UNIVERSITY OF NAIROBI DEPARTMENT OF HUMAN ANATOMY MMED/MDS Teaching Schedule 2014/2015 LOWER LIMB ANATOMY; BASIC HISTOLOGY & EMBRYOLOGY (WEEKS 3-6)

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1 LOWER LIMB ANATOMY; BASIC HISTOLOGY & EMBRYOLOGY (WEEKS 3-6) Monday 2:00pm 6:00pm.Introduction to Dept Human Anatomy: Learning objectives, concept of surgical anatomy, the journal club, teaching responsibilities and general discipline Dissection: Gluteal region A Computer lab Gross Anatomy Lab Tuesday 11:00am 1:00pm Dissection: Gluteal region A Gross Anatomy Lab All Prof Siadi, Dr. Kaisha et al. All 2:00pm 6:00pm Dissection: Back of the thigh & popliteal fossa A Gross Anatomy Lab All Wednesday 11:00am 1:00pm Dissection: Gluteal region B Gross Anatomy Lab All 2:00pm 6:00pm Dissection: Gluteal region B Gross Anatomy Lab All WEEK 3 6 th 10 th Oct Thursday 8:00am 11am Gluteal region, femoral triangle and anatomical considerations in Computer lab Dr. Awori surgical approaches to the hip 2:00pm 6:00pm Dissection: Back of the thigh & popliteal fossa B Gross Anatomy Lab All Friday 8:00am 10:30am Early development: 1 st and 2 nd weeks of development and implantation All MH-2 Dr. Gichangi 11:00am 1:00pm Clinical Anatomy of gluteal region, back of the thigh and popliteal fossa All MH-2 Dr. Gikenye Describe the organization of gluteal & hamstring muscles including attachments innervation & blood supply and their role in posture & gait, the structures contained in the sciatic foramina. State the boundaries and contents of the popliteal fossa, arterial anastomoses in the thigh Describe the structure & function of the cell membrane & membranous organelles, the nucleus & cytoskeleton and be familiar with a few examples of disorders associated with these structures. Describe the process of cleavage, implantation and the development of the early embryo Page 1 of 13

2 Monday 2:00pm 6:00pm Dissection: Femoral triangle A Gross Anatomy Lab All Tuesday 11:00am 1:00pm Dissection: Antero-medial thigh A Gross Anatomy Lab All 2:00pm 6:00pm Dissection: The Hip joint A Gross Anatomy Lab All Wednesday 11:00am 1:00pm Dissection: Femoral triangle B Gross Anatomy Lab All 2:00pm 6:00pm Dissection: Antero-medial thigh B Gross Anatomy Lab All Thursday 8:00am 10:00am Cytology II: Cell functional specialization All MH-2 Dr. Olabu WEEK 4 13 th 17 th Oct 10:00am 1:00pm Structure and biomechanics of the femur and anatomical considerations in surgical approaches to the femur 2:00pm 6:00pm Dissection: The Hip joint B Gross Anatomy Lab All Dr. Kigera Friday 8:00am 10:00am 3 rd week of development; derivatives of germ layers and Neurulation All MH-2 Dr. Gichangi 10:30am 1:00pm Tutorials All MH-2/Dept. Labs All 2:00pm 5:00pm Clinical Anatomy of the hip and antero-medial thigh All MH-2 Dr. Kigera Describe the topographic organization of the thigh and hip joint and be familiar with clinical aspects of this region including femoral hernias and other swellings in femoral triangle, the adductor canal, hip joint dislocation. Cell functional specialization and its relevance in histological tissue identification. Describe the process of neurulation& gastrulation. Differentiate between primary and secondary neurulation and name the various neural tube disorders and state their embryological basis. State the derivatives of the three germ layers and disorders of gastrulation. Page 2 of 13

