecture (15):

Lateral and posterior Compartments of the Forearm

Department: Anatomy

Lecturer: Prof. Amira Al-Haggagy in female Section

: Dr. Raid Hamdy



1. Develop clear concept of the muscles, vessels and

nerves of these compartments.

2. Know the structures related to the extensor retinaculum

of the wrist.

1- Muscles of the lateral and posterior compartments of the

forearm: their functions and innervation

2- Nerves of the lateral and posterior compartments of the

forearm, their course and branches.

3- Extensor retinaculum of the wrist: attachment, function

and structures related to it

1- The muscles of the lateral and posterior compartments

are extensor for the wrist joint and the fingers

2- The main nerve supply to these muscles is the radial

nerve and its posterior interosseous nerve

3- the extensor retinaculum has six compartment and each

one contains certain structure

- Human Anatomy and Musculo-skeletal System, Part II

(Upper Limb) Department of Anatomy, Faculty of

Medicine, KAU, KSA. 2007; Pages: 77-94

- Clinical Anatomy for Medical Students; Richard S Snell,

Lippincott Williams and Wilkins, 7th ed. Pages: 529-537


40



floor of the medical

library, building No. 7.

-Web site of anatomy department; kaauanatomy .com


1- Discus the anatomy of the muscles of the lateral and

posterior compartments of the forearm.

2- Discuss anatomy of the extensor retinaculum and its

clinical significance.


41

Lecture (16): The Hand

Department: Anatomy


: Dr. Raid Hamdy



1. Develop clear concept on the topographic anatomy of

the hand, muscles, nerves, vessels, fascial spaces,

fibrous and synovial flexor sheaths.

2. Understand the movements of thumb and fingers.

3. Understand the spread of infection in tenosynovitis.

4. Locate the anatomical snuff box.

1- Intrinsic muscles of the hand: their functions and

innervation.

2- Fibrous and synovial flexor sheaths, fascial spaces and

pulp space and their clinical importance.

3- Fibrous and synovial flexor sheaths, fascial spaces and

pulp space and their clinical importance.

4- Median and ulnar nerves in the palm.

5- Median and ulnar nerves in the palm

6- Cutaneous innervation of the hand.

7- Anatomical snuff box: location, boundaries, contents and

its clinical importance.

1- The limbs develop from the limb bud at the 4

th week

2- The muscles of the hand can be classified into four

groups: thenar, hypothenar, Lumbercalis and interossei

3- All the hand muscles are supplied by the ulnar nerve

except the thenar and 1st and 2

nd lumbercalis



42


Medicine, KAU, KSA. 2007; Pages: 96-117


Lippincott Williams and Wilkins, 7th ed. Pages: 537 - 550







1- Discuss the anatomy of the hand muscles.


43

Lecture (17): Dermatomes and nerve injuries of the upper limb Department: Anatomy


: Dr. Raid Hamdy



1. Understand the different kinds of injuries of the brachial

plexus, musculocutaneous and ulnar nerves, the ways

these injuries are produced and their clinical effects

1- Dermatomes and cutaneous innervation of the upper

limb.

2- Upper and lower lesions of brachial plexus: causes and

clinical effects

3- Overview of the course and branches of

musculocutaneous and ulnar nerves

4- Causes and clinical effects of different kinds of injuries

of musculocutaneous and ulnar nerves

1- The dermatomes of the upper limb are C4-T2

2- The lesion of the brachial plexus may be complete or

partial (upper or lower trunk).

3- The upper trunk lesion produces Erb’s palsy

4- The lower trunk lesion produces Klempke’s palsy



Medicine, KAU, KSA. 2007; Pages: 134 - 153



Students notes


44







Describe the causes and the effects of ulnar and

musculocutaneous lesions.


45

Lecture (18): Nerve injuries of the upper limb (Continued). Department: Anatomy


: Dr. Raid Hamdy



1. Understand the different kinds of injuries of the median,

radial and axillary nerves, whys these injuries are produced

and their clinical effects.

1- Overview of the course and branches of the median, radial

and axillary nerves.

2- Causes and clinical effects of different kinds of injuries of

the median, radial and axillary nerves.

1- The median nerve supplies the muscles of the anterior

compartment of the of forearm and thenar muscles

2- The radial nerve supplies the extensor muscles compartment.


(Upper Limb) Department of Anatomy, Faculty of Medicine,

KAU, KSA. 2007; Pages: 134 - 153







Students notes


46



1- Discuss the causes and effects of the median, axillary and

radial nerve lesions.


