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    Michele PAPA

    Insegnamento di Anatomia Umana

    Corso di laurea magistrale a ciclo unico in MEDICINA E CHIRURGIA (Sede di Caserta)

    SSD: BIO/16

    CFU: 9,00

    ORE PER UNITÀ DIDATTICA: 112,50

    Periodo di Erogazione: Secondo Semestre

    Italiano

    Lingua di insegnamento

    ITALIANO

    Contenuti

    Lo studente deve essere in grado di condurre una corretta diagnosi di
    immagini anatomiche di superficie, di sezioni o di apparati o di loro parti.
    Condurre una corretta diagnosi di immagini anatomiche ottenute
    mediante techniche radiologiche e similari, quali esami radiografici,
    esami radiografici ottenuti con mezzi radiopachi, esami tomografici
    assiali computerizzati (TAC), esami ecografici, esami ottenuti mediante
    risonanza magnetica nucleare (RMN), e successive elaborazioni (DTI,
    fMRI). Condurre una corretta diagnosi di organo e regione al microscopio
    ottico, con individuazione e descrizione dei componenti anatomo
    microscopici del preparato in osservazione

    Testi di riferimento

    GRAY: ANATOMIA SISTEMATICA E REGIONALE PER STUDENTI - V edizione 2026.
    Barr: Il Sistema Nervoso dell'Uomo Basi di Neuroanatomia J.A. Kiernan – N. Rajakumar -
    EDISESIL SISTEMA NERVOSO CENTRALE, NIEUWENHUYS, VOOGD, VAN
    HUIJZEN, Ed. SPRINGER-VERLAG ITALIA, 2010 disponibile per il download
    gratuito sulla biblioteca di Ateneo PROMETEUS ATLANTE DI ANATOMIA
    UMANA Ed. EDISES

    Obiettivi formativi

    Lo scopo medico-pedagogico dello studio dell’Anatomia Umana è quello
    di consentire agli studenti del corso di laurea in medicina e chirurgia nel
    futuro ruolo di medici, di descrivere la struttura normale del corpo
    umano, comunicare efficacemente con i colleghi, di comprendere e
    utilizzare la terminologia anatomica internazionale (FCAT), al fine di
    descrivere la struttura normale del corpo umano,nell’ambito dei settori di
    Anatomia Umana, Radiologica, Clinica, Microscopica e Neuroanatomia,
    come previsti dall’ordinamento del MUR

    Prerequisiti

    conoscenza parlata e scritta della lingua Italiana

    Metodologie didattiche

    DIDATTICA FRONTALE, DIDATTICA A GRUPPI PER LO STUDIO DI SEGMENTI
    SCHELETRICI, STUDIO DI PREPARATI MACRO E AL MICROSCOPIO, STUDIO
    MEDIANTE IMAGING ECOGRAFICO ED ECOCOLOR DOPPLER, STUDIO DI
    IMMAGINI CT, RM, XRAY

    Metodi di valutazione

    Al termine del I semestre del CI di Anatomia Umana, non è previsto
    lo svolgimento di esame,

    Altre informazioni

    La presenza alle lezioni del corso deve essere non meno del 75% la presenza alle attività formative professionalizzanti non inferiore al 90%. Il corso ha una struttura di anatomia sistematica per regioni.
    Al link
    https://www.unicampania.it/index.php/biblioteche/e-book?view=article&id=9701:ebook-springer-medicina-2023-eng&catid=366
    c'è una ampia scelta di testi che possono supportare lo studio.
    Ampia scelta di video di dissezione della famosa opera Acland anatomy possono essere visualizzati e studiati sul sito https://aclandanatomy.com/
    Si consiglia alo studente di studiare durante il corso le regioni anatomiche trattate dal docente e di non rimandare a fine corso lo studio. Indispensabile che lo studente partecipi molto ben preparato alle attività formative professionalizzanti, altrimenti la partecipazione sarà un inutile perdita di tempo.

