aiimsgorakhpur.edu.in · Web viewCephalohematoma and Caput succedaneum K KH DK Lecture Written/Viva...

Student curriculum of 1st MBBS studentsDepartment of Anatomy

All India Institute of Medical Sciences, Gorakhpur

Competency Based Undergraduate Curriculum

A General Anatomy

Topic No. Topic Number of competencies

1 Anatomical Terminologies 3

C.LO.Number

Competency & Learning Objective (s)

Domain [Knowledge

(K), Skill (S), Attitude

(A), Communica

tion (C) ]

Level of Compete

ncy

Prioritization [Must Know

(MK)/Desirable to know

(DK)/Need to know (NK)]

Teaching Learning Methods

Assessment Methods

Integration

1.1 Normal anatomical position, various planes, tissues and movement.

K/S SH MK Lecture/ SGD Written/Viva Voce

1.2 Nomenclature and various terms used in gross anatomy, embryology, histology, surface anatomy, radiological anatomy and cross-sectional anatomy

K KH MK Lecture/ SGD Written/Viva Voce

1.3 History of Anatomy K KH DK Lecture/ SGD Written/Viva Voce


2 General features of Cell and Tissues 4

2.1 Structure and function of cell and cell organelles


2.2 Types of tissues with the examples and function


2.3 Cell division, cell cycle and various types of cell junctions

K KH DK Lecture/ SGD Written/Viva Voce

2.4 Apoptosis K KH NK Lecture/ SGD Written/Viva Voce


3 General features of Bones and Joints 11

3.1 Bone, cartilage and joint K KH MK Lecture/ SGD Written/Viva Voce

3.2 Classification and function of bones- Appendicular and Axial skeleton


3.3 Types of epiphyses with examples K KH MK Lecture/ SGD Written/Viva Voce

3.4 Ossification and describe it types along with primary centres, secondary centres and laws of classification.


3.5 Describe the cartilage under headings: types, structure, nutrition, and maintenance and distribution


3.6 Classify joints with examples and describe the general features of each type along with the movements performed at the joint. Detailed study of major joints of limbs and movements performed at various joints in the body

K KH MK Lecture/ SGD Written/Viva Voce Orthopaedics

3.7 General pattern of blood supply and nerve supply of bone; of joints & Hiltons law

K KH MK Lecture/ SGD Written/Viva Voce Orthopaedics

3.8 Cartilage development and growth K KH DK Lecture/ SGD Written/Viva Voce

3.9 Bone: Growth of individual bone andfactors influencing them

K KH NK Lecture/ SGD Written/Viva Voce

3.1 Applied Anatomy: Age determination, X rays of bones, process of repair of bones.


3.11 Movements taking place at various joints and its mechanism (Kinesiology)

K/S SH DK Lecture/ SGD Written/Viva Voce


4 General features of Muscles 4

4.1 Classification and identification of the muscles of the body under headings: Main attachments, nerve supply and action(s), and the nerve terminations.

K KH MK Lecture/ SGD Written/Viva Voce Physiology

4.2 Details of attachments of the muscles, ultrastructural features, mechanism of the movement caused by the muscle/muscles and various forces exerted by them and their detailed action(s).


4.3 Shunt and spurt muscles K KH DK Lecture/ SGD Written/Viva Voce

4.4 Ultrastructure of muscle and Muscle contraction



5 General features of Skin and fascia 5

5.1 Structure, features and function of skin and its appendages

K KH DK Lecture/ DOAP

Written/Viva Voce

5.2 Different types of skin along with their functions and inervation and

K KH MK Lecture/ DOAP

Written/Viva Voce DVD

dematomes in the body.5.3 Superficial fascia: structure, features

and functions. Deep fascia: Features, modifications and functions


Written/Viva Voce

5.4 Clinical correlates: Principles of skin incisions, burns, intradermal injections

K KH DK Lecture/ SGD Written/Viva Voce DVD


6 General features of Cardiovascular system 6

6.1 General features of Arteries: (Muscular, Elastic; Arterioles); Capillaries: Sinusoids, Veins (small, large and venules)


6.2 Differentiate between blood vascular and lymphatic system


6.3 Differentiate between pulmonary and systemic circulation


6.4 The concept and types of anastomoses and collateral circulation with significance of end-arteries . Vasavasorum.

K KH MK Lecture/ SGD Written/Viva Voce General medicine, Physiology

6.5 Function of metarterioles, pre-capillary sphincters, arterio-venous anastomoses

K KH DK Lecture/ SGD Written/Viva Voce Physiology

6.6 Thrombosis, infarction and aneurysm K KH DK Lecture/ SGD Written/Viva Voce Pathology, Physiology


7 General features of Lymphatic system 4

7.1 Enlist and describe the components and functions of the lymphatic system


7.2 Structure of lymphatic vessels and K KH MK Lecture/ SGD Written/Viva Voce

mechanism of lymph circulation. Central and peripheral lymphoid organs.

7.3 The concept of lymphoedema and spread of tumours via lymphatics and venous system

K KH DK Lecture/ SGD Written/Viva Voce Surgery

7.4 Immunoglobulins K KH DK Lecture/ SGD Written/Viva Voce


8 Introduction to the nervous system 9

8.1 Structure and classification of nervous system

K KH MK Lecture/ SGD Written

8.2 Components of nervous tissue and their functions


8.3 Structure of neuron and classify them based on number of neurites, size and function


8.4 Structure of a typical spinal nerve K KH MK Lecture/ SGD Written/Viva Voce

8.5 Principles of sensory and motor innervation of muscles

K KH DK Lecture/ SGD Written/Viva Voce General medicine, Physiology

8.6 Concept of loss of innervation of a muscle with its applied anatomy

K KH MK Lecture/ SGD Written/Viva Voce General medicine

8.7 Synapses and neuro-muscular junctions K KH DK Lecture/ SGD Written/Viva Voce Physiology

8.8 Differences between sympathetic and spinal ganglia


8.9 Clinical correlates of nervous system K KH MK Lecture/ SGD Written/Viva Voce


9 Introduction to Basics principles of radiology 4

9.1 Principles of plain and special radiography, USG, CT and MRI


9.2 Gross anatomical features in plain and contrast radiographs.

K S MK Lecture/ SGD Written/Viva Voce

9.3 Gross anatomical features in normal CT scan especially of the Abdomen and Head-Face-Neck-Brain regions.

K S MK Lecture/ SGD Written/Viva Voce

9.4 Diagnostic procedures and Technical details (e.g. dye).



10 Cross sectional Anatomy/Living anatomy/Surface anatomy 2

10.1 Describe & identify the cross-section at the level of T8, T10 and L1 (transpyloric plane)

K/S SH MK Practical , LECTURE, DOAP session, Small group teaching

Written/vivavoce/ skill assessment

Radiodiagnosis

10.2 Describe & identify the midsagittal section of male and female pelvis

K SH MK Practical , LECTURE, DOAP session, Small group teaching

Written/viva-voce/ skill assessment

Radiodiagnosis

10.3 Surface landmarks in relation to various clinical procedures



Radiodiagnosis

B Superior Extremity


1 Features of Individual bones of Superior extremity 4

1.1 Identify and describe a given bone, determine its side, important features, peculiarities & keep it in anatomical position: Clavicle, scapula, humerus, radius, ulna, carpals, metacarpals and phalanges

K/S SH MK DOAP session Viva voce/ practical’s/OSPE

1.2 Identify & describe joints formed by the given bone: Clavicle, scapula, humerus, radius, ulna, carpals, metacarpals and phalanges

K/S SH MK DOAP session Viva voce/ practical’s/OSPE

1.3 Demonstrate the important muscle attachments on the given bone -Clavicle, scapula, humerus, radius, ulna, carpals, metacarpals and phalanges

K/S SH MK Practical DOAP session, Small group teaching

Viva voce, practical’s

Orthopaedics

1.4 Describe scaphoid fracture and explain the anatomical basis of avascular necrosis

K KH DK DOAP session Viva voce Orthopaedics


2 Pectoral region 5

2.1 Attachments, nerve supply & action of muscles of pectoral region

K/S SH MK Lecture, Practical

Written/Viva Voce

2.2 Mammary gland: structure, extent, relations, age changes, blood supply, lymphatic drainage, and applied anatomy of Mammary gland

K/S SH MK Practical, lecture

Written/Viva Voce Surgery

2.3 Clavipectoral fascia and the structures piercing it

K/S SH MK Lecture Written/Viva Voce

2.4 Dermatome, Supraclavicular nerves K KH DK Lecture Written/Viva Voce

2.5 Clinical correlates: Lymph nodes in carcinoma/breast, Peau’d orange, retraction of nipple, congenital

K KH DK Lecture Written/Viva Voce

anomalies of breast, milk line, Krukenberg tumour


3 Axilla 5

3.1 Axilla: Boundaries and contents Axillary artery: Origin, extent, course, parts, relations and branches. Tributaries of axillary vein. Axillary sheath