47

Lecture (19): Intercostal Spaces and Pleura Department: Anatomy


: Dr. Abdul Monem Al-Hayani



1. Understand the intercostal spaces and their contents.

2. Compare muscles of intercostal spaces.

3. Describe arteries, veins, nerves of the anterior and posterior

thoracic walls.

4. Understand the position and innervation of the pleura and

its clinical importance.

1- Explain what is meant by intercostal space and its contents

2- Compare between external, internal and innermost

intercostal muscles

3- Vessels of the thoracic wall: Internal thoracic vessels;

anterior and posterior intercostal vessels and azygos system

of veins.

4- Intercostal nerves: origin, course, branches and distribution.

5- Pleura: layers, nerve supply and important clinical aspect

1- There are eleven intercostal spaces; each space contains an

intercostal muscles, nerve and blood vessel.

2- The pleura is a serous membrane enclosing the lungs. It has

parietal and visceral surfaces


Lippincott Williams and Wilkins, 7th ed. Pages: 48- 60; 85-90

Students notes


48







Discuss the anatomy and contents of the intercostal spaces.


49

Lecture (20): Lung and bronchopulmonary segments Department: Anatomy

Lecturer: Prof. Amira Al-Haggagy in Female Section

: Dr. Abdul Monem Al-Hayani in Male Section



1. Give a description of the anatomy of the lungs.

2. Identify the major relations.

3. Describe the root of the lung and its contents.

4. Develop clear concept about bronchopulmonary segments

and understand its clinical importance.

5. Know trachea and main bronchi.

6. Give a precise account on the mechanism of respiration

1- Lungs: base, apex, surface, borders, fissures and lobes

2- Differences between right and left lungs

3- Blood and nerve supply and lymphatic drainage of the lungs

4-Descibe how medial surface is moulded to pericardium and

other mediastinum surfaces.

5- Different structures joining the root of lung: bronchi,

pulmonary vessels, lymph vessels, bronchial vessels and

nerves

6- The characteristics of the bronchopulmonary segments.

7- Mechanism of respiration in short

1- Both lungs have apex, base, three borders, anterior and

medial surfaces. The right lung has three lobes and two

fissures while the left lung has two lobes and one fissure

2-The root of each lung contains bronchus, pulmonary artery

and two pulmonary veins with Hilar lymph nodes and

pulmonary nerve plexuses



50








Describe the difference of both lungs and the medial relations

of each lung.


51

Lecture (21): Major Blood vessels of the Thorax Department: Anatomy





1. Develop clear concept on the anatomy of the major

blood vessels of the thorax.

2. Describe the beginning, termination, course and

relations of the big blood vessels of the thorax.

3. Know the clinical anatomy of the blood vessels.

� Ascending aorta: Origin, course, relations, branches,

termination and clinical aspects.

� Arch of aorta: Origin, course, relations, branches,


� Descending thoracic aorta: Origin, course, relations,

branches, termination and clinical aspects.

� Superior vena cava: Origin, course, relations,

branches, termination and clinical aspects.

� Inferior vena cava: Origin, course, relations, branches,


� Pulmonary trunk: Origin, course, relations, branches,


� Pulmonary veins: Origin, course, relations, branches,



52

1- There is fibrous and serous pericardium.

2- The mediastinum is the space between the two pleural

cavities. It is divided into superior and inferior one.

3- The heart has three surface (anterior, inferior and base) and

apex,

4- The heart has two atria and two ventricles. Each chamber

consists of two parts: smooth and rough


Lippincott Williams and Wilkins, 7th ed. Pages: 107- 122







1- Describe the parts of the mediastinum and its contents


53

Lecture (22): Blood supply of the Heart Department: Anatomy




After this lecture, student should be able to: 1. Describe the arterial supply of the conducting system of the

heart.

2. Understand the arterial supply and venous drainage of the

heart.

3. Identify the nerve supply of the heart and understand how

cardiac pain impulses reach consciousness.

4. Understand the different clinical application.

� Position and arterial supply of different parts of conducting

system, SA node, AV node, AV bundle and internodal

conducting system.

� Right and left coronary arteries and their branches.

� Venous drainage of the heart: coronary sinus and its tributaries,

anterior cardiac veins and venae cordis minimi.

� Cardiac plexuses: formation and distribution.

� Important clinical notes of the heart.

1- The chambers of the heart have smooth and rough parts

2- Each chamber has a valve for the control of the blood flow

and prevention its regurgitation

3- The coronary arteries supply the heart and the coronary

sinus drains the venous return from the heart.