3 Monday 2:00pm 6:00pm PUBLIC HOLIDAY Tuesday 11:00am 1:00pm Dissection: Knee Joint; Anterior Leg and Dorsum of the foot A Gross Anatomy Lab All 2:00pm 6:00pm Dissection: Peroneal and Flexor Compartments of the leg A Gross Anatomy Lab All Wednesday 11:00am 1:00pm Dissection: Knee Joint B Gross Anatomy Lab All 2:00pm 6:00pm Dissection: Anterior Leg and Dorsum of the foot B Gross Anatomy Lab All 8:30am 11:00am The Knee and hip joints: organization, stability, biomechanics, blood supply and innervation and how all these influence surgical approaches and surgery of joint replacement Dr. Awori WEEK 5 20 th 24 th Oct 11:30am 1:00pm Practical: Organization of lining and glandular epithelia Group 3 Histology Lab Dr. Ndung u 2:00pm 6:00pm Dissection: Peroneal and Flexor Compartments of the leg B Gross Anatomy Lab All Friday 8:00am 10:30am Fetal membranes; Placenta and Multiple gestation All MH-2 Prof. Saidi 10:30am 1:00pm Clinical anatomy of the knee, leg, ankle & foot All MH-2 Dr. Odula 2:00pm 5:00pm Review of lower limb neurovascular anatomy All MH-2 Dr. Gikenye Describe the organization of the knee, leg and foot. Be familiar with clinical aspects of these areas including knee & ankle instability, meniscal blood supply, compartment syndromes, nerve entrapment syndromes, venous insufficiency etc. Describe characteristics of epithelial tissue and types of lining and glandular epithelia Know the various fetal membranes including amnion, yolk sac, allantois and chorion and clinical abnormalities related to their disruption or abnormal fate including amniotic band syndrome, vitelline disorders, urachal disorders, gestational trophoblastic disease. Familiarize yourself with the causation of multiple gestation and organization of gestational sacs in these. Page 3 of 13

4 Monday 2:00pm 6:00pm Dissection: The ankle joint and the tarsal tunnel A Gross Anatomy Lab All Tuesday 11:00am 1:00pm Dissection: Plantar aspect of the foot A Gross Anatomy Lab All 2:00pm 6:00pm Review of Lower limb anatomy (Group Discussions) A Gross Anatomy Lab All Wednesday 11:00am 1:00pm Dissection: The ankle joint and the tarsal tunnel B Gross Anatomy Lab All 2:00pm 6:00pm Dissection: Planter aspect of the foot B Gross Anatomy Lab All WEEK 6 27 th 31 st Oct Thursday 8:00am 11:00am Structure and biomechanics of the tibia and fibula, and anatomical considerations in surgical approaches to these bones and surgery of compartment syndrome. The foot and ankle: stability of ankle joint, blood supply and its significance in trauma and surgery of the ankle; foot arches, and the anatomical considerations in surgery of disorders such as club foot, pesplanus, hallux valgus Dr. Gikenye Dr. Kigera 11:30am 1:00pm Practical: Organization of connective tissue I: CT proper & adipose tissue Group 3 Histology Lab Dr. Butt 2:00pm 6:00pm Review of Lower limb anatomy (Group Discussions) B Gross Anatomy Lab All Friday 8:00am 10:00am Fetal growth: Assessment of growth and factors influencing this. MH-2 Prof. Ogeng o Principles of teratology All 10:00am 1:00pm Tutorials All MH-2/Anat. Labs All 2:00pm 5:00pm Progress Assessment Test 2 A MH-2 Dr. Ongeti 2:00pm 5:00pm Progress Assessment Test 2 B Histology Lab Dr. Ongeti Describe the general organization of connective tissue and then focus on structure & functions the components of connective tissue proper (fibrous connective tissue) & of adipose tissue. Familiarize yourself with disorders of fibrous connective tissue such as scurvy & those of adipose tissue. Describe the factors influencing fetal growth, assessment of fetal size/gestational age. Be familiar with causation and mechanisms for the various congenital malformations Page 4 of 13

5 UPPER LIMB ANATOMY; BASIC TISSUES AND SKIN (WEEKS 7-10) Monday 2:00pm 6:00pm Dissection: The back A Gross Anatomy Lab All Tuesday 11:00am 1:00pm Dissection: Pectoral region and Mammary gland A Gross Anatomy Lab All 2:00pm 6:00pm Dissection: The Axilla & brachial plexus A Gross Anatomy Lab All Wednesday 11:00am 1:00pm Dissection: The back B Gross Anatomy Lab All 2:00pm 6:00pm Dissection: Pectoral region and Mammary gland B Gross Anatomy Lab All Thursday 8:00am 11:00am Surgical anatomy of the breast and axillary dissection Dr. Ndung u WEEK 7 3 rd 7 th Nov 11:30am 1:00pm Practical: Organization connective tissue II: Cartilage & bone Group 3 Histology Lab Dr. Kigera 2:00pm 6:00pm Dissection: The Axilla & brachial plexus B Gross Anatomy Lab All Friday 8:00am 10:30am Development of connective tissue: Embryonic (mesenchyme) & fibrous MH-2 Prof. Malek connective tissue; cartilage and bone All 11:00am 1:00pm Clinical Anatomy of the back & axilla All MH-2 Dr. Kaisha 2:00pm 5:00pm Clinical anatomy of the pectoral region & the breast All MH-2 Dr. Ndung u Describe the organization & clinical aspects of the pectoral muscles including attachment, innervation & their actions; the extent, blood supply & lymphatic drainage of the adult female breast; erector spinae& scapula muscles. Describe the formation, location & distribution of the brachial plexus including its common disorders and the boundaries & contents of the axilla. Describe the development of fibrous connective tissue, bone & cartilage including the basis of common anomalies of these tissues and the histological organization of bone & cartilage including basis for their common disorders such as osteogenesisimperfecta, dysplasias and of the epiphyseal plate Page 5 of 13