    Programma del corso

    Colonna vertebrale

    Lo studente in medicina deve essere in grado di
    riconoscere i tratti caratteristici delle vertebre delle cinque regioni della
    colonna vertebrale, sapere come la colonna vertebrale si articola nel suo
    insieme, si muove e come le sue normali curvature si sviluppano e
    stabilizzano . Deve essere in grado di interpretare le relative immagini
    cliniche, di distinguere le deviazioni dal normale, sapere l'organizzazione
    dei contenuti del canale vertebrale le meningi , midollo spinale, radici
    nervose spinali , nervi spinali e loro particolari relazioni con le vertebre e
    le articolazioni del rachide. Queste conoscenze costituiscono la base per
    la comprensione di patologie vertebrali comuni quali il “comune” mal di
    schiena, il prolasso di un disco intervertebrale, le lesioni a carico del
    midollo spinale e dei nervi. Lo studente in medicina deve essere in grado
    di descrivere anatomicamente le fasi relative alla procedura di atti medici
    quali la rachicentesi e l’anestesia epidurale e regionale. Lo studente di
    medicina deve avere una appropriata conoscenza delle caratteristiche
    dell’anatomia di superficie e dei muscoli al fine di poter in seguito
    apprendere le procedure per una corretta valutazione delle strutture
    locomotorie. Deve avere una conoscenza dei dermatomeri e la relativa
    distribuzione dei nervi periferici, conoscere le funzioni dei gruppi
    muscolari e la loro innervazione, al fine di poter in seguito apprendere la
    tecnica per poter eseguire un corretto esame neurologico di base del
    tronco e degli arti.

    Arto superiore

    Lo studente in medicina deve essere in
    grado di riconoscere le principali caratteristiche palpabili e di imaging
    delle ossa dell'arto superiore, conoscere i siti delle fratture comuni e
    relative complicazioni. Deve essere a conoscenza dei fattori che
    influenzano la stabilità delle articolazioni di spalla, gomito, polso e
    articolazioni interfalangee al fine di comprendere nel prosieguo degli
    studi, la natura e le conseguenze delle comuni lesioni. Allo scopo di
    apprendere nel corso di laurea le procedure cliniche in modo sicuro ed
    efficace, lo studente deve essere in grado di descrivere le naturali
    relazioni e distribuzione delle principali strutture neurovascolari dell’ arto
    superiore. Deve essere in grado di descrivere e rilevare i principali punti
    di repere dei diversi polsi arteriosi, posizione delle vene (per un corretto
    accesso venoso) e conoscere i luoghi comuni di lesioni dei nervi periferici
    e dei loro possibili effetti funzionali (lesioni del plesso brachiale, nervo
    ascellare, radiale, ulnare e lesioni del nervo mediano). Deve essere in
    grado di spiegare la base anatomica delle comuni morbidità a carico
    dell'arto superiore (le lesioni della cuffia dei rotatori, la sindrome del
    tunnel carpale ) e le vie anatomiche di diffusione di processi infiammatori
    e/o infettivi nell'arto. Deve essere in grado di descrivere l'organizzazione
    dei linfonodi ascellari e le vie di drenaggio linfatico della mammella e
    spiegare le basi anatomiche che influenzano l'incidenza in relazione alla
    diffusione metastatica del cancro del seno e del melanoma .