54









- describe the internal structures and the blood supply of the

heart


55

Lecture (23): Superior mediastinum Department: Anatomy





1. Describe the boundaries of the superior mediastinum.

2. Enumerate the contents of the superior mediastinum.

3. Give an account on the relations of its various structures.

4. Give a brief description on large veins and arteries, trachea

and oesophagus.

5. Understand the clinical notes concerning the structures of

the superior mediastinum.

1- Boundaries of the superior mediastinum

2- Contents of the superior mediastinum in anatomical order.

3- Large veins: beginning, course, end and tributaries.

4- Arch of aorta: beginning, course and relations, end and

branches.

5- Trachea: beginning, course and relations, end, blood and

nerve supply.

6- Oesophagus: beginning, course and relations, end, blood and

nerve supply.

7- Important clinical note of the superior mediastinal

structures.

1- The main contents of superior mediastinum are the SVC and

its main tributaries, the arch of aorta and its branches, the

two vagi and two phrenic nerves, the trachea and esophagus

2- The SVC receives the blood from the upper half of the body

and from the azygos vein

3- The aortic arch gives the left CCA, Left subclavian artery

and the brachiocephalic artery


56


Lippincott Williams and Wilkins, 7th ed. Pages: 82-84; 128-

133







- Discuss the anatomy of the aortic arch and its branches

- Discuss the anatomy SVC and main tributaries


57

Lecture: (24): Posterior mediastinum Department: Anatomy





1. Describe the boundaries of the posterior mediastinum.

2. Enumerate the contents of the posterior mediastinum.

3. Give a precise account on the relations between various

contents.

4. Give a brief description of the various structures located in

the posterior mediastinum

1- Boundaries of the posterior mediastinum.

2- Anatomical features of contents of the posterior

mediastinum: esophagus, descending thoracic aorta, azygos

veins, thoracic duct, and sympathetic chain.

3- Important clinical note of the posterior mediastinal

structures.

1- The posterior mediastinum is present behind the heart

2- It contains the esophagus, descending aorta, vagi and the

lymph nodes and sympathetic trunks








58



1- Discuss the anatomical structures of the posterior

mediastinum.


59

Lecture (25): Nerves, vessels and lymphatic drainage of the thorax Department: Anatomy





1. Know the nerves of the thorax.

2. Understand the lymphatic drainage of the thorax.

3. Describe the arteries of the thorax.

4. Describe the veins of the thorax.

1- Vagus & phrenic nerves and sympathetic chain.

2- Lymph vessels and nodes draining the skin and intercostal

spaces.

3- Lymph nodes of the thoracic cavity.

4- Vessels of the thorax.

5- Clinical points of the nerves, vessels and lymphatics of the

thorax.

1- The phrenic nerves supply the diaphragm

2- The vagi supply the visceral structures in thoracic cavity as

lungs and heart








60



1- Discuss the blood vessels, the lymph nodes and the nerves

of the thoracic cavity.


61

Lecture (26): Blood, lymph and nerve supply of the abdomen Department: Anatomy


: Dr. Hamid Abdul Raoof



1. Recognize the blood supply of the abdomen.

2. Describe the lymphatic drainage of the abdominal

structures.

3. Understand the innervation of the abdominal viscera and

visceral referred pain.

4- Describe the autonomic plexuses.

1- Aorta: beginning, course, relations, termination and

branches.

2- Inferior vena cava: Beginning, course and relations,

termination and tributaries.

3- Abdominal lymph nodes and lymph vessels.

4- Autonomic plexuses: celiac, superior and inferior

mesenteric.

5- Superior and inferior hypogastric plexuses.

6- Renal plexus.

1- The abdominal aorta begins at the aortic opening of the

diaphragm and ends at the L4 vertebra where it gives the two

common iliac arteries.

2- Inferior vena cava begins at L5 vertebra and ends at the

right atrium at the level of 6th costal cartilage

3- There are many autonomic plexuses surrounding the great

arteries of the abdomen.




62







1- Discuss the vessels and nerves of the abdominal cavity


63

Lecture (27): Anal and urogenital triangles Department: Anatomy


: Dr. Gamal Saaed



1. Understand the anatomy of the perineal region in both male

and female and comprehend the anatomical basis of clinical

conditions of the area.

2. Learn the relationships of structures in the superficial and

deep pouches.

3. Visualize the parts of the urethra.

4. Understand how different fascial layers of the region.

1- Boundaries and contents of urogenital triangle in male and

female.

2- Boundaries of the anal triangle.

3- The anal canal: its sphincter, nerve and arterial supply,

venous and lymphatic drainage.

4- Ischiorectal fossa: boundaries and contents.