6 Monday 2:00pm 6:00pm Tagged revisions: Gross Anatomy and Embryology A Gross Anatomy Lab Dr. Olabu et. al. Tuesday 11:00am 1:00pm Review of Histology A Histology Lab Dr. Olabu et. al 2:00pm 6:00pm Self-study A Wednesday 11:00am 1:00pm Tagged revisions: Gross Anatomy and Embryology B Gross Anatomy Lab Dr. Olabu et. al WEEK 8 10 th 14 th Nov 2:00pm 6:00pm Review of Histology B Histology Lab Dr. Olabu et. al Thursday 8:00am 10:00am Self-study Group 1 10:30am 12:30pm Self-study Group 2 2:00pm 6:00pm Self-study B Friday 8:00am 10:00am Anatomy Labs All 10:00am 12:00pm MID-SEMESTER 1 EXAMINATIONS: PRACTICAL (MARATHON) EXAM Anatomy Labs All Page 6 of 13

7 Monday 2:00pm 6:00pm Dissection: Gleno-humeral, acromioclavicular&sternoclavicular joints A Gross Anatomy Lab All Tuesday 11:00am 1:00pm Dissection: Arm & elbow region A Gross Anatomy Lab All 2:00pm 6:00pm Dissection: Extensor compartment of the forearm A Gross Anatomy Lab All Wednesday 11:00am 1:00pm Dissection: Gleno-humeral, acromioclavicular&sternoclavicular joints B Gross Anatomy Lab All 2:00pm 6:00pm Dissection: Arm & elbow region B Gross Anatomy Lab All WEEK 9 17 th 21 st Nov Thursday 8.00 am am Surgical anatomy of shoulder joint complex, shoulder instability and approaches Dr. Gikenye 11:30am 1:00pm Practical: Organization of skin &its appendages Group 3 Histology Lab Dr. Mandela 2:00pm 6:00pm Dissection: Extensor compartment of the forearm B Gross Anatomy Lab All Friday 8:00am 10:00am Development of the skin and its appendages All MH-2 Prof. Malek/ Dr. Olabu 10:00am 1:00pm Clinical anatomy of the shoulder and elbow joints All MH-2 Dr. Kigera 2:00pm 5:00pm Review of Mid-semester 1 exam and students feedback All MH-2 Dr. Olabu (Everyone must have their exam script) Describe the organization of the shoulder joint complex, the arm and extensor forearm and the elbow joint. For each joint, state its static & dynamic stabilizers, blood supply & common directions of dislocation. Describe the development & histological organization of the skin & its appendages; include common disorders of these structures Page 7 of 13

8 Monday 2:00pm 6:00pm Dissection: Flexor compartments of the forearm A Gross Anatomy Lab All Tuesday 11:00am 1:00pm Dissection: Radio-ulnar joints and wrist region A Gross Anatomy Lab All 2:00pm 6:00pm Dissection: The Hand A Gross Anatomy Lab All Wednesday 11:00am 1:00pm Dissection: Flexor compartments of the forearm B Gross Anatomy Lab All 2:00pm 6:00pm Dissection: Radio-ulnar joints and wrist region B Gross Anatomy Lab All Thursday am Surgical anatomy of arm and forearm, nerve injuries, approaches etc. Dr. Awori WEEK th 28 th Nov Surgical anatomy of hand, approaches, compartments, nerve entrapments Dr. Kigera etc 11:30am 1:00pm Practical: Organization of propulsion tissue Group 3 Histology Lab Dr. Odula 2:00pm 6:00pm Dissection: The Hand B Gross Anatomy Lab All Friday 8:00am 10:00am Development of muscles and limbs All MH-2 Dr. Awori 10:00am 1:00pm Clinical Anatomy of the forearm, wrist and hand All MH-2 Dr. Ongeti 2:00pm 5:00pm Progress Assessment Test 3 A MH-2 Dr. Mwachaka 2:00pm 5:00pm Progress Assessment Test 3 B Histology Lab Dr. Mwachaka Describe the organization of the flexor muscles of the forearm, the radio-ulna & radio-carpal articulations and the hand. Describe the development & histological organization of muscle. State the steps in the process of limb development and the basis for common congenital anomalies of the muscles & limbs such as torticollis, club foot, amelia, phocomelia Page 8 of 13