    Arto inferiore

    Lo studente in medicina deve essere in grado di riconoscere le principali
    caratteristiche palpabili e di imaging delle ossa dell’ arto inferiore,
    conoscere i principali siti di fratture comuni (collo e diafisi di femore, tibia
    e perone) e l’anatomia che sottende le possibili complicazioni che
    potrebbero derivare da queste. Deve essere in grado di spiegare i fattori
    che determinano e modulano la stabilità dell'anca, del ginocchio e della
    caviglia, le lesioni legamentose comuni, al fine di essere in grado di
    apprendere la procedura clinica per verificare l'integrità dei legamenti. Allo
    scopo di poter eseguire, nel corso degli studi, le procedure cliniche in
    modo sicuro ed efficace, lo studente deve essere in grado di descrivere il
    corso e la distribuzione delle principali strutture neurovascolari dell'arto
    inferiore (ad esempio, al fine di evitare di danneggiare il nervo sciatico
    quando si effettua una iniezione intramuscolare), essere in grado di
    indicare i principali punti di repere del polso arterioso (femorale, popliteo,
    tibiale posteriore e dorsale del piede) , la posizione delle principali vene
    (per l’esposizione chirurgica, praticata in emergenza per l’accesso venoso
    e per la valutazione delle vene varicose). Deve conoscere le sedi comuni dei nervi per comprenderne le
    lesioni e i possibili effetti funzionali di tali danni (ad esempio sciatico e
    nervo peroneo comune al collo del perone ). Deve avere una conoscenza
    di anatomia di superficie, dei dermatomeri e della distribuzione dei
    relativi nervi periferici, conoscere accuratamente le funzioni dei principali
    gruppi muscolari e la loro innervazione al fine di possedere una base
    neuroanatomica per poter apprendere negli anni successivi con
    cognizione di causa l’esame dell'arto inferiore. Lo studente deve
    conoscere l'organizzazione dei linfonodi inguinali e le vie anatomiche
    responsabili del drenaggio linfatico dell'arto, dei tegumenti del tronco e
    del perineo. Deve conoscere l’organizzazione delle fasce profonde degli
    arti inferiori e la loro rilevanza anatomica per comprendere le sindromi
    compartimentali. I meccanismi anatomofunzionali che permettono il
    ritorno del sangue dalle gambe al cuore e come alterazioni di questi
    meccanismi possano causare lo sviluppo di varici, trombosi venose
    profonde ed embolia.

    Testa e collo.

    Lo studente in medicina deve essere
    in grado di riconoscere le principali caratteristiche palpabili e di imaging
    del cranio e della colonna cervicale per essere in grado di interpretare le
    immagini mediche pertinenti. Lo studente, al fine di poter apprendere,
    nel corso degli studi, agevolmente, l'esame clinico della testa e del collo
    deve conoscere la posizione, i rapporti delle strutture neurovascolari,
    della rete venosa e il drenaggio linfatico delle seguenti principali
    strutture: corso e distribuzione dei nervi cranici, orecchio e tuba
    faringotimpanica, occhi, palpebre e congiuntiva, cavit nasali e seni
    paranasali , cavita orale e lingua, tonsille, palato molle, faringe, ghiandole
    salivari, laringe e trachea, tiroide e ghiandole paratiroidi e contenuto
    della guaina carotidea. Lo studente in medicina deve essere in grado di
    descrivere le fasce e gli spazi fasciali del collo in relazione alla diffusione
    delle infezioni. Queste conoscenze sono necessarie per comprendere nel
    corso degli studi le sordità trasmissive e neurosensoriali, l’otalgia e le
    probabili fonti di dolore riferito all'orecchio, le paralisi del nervo facciale,
    le epistassi, le tonsilliti, la disfagia, l’ostruzione delle vie aerifere
    superiori, lo stridore infantile, le sinusiti, le paralisi delle corde vocali e la
    raucedine, le tumefazioni del collo e delle ghiandole salivari. Lo studente
    in medicina deve avere accurata conoscenza anatomica per poter
    descrivere le vie aeree, al fine di apprendere nel corso degli studi la
    tecnica per inserire un tubo endotracheale o nasogastrico, ed eseguire
    una tracheotomia o una laringotomia. Deve avere una conoscenza
    dell’anatomia di superficie, dei territori di distribuzione dei nervi cranici,
    della sede e delle funzioni dei principali muscoli della testa e del collo e
    della loro innervazione al fine di poter sviluppare nel corso degli studi le
    capacità per eseguire un esame neurologico di base. Per tutte le strutture,
    l'enfasi va posta su quelle parti che sono pi comunemente coinvolte in
    processi patologici o in procedure interventistiche. Per il sistema
    muscolo-scheletrico, l'attenzione va posta sui punti di repere e la
    conoscenza radiologica dello scheletro, sui legamenti maggiormente
    coinvolti in patologie, sui gruppi muscolari e su singoli muscoli in termini
    funzionali con particolare riferimento alla loro innervazione da parte dei
    nervi spinali . Per il sistema cardiovascolare si richiede una buona
    conoscenza del cuore dei vari punti di pulsazione arteriosa e dei segmenti
    arteriosi maggiormente esposti a danno e studiati mediante tecniche di
    eco-doppler, i punti di accesso venoso, una ottima conoscenza delle vie di
    drenaggio linfatico. Per il sistema nervoso periferico l'accento deve
    essere alle aree di distribuzione cutanea e ai gruppi muscolari