5- Superficial and deep pouches.

6- Urogenital diaphragm.

7- Clinical notes of the above mentioned structures

1- The perineum is the pelvic outlet and is divided into two

triangles: one anterior (urogenital) and one posterior (anal).

2- The Urogenital triangle is subdivided into superficial and

deep peroneal pouches by the peroneal membrane.

3- The anal triangle contains the anal canal and the ischiorectal

fossae around it.




64







Discuss the contents and boundaries of both anal and

urogenital triangles


65

Lecture (28): Pelvic peritoneum, fasciae and muscles Department: Anatomy


: Dr. Gamal Saaed



1. Understand the peritoneal reflections and pouches.

2. Know the importance of the rectouterine (Douglas) pouch.

3. List the main muscles of the pelvic floor and their function

and interaction with pelvic organs.

1- Pelvic peritoneal reflections in male and female.

2- Rectouterine pouch and its clinical notes

3- Parietal and visceral pelvic fascia

4- Muscles of the pelvic wall and floor

5- Functional significance and injury of the levator ani in

females

1- The pelvic viscera have different patterns of the peritoneal

covering.

2- The peritoneal covering the pelvic viscera forms different

pouches. These pouches contain small and large intestinal

loops and have great importance clinically.

3- The levator ani and the coccygeus muscle with their fascial

covering form the pelvic diaphragm





66






Discuss the structures of the pelvic fascia and pelvic

diaphragm.


67

Lecture (29): Pelvic nerves and vessels Department: Anatomy


: Dr. Gamal Saaed



1. Know the branches of the lumbosacral plexus and the

segmental contribution to each.

2. Understand autonomic nerves to viscera.

3. Learn the branches of the internal iliac artery.

4. Describe the venous and lymphatic drainage of the

pelvis.

1- Branches of the sacral plexus and their distribution

2- Pelvic part of sympathetic trunk.

3- Pelvic splanchnic nerve

4- Superior and inferior hypogastric plexuses

5- Internal iliac, superior rectal, ovarian and median sacral

arteries

6- Veins of the pelvis

7- Lymph nodes and vessels of the pelvis

1- Sacral plexus roots are L4, L5 and S1,2,3 spinal nerves

2- The internal iliac artery is one of the two terminal

branches of the common. It divides into anterior and

posterior divisions. Each division has both visceral

and parietal arteries

3- Veins of the pelvic viscera form the internal iliac

venous plexus.

4- The main lymphatic drainage of the pelvic viscera is

the internal iliac lymph nodes

- Clinical Anatomy for Medical Students; Richard S

Snell, Lippincott Williams and Wilkins, 7th ed. Pages:


68

426-430







- Discuss the sacral anatomy and its branches


69

Lecture ( 30): Male and female pelvic viscera Department: Anatomy


: Dr. Gamal Saaed



1. Understand the relationship of viscera in both male and

female.

2. Comprehend the rich vascular anastomosis to the rectum

and anal canal and know their venous drainage.

3. Know the ligaments supporting the uterus.

4. Know the contents of the broad ligament.

5. Understand what the term anteversion and anteflexion

means.

6. Learn structures felt in vaginal and rectal examinations.

Sigmoid colon, rectum, urinary bladder, pelvic part of ureter,

prostate, seminal vesicle, vas deference, ovary, Fallopian

tube, uterus, vagina and their clinical aspects

1- The male genital viscera are the prostatic gland, seminal

vesical, vas deferens. Ejaculatory ducts and urethra

2- The female genital viscera are the uterus, tubes, ovaries and

vagina

3- The pelvic part of the G.I.T is the sigmoid colon, rectum and

anal canal




70







Discuss the anatomy of the male urogenital viscera

Discuss the female urogenital viscera


71

Practice (1): Hip bone, Femur, Patella and Femoral Triangle Department: Anatomy

Lecturer: staff members

Teaching Location: Dissection Room

Summary:

The student well dissect the cadaveric specimens and show the

details of the lower limb bones. The student well see the

femoral triangle (boundaries and contents), saphenous opening,

and identify the features of the lower limb bones.

After this practical, student should be able to Describe and

Demonstrate:

1- Use anatomical terminology for topographical region of

lower limb.

2- Recognize anatomical structures correctly by actual

dissection, prosection and museum study.

3- Identify anatomical structures make up boundaries of

femoral triangle; which muscles contribute to each wall

Clinical Anatomy for Medical Students; Richard S Snell,

Lippincott Williams and Wilkins, 7th ed. Pages: 593- 600; 614-

630.


