PRIMARY HUMAN ANATOMY: BIOL20600 SPRING 2014

PRIMARY HUMAN ANATOMY: BIOL20600 SPRING 2014

Instructors:

Kit Muma

, Rm. 158 CNS, (607) 274-3610, [email protected]

Lectures: Tues. and Thurs. 9:25 - 10:40 am in Textor 102

Labs: Mon. 1:00 pm, Mon. 3:00 pm, Tues. 1:00 pm Wed. 10:00 am & 1:00 pm, Thurs. 1:00 pm, Fri. 10:00 am in 118 Willams Hall

Required Texts:

McKinley, M. and V. O’Loughlin. 2012. Human Anatomy 3rd

ed. McGraw-Hill

Anatomy and Physiology Revealed 3.0 available at bookstore or on-line at http://www.mhhe.com/sem/apr3/

Course Description:

This course is designed for students in the Occupational and Physical Therapy programs. We will begin by defining terminology and outlining the basic organization of the body. We will concentrate our discussion on the skeletal, muscular, nervous and cardiovascular systems. In the second half of the term we will focus on regional anatomy. In the laboratory we will study the bones and major muscles of the body. We will adopt a hands-on approach using skeletons and muscle patterns to learn actions, attachments and nerve supplies. Surface anatomy will be highlighted. The laboratory component includes extensive use of a cadaver dissection computer program. The cat will be used in the second half of the term as a model for teaching good dissection techniques.

Learning Objectives:

1. Name the main bones and landmarks on the axial and appendicular skeletons 2. Identify and state the attachments, nerve supply and actions of key muscles

3. Learn the components of the somatic and autonomic nervous systems including pathways for sympathetic and parasympathetic innervation

4. Follow the blood supply through the heart and major vessels of the body

5. Gain an appreciation for the complexity of the human body and be prepared for future clinical courses

Evaluation of Learning:

LECTURE: Tests (3 X 10%) 30% LABORATORY: Lab quizzes 25%

On-line Assessments 5% Lab final 10%

Final Exam 30%

Course Policies:

Attendance: The undergraduate handbook states the general policy that students are expected to attend classes and that they are responsible for all material even when absent. Both lecture and laboratory are integral and essential parts of the course. If for a valid reason, you cannot attend your scheduled lab section, you must contact your lab instructor and make it up in another section during that week. Un-excused absences from the laboratory, early exit from labs or conspicuous absences from lecture and you will be dropped from the course.

Standards of Academic Conduct: These are outlined clearly in the student handbook:

“Academic honesty is a cornerstone of the mission of the College”. Please familiarize yourself with the definition of plagiarism. Academic dishonesty can lead to a zero grade on that

assignment, a failing grade in the course, academic code probation, suspension or expulsion from the College depending on the gravity of the violation and the decision of the judicial board. Students with Disabilities: In compliance with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act, reasonable accommodation will be provided to students with documented disabilities on a case-by-case basis. Students must register with the Office of Academic Support Services (607-274-1005, TDD 607-274-7319, [email protected]) and schedule an appointment with their instructors as soon as possible to discuss their needs. Mental Health: Diminished mental health (stress, depression) can interfere with academic performance. Through the office of Counseling and Psychological Services (CAPS), cost-free support can be obtained when personal issues threaten your well-being. In the event I suspect you might benefit from support, I will express my concerns and remind you of resources (e.g., CAPS, Health Center, Chaplains) that might be of help to you.

Dissection Policy: If a student has a compelling reason for not performing the cat dissections (ethical, religious, medical) they may request an exemption and alternate assignment. Exact reasons for the request must be submitted in writing within the first 2 weeks of classes. Lecture and Laboratory Tests and Assessments: Tests are given during the lecture period scheduled and will be based on previous lectures, readings and muscles. The final exam will be held in the Hill Center Gym and is cumulative with an emphasis on regional anatomy. Lab tests will be given during the first 15 minutes of the lab periods. The final lab test is a comprehensive practical exam which includes the cat dissection and human anatomy. On-line “Sakai”

assessments will relate to each lecture and are due one week after being posted.