K/S SH MK Practical, lecture, SGD, DOAP session

Written/viva-voce/ skill assessment

3.2 Formation, relations, distribution, branches of brachial plexus and also its variations


Written/Viva Voce/Skill assessment

3.3 Anatomical groups of axillary lymph nodes and specify their areas of drainage

K/S SH MK Practical, lecture

Written/Viva Voce General surgery

3.4 Approach to brachial plexus and related nerve injuries Erb’s palsy, Klumpke’s paralysis, Long thoracic nerve injury)

K KH MK Lecture Written Orthopaedics

3.5 Cervical rib syndrome K SH NK Practical, lecture, SGD, DOAP session



4 Back, and Scapular region 5

4.1 Muscles of Back, muscles underlying trapezius-rhomboideus & levator scapulae. Deltoid muscle and Musculotendinous cuff muscles : attachments, action, nerve supply



4.2 Nerves in relation to/supplying the muscles of the back and scapular region (Spinal Accessory nerve, Dorsal scapular nerve, Dorsal rami of spinal nerves, branches of thyrocervical trunk, Axillary nerve) and their supply



4.3 Arterial anastomosis around the scapula. Quadrangular, triangular spaces, and their contents.

K/S SH DK lecture Written/Viva Voce/Skill assessment

4.4 Clinical correlates: Intramuscular injection, triangle of triangle of auscultation

K KH DK Practical, lecture, SGD, DOAP session


4.5 Approach to the various nerves in relation to the spaces in the scapular region and related nerve injuries



Orthopaedics


5 Shoulder joint 3

5.1 Classification, structure, ligaments, bursae, movements occurring, muscles causing movements

K KH MK Practical, lecture, SGD, DOAP session


5.2 Clinical correlates: Impingement syndrome, Bursitis around shoulder joint, Bankart’s lesion, Shoulder dislocation, frozen shoulder



Orthopaedics

5.3 Surgical and Arthroscopic approaches to shoulder joint



General surgery, Orthopaedics


6 Arm & Cubital fossa 6

6.1 Muscles of flexor compartment, Brachial artery, profunda brachii vessels, musculocutaneous nerve, median, radial ,ulnar nerve and (other vessels and nerves) in the compartment



6.2 Triceps, along with vessels and nerves in the extensor compartment



6.3 Clinical correlates: Saturday night palsy/crutch palsy, wrist drop, Median & ulnar nerve, entrapment, tourniquet application, supracondylar fracture of humerus, compartment syndrome

K KH DK Practical , LECTURE, DOAP session, Small group teaching


Orthopaedics

6.5 Anastomosis around the elbow joint K KH DK Practical, lecture

Written/Viva Voce

6.6 Boundaries and contents of cubital fossa along with clinical correlates. Median cubital vein. Intravenous injections - site and procedure.



General surgery


7 Forearm and hand 7

7.1 Muscles of flexor and extensor compartment of forearm, along with the vessels and nerves. Posterior interosseous nerve.

K KH MK Practical , LECTURE, DOAP session, Small group teaching

written/vivavoce/skill assessment

7.2 Muscles of hand: Lumbricals & interossei, thenar & hypothenar muscles along with vessels and nerves in hand. Palmar aponeurosis, dorsal digital expansion. Superficial and deep palmar arch



7.3 Evolution of thumb & mechanism of grip



7.4 Flexor and Extensor retinaculum and structures passing underneath it. Anatomical snuff box- boundaries & contents Palmar spaces: boundaries, contents and clinical correlates

K/S SH DK Practical , LECTURE, DOAP session, Small group teaching

Written/Viva Voce

7.5 Clinical correlates: Carpal tunnel syndrome, claw hand, ape thumb deformity, wrist drop, Dupuytren’s contracture.



7.6 Surgical approaches to incisions of hand

K KH NK Lecture Written/Viva Voce General surgery

7.7 Palmar spaces: surgical approaches and management




8 Elbow joint, Radio-ulnar joint, Wrist joint and joints of hand 4

8.1 Fascia of upper limb and compartments, veins of upper limb and its lymphatic drainage. Dermatomes of upper limb

K KH MK Lecture Written/Viva Voce

8.2 Classification, articular surfaces, capsule, synovial membrane, ligaments, relations, movements, blood and nerve supply of elbow joint, proximal, distal and middle radio-ulnar joints. Lateral & medial epicondylitis. Carrying angle.



8.3 Classification, structure & movements of Wrist joint, first carpo-metacarpal joint and other joints of hand


Viva voce , SKILL assessment

8.4 Dislocations around the elbow joint Dislocations around the wrist joint & carpals: (Colle’s, Barton’s fracture,Cubitus valgus, fracture & dislocation-pulled elbow, Golfer’s elbow, Student’s elbow, fractures-Monteggia, Galeazzi. Scaphoid fracture and complications, dislocation of carpals- lunate- complications.

K KH DK Lecture, Small group teaching

Written/Viva Voce

C Thorax


1 Thoracic cage and Mechanism of respiration 8

1.1 Identify and describe the salient features of sternum, typical rib, 1st rib and typical thoracic vertebra

K/S SH MK Lecture/ DOAP

Viva voce, SKILL assessment

1.2 Identify & describe the features of 2nd, 11th and 12th ribs, 1st , 11th and 12th thoracic vertebrae

K/S SH DK Lecture/ DOAP

Viva voce, SKILL assessment

1.3 Describe & demonstrate the boundaries of thoracic inlet, cavity and outlet



1.4 Describe & demonstrate boundaries and contents of Intercostal spaces: intercostal muscles, Intercostal Nerve, I-C vessels and its Lymphatic’s. Applied Anatomy, IC Nerve Block, Pleural Tap



1.5 Internal thoracic vessels - Origin, course, relations, branches and distribution



1.6 Course Atypical Intercostal nerves & Vessels. Innermost intercostals, Branches of intercostals Nerve & vessels, Notching of margin of ribs.

K KH DK Practical, Lecture

Written/Viva Voce

1.7 Joints of thorax. Ligaments of the jointsMovements and axes of the joints



1.8 Joints of the thorax: Costovertebral joints, costotransverse joints, Ligaments of the jointsMovements and axes of the joints,

K KH DK Practical , LECTURE, DOAP session, Small


Pump handleMovement, Bucket handle movement, muscles causing normal respiration muscles causing forced respiration, Accessory muscles of respiration.

group teaching


2 Heart and Pericardium 9

2.1 Pericardium and its Subdivisions, sinuses in pericardium, blood supply and nerve supply of pericardium and referred pain. Chambers of the heart orientation Pericardial recesses



2.2 Clinical correlates: Pericarditis, paracentesis, Pericardial tamponade, Dextrocardia, Echocardiography



2.3 External and internal features of Right atrium of heart. In rough part in smooth part, Rt. Aspect of interatrial septum



2.4 Arterial Supply Rt. Coronary and Lt. Coronary arteries: Origin, Course, Termination, Branches and Dominance. Anastomosis & collateral circulation, Peculiarities of coronaries. Venae cordis minimae, Anterior cardiac veins, Oblique vein of MarshallApplied Anatomy: Coronary



angiography, Percutaneous transluminal coronary balloon angioplasty(PTCA).Clinical correlates: Coronary atherosclerosisIschemic Heart Disease (IHD), Angina pectorisReferred pain, Heart block, Triple vessels disease of Heart

2.5 Interior of The Ventricles: Interior featuresOrifices and valves.


Written/Viva Voce

2.6 Arch of Aorta: Extent, CourseRelations, BranchesClinical correlates: Coarctation of Aorta, Aneurysm.


Written/Viva Voce

2.7 Radiological appearancesAortic knuckle, Anomalies of Aortic arch, Variation of branches, Aortic isthmusAortic spindle, Aortic window


Written/Viva Voce

2.8 Describe the fibrous skeleton of heart K KH MK Lecture Written/Viva Voce

2.9 Mention the parts, position and arterial supply of the conducting system of heart

K KH MK Lecture Written/Viva Voce General medicine, physiology


3 Mediastinum 7

3.1 Describe & demonstrate the external appearance, relations, termination, normal curvatures and constrictions, blood supply, nerve supply, lymphatic drainage and applied anatomy of oesophagus. Esophagoscopy

K/S SH MK Practical, lecture, DOAP session


General surgery

3.2 Achalasia cardia. Disorders of Sphincters of oesophagus

K KH NK Practical, lecture, DOAP session


3.3 Describe & demonstrate the Formation, extent, relations , tributaries of thoracic duct, areas of drainage and enumerate its applied anatomy. Chylothorax.