72

Practice (2): Front and Medial Sides of the Thigh. Department: Anatomy



SUMMERY: The students well dissect the front and the medial side of the

lower limb of the cadavers. Then they identify the muscles

and the vessels of both anterior and medial compartments of

the thigh.


Demonstrate:

1- Bony landmarks in the front and medial sides of the thigh.

2- Important single muscles, their origin, insertion, nerve

supply, actions and important relations.

3- Muscle groups, their actions and nerve supply



633.


73

Practice (3): Gluteal Region Department: Anatomy



SUMMERY: The students well dissect the gluteal region. They well identify

the gluteal maximum and its relations


Demonstrate

1- Identify the bony landmarks in the gluteal region

2- Single muscles, their origin, insertion, nerve supply, actions

and important relations especially for gluteus maximus.

3- Nerves supplying these muscles.

4- The superior and inferior gluteal nerves and vessels.


Lippincott Williams and Wilkins, 7th ed. Pages: 593- 600.


74

Practice (4): Back of the Thigh and Popliteal Fossa

Department: Anatomy



SUMMERY: The students well dissect the posterior compartment of the thigh

and the popliteal fossa to see the contents of the fossa from the

popliteal blood vessels and the sciatic nerve with its two terminal

branches and the muscles of the back of the thigh.


Demonstrate:

1. Identify the muscles of the back of the thigh and their

attachments and actions

2. The nerves that supply these muscles

3. Anatomical boundaries of popliteal fossa; which muscles

contribute to each wall

4. The contents of this fossa in anatomical order


Lippincott Williams and Wilkins, 7th ed. Pages: 634-636; 648-

654.


75

Practice (5): Tibia, Fibula and Skeleton of the Foot

Department: Anatomy



SUMMERY: The students identify the features of the bones of leg and foot.

The students well determine the side of the bone and the

structures of each bony arch of the foot


Demonstrate

1- Anatomical features of leg and foot bones

2- Aches of the foot and factors maintaining these arches


Lippincott Williams and Wilkins, 7th ed. Pages: 634-636; 640

658.


76

Practice (6): Anterior and Lateral Compartments of the Leg and Dorsum the

Foot

Department: Anatomy



SUMMERY: The students well dissect the anterior compartment of the leg and

the dorsum of the foot to see the muscles, vessels and nerves of

these regions.


Demonstrate:

1- Bony landmarks in the leg.

2- Identify the muscles of the anterior compartment of the leg

and their attachments and actions

3- Muscles of lateral compartment of the leg and their

attachments and action.

4- Muscles of the dorsum of the foot

5- Dissect the nerves and vessels supplying these muscles


Lippincott Williams and Wilkins, 7th ed. Pages: 634-636; 654 –

660; 676- 678.


77

Practice (7): Posterior Compartment of the Leg and Sole of the Foot

Department: Anatomy



SUMMERY: The students well dissect the back of leg and sole of the foot to

identify the anatomical structures. The students well see the

muscles, vessels and the nerves of the back of leg and the layers

of the sole of foot.


Demonstrate:

1- Muscles of the posterior compartment of the leg, their

attachments and actions

2- Nerves and vessels supplying these muscles.

3- Discriminate the extrinsic and intrinsic muscles of the foot

4- Plantar arches.




78

Practice (8): Surface and Radiological Anatomy of the Lower Limb

Department: Anatomy



Summery:

The students show the radiographs of the lower limb to know the

surface landmark of the lower limb bones and learn how to

correlate between the radiographic findings and the soft tissue of

the limb


Demonstrate:

1- Radiological appearance of hip, knee, ankle regions and

skeleton of the foot

2- Surface anatomy of gluteal region, adductor canal, knee and

ankle regions




79

Practice (9): Scapula, clavicle, humerus, sternum, 1st rib & typical rib

Department: Anatomy



Summery:

The students’ well studies the anatomical features of the bones

listed and well learn how differentiate between the side of the

bone and the details features of these bones.

After this practical, student should be able to Identify:

1- General features of each bone

2- Subcutaneous parts of each bone

3- Sternal angle & its clinical importance



53.


80

Practice (10): Pectoral region, breast and Axilla (1/2) Department: Anatomy



Summery:

The students dissect the pectoral region, breast and axilla to

know the anatomical structures of this are. The students can

determine the wall and contents of the axilla and the structures

of the brachial plexus.

After this practical, student should be able to;

1- Palpate the bony subcutaneous landmarks of the pectoral

region.

