Manual Of Lab Repro Week One 2017.doc

FACULTY OF MEDICINE – UPH LIPPO VILLAGE KARAWACI – TANGERANG - BANTEN MANUAL OF ANATOMY LABORATORY Bernard SM Hutabarat;dr,PAK BLOCK : REPRODUCTIVE SYSTEM ODD SEMESTER ( V ) 2017 / 2018

MORTUI VIVO DOCENT ( THE DEAD TEACH THE LIVING ) GENERAL RULES AT THE DISSECTING ROOM. MORTUI VIVOS DOCENT ( THE DEAD TEACH THE LIVING ) is an universal basic principle that must always be remembered by every medical students and those who study Anatomy on cadaver. Universally, MORTUI VIVOS DOCENT means that medical students learn from the dead so the cadavers also become their teacher. Based on MORTUI VIVOS DOCENT every medical student who works on cadavers must obey Code of Ethic of Anatomy as follows : Students : 1. 1. Prepare him / herself for Laboratory practice, including : 1.1. Study the Lab. Manual accordingly before coming to Dissection Room. 1.2. Bring along Anatomy dissecting instruments ( minimum 1 for each group ) 1.3. Must bring along Lab. Manual, Anatomy atlas and ( if necessary ) anatomy lecture materials 1.4. Wear Laboratory dress properly 2. Respect the cadavers as the students respect their teachers. 3. NOT Allowed to take cadavers photo and video. 4. NOT make fun of cadavers or parts of the cadavers whatever the condition of the cadavers or parts of the cadavers might be. 5. NOT throw part of the cadaver if his / her fellow student wants to borrow the specimen 6. Give / take directly the specimen from his / her fellow student if he / she wants to lend / borrow the specimen. 7. NOT damage cadavers or parts of the cadavers on purpose or for fun. 8. NOT playing during practise in the lab 9. Work very carefully to avoid accidents from dissection instruments. MUST prepare him / herself for Laboratory practice, including : 9.1. Study the Lab. Manual accordingly 1

9.2. Bring along Anatomy dissecting instruments ( minimum 1 set for each group ) 9.3. Bring along Lab. Manual, Anatomy atlas and ( if necessary ) anatomy lecture materials 9.4. Wear the required Laboratory dress properly .WEEK ( LABORATORY ) ONE ; OCTOBER 11 , 2017 TOPICS

: GROSS ANATOMY OF GENITAL ORGANS

COMPETENTCY AREA

: 5

COMPETENTCY LEVEL

: 4A ( ABLE TO IDENTIFY )

LEARNING OBJECTIVES : After finished laboratory practice Student should be able to identify : 1. Anatomy of the female and male genital / reproductive organs 2. Relations of pelvic bones, joints, ligaments and pelvic floor with the genital / reproductive organs 3. Relation of peritoneum, pelvic structures and . female and male genital / reproductive organs 4. Anatomy of pelvic as the birth canal. 5. Blood supply of pelvic and genital / reproductive organs. ATTENTION FOR STUDENTS : To achieve the learning objectives Students at Dissection Room do the following procedures : 1. Discuss among the group : 1.1. Pelvic organs. What do pelvic organs mean ? 1.2. Division of genital / reproductive organs. 2. Identify at the specimens location of pelvic and reproductive organs and their relation with the pelvic peritoneum..Look for 2.1. Right and left hip bone ( ossa coxae dexter et sinister ) 2.2. Sacrum 2.3. Pelvic cavity ( cavum pelvicum ) 2.4. Contents of pelvic cavity : 2.4.1. Reproductive organs ( organae reproductivae ) 2.4.2. Bladder ( vesica urinaria ). 2.4.3. Rectum, anal canal ( canalis analis ) and anus 3. Discuss among the group the differences between male and female genital/reproductive organs in relation to their location? 4. Identify pelvic peritoneal and its reflexion. Look for : 4.1. Retropubic space ( Cavum prevesicale Retzii ) 2

4.2. 4.3.

Recto-vesical space ( cavum rectovesicalis ). Recto-uterine space ( Douglas pouch , Excavatio rectouterina , cavum Douglasi ) Discuss among the group clinical application of recto-uterine space. 4.4. Recto-vaginal septum ( septum rectovaginalis ) Discuss among the group clinical importance of recto-vaginal septum. 5. Identify genital / reproductive organs at the specimen. Look for :: 5.1. Male external genital / reproductive organs and parts . Look for : 5.1.1. Penis. Look for its parts : 5.1.1.1. Glans penis Discuss among the group what is the name of the skin that covers glans penis. What is its clinical application. Look for : 5.1.1.1.1. Corona of glans ( corona glandis ). What is the name of glands located at this part? What is the name of its product? 5.1.1.1.2. Neck of glans ( collum glandis ) 5.1.1.2. Prepuce ( foreskin ; preputium penis ). Look for : Frenulum ( frenulum preputii. ) What is its clinical importance / application? 5.1.1.3. Body of penis ( corpus penis ) Discuss among the group the three structures that make corpus penis. Discuss also the covering of corpus penis. 5.1.1.5. Root of penis ( radix penis ). What is its clinical importance / application? 5.1.2. Scrotum. Look for : 5.1.2.1. Raphe of scrotum ( raphe scroti ) 5.1.2.2. Septum of scrotum ( septum scroti ) 5.2. Male internal genital / reproductive organs and parts . Look for : 5.2.1. Testis ( testis , orchis ), look for : 5.2.1.1. Upper / superior pole ( extremitas / polus superior ) 5.2.1.2. Lower / inferior pole ( extremitas / polus inferior ) 5.2.1.3. Lateral surface ( facies lateralis ) 5.2.1.4. Medial surface ( facies medialis ) 5.2.1.5. Anterior border ( margo anterior ) 5.2.1.6. Posterior border ( margo posterior ) 5.2.2. Epidydimis : 5.1.3.1. Head of epidydimis ( caput epidydimidis ) 5.1.3.2. Body of epidydimis ( corpus epidydimidis ) 5.1.3.3. Tail of epidydimis ( cauda epidydidimidis ) 5.2.3. Vas / ductus deferens What is its clinical application? 5.2.4. Spermatic cord ( funiculus spermaticus ) Spermatic cord contains 12 anatomical structures ( Rule of 3 ), which one has direct connection with reproduction? 5.3 Female internal reproductive organs and parts. Look for : 5.3.1. Mons pubis ( mons venerica ). What is the name of the hair that located here? 5.3.2. Labium majus 5.3.3. Pudendal cleft ( rima pudenda ) 5.3.4. Vulva 5.3.5. Labium minus 3