    English

    Teaching language

    Italian

    Contents

    A medical student should be able to: 1. Define and demonstrate the
    following terms relative to the anatomical position: medial, lateral,
    proximal, distal, superior, inferior, deep, superficial, palmar, plantar,
    anterior/ventral, posterior/dorsal, rostral, caudal. 2. Describe the
    following anatomical planes: axial / transverse / horizontal, sagittal and
    coronal. 3. Define and demonstrate the terms used to describe the
    movements of the limbs and vertebral column: flexion, extension, lateral
    flexion, pronation, supination, abduction, adduction, medial and lateral
    rotation, inversion, eversion, plantarflexion, dorsi-flexion, protraction,
    retraction and circumduction. 4. Define the terms somatic and visceral
    when used to describe parts and systems (e.g. somatic and visceral
    motor systems) of the body.

    Textbook and course materials

    GRAY: ANATOMIA SISTEMATICA E REGIONALE PER STUDENTI - V edizione 2026
    Barr: Il Sistema Nervoso dell'Uomo Basi di Neuroanatomia J.A. Kiernan – N. Rajakumar -
    EDISESIL SISTEMA NERVOSO CENTRALE, NIEUWENHUYS, VOOGD, VAN
    HUIJZEN, Ed. SPRINGER-VERLAG ITALIA, 2010 disponibile per il download
    gratuito sulla biblioteca di Ateneo PROMETEUS ATLANTE DI ANATOMIA
    UMANA Ed. EDISES

    Course objectives

    The medical-pedagogical purpose of the Human Anatomy study is to
    enable students of the medical and surgical degree course in the future
    role of physicians, to communicate effectively with colleagues, to
    understand and use international anatomical terminology (FCAT), in order
    to describe the normal structure of the human body, within the areas of
    Human Anatomy, Radiology, Clinic, Microscopy and Neuroanatomy, as
    required by the MIUR system.

    Prerequisites

    knowledge of the Italian language, university level

    Teaching methods

    FRONTAL TEACHING, TEACHING IN GROUPS FOR STUDIO AT
    MICROSCOPE, STUDY USING ULTRASOUND AND ECO COLOR IMAGING
    DOPPLER, CT IMAGE STUDY, RM, XRAY

    Evaluation methods

    At the end of the first semester of the Human Anatomy IC, there will be
    no exam.

    Other information

    Attendance at lectures is required at least 75%, and attendance at professional development activities is required at least 90%. The course is structured around systematic anatomy by regions.
    At the link
    https://www.unicampania.it/index.php/biblioteche/e-book?view=article&id=9701:ebook-springer-medicina-2023-eng&catid=366
    there is a wide selection of texts to support study.
    A wide selection of dissection videos from the famous Acland Anatomy can be viewed and studied at https://aclandanatomy.com/
    Students are advised to study the anatomical regions covered by the instructor during the course and not to postpone their study until the end of the course. It is essential that students participate in professional development activities thoroughly prepared, otherwise participation will be a waste of time.