Missed tests: A test (lecture or lab) missed during an un-excused absence will result in a zero grade for that test. For an unexpected absence (illness, family crisis, accident), you must inform me before the test if at all possible. You can call my voice mail (607-274-3610) and leave a message, email a message ([email protected]) or contact the Biology office (607-274-3161). Such notification does not guarantee my accepting your reason for absence, but failing to notify me guarantees you will not be excused. Oversleeping does not constitute a valid excuse.

Course Evaluations: Student input is highly valued by the Biology department and is important to maintaining high quality instruction. We recommend you evaluate your instructors on-line

PRIMARY HUMAN ANATOMY: BIOL20600 SPRING 2014

TENTATIVE LECTURE SCHEDULE

Chapters and page numbers refer to McKinley and O’Loughlin “Human Anatomy” 3rd ed. Week 1 - Tues. Jan. 21

1. Course description, Learning objectives, Course policies, Schedule

 Introduction to Anatomic Terminology - Chapter 1, pp. 11-14, 18-19  Significance of anatomic position

 Description of anatomic planes and directional terms  Human body regions

 Clinical View – Medical imaging

 First “Sakai Assessment” on-line based on review questions on p. 21 Thurs. Jan. 23

2. Introduction to the study of Muscles - Chapter 10 p. 292, 311, Table 10.8, Chapter 9 p. 260, Table 9.2, pp. 261-264

 Attachments – Description of insertion and origin  Actions – Movements of synovial joints

 Nerve supply – naming of cranial and spinal nerves  Naming of Skeletal Muscles

 Clinical View - Tendonitis

 Muscle of the Day – Sternocleidomastoid m. – attachments, actions, nerve supply Week 2 - Tues. Jan. 28

3. Bone and Cartilage Connective Tissues - Chapter 6 pp. 147-162, 165-166  Distribution of cartilage

 Classification and anatomy of bones  Anatomy of a long bone

 Comparison of Compact and Spongy bone

 Ossification – Intramembranous and Endochondral  Clinical View – Osteitis Deformans, Fractures  Muscle of the Day – Stylohyoid m.

Thurs. Jan. 30

4. Articulations - Chapter 9 pp. 253-260, selected jts. Tables 9.3, 9.4, 9.5  Relationship between joint mobility and stability

 Structural and Functional classification of joints  Fibrous joints

 Cartilaginous joints  Synovial joints

 Clinical View – “Cracking Knuckles”  Muscle of the Day – Sternohyoid m.

Week 3 - Tues. Feb. 4

5. Muscles of Facial Expression – Chapter 11 pp. 323-330  Superficial muscles of facial expression

 Frontalis and occipitalis mm.

 Orbicularis oculi and orbicularis oris mm.  Buccinator, zygomaticus major and minor mm.  Mentalis and levator labii superioris mm.  Platysma m.

 Clinical View - Idiopathic Facial Nerve Paralysis

 Surface anatomy of some muscles of facial expression (p. 330, Fig. 11.3)  Muscle of the Day – Posterior scalene m.

Thurs. Feb. 6

6. Muscles of Mastication and Extra-ocular muscles – Chapter 11 pp. 331-333

 Muscles of mastication – masseter, temporalis, medial and lateral pterygoid mm.  Temporomandibular joint (TMJ) – pp. 265-266, Figure 9.12

 Clinical View – TMJ dysfunction - p. 267  Extrinsic muscles of the eye

 Clinical View - Strabismus

 Muscle of the Day – Serratus anterior m.

Week 4 - Tues. Feb 11: Review for Test #1

Thurs. Feb. 13: TEST # 1 – Lectures 1 - 6 + muscles to serratus anterior. Know location, actions, origin, insertion and nerve supply for:

sternocleidomastoid m., stylohyoid m., sternohyoid m., temporalis m., masseter m., scalene mm. (ant., post, middle), serratus anterior m.