5.3.6. 5.3.7. 5.3.8. 5.3.9. 5.3.10. 5.3.11

Clitoris Vaginal vestibule ( vestibulum vaginae ) External urethral orifice ( ostium urethrae externum ) Vaginal orifice ( ostium vaginae ) Vagina Vaginal part of cervix of uterus ( portio vaginalis cervicis ) Discuss among the group medicolegal application of portio vaginalis cervicis . 5.3.12 Uterus. Look for its parts : 5.3.12.1. Fundus of uterus ( fundus uteri ). What is its clinical application? 5.3.12.2. Body of uterus ( corpus uteri ) 5.3.12.3. Internal os of uterus ( ostium uteri internum ) 5.3.12.3. Uterine cervix ( cervix uteri ) 5.3.12.4. External os of uterus ( ostium uteri externum ) 5.3.13. Discuss among the group the meaning of : 5.3.13.1. Uterine ante / retroflexion ( ante / retroflexio uteri ) 5.3.13.2. Uterine ante / retroversion ( ante / retroversio uteri ) 5.3.13.3. Which one is considered as normal position? 5.3.14. Discuss among the group which parts of female reproductive organs that make P(assage, birth canal )? How does it happen? 5.3.15 Ovary ( ovarium ). Look for : 5.3.15.1. Ligament of ovary ( lig. ovarii propum , lig. uteroovaricum ) 5.3.15.2. Suspensory ligament of ovary ( Infundibulopelvic ligament, lig. suspensorium ovarii ). What is the name of vessels located at the ligament ? 5.3.16 Uterine tube ( tuba uterina Fallopii , salpinx ). Look for its parts : 5 3.16.1. Interstitium of uterine tube ( pars interstitialis tubae uterinae Fallopii ) 5.3.16.2. Isthmus of uterine tube ( isthmus tubae uterinae Fallopii ). 5.3.16.3. Ampulla of uterine tube ( ampulla tubae uterinae Fallopii ). What is the clinical importance of this part ? 5.3.16.4. Infundibulum of uterine tube ( infundibulum tubae uterinae Fallopii ). What is the clinical importance of this part? What is its relation with the ovary and ovulation ? Discuss it among the group. 5.3.16.4. Discuss among the group the role of uterine tube in birth controle ( family planning? What is the name of surgery method ? 6. Identify vascularization of the pelvic . Look for : 6.1. Common iliac artery ( Arteria iliaca communis ) 6.2. External and internal iliac arteries ( Aa. Iliacae externa et interna ) 6.3. Identify at the specimen branches of Internal iliac artery ( hypogastric artery , A. iliaca interna ). Look for : 6.3.1. Posterior division ( divisio posterior a. iliacae internae ) 6.3.1.1. Iliolumbar artery ( A. iliolumbalis ) 6.3.1.2. Lateral sacral arteries ( Aa. sacrales laterales ) 6.3.1.3. Superior gluteal artery ( A. glutea superior ) 6.3.2.. Anterior division ( divisio anterior a. iliacae internae ) : 6.3..2.1. Obturator artery ( A. obturatoria ). 4

6.3.2.2. 6.3.2.3. 6.3.2.4. 6.3.2.5. 6.3.2.6. 6.3.2.6.

Internal pudendal artery ( A. pudenda interna ) Discus among the group what is corona mortis. Inferior gluteal artery ( A. glutea inferior ) Superior vesical artery ( A. vesicalis superior ). Embryologicly what is the name of its origin ? Uterine artery ( A. uterina ). What is the name of the ligament where this artery located ? Ovarian artery ( A. ovarica ). Where is the location of this artery ?

SPECIMENS : 1. 2. 3. 3.

Bones of pelvic Cadaver Reproductive/ genital organs. Plastinates.

INSTRUCTORS : 1. Bernard SM Hutabarat,dr,PAK 2. Stefanus S Sumali,dr,MBiomed 3. Deisy Budiono,dr REFERENCES 1. Atlas of Anatomy: 2. Federative International Programme on Anatomical Terminologies ( FIFAT ) : Terminologia Anatomica , 2nd edit. Georg Thieme Verlag , Stuttgart – New York 3. Textbook of Anatomy 4. Lecture materials GOD SPEED AND BLESS THE STUDENTS

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