    Course Syllabus

    Vertebral Column

    A medical student should be able to: 1. Describe the
    main anatomical features of a typical vertebra. Identify the atlas, axis,
    typical cervical, thoracic, lumbar vertebrae and sacrum and recognise
    their characteristic features. 2. Describe the structures, regions and
    functions of the vertebral column. Describe the range of movement of the
    entire vertebral column and its individual regions. Explain what makes
    spinal injuries stable and unstable. 3. Describe the anatomy of
    intervertebral facet joints and intervertebral discs. Explain the role of the
    discs in weight-bearing by the vertebral column and give examples of
    common disc lesions, and how they may impinge upon spinal nerve roots
    and / or the spinal cord. 4. Describe the anatomy of a spinal nerve (e.g.
    as exemplified by a thoracic spinal nerve, including its origin from dorsal
    and ventral spinal roots, its main motor and cutaneous branches and any
    autonomic component. 5. Identify the muscle and ligaments of the
    vertebral column and surface features in order to be able to perform an
    examination of the back, discuss their functional role in stability and
    movement of the vertebral column. 6. Describe the anatomical
    relationships of the meninges to the spinal cord and dorsal and ventral
    nerve roots, particularly in relation to root compression and the
    placement of epidural and spinal injections. Describe the anatomy of
    lumbar puncture. 7. Interpret standard diagnostic images of the vertebral
    column and be able to recognise common abnormalities.

    Upper Limb

    A medical student should be able to: 1. Describe and demonstrate the main
    anatomical landmarks of the clavicle, scapula, humerus, radius and ulna.
    Recognise the bones of the wrist and hand and their relative positions,
    identify those bones that are commonly damaged (scaphoid and lunate).
    2. Describe the close relations of the bones and joints (e.g. bursae, blood
    vessels, nerves ligaments and tendons), which may be injured by
    fractures or dislocation and predict what the functional effects of such
    damage might be. 3. Describe the fascial compartments delimiting the
    muscles of the upper limb. Explain the functional importance of those
    compartments and their contents. 4. Describe the origin, course and
    distribution of the arteries and their branches that supply the shoulder,
    arm and forearm in relation to common sites of injury. Explain the
    importance of anastomoses between branches of these arteries at the
    shoulder and in the upper limb. 5. Demonstrate the sites at which pulses
    in the brachial, radial and ulnar arteries may be located. 6. Describe the
    courses of the veins of the upper limb; classify and contrast the functions
    of the deep and superficial veins. Identify the common sites of venous
    access and describe their key anatomical relations. Explain the
    relationship between venous and lymphatic drainage channels. 7.
    Describe the organisation of the brachial plexus, its origin in the neck and
    continuation to the axilla and upper limb. 8. Describe the origin, course
    and function of the axillary, radial, musculocutaneous, median and ulnar
    nerves in the arm, forearm, wrist and hand. Name the muscles that these
    nerves supply as well as their sensory distribution. Predict the
    consequences of injury to these nerves and describe how to test their
    functional integrity. 9. Describe the boundaries of the axilla. List its
    contents, including the vessels, parts of the brachial plexus and lymph
    node groups. 10. Describe the movements of the pectoral girdle; identify
    the muscles responsible for its movements and summarise their main
    attachments and somatic motor nerve supply. 11. Describe the factors
    that contribute to the stability of the shoulder joint and explain the
    functional and possible pathological consequences of its dislocation. 12.
    Describe the anatomy of the elbow joint. Demonstrate the movements of
    flexion and extension, identify the muscles responsible for these
    movements and summarise their main attachments and somatic motor
    nerve supply. 13: Describe the anatomy of the superior and inferior radioulnar
    joints. Explain the movements of supination and pronation; identify
    the muscles responsible for these movements and summarise them
    attachments and somatic motor nerve supply. 14. Describe the anatomy
    of the wrist. Describe and demonstrate movements at these joints and
    name and identify the muscles responsible for the movements. Describe
    the relative positions of the tendons, vessels and nerves at the wrist in
    relation to injuries. 15. Name and demonstrate the movements of the
    fingers and thumb. Describe the position, function and nerve supply of
    the muscles and tendons involved in these movements, differentiating
    between those in the forearm and those intrinsic to the hand. 16. Explain
    the main types of grips (power, precision and hook) and the role of the
    muscles and nerves involved in executing them. 17. Describe the position
    and function of the retinacula of the wrist and the tendon sheaths of the
    wrist and hand. Explain carpal tunnel syndrome and the spread of
    infection in tendon sheaths. 18: Explain why and describe where the
    axillary, musculocutaneous, radial, median and ulnar nerves are
    commonly injured and be able to describe the functional consequences of
    these injuries. 19. Explain the loss of function resulting from injuries to
    the different parts of the brachial plexus. Demonstrate how to test for
    motor and sensory nerve function. 20. Describe the anatomical basis of:
    the assessment of cutaneous sensation in the dermatomes of the upper
    limb, tendon jerk testing of biceps and triceps and comparative strength
    tests. 21. Describe the anatomy of the axillary lymph nodes and explain
    their importance in the lymphatic drainage of the breast and the skin of
    the trunk and upper limb and in the spread of tumours. 22. Interpret
    standard diagnostic images of the upper limb and be able to recognize
    common abnormalities