9 NEUROANATOMY (WEEKS 11-14) Monday 2:00pm 6:00pm Dissection: The scalp A Gross Anatomy Lab All Tuesday 11:00am 1:00pm Dissection: The skull and cranial cavity A Gross Anatomy Lab All 2:00pm 6:00pm Dissection: The axilla and brachial plexus A Gross Anatomy Lab All Wednesday 11:00am 1:00pm Dissection: The scalp B Gross Anatomy Lab All 2:00pm 6:00pm Dissection: The skull and cranial cavity B Gross Anatomy Lab All WEEK 11 1 st 5 th Dec Thursday 8:00am 9:30am Craniotomies: Fronto-temporal approach, Middle fossa approach, transpetrosal approach, posterior fossa, Cranio-orbital and orbito-zygomatic approaches Computer lab Dr. Wekesa 9:30am 11:00am Craniotomies/ approaches: Sylvian fissure anatomy and transsylvian approach, Computer Lab Dr. Wekesa Transbasal and transsphenoidal approach, Interhemispheric approach. Lobectomies: Frontal, occipital, temporal lobectomy 11:30am 1:00pm Practical: Organization of the Nervous tissue Group 3 Histology Lab Dr. Mwachaka 2:00pm 6:00pm Dissection: The vertebral canal and spinal cord B Gross Anatomy Lab All Friday 8:00am 10:30am Development of the skull, spine and chest wall All MH-2 Prof. Malek 11:00am 1:00pm Clinical anatomy of scalp, cranial cavity & vertebral canal All MH-2 Dr. Butt 2:00pm 5:00pm Introduction to Neuroanatomy: Outline, scope and expectations All MH-2 Dr. Olabu Describe the organization of the scalp including clinical & histological layers, the cranial cavity & vertebral canal including meninges. Be familiar with the clinical significance of pterion. Describe the structure and state the functions of the neurons and neuroglia. Develop the axial skeleton and state the basis of common anomalies associated with the development of this skeleton such as scoliosis & kyphosis, pectuscarinatum&escavatum, cervical rib etc Describe the surgical anatomy of the area given using a prototype operation as guided by Lecturer in charge Page 9 of 13

10 Monday 2:00pm 6:00pm Dissection: Cerebral topography and functional areas A Gross Anatomy Lab All Tuesday 11:00am 1:00pm Dissection: Base of the brain, brainstem and cranial nerves A Gross Anatomy Lab All 2:00pm 6:00pm Dissection: Medial surface of the brain & the blood supply of the brain A Gross Anatomy Lab All Wednesday 11:00am 1:00pm Dissection: Cerebral topography and functional areas B Gross Anatomy Lab All 2:00pm 6:00pm Dissection: Base of the brain, brainstem and cranial nerves B Gross Anatomy Lab All Thursday 8:00am 9:30am Posterior third ventricle and pineal region. Herniation syndromes. Computer Lab Dr. Kiboi WEEK 12 8 th 12 th Dec 9:30am 11:00am Approaches: Carvenous sinus anatomy and surgical approach to cavernous, Pre-auricular subtemporal-infratemporal approach Computer Lab 11:30am 1:00pm Practical: Organization of the Brainstem, spinal cord, ganglia & peripheral Histology Lab Dr. Mwachaka nerve Group 3 2:00pm 6:00pm Dissection: Medial surface of the brain & the blood supply of the brain B Gross Anatomy Lab All Friday PUBLIC HOLIDAY Describe the topography of the cerebrum including the superior & medial surfaces & the base. Identify the functional areas and their blood supply. Be familiar with the arterial branches from the carotid &vertebro-basilar systems. Be able to tell the sites of the Rexedlaminae and brainstem nuclei and the major tracts in the spinal cord & brainstem, and relate these to spinal cord & brainstem syndromes. Develop the brainstem & spinal cord; be familiar with the concept of secondary neurulation. Remember common anomalies including spinal dysraphism Describe the surgical anatomy of the area given using a prototype operation as guided by Lecturer in charge Page 10 of 13