K/S SH MK Practical, lecture, DOAP session


General surgery

3.4 Describe & demonstrate origin, course, relations, tributaries and termination of superior venacava, azygos, hemiazygos and accessory hemiazygos veins



3.5 Mention the extent, branches and relations of arch of aorta & descending thoracic aorta.

K KH MK Practical, lecture

Written/Viva Voce

3.6 Identify & Mention the location and extent of thoracic sympathetic chain. Describe the splanchnic nerves



3.7 Applied Anatomy: SVC/IVC Obstruction.

K KH NK lecture Written/Viva Voce


4 Lungs and Trachea 5

4.1 Mention the blood supply, lymphatic drainage and nerve supply of pleura, extent of pleura and describe the pleural recesses and their applied anatomy

K KH MK Practical, lecture

Written/Viva Voce General medicine, physiology

4.2 Lung: Identify side, external features and relations of structures which form root of lung & bronchial tree and their clinical correlates. Mention the blood supply, lymphatic drainage and nerve supply of lungs

K/S SH MK Practical , Lecture, DOAP session, Small group teaching


General medicine, physiology

4.3 Bronchopulmonary segment : Structure, features, clinical significance

K KH MK Lecture Written/Viva Voce General medicine, physiology

4.4 Identify phrenic nerve & describe its formation & distribution

K/S SH MK Lecture, Practical

Written/Viva Voce

4.5 Describe the extent, length, relations, blood supply, lymphatic drainage and nerve supply of trachea

K KH DK Lecture Written

D Inferior Extremity

Topic No. TOPIC Number of competencies

1 Features of Individual bones of Inferior extremity 4

1.1 Side determination, anatomical position and important features of individual bone

K/S SH MK Practical Viva Voce

1.2 Joints formed by the bone K/S SH MK Lecture, Practical

Written/Viva Voce

1.3 Significance of ossification of lower end of femur & upper end of tibia

K KH DK Practical Written/Viva Voce

1.4 Various bones in the articulated foot with individual muscle attachment

K/S SH DK Practical, SGD Written/Viva Voce


2 Femoral Sheath 6

2.1 Continuation of layers of anterior abdominal wall with front of thigh, Attachment of deep fascia

K KH MK Lecture, Practical

Written/Viva Voce

2.2 Inguinal ligament K KH MK Lecture, Practical

Written/Viva Voce

2.3 Formation and Contents of femoral sheath, Saphenous opening and Femoral canal


Written/Viva Voce

2.4 Femoral hernia and Anatomical basis of hernia repair

K KH MK Lecture Written/Viva Voce General Surgery

2.5 Differential diagnosis of Hernias, Saphenous Varices, Psoas abscess

K KH DK Lecture, Practical

Written/Viva Voce General Surgery

2.6 Abnormal Obturator artery in repair of hernia

K KH NK SGD Written/Viva Voce


3 Femoral Triangle 5

3.1 Boundaries, Contents, Superficial and deep inguinal lymph nodes


Written/Viva Voce

3.2 Femoral Vessels, Profunda Femoris Vessels, Great Saphenous vein, Lat. Cutaneous Nerve of Thigh


Written/Viva Voce

3.3 Femoral Nerve- Formation, Root value & distribution ,Lat. Cutaneous Nerve of Thigh, Saphenous Nerve, Hilton's Lawa. Referred pain b. Accessory Obturator nerve


Written/Viva Voce

3.4 Cruciate and Trochanteric anastomosis, Femoral artery and vein catherization

K KH NK Lecture, SGD Written/Viva Voce

3.5 Clinical correlates: Palpation of femoral artery, I.V. injection, coronary angiography, Femoral shaft Fractures, Meralgia parasthetica, Referred pain, Obturator Hernia

K KH DK Lecture, Practical, SGD


Orthopaedics, General Surgery


4 Adductor Canal 2

4.1 Location, boundaries and contents K KH MK Lecture Written/Viva Voce

4.2 Clinical correlates: Stab injuries at Adductor canal



5 Obturator Nerve 2

5.1 Formation, Root value, Course and Motor distribution


5.2 Accessory Obturator Nerve K KH DK SGD Written/Viva Voce


6 Gluteal Region 3

6.1 Structures under Gluteus Maximus, Structures in relation to piriformis,, Structure passing through greater & lesser sciatic foramina


Written/Viva Voce

6.2 Sciatic Nerve: Formation & root value, motor distribution, Structures forming sciatic bed


Written/Viva Voce

6.3 Clinical Correlates : IM injections-site, procedure and complications, Pudendal

K KH DK Practical Written/Viva Voce

block, Trendelenburg Sign, Direction of muscle retraction


7 Popliteal Fossa 5

7.1 Boundaries, contents & general arrangement of major structures


Written/Viva Voce

7.2 Popliteal artery: Course, relations & branches, Common Peroneal Nerve, Popliteal pulse


7.3 Anastomosis around knee joint. K KH MK Lecture Written/Viva Voce

7.4 Foot drop, Popliteal cysts and aneurysm,


7.5 Bursae around the knee joint, Clinical inflammatory conditions . House maid knee, Clergy men’s knee etc

K KH NK Practical, SGD Written/Viva Voce


8 Hip Joint 4

8.1 Classification, Capsule, ligaments and Synovial membrane, Movements & group of muscles, Relations and Nerve supply


8.2 Anatomical basis of Surgical approaches


8.3 Applied anatomy: Femoral neck Fracture and dislocation, Anatomical basis of Trendelenburg sign, Congenital dislocation of hip, Arthroscopy and Prosthesis

K KH DK Lecture, Practical

Written/Viva Voce

8.4 Normal and abnormal gait at hip joint, Trendelenburg 's Test

K/S SH NK Lecture, Practical

Written/Viva Voce Orthopaedics


9 Sole 3

9.1 General Arrangement of muscles in layers, Plantar aponeurosis


9.2 Plantar arterial arch, Cutaneous innervation


9.3 Radiological identification of skeleton of foot, calcaneal spur



10 Arches of Foot 3

10.1 Skeletal framework of foot, Classification & Components, Factors for maintenance EV

K KH MK Lecture Written/Viva Voce Orthopaedics

10.2 Flat foot, CTEV, Pes cavus, Pes planus, Morton's metatarsalgia


10.3 Gout, Metatarsalgia, March fractures/dancer’s foot

K KH NK Lecture Written/Viva Voce


11 Ankle joint 2

11.1 Ligaments, Axis, Movements and related muscles, Functional relevance of movements

K KH MK Lecture Written/Viva Voce Orthopaedics

11.2 Fracture and dislocations: Midtarsal joints



12 Subtalar Joints 2

12.1 Ligaments, Axis, Movements and related muscles


12.2 Fracture and dislocations: subtalar joints



13 Knee Joint 5

13.1 Classification, Capsules & ligaments, Intra capsular structures, Movements and related muscles


13.2 Clinical correlates: Locking & Unlocking, Meniscal tear, Crucial ligament tear, Housemaid knee,Baker's cyst


13.3 Relations and Surgical approaches K KH DK Lecture Written/Viva Voce

13.4 Factors for stability of joint, Patellar dislocations/fractures


13.5 Arthroscopy and Surgical approach to Joint replacement

K KH NK Lecture Written/Viva Voce Orthopaedics


14 Venous drainage of lower limb 4

14.1 Great Saphenous Vein: course and tributaries Small Saphenous Vein: course and tributaries Perforating vein: Positions and communications


14.2 Clinical correlates: Varicose vein, Venesection, Coronary bypass


14.3 Trendelenburg test and Perthe's test K KH DK Lecture/Practical

Written/Viva Voce

14.4 Treatment of varicose vein, Great Saphenous Venous graft, Coronary bypass

K KH NK Lecture Written/Viva Voce General Surgery

E Abdomen and Pelvis


1 Anterior abdominal wall 4

1.1 Regions/Quadrants of abdomen LandmarksJoints, Superficial fascia & its attachments. Muscles & their actions. Dermatomal distribution. Blood Vessels, Portal obstruction, Caval obstruction, Lymph Drainage, Surface anatomy of superficial and deep inguinal rings, Renal angle . Murphy’s point.



General surgery

1.2 Holden’s lineAttachment of the muscles, Striae gravidarum & albicantes. Extravasation of urine. Abdominal incisions. Langer’s lines. Suspensory ligament of penis.



1.3 Rectus sheath: Contents. Formation, Arcuate line,Contents, Linea alba & Linea semi-circularis. Functional aspects of rectus sheath, Retraction of rectus muscle laterally Divarication of recti, Meckel’s diverticulum.


Written/Viva Voce

1.4 Hernias: Umbilical hernia, Incisional hernia, Faecal fistula, Urinary fistula.



2 Testis and Inguinal canal 4

2.1 Descent of testis & processus vaginalisTopography Boundaries, extent & contents Indirect & direct inguinal hernia.

K KH MK Lecture Written/Viva Voce General surgery

2.2 Mechanism of inguinal canal, Anatomical consideration of hernia repair.


2.3 Coverings of spermatic cord and testis, contents in males & females. Spermatic cord vis-à-vis hernia sac in direct and indirect inguinal hernias. Tunics of testisBlood supply, lymphatic Nerve supply Applied Anatomy, Hydrocele, Vasectomy, Cremaster reflex, Scrotum-nerve supply.