    Lower Limb

    A medical student should be able to:
    1. Recognise the features and surface landmarks of the pelvis, femur,
    tibia, fibula, ankle and foot. Demonstrate their palpable and imaging
    landmarks. Appreciate which bones and joints are vulnerable to damage
    and what the consequences of such damage could be. 2. Describe the
    close relations of the bones and joints (e.g. bursae, blood vessels, nerves
    ligaments and tendons), which may be injured in fractures or dislocations
    and predict what the functional effects of such damage would be. 3.
    Describe the fascial compartments enclosing the muscles and explain the
    functional importance of these compartments and their contents in
    relation to compartment syndromes. 4. Demonstrate the origin, course
    and branches of the arteries that supply the hip, gluteal region, thigh,
    leg, ankle and foot. Explain the functional significance of anastomoses
    between branches of these arteries at the hip and knee. 5. Demonstrate
    the locations at which the femoral, popliteal, dorsalis pedis and posterior
    tibial pulses can be felt. 6. Demonstrate the course of the principal veins
    of the lower limb. Explain the role of the perforator vein connections
    between the superficial and deep veins and the function of the ‘muscle
    pump’ for venous return to the heart. Describe the sites of venous access
    that can be used for ‘cut- down’ procedures in emergencies. 7. Outline
    the origin of the lumbosacral plexus and the formation of its branches. 8.
    Describe the origin, course and function of the sciatic, femoral, obturator,
    common peroneal and tibial nerves, sural and saphenous nerves and
    summarise the muscles that each supply as well as their sensory
    distribution. 9. Describe the structure and movements of the hip joint.
    Summarise the muscles responsible for these movements, them
    innervation and main attachments. 10. Describe the structures
    responsible for stability of the hip joint and their relative contribution to
    maintaining the lower limb in different positions. 11 Describe the
    structures at risk from a fracture of the femoral neck or dislocation of the
    hip and explain the functional consequences of these injuries. 12.
    Describe the boundaries of the femoral triangle and the anatomical
    relationships of the femoral nerve, artery, vein and lymph nodes to each
    other and to the inguinal ligament, with particular regard to arterial blood
    sampling and catheter placement. 13. Describe the anatomy of the
    gluteal (but- tock) region and the course of the sciatic nerve within it.
    Explain how to avoid damage to the sciatic nerve when giving
    intramuscular injections. 14. Describe the structure and movements of
    the knee joint. Summarise the muscles responsible for these movements,
    their innervation and main attachments. 15. Describe the close relations
    of the knee joint including bursae and explain which structures may be
    injured by trauma (including fractures and dislocation) to the knee.
    Identify the factors responsible for maintaining the stability of the knee
    joint. Describe the menisci, ligaments and the locking mechanism close
    to full extension. Explain the anatomical basis of tests which assess the
    integrity of the cruciate ligaments. Describe the boundaries and contents
    of the popliteal fossa. 16. Describe the anatomy of the ankle joint. Explain
    the movements of flexion, extension, plantarflexion, dorsiflexion,
    inversion and eversion. Describe the muscles responsible for these
    movements, their innervation and their attachments. 17. Describe the
    factors responsible for stability of the ankle joint, especially the lateral
    ligaments, and explain the anatomical basis of “sprain” injuries. 18.
    Describe the arches of the foot and the bony, ligamentous and muscular
    factors that maintain them. 19. Describe the movements of inversion and
    eversion at the subtalar joint, the muscles responsible, their innervation
    and main attachments. 20. Describe the anatomical basis (nerve root or
    peripheral nerve) for loss of movements and reflexes at the knee and
    ankle resulting from spinal injuries, disc lesions and common peripheral
    nerve injuries. Describe the dermatomes of the lower limb and perineum
    used to assess spinal injuries. 21. Describe the structures at risk to a
    fracture of the femoral neck or dislocation of the hip and describe the
    functional consequences of these conditions. 22. Describe the lymphatic
    drainage of the lower limb and its relationship to tumour spread. 23.
    Discuss the structures of the lower limb that may be used for autografts.
    24. Interpret standard diagnostic images of the lower limb and be able to
    recognise common abnormalities.