2- Delineate the mid-sternal, mid-clavicular and axillary lines

3- Identify the deltopectoral groove & expose the cephalic vein

4- Identify clavipectoral fascia & structures piercing it

5- Mark the location of the breast on the chest wall &

demonstrate its arterial supply

6- Demonstrate the anatomical structures that make up the

boundaries and folds of the axilla; which muscle contributes

to each wall; their attachments, nerve supply and action.

7- Identify the cords and branches of brachial plexus.




81

Practice (11): Axilla (2/2), Sternoclavicular & Acromioclavicular joints

Department: Anatomy



Summery:

The students see the articulations between the clavicle and

sternum and acromion. They well correlate between these joints

and the movements of the shoulder girdle.


1- Axillary artery & its major branches

2- Axillary vein

3- The sites of axillary group of lymph nodes

4- Components of sternoclavicular & acromioclavicular joints.



494.


82

Practice (12): Back & Scapular region

Department: Anatomy



Summery:

The students identify the bony landmarks of the back and the

scapular region. The muscles of the scapular region and the

back well be completely dissected and identified by the students.


1- Palpate the subcutaneous bony landmarks of the back

2- Identify: muscles of the back & scapular muscles, their

attachments, nerve supply & action

3- Locate the auscultation & lumbar triangles

4- Identify the long head of triceps & locate the quadrangular

space and identify its contents

5- Identify the arteries that contribute to anastomosis around the

shoulder joint




83

Practice (13): Radius, ulna & skeleton of the hand. Superficial veins &

cutaneous nerves of the upper limb

Department: Anatomy



Summery:

The students well known the features of the forearm and the

hand bones and the superficial veins and nerves of the upper

limb


1- General features of the radius & ulna

2- Subcutaneous bony parts at the elbow & wrist regions

3- Identify the bones of the hand

4- Main superficial veins of the upper limb; cephalic, basilic &

median cubital vein.

5- Main cutaneous nerves of the arm forearm & hand



519.


84

Practice (14): Arm & Cubital fossa Department: Anatomy



Summery:

The students dissect the arm and the cubital fossa to see the

muscles, vessels and nerves of these regions of the upper limb.

The relation between the brachial artery with its surroundings

well are seen clearly after the dissection.


1- Identify muscles of the arm, their attachments, nerve supply &

understand their actions

2- Identify the brachial artery & its major branches

3- Identify the spiral groove its contents

4- Identify the boundaries & contents of cubital fossa

5- Know the clinical importance of bicipital aponeurosis




85

Practice (15): Anterior compartment of the forearm Department: Anatomy



Summery:

The students well dissect the anterior compartment of the

forearm to see the muscles, blood vessels and nerves. The

students show the relations of the flexor retinaculum to know its

clinical importance.


1- Muscles of the anterior compartment of the forearm, their

attachments, nerve supply & understand their actions.

2- The radial & ulnar arteries & their major branches.

3- Flexor retinaculum and the structures passing superficial &

deep to it.

4- Anastomosis of the elbow joint


Lippincott Williams and Wilkins, 7th ed. Pages: 520 529.


86

Practice (16): Posterior compartment of forearm & dorsum of the hand Department: Anatomy



Summery:

The students well dissect the back of the forearm and identify

the muscles, blood vessels and nerves of this compartment. The

students expose the extensor retinaculum and identify the

compartments of it. The structures of the anatomical snuff box

and its contents and the superficial structures of the dorsum of

the hand well be seen by the students.


1- Muscles of the lateral & posterior compartments of the

forearm, their attachments, nerve supply & understand their

actions

2- Posterior interosseous nerve & vessels.

3- Extensor retinaculum, structures related to it

4- Extensor tendons & extensor expansion

5- Location of anatomical snuff box & identify its contents

6- Cutaneous nerves of the dorsum of the hand

7- Dorsal venous arch & dorsal interossei




87

Practice (17): The Palm Department: Anatomy



Summery:

The students well dissect the palm and determine the

muscle groups of the palm and the flexor retinaculum and

its relations.


1- Palmar aponeurosis

2- Thenar, hypothenar & adductor pollicis muscles

3- Superficial & deep palmar arterial arches

4- Lumbrical & interossei muscles & their attachments

5- Median & ulnar nerve

6- Attachments of flexor digitorum superficial & profundus

tendons.


Lippincott Williams and Wilkins, 7th ed. Pages: 537 – 548.


88

Practice (18): Joints, Surface Anatomy & Radiology of the upper limb Department: Anatomy



Summery:

The structures, surface and radiological anatomy of the joint of

the upper limbs well fully explained to the students.