2.4 Clinical correlates: Varicocele, Undescended testis, ectopic testis, Torsion of testis, Appendix of testis,Appendix of epididymis.

K KH DK lecture Written/Viva Voce General surgery


3 Peritoneum 2

3.1 Vertical disposition of peritoneum, bladderHorizontal disposition of peritoneum at:Lesser sac, Hepatorenal pouch, Pouch of Douglas, Nerve supply of the peritoneum and referred pain.



3.2 Peritoneal recesses & bands, Functions of peritoneum Ascites. Various spaces-supra-colic, infra-colic pelvis Peritoneal fossae-lesser sac, duodenal fossae, inter-sigmoidal recess.




4 Stomach, Small intestine, Large intestine, Rectum, Anal canal 13

4.1 Stomach: Relations & Stomach bed. Blood supply, Lymphatic drainage, Nerve supply, Gastric ulcer & vagotomy.


Written/Skill assessment

General surgery

4.2 Clinical correlates: Endoscopy, Barium studies, Trosier’s sign Traube’s space

K KH NK Lecture Written/Viva Voce General surgery, General medicine

4.3 Duodenum, Jejunum and Ileum: Relations/Openings and bile duct and pancreatic duct, Blood supply, Duodenal ulcer & cap para-duodenal fossa difference between small & large intestine. Ligament of treitz



4.4 Clinical correlates: Endoscopy & Endoscopic retrograde cholangio- pancreatico-graphy(ERCP).



General surgery, General medicine

4.5 Vessels around the duodenum, jejunum and ileum of clinical significance: Veins of Prepyloric vein of mayo, Supra-duodenal artery of WikieRetro-doudenal artery.

4.6 Caecum, Appendix & Colon (Ascending, Transverse, Descending, Sigmoid) Caecum- relations, blood supply, InteriorColon: Difference from small intestine Gross features including relations Blood supply, Positions.



General surgery

4.7 Clinical correlates: clinical relevance of positions of appendix. McBurney’s point. Appendicitis.



General surgery

4.8 Surgical approaches to appendix K KH NK Practical , LECTURE, DOAP session, Small group teaching


4.9 Recesses around caecum Lump in right iliac fossa, Appendicitis vs salpingitis/oophoritisAnatomical considerations & surgical incisions.

K/S SH NK Practical , LECTURE, DOAP session, Small group teaching


General surgery

4.1 Sigmoid colon and rectum: Relations and flexureInternal feature, Blood supply with venous drainage Lymphatic drainage. Applied anatomy: Per rectal examination Fascia of Denonviller`s Haemorrhoid. Hirschsprung`s disease prolapsed of the rectum. Imperforated anus. Proctoscopy.



General surgery

4.11 Anal canal: Gross feature; anorectal junction Internal feature of anal canal


white line. Pectinate line, anal columns. Internal & externalSphincters and nerve supply, Blood supply including g venous drainage. Puborectalis-anorectal ring.

4.12 Clinical correlates: Internal & external haemorrhoid, portocaval anastomosis, fissure –in –ano, fistula-in-ano, perianal abscesses vis-a-vis ischio anal abscess.

K KH DK Lecture/ SGD Written/Viva Voce General surgery

4.13 Surgical anatomy of rectum and anal canal in relation to haemorrhoids.




5 Liver, Pancreas, Extra hepatic biliary appratus 5

5.1 Liver: Relations, Blood supply Lobes of the liver and vascular segmentsLymphatic drainage.



5.2 Gross features of Gall Bladder, Blood supply of Gall Bladder, CBD-Parts & relations, Applied-gall stones, Callot’s triangle.



5.3 Approaches (surgical and laparoscopic) to gall bladder CholecystographyEndoscopic retrograde cholangiography

K KH DK Lecture Written/Viva Voce General surgery, General medicine

5.4 Pancreas: Relations, Blood supply,lymphatic drainage, Duct system,

K/S SH MK Practical , LECTURE,

Written/Viva Voce/Skill

Sphincter of Oddi,Duodenal papillae. Pancreatography (ERCP)Hartmann’s pouchPhygian cap.

DOAP session, Small group teaching

assessment

5.5 Portal vein: Formation & tributariesPorto-caval anastomosis, common sites & clinical bearing haemorrhoid’s & oesophageal varicescaput medusa. Portal caval shunt



6 Posterior abdominal wall and Diaphragm 7

6.1 Kidney: Relations CoveringsBlood supply, Vascular segments, Coronal section with internal features



6.2 Clinical correlates: Morrison’s parallelogram,Supports Horseshoe Kidney, AppliedNutcracker effect on Lt. Renal vein, Renal angleExposure of kidney from back, Pyelography.



6.3 Patterns of division of renal artery:Floating kidney Aberrant renal Renal transplantLithotripsy.


6.4 Ureters: Extent course & terminations, constrictionsRelations, Blood supplyLymphatic drainageureteric colic.



6.5 Diaphragm: Attachment OpeningsNerve supply and function.


6.6 Diaphragmatic hernias: types, features, management

K KH DK Lecture Written/Viva Voce General surgery

6.7 Abdominal aorta, IVC and posterior abdominal wall: Extent course & termination, relations and tributaries.




7 Perineum, Ischio-anal fossa, Urinary bladder, Uterus, Ovary, Prostate and Urethra 9

7.1 Perineum: Boundaries, SubdivisionsColle’s fascia & perineal membrane urogenital diaphragm Perineal pouches: Boundaries, contents Nerve supply of the perineum.



General surgery, OBGY

7.2 Rupture of urethra & extravasation of urinePerineal tear.

K KH DK Lecture Written/Viva Voce OBGY

7.3 Episiotomy K KH NK Lecture Written/Viva Voce OBGY

7.4 Ischio-anal fossa: Location, boundaries, contents, recesses and clinical correlatesPudendal canal: formation, contents,


clinical significance 7.5 Inferior rectal artery: Course, relations

and branches , distribution Pudendal Nerve: origin, course, relations, branches , distribution


7.6 Urinary bladder: External features, Relations in male and female. Interior. Trigone of bladder. Ligaments of bladder. Nerve supply Blood supply: in male and female, Lymphatic drainage. Clinical correlates: Suprapubic cystostomy, atonic bladder, hypertrophic bladder, neurogenic bladder, Ectopia vesicae, cystoscopy.



7.7 Prostate & Male UrethraSeminal Vesicle: Relations, internal structure, blood supply, Age changes. Capsule vis-a-vis prostatectomy benign prostatic hypertrophy symptoms & its anatomical considerations in bhp, per-rectal examination urethral catheterization. Clinical correlates: TURP- transurethral resection of prostateCa-prostate &spread.



General surgery

7.8 Ovary, Uterus & Adnexa: Position, parts, axes, relations, ligaments (true and false), blood supply, lymph drainage, Nerve supply and applied anatomy. Referred pain of ovary. Supports of uterus.



OBGY

7.9 Clinical correlates: Recurrent abortions in retroverted uterus, uterine prolapse, fibroids, endometriosis, referred pain, prolapse of uterus, hysterectomy. Rectouterine fistula. Rectouterine pouch & vesico-uterine pouch -

K KH NK Lecture/ SGD Written/Viva Voce General surgery, OBGY

functional significanceTopic No. Topic Number of competencies

8 Pelvic diaphragm, External and Internal iliac arteries, Joints of Pelvic girdle 4

8.1 Pelvic diaphragm: components Attachment, relations Actions, Nerve supply, sacral plexus and lumbosacral trunkInternal iliac artery.



OBGY

8.2 Surgical anatomy of pelvic floor and perineal incisions

K KH DK Lecture/ SGD Written/Viva Voce OBGY

8.3 Branches of external and internal iliac arteries, Role of levator ani in childbirthUrinary stress in continence.

K/S SH NK Practical , LECTURE, DOAP session, Small group teaching


8.4 Joints of Pubic girdle: Pubic symphysis and Sacroiliac joints. - articulating bones, type, movements, clinical significance



OBGY, Orthpaedics

F Head and Neck

Topic No. Topic Number of competencies:

1 Skull bones 5

1.1 Anatomical position of skull, Identify and locate individual skull bones in skull


1.2 Norma frontalis, verticalis, occipitalis, lateralis and basalis


1.3 Cranial cavity: foramina and structures passing through them


1.4 Mandible K SH MK Lecture/ SGD Viva Voce

1.5 Typical and atypical cervical vertebrae (atlas, axis and 7th)

K SH MK DOAP Viva Voce


2 Scalp 3

2.1 Layers of scalp, Blood supply, Nerve supply (sensory and motor), Lymphatic drainage


Written/Viva Voce

2.2 Clinical relevance of emissary veins with its role in spread of infection fromextracranial route to intracranial venous sinuses, Sebaceous cyst (Closed and open types)