    Head and Neck

    A medical student should be able to: 1. Demonstrate the position, palpable and imaging
    landmarks of the bones of the skull, including the frontal, parietal,
    occipital, temporal, maxilla, zygoma, mandible, sphenoid, nasal and
    ethmoid bones. Demonstrate the palpable position of the hyoid bone,
    thyroid and cricoid cartilages, lateral mass of the atlas and the spine of
    C7. Demonstrate the sutural joints and describe the fontanelles of the
    fetal skull. 2. Describe the boundaries, walls and floors of the cranial
    fossae. 3. Identify the external and internal features of the cranial
    foraminae and list the structures that each transmits. 4. Demonstrate the
    position of the anterior and posterior triangles of the neck defined by the
    sternum, clavicle, mandible, mastoid process, trapezius and sternocleidomastoid.
    5. In the posterior triangle, demonstrate the position of the
    spinal accessory nerve, the roots and trunks of the brachial plexus, the
    external jugular vein and subclavian vessels in relation to penetrating
    neck trauma. 6. In the anterior triangle, demonstrate the position of the
    common, internal and external carotid arteries, the internal jugular vein
    and vagus nerve, the trachea, thyroid cartilage, larynx, thyroid and
    parathyroid glands. Explain their significance in relation to carotid
    insufficiency, central venous line insertion, emergency airway
    management and diagnosis of thyroid disease. 7. Describe the location
    and anatomical relations of the thyroid and parathyroid glands, their
    blood supply and the significance of the courses of the laryngeal nerves.
    8. Demonstrate the origin, course and branches of the common, internal
    and external carotid arteries and locate the carotid pulse. 9. Describe the
    courses of the accessory, vagus and phrenic nerves in the neck. 10.
    Identify the structures passing between the neck and the thorax.
    Describe the courses and relationships of the subclavian arteries and
    veins. 11. Describe the anatomy of the scalp, naming its individual layers.
    Describe the blood supply of the scalp and its significance in laceration
    injuries. 12. Demonstrate the extracranial course of the branches of the
    facial nerve. Desscribe the muscles of facial expression supplied by each
    branch and describe the consequences of injury to each branch. 13.
    Describe the intracranial and intrapetrous course of the facial nerve and
    the relationships of its branches to the middle ear in relation to damage
    of the nerve within the facial canal. 14. Describe the anatomy of the
    temporo-mandibular joint. Explain the movements that occur during
    chewing and describe the muscles involved including their innervation.
    Explain what occurs in anterior joint dislocation and relocation. 15.
    Describe the origin, function and branches of the sensory and motor
    components of the trigeminal nerve. 16. Describe the origins and
    summarise the courses and major branches of the facial and maxillary
    arteries, including the course and intracranial relations of the middle
    meningeal artery and its significance in extradural haemorrhage. 17.
    Describe the relationship of the termination of the facial vein (draining
    into the internal jugular vein) and the mandibular branch of the
    retromandibular vein (supplying facial muscles controlling the angle of
    the mouth) to the submandibular gland and related upper jugular lymph
    nodes in relation to exploration of this area. 18. Describe the key
    anatomical relations of the parotid, submandibular and sublingual
    salivary glands, the course of their ducts into the oral cavity and their
    autonomic secretomotor innervation. Appreciate the narrow points of the
    ducts in relation to salivary stone impaction. 19. Demonstrate the