1- Identify the components of the elbow, superior & inferior

radio ulnar, wrist joints of the hand

2- Understand the movements of each joint & know the muscles

that contribute to these movements

3- Palpate the bony subcutaneous landmarks of the upper limb

4- Mark the main arteries on the surface of the limb

5- Identify the bony structures in a normal radiograph

6- Be familiar with normal mammogram




89

Practice (19): Thoracic Cage, Thoracic Wall and Pleura Department: Anatomy

Lecturer: Staff Members


Summery:

The anatomical features of the bony thoracic cage well are studied

to the students. The students well dissect the thoracic wall and

identify the pleura and its recesses.


1- Bones of thoracic cage

2- The side of the rib, identify atypical ribs (1st, 2

nd and 12

th).

3- Joints of the thorax

4- Intercostal muscles, vessels and nerves

5- The pleural cavity and pleural recesses




90

Practice (20): The Lungs Department: Anatomy



Summery:

The students well have seen the anatomical position of the lungs

within the thoracic cage and their relations in situ. The side, lobes,

fissures and impressions of the lungs are well known to the

students.


1- The anatomical relationship of the lobes of the lungs and their

surface projections

2- The lobes and fissures of the lung after its removal

3- The impressions of adjacent structures in contact to the lung.

4- The pulmonary arteries, veins and bronchial tree

5- The bronchopulmonary segments by dissecting one lung for

demonstration




91

Practice (21): Major Blood Vessels of the Thorax Department: Anatomy



Summery:

The students dissect the main arteries and veins of the thorax.


1- Locate and describe the Aorta (ascending, arch and descending)

2- Locate and describe the pulmonary trunk

3- Locate and describe the superior and inferior venae cavae and

pulmonary veins.




92

Practice (22): Blood supply of the heart Department: Anatomy



Summery:

The students dissect the heart to show its blood vessels.


1- Locate and describe the coronary artery and branches

2- Locate and describe the coronary sinus.




93

Practice (23): Superior Mediastinum Department: Anatomy



Summery:

The students know the boundaries and the contents of the superior

mediastinum.


1- The position of the superior mediastinum

2- The boundaries and contents of the superior mediastinum

Clinical Anatomy for Medical Students; Richard S Snell, Lippincott

Williams and Wilkins, 7th ed. Pages: 82- 84; 128 – 133.


94

Practice (24): Posterior Mediastinum Department: Anatomy



Summery:

The students remove the heart and see the posterior relations to it.

The posterior mediastinum contains the esophagus, azygos, vagi,

thoracic ducts and descending aorta.


1- The boundaries of the posterior mediastinum

2- The contents of the posterior mediastinum


Williams and Wilkins, 7th ed. Pages: 82- 84; 132-134.


95

Practice (25): Surface Anatomy of the Thorax

Department: Anatomy



Summery:

The students know the surface making of the pleura, heart, and

valves of the heart and the sites of auscultation.


1- Surface anatomy of the pleura, lung, heart and valves

2- Sites of auscultation of the heart valves




96

Practice (26): Radiological Anatomy of the Thorax Department: Anatomy



Summery:

The students learn the radiological anatomy of the thoracic

contents. The students Know the radiological view, the sites and

name of the thoracic contents.

After this practical, student should be able to ;

1- Radiographic appearance of

- Plain x-ray, postero-anterior view

- Soft tissues

- Bony framework

- The Diaphragm

- The Trachea

- Boundaries of the mediastinum




97

Practice (27): The upper Gastrointestinal Tract and its glands Department: Anatomy



Summery:

The students know the anatomical parts of the upper G.I.T, liver.

Spleen and pancreas.

After this practical, student should be able to ;

1- Stomach and duodenum, and their relations and blood supply

2- Pancreas and spleen and their blood supply

3- Liver, gall bladder and biliary ducts


Lippincott Williams and Wilkins, 7th ed. Pages: 229 – 238; 261 –

279.


98

Practice (28): Lower part of the Gastrointestinal Tract and portal vein Department: Anatomy



Summery:

The students well show the intestine and learn how to

differentiate between the small and large intestine. Also, the

students know the portal vein and its tributaries.


1- Differences between small and large intestine.

2- Origin, termination and tributaries of portal vein


Lippincott Williams and Wilkins, 7th ed. Pages: 239 – 251


99

Practice (29): Kidneys, Ureters, Suprarenal glands Department: Anatomy



Summery:

The students show the kidney in its anatomical site and know

how differentiate between its side. The relations of the kidneys

and the suprarenal glands well clearly seen and the students well

know these relations.