2.3 Cephalohematoma and Caput succedaneum

K KH DK Lecture Written/Viva Voce Obstetrics and Gynaecology


3 Face 6

3.1 Muscles of facial expression and their nerve supply, Sensory innervation of face

K/S SH MK Lecture/ DOAP


3.2 Facial vessels: Origin /formation, course, branches /tributaries Cervical lymph nodes and lymphatic drainage of head ,neck and face

K/S SH MK Lecture Written/Viva Voce/Skill assessment

3.3 Cranial Nerve 7th -Facial nerve : Course (Intracranial and Extra cranial), Branches, functional component and

K/S SH MK Lecture Written/Viva Voce/Skill assessment

nuclei. Cervical lymph nodes and lymphatic drainage of head, neck and face

3.4 Superficial muscles of face, their nerve supply and actions

K KH MK SGD Written/Viva Voce

3.5 Clinical relevance of deep facial vein K KH MK SGD Written/Viva Voce

3.6 Anatomical basis of Facial nerve Palsy (Supranuclear lesion and Infra-nuclear lesion)

K KH MK Lecture, SGD Written/Viva Voce ENT, General Medicine


4 Posterior triangle of neck 2

4.1 Boundaries, Subdivisions and Contents K/S SH MK Lecture, Practical


4.2 Clinical correlates: Compression of subclavian artery to stop bleeding in upper limb

K/S SH MK Lecture,Practical

Written/Viva Voce


5 Cervical fascia 4

5.1 layers of cervical fascia (Investing layer, Pre-tracheal & Pre-vertebral layer)


5.2 pre vertebral and carotid sheath. K KH MK Lecture Written/Viva Voce

5.3 Axillary sheath, facial spaces, ligament of berry.

K SH DK Lecture Written/Viva Voce

5.4 Cold abscess, other abscess. K KH NK DOAP Written/Viva Voce


6 Orbit 2

6.1 Extrinsic and Intrinsic muscles. Muscles: origin, insertion, action, nerve supply. Movement of eyeball and axes. Muscles causing the movements.

K KH MK Lecture Written/Viva Voce Extraocular muscles and Gaze disorders

6.3 Clinical correlates: Squint/diplopia. Light reflex, accommodation reflex, Argyll Robertson `s Pupil. Weber`s syndrome

KS SH NK DOAP OSCE/Viva Voce


7 Nerves supplying extraocular muscles. 2

7.1 Nerves supplying extraocular muscles. Oculomotor nerve: Origin, Position and functional components of nucleus. Extra cranial course and branches, distribution. Muscles supplied by the nerves. Paralysis of muscle. Squint/diplopia.

K/S SH MK Lecture/practical/DOAP/ SGD

Written/OSCE/Viva Voce

7.2 Abducent & Trochlear nerve: Functional component and position of nuclei. course-intra-neural, intracranial & extracranial. Muscles supplied by the nerves. Paralysis of muscle. Squint/diplopia.

K/S SH MK Lecture/practical/DOAP/ SGD

Written/OSCE/Viva Voce


8 Lacrimal Apparatus 3

8.1 Structure of Lacrimal gland, Nasolacrimal duct


8.2 Parts of lacrimal gland and relation to levator palpabrae superioris, Flow of lacrimal fluid

K SH DK Lecture Written/Viva Voce

8.3 Nerve supply , Spheno-palatine ganglia K SH DK Lecture Written/Viva Voce


9 Thyroid Gland 4

9.1 Location, Borders, relations, capsules , blood Supply and nerve supply



General Surgery

9.2 Pyramidal lobe, levator glandulae thyroid, ligament of berry, thyroid artery twigs from oesophageal and tracheal branches, Congenital malformation,


9.3 Goitre and Thyroidectomy K KH DK Lecture/ SGD

9.4 Synthesis of thyroxine and its regulation.



10 Back 3

10.1 Contents of the vertebral canal K KH MK Lecture/ SGD Written/Viva Voce

10.2 Boundaries and contents of Suboccipital triangle


10.3 Semispinalis capitis and splenius capitis



11 Temporal and Infratemporal Region 5

11.1 Boundaries, Contents and their location, Muscles of mastication -Origin, insertion and actions



11.2 Mandibular nerve- course, relations and branches, Maxillary artery, Pterygoid venous plexuses and its clinical significance



11.3 Otic ganglion, Chorda tympani nerve, Spheno-mandibular ligament

K KH MK Lecture,Practical

Written/Viva Voce

11.4 Branches of maxillary artery, laryngeal Nerve block.

K KH DK Practical/ SGD

Written/Viva Voce

11.5 Spine of sphenoid. K KH NK Lecture/ SGD Written/Viva Voce


12 Jugular veins 3

12.1 Formation, Course, Tributaries K KH MK Lecture/ SGD Written/Viva Voce

12.2 Anterior and Oblique Jugular veins. K KH DK Lecture/ SGD Written/Viva Voce

12.3 Queckenstedt;s test: Jugular venous pressure.



13 Temporo-mandibular Joint 4

13.1 Capsules and ligaments , Articular disc, Blood supply, Nerve supply, Movements

K/S SH MK Lecture/ Practical


13.2 Dislocation of TMJ K KH MK Lecture/ SGD Written/Viva Voce

13.3 Sequence of movements for opening of mouth


13.4 Factors responsible for Stability of TM joint



14 Submandibular Region 4

14.1 Submandibular and sublingual glands, Relations, Wharton’s duct, Blood supply-lingual artery, Nerve supply-lingual,9th,12th nerve



14.2 Submandibular ganglion: situation, root, connections, distribution and clinical correlates


14.3 Clinical correlates: Sialolithiasis, sialography


14.4 Surgical approach to pathologies of submanibular gland

K KH DK Lecture/ SGD Written/Viva Voce General Surgery


15 Pharynx 2

15.1 Divisions of pharynx (Oropharynx, Nasopharynx and Laryngopharynx), features, relations, Muscles: Constrictors and longitudinal muscles (Stylopharyngeus, Palato-pharyngeus, Salpingo-pharyngeus), along with blood supply, nerve supply. Structure passing through gaps between the constrictors

K/S SH MK Lecture/Practical/SGD

Written/Viva Voce

15.2 Clinical correlates: Pharyngeal Diverticulum, Killans dehiscence, piriform fossa, fossa of rossenmuler, CA Nasopharynx



16 Tongue 3

16.1 Muscles:extrinsic and intrinsic, blood supply-arterial /venous, nerve supply, lymphatic drainage, along with applied anatomy


16.2 Clinical correlates: functional significance of Genioglossus, falling back of tongue -causes & consequences, paralysis of XII nerve, alternate taste pathway.


16.3 Hypoglossal nerve: Origin, Extracranial course, Branches, distribution, XII nerve injury, nerve testing



17 Nose and nasal cavity 3

17.1 Nasal septum and lateral wall of nose: Formation (bones and cartilages), features, nasal concha, meatuses, blood supply, nerve supply, venous and lymphatic drainage. Little's area.

K KH MK Lecture/Practical/SGD

Written/Viva Voce

17.2 Location and functional anatomy of paranasal sinuses

K KH DK Lecture/Practical/SGD

Written/Viva Voce

17.3 Clinical correlates: Sinusitis, maxillary sinus tumours, deviated nasal septum, epistaxis, anosmia, csf rhinorrhoea.



18 Palate 2

18.1 Structure, composition, muscles of soft palate, blood and nerve supply-motor & sensory and function.Passvant`s ridge


18.2 Clinical correlates: palate paralysis, deglutition Gag reflex



19 Palatine Tonsil 2

19.1 Surfaces, relations (tonsillar bed), Blood supply, nerve supply, venous and lymphatic drainage. Waldeyer’s ring and Adenoids.

K/S SH MK Lecture/ Practical/SGD

Written/Viva Voce

19.2 Clinical correlates: tonsillitis, tonsillectomy, reffered pain, loss of taste sensation



20 Larynx 3

20.1 Cartilages, ligament & Muscles. Blood supply, nerve supply,lymphatic drainage. Intrinsic muscles: Origin, insertion, direction of muscle fibers and action.Vocal cords & Vestibular folds

K/S SH MK Lecture/Practical/SGD

Written/Viva Voce/ Skill assessment

20.2 Clinical correlates: functional consideration, Tracheostomy, recurrent laryngeal nerve injury, Age related changes and laryngeal carcinoma voice changes. Larynx


20.3 Mechanism of Phonation K KH NK Lecture/ SGD Written/Viva Voce


21 Middle Ear 4

21.1 Boundaries & contents. Connections and openings


21.2 Clinical correlates: Otitis media K KH NK Lecture/ SGD Written/Viva Voce

21.3 Facial nerve: Functional components and nuclei, Extra cranial course, Branches and distribution

K KH MK Lecture/ Practical/ SGD

Written/Viva Voce

21.4 Clinical correlates: Supranuclear lesion and Infranuclear lesion, nerve entrapment at various levels, surgical approaches to facial nerve injuries

K KH DK Lecture/ Practical/ SGD

Written/Viva Voce General Medicine, General surgery, ENT

Topic No. Topic: Number of competencies

22 Glossopharyngeal Nerve 1

22.1 Nucleus, functional components, Extracranial course, branches, distribution. Eagles`s syndrome

K/S SH MK Lecture/ Practical/ SGD

Written/Viva Voce


23 Dural Venous Sinuses 2

23.1 Classification, features, functional significance. difference between veins and sinuses. Cavernous sinuses: Situation, Formation, Extent, Size, Relation, Tributaries, communications.