11 Monday 2:00pm 6:00pm Dissection: Diencephalon and ventricular system A Gross Anatomy Lab All Tuesday 11:00am 1:00pm Dissection: Cerebellum and basal ganglia A Gross Anatomy Lab All 2:00pm 6:00pm Dissection: The limbic system A Gross Anatomy Lab All Wednesday 11:00am 1:00pm Dissection: Diencephalon and ventricular system B Gross Anatomy Lab All 2:00pm 6:00pm Dissection: : Cerebellum and basal ganglia B Gross Anatomy Lab All Thursday 8:30am 9:30am Retrosigmoid craniotomy, Midline and paramedian sub-occipital approaches Computer Lab Dr. Kitunguu WEEK th 19 th Dec 9:30am 11:00am Vascular: Anterior communicating complex and Huebner s artery, Cerebral vascular territories, Neurovascular compression syndromes Computer Lab Dr. Kitunguu 11:30am 1:00pm Practical: Organization of the cerebrum & the cerebellum Group 3 Histology Lab Dr. Butt 2:00pm 6:00pm Dissection: The limbic system B Gross Anatomy Lab All Friday 8:00am 10:00am Development of the nervous system I: Brain vesicles and the spinal cord All MH-2 Prof. Ogeng o 10:30am 12:30pm The ascending & descending pathways MH-2 Prof. Malek/Olabu 2:00pm 5:00pm Progress Assessment Test 4 A MH-2 Dr. Odula 2:00pm 5:00pm Progress Assessment Test 4 B Histology Lab Dr. Odula The learner must describe the topography of the cerebellum, diencephalon and the basal ganglia; relate the parts of these structures to function and common disorders such as cerebellar ataxia, thalamic pain and Parkinson s disease. Describe the histological organization of the cerebrum & cerebellum including the layers & cell types within Describe the surgical anatomy of the area given using a prototype operation as guided by Lecturer in charge Page 11 of 13

12 22 nd Dec, th Jan, 2015 CHRISTMAS BREAK Week & Monday 2:00pm 6:00pm Revision: Tagged gross and embryology practical A Gross Anatomy Lab Olabu et al. Tuesday 11:00am 1:00pm Revision: Tagged gross and embryology practical A Gross Anatomy Lab Olabu et al. 2:00pm 6:00pm Revision: Histology slides A Histology Lab Dr. Pulei Wednesday 11:00am 1:00pm Revision: Tagged gross and embryology practical B Gross Anatomy Lab Olabu et al. 2:00pm 6:00pm Revision: Tagged gross and embryology practical B Gross Anatomy Lab Olabu et al. Thursday 8:00am 9:30am CSF: hydrocephalus. Hematomas: extra, sub dural, subarachnoid, Craniofacial pain syndromes Computer Lab Dr. Kitunguu/Magoha WEEK 14 5 th 9 th Jan 9:30am 11:00am Developmental anomalies: Chiari, Dandy-Walker, neuroenteric cysts, Neurotube defects, KlippelFeil, Tethered cord, split cord Computer Lab Dr. Kitunguu/ Magoha 11:30am 1:00pm Practical: Histological organization of receptors of general and Histology Lab Dr. Kaisha special sensation Group 3 2:00pm 5:00pm Revision: Histology slides B Histology Lab Dr. Pulei Friday 8:00am 10:00am Development of the nervous system II: Cerebrum & the deep MH-2 Dr. Gichangi nuclei, diencephalon and the cerebellum All 10:30am 12:30pm Brainstem nuclei & cranial nerves MH-2 Prof. Saidi 2:00pm 5:00pm Review of Neuroanatomy MH-2 Dr. Olabu Describe the organization of receptors of general & special sensation. Be able to state the derivatives of the various brain vesicles and state its common malformations Page 12 of 13

13 Monday WEEK th 16 th Jan Tuesday Wednesday Thursday Friday END OF SEMESTER I EXAMINATIONS PRACTICAL (MARATHON) EXAM HUMAN ANATOMY LABS ALL Page 13 of 13

UNIVERSITY OF NAIROBI DEPARTMENT OF HUMAN ANATOMY LEVEL I MBChB/BDS TEACHING SCHEDULE 2015/2016 INTRODUCTORY LECTURES (WEEKS 1 & 2)

UNIVERSITY OF NAIROBI DEPARTMENT OF HUMAN ANATOMY LEVEL I MBChB/BDS TEACHING SCHEDULE 2015/2016 INTRODUCTORY LECTURES (WEEKS 1 & 2) INTRODUCTORY LECTURES (WEEKS 1 & 2) Day Time Task and group Venue Facilitator Monday 1:30pm 3:00pm Introduction to the Department of Human Anatomy & Ethics All MH-2 All Staff 3:00pm 5:00pm Scope, posture