Week 5 - Tues. Feb. 18

7. Heart and Coronary Circulation - Chapter 22 pp. 657-668, 672-677  Overview of cardiovascular system

 Anatomy of the heart  Coronary circulation

 Clinical View – Angina pectoris  Autonomic innervation of the heart  Blood flow through the heart

Thurs. Feb. 20

8. Vessels and Circulation - Chapter 23 pp. 684-691  Anatomy of blood vessels

 Structure of arteries, capillaries and veins

 Clinical View – Varicose veins and deep vein thrombosis  Systemic circulation – major blood vessels (Fig. 23.9)  Lymphatic trunks and ducts - Chapter 24 pp. 725-729  Clinical View - Lymphedema

 Muscle of the Day – Deltoid m. Week 6 - Tues. Feb. 25

9. Spinal Cord and Spinal Nerves - Chapter 16 pp. 487-496, 510-513  Gross anatomy of the spinal cord and meninges

 Clinical View – Lumbar puncture  Sectional anatomy of the spinal cord  Spinal nerves and Dermatomes  Clinical View – Shingles  Reflexes and reflex testing

 Muscle of the Day – Teres major m. Thurs. Feb. 27

10. Cervical and Brachial Plexuses - Chapter 16 pp. 496-503  Cervical plexuses

 Brachial plexuses

 Branches of the brachial plexus

 Clinical View – Brachial plexus injuries  Muscle of the Day – Coracobrachialis m. Week 7 – Tues. March 4: Review for Test #2

Thurs. March 6: TEST # 2 on Lectures 7-10 + muscles:

Rhomboid major m., Pectoralis major m., Pectoralis minor m., Latissimus dorsi m., Deltoid m., Trapezius m., Levator scapula m., Teres major m., Coracobrachialis m., Supraspinatus m., Infraspinatus m., Teres minor m., Subscapularis m.

March 10 – 14 SPRING BREAK – Enjoy  Week 8 – Tues. March 18

11. Joints of the Back and Upper Extremity - Chapter 9 pp. 266-274  Intervertebral articulations

 Sternoclavicular and Acromioclavicular joints  Clinical View – Shoulder separation

 Glenohumeral joint and

 Clinical View - Dislocation of the glenohumeral joint  Elbow joint

 Clinical view – Arthritis p. 283

Thurs. March 20

12. Joints of the Pelvis and Lower Extremity - Chapter 9 pp. 274-282  Hip (coxal) joint

 Clinical View – Fracture of the femoral neck  Knee joint

 Clinical View – Knee ligament injuries  Clinical View – Ankle injuries

 Muscle of the Day – Supinator m.

Week 9 - Tues. March 25

13. Cranial nerves - Chapter 15 pp. 473-481

 Primary functions of the twelve cranial nerves

 CN I –XII – description, function(s), origin, conditions caused by nerve damage  Muscles of the Day – Pronator teres mm.

Thurs. March 27

14. Autonomic Nervous System - Chapter 18 pp. 540-547

 Comparison of Somatic and Autonomic Nervous systems  Overview of ANS

 Parasympathetic division – cranial nerves  Parasympathetic division – sacral spinal nerves

 Effects and general functions of parasympathetic nervous system  Muscle of the Day – Flexor digitorum superficialis m.

Week 10 – Tues. April 1

15. ANS – Sympathetic Division - Chapter 18 pp. 547-553

 Organization and anatomy of the sympathetic nervous system  Sympathetic pathways

 Effects and general functions of sympathetic nervous system  Clinical View – Horner syndrome

 Autonomic plexuses and reflexes  Dual innervation

 Muscle of the Day – Extensor digitorum m.