K/S SH MK Lecture/Practical/ SGD

Written/Viva Voce General medicine

23.2 Clinical Anatomy: connections with dangerous area of face, thrombosis of cavernous sinuses, Pulsating exophthalmos, Queckenstedt`s test.



24 Anterior Triangle of The Neck 2

24.1 Boundaries and subdivisions. Carotid triangle- boundaries and contents. Common carotid artery, extrnal carotid artery, internal carotid artery: orgin, course, relations, branches. Muscular traingle, digastric and submental triangle: boundaries, contents and clinical correlates

K/S SH MK Lecture/Practical/ SGD

Written/Viva Voce/skill assessment

General medicine

24.2 Clinical correlates: Carotid cannulation, jugular venous catheterisation. Bony landmarks for various clinical procedures

K KH MK Lecture/Practical/ SGD

Written/Viva Voce/skill assessment

General medicine, General surgery


25 Hypophysis Cerebri 2

25.1 Location, Parts,relations, features, functions, clinical correlates


25.2 Surgical and laparascopic approaches to conditions involving Hypophysis cerebri



26 Joints of The Head & Neck 4

26.1 Atlanto-occipital joint: type, articulating bones, ligaments, axes, movements, muscles causing movements


Written/Viva Voce

26.2 Atlanto-axial joint : type, articulating bones, ligaments, movements, muscles causing movements


Written/Viva Voce

26.3 Joints between the vertebral bodies K KH DK Lecture/ SGD Written/Viva Voce

26.4 Clinical correlates: Spondylosis K KH NK Lecture/ SGD Written/Viva Voce Orthopedics


27 Parotid gland 3

27.1 Location, external features, relations, capsule, structures embedded in parotid gland, blood supply, nerve supply ( sensory, sympathetic, parasympathetic) . Parotid duct: size, course, termination, clinical correlates

K/S SH MK Lecture,/Practical,/SGD


27.2 Clinical correlates- Parotitis, Parotid recesses and related structures, parotid abscess, sialolithiais,Frey’s syndrome

K/S SH DK Lecture,/Practical,/SGD

Written/Viva Voce General Surgery

27.3 Surgical approaches to parotidectomy K KH NK Practical, SGD Written/Viva Voce General Surgery

G Neuroanatomy


1 Meninges and CSF 2

C.LO.Number

Comptency & Learning Objective(s) Domain [Knowledge


(A), Communica

tion (C) ]

Level of Compete

ncy





Assessment Methods

Integration

1.1 Various layers of meninges with its extent & modifications

K/S SH MK Practical, Lecture, Small group discussion

Written/ Viva voce/ skill assessment

General Medicine

1.2 Sub-arachnoid cisterns Circulation of CSF with its applied anatomy

K KH DK Lecture Written/ Viva voce General Medicine Physiology


2 Spinal Cord 52.1 Spinal cord - External features K/S SH MK Practical,

Lecture, Small Written/ Viva voce/ skill assessment

group 2.2 Extent of spinal cord in child & adult

with its clinical implication K KH MK Lecture Written/ Viva voce

2.3 Transverse section of spinal cord at mid-cervical & mid- thoracic level

K KH MK Lecture Written/ Viva voce

2.4 Ascending & descending tracts at mid thoracic level of spinal cord

K KH DK Lecture Written/ Viva voce General Medicine Physiology

2.5 Syringomyelia, Tabes Dorsalis K KH NK Lecture Written General Medicine Physiology


3 Medulla Oblongata 43.1 External features of medulla oblongata K/S SH MK Lecture Written/ Viva voce/

skill assessment

3.2 Transverse section of medulla oblongata at the level of 1) pyramidal decussation, 2) sensory decussation 3) ION

K KH MK Lecture Written/ Viva voce

3.3 Cranial nerve nuclei in medulla oblongata with their functional group

K KH DK Lecture Written/ Viva voce Physiology

3.4 Anatomical basis & effects of medial & lateral medullary syndrome

K KH NK Lecture Written General Medicine Physiology


4 Pons 34.1 External features of pons K/S SH MK Lecture Written/ Viva voce/

skill assessment Physiology

4.2 Transverse section of pons at the upper and lower level

K KH DK Lecture Written/ Viva voce

4.3 Cranial nerve nuclei in pons with their functional group



5 Cerebellum 35.1 External & internal features of

cerebellum K/S SH MK Practical,

Lecture, Small group discussion, DOAP session


5.2 Connections of cerebellar cortex and intracerebellar nuclei


5.3 Cerebellar dysfunction K KH NK Lecture Written General Medicine Physiology


6 Midbrain 36.1 External & internal features of

midbrain K/S SH MK Practical,



6.2 Internal features of midbrain at the level of superior & inferior colliculus


6.3 Benedikt’s and Weber’s syndrome K KH NK Lecture Written General Medicine Physiology


7 Cranial nerve nuclei and Cerebral Hemisphere 77.1 Cranial nerve nuclei , functional

component K KH DK Lecture Written/ Viva voce

7.2 Cerebral hemisphere - surfaces, sulci, K/S SH MK Practical, Written/ Viva voce/ General Medicine

gyri, poles, & functional areas Lecture, Small group discussion

skill assessment Physiology

7.3 White matter of cerebrum K KH DK Lecture Written/ Viva voce General Medicine Physiology

7.4 Basal ganglia - parts & major connections

K KH DK Lecture Written/ Viva voce Physiology

7.5 Limbic lobe - parts & major connections


7.6 Boundaries, parts, gross relations, major nuclei and connections of dorsal thalamus, hypothalamus, epithalamus, metathalamus and subthalamus

K KH MK Lecture Written/ Viva voce General Medicine Physiology

7.7 Vertebro-basilar and Internal carotid system of arteries Formation, branching pattern and supply of Circle of Willis

K/S SH MK Practical, Lecture, Small group discussion


General Medicine Physiology


8 Ventricular System 28.1 Parts, boundaries & features of IIIrd,

IVth & lateral ventricle K/S SH MK Practical,



Physiology

8.2 Congenital hydrocephalus K KH DK Lecture Written Pediatrics Physiology

H Embryology


1 General Embryology 3

C.LO.Number



(A), Communica

tion (C) ]

Level of Compete

ncy





Assessment Methods

Integration

1.1 Stages of human life K KH MK Lecture Written/Viva voce

1.2 Prenatal-Zygote, pre-embryonic, Embryonic & Fetal, Terms of references- Cranial, Rostral, Caudal Dorsal, Ventral, Medial, Lateral

K KH MK Lecture Written/viva voce

1.3 EMBRYOLOGICAL terms- phylogeny, ontogeny, trimester, viability

K KH MK Lecture written/ vivavoce


2 Gametogenesis and Fertilization 62.1 Uterine changes during the menstrual

cycle K KH MK Lecture Written/Viva voce Obstetrics &

Gynaecology

2.2 Synchrony between the ovarian and menstrual cycles

K KH MK Lecture Written/Viva voce Obstetrics & Gynaecology

2.3 Spermatogenesis and Oogenesis K KH MK Lecture Written/Viva voce Obstetrics & Gynaecology

2.4 Stages and consequences of fertilisation

K KH MK Lecture Written/Viva voce Obstetrics & Gynaecology

2.5 Anatomical principles underlying contraception

K KH DK Lecture Written/Viva voce Obstetrics & Gynaecology

2.6 Teratogenic influences; fertility and sterility, surrogate motherhood, social significance of “sex-ratio”.

K KH NK Lecture Written/Viva voce Obstetrics & Gynaecology


3 Second week of development 53.1 Cleavage and formation of blastocyst K KH MK Lecture Written

3.2 Development of trophoblast K KH MK Lecture Written

3.3 Implantation & common abnormal sites of implantation

K KH MK Lecture Written Obstetrics & Gynaecology

3.4 Extra-embryonic mesoderm and coelom, bilaminar disc and prochordal plate

K KH MK Lecture Written

3.5 Abortion; decidual reaction, pregnancy test

K KH DK Lecture Written Obstetrics & Gynaecology


4 3rd to 8th week of development 84.1 Primitive streak - formation & fate K KH MK Lecture Written