    features and boundaries of the oral cavity and describe its sensory
    innervation.20. Describe the functional anatomy of the tongue, including
    its motor and sensory innervation and the role of the extrinsic and
    intrinsic muscles. Explain the deviation of the tongue after hypoglossal
    nerve injuries. 21. Describe the anatomical arrangement and functional
    significance of the lymphoid tissue in the tonsils, pharyngeal, and
    posterior nasal walls. 22. Describe the muscles that compose the
    pharyngeal walls and move the soft palate; summarise their functions
    and nerve supply. Describe the components of the gag reflex. 23.
    Describe the hyoid bone and cartilages of the larynx. Explain how these
    structures are linked together by the thyrohyoid, cricothyroid, and
    quadrangular membranes. 24. Describe the intrinsic and extrinsic
    laryngeal muscles responsible for closing the laryngeal inlet, controlling
    vocal cord position and tension. Explain how these muscles function
    during phonation, laryngeal closure, the cough reflex and regulation of
    intrathoracic pressure. 25. Describe the origin, course and functions of
    the motor and sensory nerve supply of the larynx and the functional
    consequences of injury to them. 26. Describe the stages of swallowing
    and the functions of the muscles of the jaw, cheek, lips, tongue, soft
    palate, pharynx, larynx and oesophagus during swallowing. 27. Describe
    the location, actions and nerve supply of the intrinsic and extra-ocular
    muscles and apply this knowledge to explain the consequences of injury
    to the nerve supply of these muscles. 28. Describe the anatomy of the
    eyelids, conjunctiva and lacrimal glands. Explain their importance for the
    maintenance of corneal integrity. 29. Describe the functional anatomy of
    the external auditory meatus, tympanic membrane, ear ossicles and
    auditory tube, together with their major anatomical relations. 30.
    Describe the bones of the nasal cavity and the major features of the
    lateral wall of the nasal cavity. Describe the major arteries that supply
    the lateral wall and nasal septum in relation to nosebleeds. 31. Name the
    paranasal sinuses, describe their relationships to the nasal cavities and
    sites of drainage on its lateral wall and explain their innervation in
    relation to referred pain. 32. Describe the arrangement of the dura
    mater, and its main reflections within the cranial cavity and their
    relationship to the major venous sinuses and the brain itself. 33. Describe
    the arrangement of the venous sinuses of the cranial cavity; explain the
    entrance of cerebral veins into the superior sagittal sinus in relation to
    subdural haemorrhage, and how connections between sinuses and
    extracranial veins may permit intracranial infection 34. Describe the
    relationships between the brain and the anterior, middle and posterior
    cranial fossae. 35. Describe the anatomy of the motor and sensory
    nerves to the head and neck and apply this to a basic neurological
    assessment of the cranial nerves and upper cervical spinal nerves. 36.
    Describe the sympathetic innervation of the head and neck and the
    features and casual lesions in Horner’s syndrome. 37. Demonstrate the
    positions of the external and internal jugular veins and the surface
    landmarks that are used when inserting a central venous line. 38.
    Describe the arrangement of the lymphatic drainage of the head and
    neck, the groups of lymph nodes and the potential routes for the spread
    of infection and malignant disease. 39. Interpret standard diagnostic
    images of the head and neck and be able to recognise common
    abnormalities. 40. Describe the anatomical microscopical structure at
    light and electron microscopy level of all head and neck viscera

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