Thurs. April 3 - Review for Test #3

Week 11 – Tues. April 8: TEST #3 - Lectures 11-15 + muscles

Brachioradialis m., Biceps brachii m., Brachialis m., Triceps brachii m., Pronator teres m., Supinator m., Flexor carpi radialis m., Flexor carpi ulnaris m., Flexor digitorum superficialis m., Extensor digitorum m., Extensor carpi radialis longus m., Extensor carpi ulnaris m., Biceps femoris m., Semitendinosus m. Semimembranosus m.

Thurs. April 10

16. Regional Anatomy – Upper Extremity

 Surface anatomy of shoulder and upper limb (pp. 405-407)  Arteries and Veins of the upper limb (pp. 705-709)

 Nerves of the upper limb (p. 499)

 Clinical View – Carpal tunnel syndrome (p. 370)  Intrinsic muscles of the hand (pp. 374-375, Fig. 12.14)  Clinical View – Anatomic snuffbox (p. 371)

 Muscles of the Day – Psoas major and Iliacus mm. (Iliopsoas m.)

Week 12 - Tues. April 15

17. Regional Anatomy – Head and Neck

 Surface anatomy of the head and neck + triangles (pp. 398-400, Fig. 13.2)  Clinical View – Tracheotomy

 Suprahyoid and infrahyoid muscles (pp. 335-337)

 Arteries and veins of the brain – cerebral arterial circle (p. 693, Fig. 23.11)  Major nerves of the head and neck

 Muscle of the Day – Gluteus medius and Gluteus maximus mm. Thurs. April 17

18. Regional Anatomy - Thorax

 Surface anatomy of the thorax (pp. 401-402)  Clinical View – Surface anatomy and CPR

 Circulation: Aorta and branches and Azygos system (pp. 697–699, Figs. 23.12, 23.13, 23.14)

 Intercostal nerves (p. 496) and Muscles of respiration (pp. 343-345, Table 11.9)  Clinical View – Paralysis of the diaphragm (p. 343)

 Muscle of the Day – Adductor longus m. Week 13 - Tues. April 22

19. Regional Anatomy: Back

 Surface anatomy of the back (pp. 403-404)

 Muscles of the vertebral column (pp. 340-343, Table 11.8)  Erector Spinae group

 Transversospinalis group

 Muscle of the day – Adductor magnus m. Thurs. April 24

20. Regional Anatomy: Abdomen and Pelvis

 Surface anatomy of the abdomen and pelvis (p. 403)  Muscles of the abdominal wall (pp. 345-347, Table 11.10)  Clinical View – Testing for inguinal hernias (p. 403)  Muscles of the pelvic floor (pp. 348-351)

 Clinical View - Episiotomy (p. 350)  Muscle of the Day – External oblique m.

Week 14 - Tues. April 29

21. Regional Anatomy – Lower Extremity

 Surface anatomy of the lower limb (pp. 408-411)

 Clinical View – Gluteal intramuscular injections (p. 408)  Clinical View – Compartment syndrome (p. 391)

 Arteries and Veins of the lower limb (pp. 709-712)  Nerves of the lower limb (pp.503-509)

 Intrinsic muscles of the foot (pp. 391-393)

 Muscle of the Day – Extensor digitorum longus m. Thurs. May 1 – Review for Final Exam

Thursday May 8th from 10:30 am -1:00 pm - FINAL EXAM (Hill Center Gym) Cumulative test with emphasis on lectures 16-21 + muscles:

Gluteus medius m., Gluteus maximus m., Psoas major m., Tensor fasciae latae m., Sartorius m., Gracilis m., Iliacus m., Adductor longus m., Rectus femoris m., Vastus lateralis m., Vastus medialis m., Vastus intermedius m., Adductor magnus m., External oblique m., Tibialis anterior m., Gastrocnemius m., Soleus m., Extensor digitorum longus m.

Acceptable Abbreviations for Lecture and Lab Tests: Artery = a. Arteries = aa.