4.2 Formation & fate of notochord K KH MK Lecture Written

4.3 Neurulation, Neural crest cells K KH MK Lecture Written

4.4 Development of somites and intra-embryonic coelom


4.5 Derivatives of Endoderm K KH MK Lecture Written 4.6 Vasculogenesis K KH DK Lecture Written

4.7 Congenital malformations, nucleus pulposus, sacrococcygeal teratomas, neural tube defects


4.8 Diagnosis of pregnancy in first trimester and role of teratogens, alpha-fetoprotein



5 3rd month to Birth 75.1 Formation, functions & fate of-chorion:

amnion; yolk sac; allantois & decidua K KH MK Lecture Written

5.2 Formation & structure of umbilical cord


5.3 Formation of placenta, its physiological functions, foetomaternal circulation & placental barrier


5.4 Monozygotic & dizygotic twining K KH MK Lecture Written Obstetrics & Gynaecology

5.5 Placental hormones in uterine growth & parturition


5.6 Fetal age estimation K KH NK Lecture Written Obstetrics & Gynaecology

5.7 Types of umbilical cord attachments K KH NK Lecture Written Obstetrics & Gynaecology


6 Prenatal Diagnosis 36.1 Methods of prenatal diagnosis K KH MK Lecture Written Obstetrics &

Gynaecology 6.2 Amniocentesis - indications, process

and disadvantages K KH MK Lecture Written Obstetrics &

Gynaecology

6.3 Chorion villus biopsy - indications, process and disadvantages



7 Congenital malformation 27.1 Causative factors, Mechanisms K KH MK Lecture Written Obstetrics &

Gynaecology

7.2 Genetic basis of malformations, Critical period of development, Teratogens.



8 Body Cavities Mesenteries & The Diaphragm 38.1 Subdivision of the coelomic cavity

Related parts: cardiogenic area, septum transversumSomatopleura, splanchnopleura Mesenteries: formation, functions & fate, Diaphragm.


8.2 Enumeration of congenital anomaliesDiaphragmatic hernias.


8.3 Clinical presentation,Respiratory distress syndromeHerniation.

K KH NK Lecture Written


9 Musculoskeletal System 29.1 Limb buds

Fate, Rotation of the limb buds.K KH MK Lecture Written

9.2 Congenital anomalies Amelia, Phocomelia etc.



10 Cardiovascular System 3

10.1 AngiogenesisHeart loop and formation of the chambers of the heart, septa & valvesTruncus arteriosus & fate Intraembryonic vessels: normal & anomalies arterial systemMajor veins: normal & anomaliesFoetal circulation & changes at birthASDs. VSDs, PDA, Fallot’s tetralogy.


10.2 Enumeration of veins, abnormalitiesCorrelation with gross anatomy & anomalies, Lymphatic system


10.3 Clinical featuresRecent development: prosthetic valves, grafting, Surgical correction.

K KH NK Lecture Written Surgery


11 Digestive (Alimentary) System 311.1 Body cavities & serous membrane,

Foregut & its derivatives: omental bursaMidgut: Derivatives, rotation of the gut, Meckel’s diverticulum; Liver & extra-hepatic biliary system, Pancreas, SpleenPortal vein, Hindgut, Cloaca and its derivatives


11.2 Malformations-Congenital hypertrophic pyloric stenosis, Atresia, Omphalocele,Hernia, Malformations;Fistulae, situs inversus, Non-rotation, reversed & mixed rotation.

K KH DK Lecture Written Paediatrics

11.3 Clinical presentation in premature births and neonatal period.

K KH NK Lecture Written Paediatrics


12 Respiratory System 212.1 Tracheobronchial diverticulum,

Development of larynx, trachea, bronchi & lungs, Tracheo-oesophageal fistula.


12.2 Associated anomalies, Respiratory distress syndrome.



13 Urogenital System 313.1 Kidneys, ureter urinary bladder,

Cloaca-urinary bladder and urethraSuprarenal gland, Gonads: testis & ovary, Descent of gonads, Mesonephric duct and para-mesonephric systems, Uterine tube, uterus and vagina, External genitalia.


13.2 Congenital anomalies and their causesAmbiguous genitalia & hermaphroditism Remnants and vestiges of the ducts & tubules.


13.3 Clinical presentation & visualization in the livingHernia, hydrocele.

K KH NK Lecture Written Surgery


14 Face & Pharyngeal Apparatus 314.1 Pharyngeal arches. Pouches and cleft:

derivatives and fateDevelopment of face, oral cavity, palate: Normal development & associated anomalies. First arch syndrome.


14.2 Common anomalies and syndromes of pharyngeal arches.


14.3 Congenital malformations K KH NK Lecture Written


15 Nervous System 315.1 Neural tube and brain vesicles,

Ventricular system, Neural crest and its derivatives, Hypophysis cerebri, Peripheral nervous system: somatic and automatic Neurobiotaxis, Functional components spina bifidaAnencephaly, hydrocephalus.


15.2 Congenital associated disorders- Hirschsprung’s disease.


15.3 Sequence of myelination Genetic & teratogenic factors neural tube defects.



16 Organs Of Special Senses 3

16.1 Eye: Embryologic source of each component and the adnexa, Ear: Internal ear-membranous and bony labyrinth, Middle ear and External ear.


16.2 Common anomalies of the eye: Retinal detachment; Congenital glaucoma,Coloboma iridis, Congenital cataract.

K KH DK Lecture Written Opthalmology

16.3 Genetics and teratology especially Rubella, Toxoplasmosis –TORCH infections



17 Integumentary System 317.1 Skin, pilo-sebaceous unit, Tooth as

modified dermal papillae, Nail, sweat glands, mammary glands.


17.2 Associated Congenital anomalies –supernumerary breast, amastia, athelia etc.


17.3 Genetics and teratology Clinical syndromes.


I Genetics


1 Introduction 2

C.LO.Number



(A), Communica

tion (C) ]

Level of Compete

ncy





Assessment Methods

Integration

1.1 Medical genetics, Clinical geneticsMendelian laws of inheritance


1.2 Cell division, Mitosis & Meiosis. K KH MK Lecture Written


2 Chromosome-I 32.1 Structure, Classification, Sex

chromatin, Lyon hypothesisK KH MK Lecture Written

2.2 Grouping of chromosomes K KH DK Lecture Written

2.3 Karyotyping K KH NK Lecture Written


3 Chromosome-II 23.1 Chromosomal Disorders-Trisomy &

monosomy, down’s syndrome, Patau’s syndromeEdward’s syndrome, Klinefelter’s syndrome


3.2 Genetic code K KH DK Lecture Written


4 Genetic diseases 54.1 Structure of DNA &RNA,

Single Gene DisordersK KH MK Lecture Written

4.2 Genetic Transmission-Autosomal dominant, Autosomal recessiveSex linked dominant, Sex linked recessive,


4.3 Gene mutation Mutagens, Mosaicism, leukemiaMultifactorial Disorder,


4.4 Cri-du chat syndromeFragile X syndrome, Genomic Imprinting- Angelman &Prader-Willi syndrome


4.5 Robertsonian translocation,Philadelphia chromosome



5 Clinical Genetics 25.1 Pedigree chart/symbols K KH MK Lecture Written 5.2 Pedigree analysis K KH DK Lecture Written


6 Diagnosis of Genetics Diseases 16.1 Prenatal diagnosis: -Indications

Amniocentesis, Chorionic villus biopsy, Maternal serum screening.



7 Genetic Counseling & New Developments 17.1 Definition, Indications of

Gene therapy, Human genomeHuman cloning, stem cells


J Histology

C.LO.Number



(A), Communica

tion (C) ]

Level of Compete

ncy





Assessment Methods

Integration


1 Microscopy 51.1 Relevance of histology to Medicine K KH MK Lecture/

practicalWritten/Viva voce/Skill assessment

1.2 Light microscope:Principles and Magnification/resolution

K KH MK Lecture/practical

Written/Viva voce/Skill assessment

1.3 Setting up of a microscope,paraffin block making, H& E staining

K/S SH MK Lecture/practical


1.4 Special stains for connective tissue, muscle and nerve tissue

K KH DK Lecture/practical


1.5 Different Types of microscope K KH NK Lecture/practical



2 Microtomy 52.1 Parts of Rotary microtome K KH MK Lecture/

practicalWritten/Viva voce/Skill assessment

2.2 Paraffin section cutting. K/S SH MK Lecture/practical


2.3 Freezing Microtome K KH DK Lecture/practical


2.4 Cryotome and cryostat methods, K SH DK Lecture/practical


2.5 Sample preparations for biological specimens for transmission and electron microscopy

K SH NK Lecture/practical



3 Cell 3

3.1 Cell membrane, Cell organelle K KH MK Lecture/practical


3.2 Cell junctions, Modifitions of cell membrane



3.3 Euchromatin and Heterochromatin,Chemical nature of DNA and RNA




3 General Histology 63.1 Epithelial tissue: Types and location,

Surface Modification of cell membrane. Junctional complexes



3.2 Connective tissue-Components, Types and Identification of cells and Fibres. Cartilages -Hyaline,Elastic and Fibrocartilage, Bone- cancellous and compact