1- Position of the kidney, its covering, structure and important

relations

2- Position, relations and blood supply of the ureter

3- Location, description of suprarenal gland and its blood supply




100

Practice (30): Posterior Abdominal Wall Department: Anatomy



Summery:

The students dissect the posterior abdominal wall of the cadavers

and show the blood vessels, nerves and lymphatics of the

posterior abdominal wall.


1- Fasciae, muscles of posterior abdominal wall

2- Vessels, lymphatics and nerves of posterior abdominal wall




101

Practice (31): Surface Anatomy of the Abdomen Department: Anatomy



Summery:

The students well learn surface anatomy of the abdominal viscera

including: the liver, gall bladder. Kidneys, Ureters and intestine


1- Surface anatomy of: liver, gall bladder, spleen and pancreas

2- Surface anatomy of stomach, duodenum, cecum, appendix,

ascending, transverse and descending colon

3- Surface anatomy of kidney, ureter, uterus and aorta


Lippincott Williams and Wilkins, 7th ed. Pages: 302 - 319.


102

Practice (32): Radiological Anatomy of the Abdomen Department: Anatomy



Summery:

The students well show the surface anatomy of the abdominal

viscera and organs including the liver, kidneys, pancreas and

spleen.


1- Radiographic studies for GIT, biliary ducts, urinary tract


Lippincott Williams and Wilkins, 7th ed. Pages: 302 - 319.


103

Practice (33): Perineum (urogenital triangle) Department: Anatomy



Summery:

The students dissect the perineum of the cadavers and show the

urogenital viscera.


1- The anatomy of the perineal region in both male and female

2- Dissect and identify parts of the penis and urethra.

3- Define the contents of superficial and deep perineal pouches

4- To outline the boundaries of urogenital

5- Identify external genitalia in both sexes




104

Practice (34): Perineum (Anal Triangle) Department: Anatomy



Summery:

The students dissect the anal triangle to show its contents. They

must concentrate on the parts of the anal canal and the contents of

ischiorectal fossa.

After this practical, student should be able to:

1- The anatomy of the perineal region in both male and female

2- To outline the boundaries of anal triangle

3- Examine the anal canal and identify its mucosal features

4- Examine the anatomy of the ischiorectal fossa and identify the

nerves and blood vessels that traverse the fossa




105

Practice (35): Male bony pelvis Department: Anatomy


Teaching Location: Dissection

Summery:

The students identify the general features and characters of the male

pelvis


1- The features that distinguish the male bony pelvis

2- Identify the important bony landmark used to define pelvic

boundaries, inlet and outlet


Williams and Wilkins, 7th ed. Pages: 330- 342.


106

Practice (36): Female Bony pelvis Department: Anatomy



Summery:

The students study the anatomical features and characters of the

female bony pelvis. Moreover, the students know the bony

landmarks of the pelvic inlet, cavity and outlet, the ligaments and

the joints of the female pelvis.


1- The features that distinguish female bony pelvis

2- Identify the important bony landmark used to define pelvic inlet,

outlet, true and false pelvis

3- Understand the dimensions of the normal adult female pelvis and

their clinical importance in delivery

4- Know the ligaments and joints of the pelvis




107

Practice (37): Muscles of the Pelvis Department: Anatomy



Summery:

The students dissect the pelvic wall and show the muscles of the

lateral wall and the pelvic diaphragm. Moreover, the students know

the structures pass through the pelvic diaphragm.


1- Muscles of the pelvis: levator ani, piriformis, obturator internus

and coccygeus

2- Structures and apertures of the pelvic diaphragm.




108

Practice (38): Vessels and Nerves of the Pelvis Department: Anatomy



Summery:

The students determine the branches of lumber and sacral plexuses;

the branches of internal iliac artery and the two divisions.

After this practical, student should be able to

1- The lumbar and sacral plexuses

2- Identify the branches of the internal iliac artery




109

Practice (39): Pelvic viscera in Male Department: Anatomy



Summery:

The students identify the peritoneal covering the male pelvic

viscera and the peritoneal pouches. The male pelvic viscera well

are dissected by the students to show their relations.


1- Identify and understand relation of the peritoneal fossae and

viscera in male

2- Identify the prostate, ductus deferens, seminal vesicle and

ejaculatory duct




110

Practice (40): Pelvic viscera in female Department: Anatomy



Summery:

The students identify the peritoneal covering of the pelvic

viscera and the peritoneal pouches. The students show the

normal position of the uterus. tubes and the ovaries


1- Identify and understand relation of the peritoneal fossae and

viscera in female pelvis

2- Identify the normal position of the uterus, parts of the uterine

tubes and ovarian fossa



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