Vein = v. Veins = vv. Nerve = n. Nerves =nn. Muscle = m. Muscles = mm. Ligament = lig. Ligaments = ligs. Joint = jt. Joints = jts. Anterior = ant. Posterior = post. Medial = med. Lateral = lat. Inferior = inf. Superior = sup. Superficial = superf. Proximal = prox. Major = maj. Minor = min. *Flexion = flex. Extension = ext. *Abduction = abd. Adduction = add.

PRIMARY HUMAN ANATOMY: BIOL20600 SPRING 2014

LABORATORY SCHEDULE

Lab Week

Bones / Dissection Muscles Quiz

1 Jan. 20

Take–home Assignment: “The Skeleton” – No lab meeting 2

Jan. 27

Skull – part I – Bones and landmarks Muscles of mastication

Quiz 1 on Take-home Assignment

3 Feb. 3

Thorax and Vertebral Column Neck muscles Quiz 2

4 Feb.10

Pectoral Girdle and Humerus Pectoral mm. Quiz 3

5 Feb. 17

Forearm and Hand Extrinsic

Scapular mm.

Quiz 4

6 Feb. 24

Pelvic Girdle Rotator cuff mm. Quiz 5

7 March 3

Femur, Leg and Foot Arm mm. Quiz 6

March 10 *SPRING BREAK – no lab 8

March 17

Skull - part II – Foramina (holes) Ant. Forearm mm.

Quiz 7

9

March 24

Cat Dissection - Skin Post. Forearm mm.

Quiz 8

10

March 31

Cat Dissection - Neck + Upper Extremity

Hamstring mm. Quiz 9

11 April 7

Cat Dissection - Lower Extremity Lateral and medial thigh mm.

Quiz 10

12 April 14

Cat Dissection – Viscera, vessels and nerves

Quadriceps mm. Quiz 11

13 April 21

Review Leg mm. Quiz 12

14 April 28

MUSCLE ASSIGNMENTS LISTED BY WEEK

 You are responsible for the identification (diagram), function (actions), origin and insertion and innervations (nerve supply) for the following muscles as listed in the lab packet and on the master muscle table.

 The muscles presented during lab will be tested on weekly lab quizzes. ALL muscles will be on the lecture tests.

 I recommend that you make flash cards and concentrate on one muscle a day. There are on average 4-5 muscles to learn per week. During some labs will have more than 2 muscles if the muscles form a clear group such as the rotator cuff mm. in lab 6, the hamstring mm. in lab 10 and the quadriceps mm. in lab 12.

Week

Lecture Muscles

Lab Muscles

1 Sternocleidomastoid m. No lab session

2 Stylohyoid m., Sternohyoid m. Temporalis m., Masseter m. 3 Posterior Scalene m., Serratus

anterior m.

Anterior and Middle Scalene mm.

4 No new muscles Pectoralis major and minor mm.

5 Rhomboid major m., Latissimus dorsi m., Deltoid m.

Trapezius m., Levator scapula m.

6 Teres major m., Coracobrachialis m. Rotator cuff mm. (Supraspinatus m. Infraspinatus m., Teres minor m., Subscapularis m.)

7 No new muscles Biceps brachii m., Brachialis m., Triceps brachii m.

8 Brachioradialis m., Supinator m. Flexor carpi radialis m., Flexor carpi ulnaris m. 9 Pronator teres m., Flexor digitorum

superficialis m.

Extensor carpi radialis longus m., Extensor carpi ulnaris m.

10 Extensor digitorum m. Hamstring mm. (Biceps femoris m.,

Semimembranosus m., Semitendinosus m.) 11 Psoas major m., Iliacus m., Tensor fasciae latae m., Sartorius m., Gracilis

m. 12 Gluteus maximus m., Gluteus medius

m., Adductor longus m.

Quadriceps femoris group (Rectus femoris m., Vastus lateralis m., Vastus medialis m., Vastus intermedius m.)

13 Adductor magnus m. , External oblique m.

Tibialis anterior m., Gastrocnemius m., Soleus m.