3.3 Muscle tissue - Types and Location (skeletal,smooth and cardiac)



3.4 Nerve tissue - Structure of neuron and neuroglia, Peripheral nerve,Ganglia: Sensory (DRG): Motor(Systemic)



3.5 Meissner’s, Pacinnian corpuscles K/S SH DK Lecture/practical


3.6 Ultrastructure of epithelial, connective, muscle and nervous tissue

K/S SH NK Lecture/practical



4 Systemic Histology 11

4.1 Integumentary system- Microanatomical Features of Thick and Thin skin, Keratinization, Cutaneous Receptors and Appendages and their Fuctional correlates



4.2 Lymphatic system -Microanatomical Features of Tonsil,Lymph node,Thymus and Spleen and their Fuctional correlates



4.3 GI system and Salivary glands-Microanatomical Features of Lip, Tongue,Oesophagus,Stomach, Small and Large intestine, Appendix, Liver, Gall bladder, Pancrease and their fuctional correlates



4.4 Respiratory system-Microanatomical Features of Larynx,Trachea , Bronchi,Bronchioles,Alveoli and their Fuctional correlates



4.5 Circulatory sysytem- Microanatomical Features of Blood vessels(Large, Medium and Small),capillary and sinusoids and their Fuctional correlates



4.6 Excretory system-Microanatomical Features of Kidney,Ureter and Urinary Bladder and their Fuctional correlates



4.7 Endocrine system- Microanatomical Features of Thyroid, Parathyroid,Pancrease, Adrenal and



Pituitary and their Fuctional correlates4.8 Reproductive system (Male)-

Microanatomical Features of Testis, Epididymus, Vas deferens, Seminal Vesicles, Prostate and Penis and their Fuctional correlates



4.9 Reproductive system (Female)- Microanatomical Features of Uterus, Fallopian Tube and Ovary, Placenta and Umbilical cord and their Fuctional correlates



4.1 Nervous system -Microanatomical Features of Cerebrum, Cerebellum and Spinal cord and their Fuctional correlates



4.11 Special senses- Microanatomical Features of Eye and Ear and their Fuctional correlates

K/S SH DK Lecture/practical


K Radiological Anatomy C.LO.Nu

mberComptency & Learning Objective(s) Domain

[Knowledge (K), Skill

(S), Attitude (A),

Communication (C) ]

Level of Compete

ncy





Assessment Methods

Integration


1 Upper Limb 21.1 Bones and joints of upper limb seen in K/S SH MK Practical, Viva voce/ skill Radiodiagnosis

anteroposterior and lateral view radiographs of shoulder region, arm, elbow, forearm and hand,

Small group discussion

assessment

1.2 Applied- Fracture , Dislocation K/S SH DK Practical, Small group discussion

Viva voce/ skill assessment

Radiodiagnosis


2 Lower Limb 22.1 Bones and joints of lower limb seen in

anteroposterior and lateral view radiographs of various regions of lower limb

K/S SH MK Practical, Small group discussion


Radiodiagnosis

2.2 Applied- Fracture , Dislocation K/S SH DK Practical, Small group discussion


Radiodiagnosis


3 Thorax 43.1 Plain x-ray chest (PA view) K/S SH MK Practical,


Written/ Viva voce Radiodiagnosis, General Medicine

3.2 Barium swallow K/S SH DK Practical, Small group discussion


3.3 Contrast CT/MRI with contrast, Angiography

K/S SH DK Practical, Small group discussion


3.4 Bronchoscopy K/S SH NK Practical, Small group discussion


Radiodiagnosis, General Medicine


4 Head, Neck and brain 34.1 Plain x-ray skull, AP view and lateral K/S SH MK Practical, Viva voce/ skill Radiodiagnosis

view, Plain x-ray cervical spine-AP and lateral view, Plain x- ray of paranasal sinuses


assessment

4.2 Carotid angiogram and vertebral angiogram technique



Radiodiagnosis

4.3 Anatomical structures in carotid angiogram and vertebral angiogram

K/S SH NK Practical, Small group discussion


Radiodiagnosis


5 Abdomen and Pelvis 65.1 Cross-section at the level of T8, T10

and L1 (transpyloric plane) CT SCAN K/S SH MK Practical,



Radiodiagnosis

5.2 Midsagittal section of male and female pelvis CT AND MRI IMAGE

K SH MK Practical, Small group discussion


Radiodiagnosis

5.3 Plain X ray abdomen K/S SH MK Practical, Small group discussion


Radiodiagnosis

5.4 Contrast X ray Barium swallow, Barium meal, Barium enema, Cholecystography, Intravenous pyelography & Hysterosalpingography. Usg



Radiodiagnosis

5.5 ULTRASONOGRAPHY K/S SH NK Practical, Small group discussion


Radiodiagnosis

5.6 ERCP, CT abdomen, MRI, Arteriography in radiodiagnosis of abdomen

K KH NK Practical, Small group discussion

Viva voce Radiodiagnosis

L Surface anatomy/Living anatomy


C.LO.Number



(A), Communica

tion (C) ]

Level of Compete

ncy





Assessment Methods

Integration

1 Upper limb 21.1 Identify & demonstrate important bony

landmarks of upper limb: Jugular notch, sternal angle, acromial angle, spine of the scapula, vertebral level of the medial end, Inferior angle of the scapula

K/S SH MK Practical,Lecture, Small group discussion, DOAP session


1.2 Identify & demonstrate surface projection of:Cephalic and basilic vein, Palpation of Brachial artery, Radial artery, Testing of muscles: Trapezius, pectoralis major, serratus anterior, latissimus dorsi, deltoid, biceps brachii, Brachioradialis

K/S SH MK Practical,Lecture, Small group discussion, DOAP session


2 Lower limb 32.1 Identify & demonstrate important bony

landmarks of lower limb: -Vertebral levels of highest point of iliac crest, posterior superior iliac spines, iliac tubercle, pubic tubercle, ischial tuberosity, adductor tubercle,-Tibial tuberosity, head of fibula,-Medial and lateral malleoli, Condyles of femur and tibia, sustentaculum tali, tuberosity of fifth metatarsal, tuberosity

K/S SH MK Practical, Lecture, Small group discussion, DOAP session


General medicine

of the navicular2.2 Identify & demonstrate palpation of

femoral, popliteal, post tibial, anti tibial & dorsalis pedis blood vessels in a simulated environment



General medicine , General surgery

2.3 Identify & demonstrate Palpation of vessels (femoral, popliteal,dorsalis pedis,post tibial), Mid inguinal point, Surface projection of: femoral nerve, Saphenous opening, Sciatic, tibial, common peroneal & deep peroneal nerve, Great and small saphenous veins



3 Thorax 13.1 Demonstrate surface marking of lines

of pleural reflection, lung borders and fissures, trachea, heart borders, apex beat & surface projection of valves of heart

K/S SH MK Practical Viva voce , SKILL assessment

General medicine, pediatrics, physiology

4 Abdomen and pelvis 24.1 Demonstrate the surface marking of;

Regions and planes of abdomen, Superficial inguinal ring, Deep inguinal ring , McBurney’s point, Renal Angle & Murphy’s point


Viva Voce/Skill assessment

General surgery

4.2 Demonstrate the surface projections of: Stomach, Liver, Fundus of gall bladder, Spleen, Duodenum, Pancreas, Ileocaecal junction, Kidneys & Root of mesentery


Viva Voce/Skill assessment

General surgery

5 Head and Neck 25.1 Demonstrate- 1) Testing of muscles of

facial expression, extraocular muscles, muscles of mastication, 2) Palpation of

K/S SH MK Practical Viva Voce/Skill assessment

General surgery

carotid arteries, facial artery, superficial temporal artery, 3) Location of internal and external jugular veins, 4) Location of hyoid bone, thyroid cartilage and cricoid cartilage with their vertebral levels

5.2 Demonstrate surface projection of- Thyroid gland, Parotid gland and duct, Pterion, Common carotid artery, Internal jugular vein, Subclavian vein, External jugular vein, Facial artery in the face & accessory nerve

K/S SH MK Practical Viva Voce/Skill assessment

General surgery

Column C: K- Knowledge, S – Skill, A - Attitude / professionalism, C- Communication.Column D: K – Knows, KH - Knows How, SH - Shows how, P- performs independently,Column F: DOAP session – Demonstrate, Observe, Assess, Perform.

Eligibility criteria - 1- M.B.B.S. students must obtain 80% attendance in aggregate with a minimum of 70% in each of the subjects before they are permitted to

appear in the 1st Professional Examination.

2- M.B.B.S student must obtain 50% marks in aggregate with a minimum of 50% in each subject before they are permitted to appear in the 1 st

Professional examination.

aiimsgorakhpur.edu.in · Web viewCephalohematoma and Caput succedaneum K KH DK Lecture Written/Viva...

Documents

Transcript of aiimsgorakhpur.edu.in · Web viewCephalohematoma and Caput succedaneum K KH DK Lecture Written/Viva...