FACULTY OF MEDICINE – UPH

LIPPO VILLAGE KARAWACI – TANGERANG - BANTEN

MANUAL OF ANATOMY LABORATORY

Bernard SM Hutabarat;dr,PAK

BLOCK : CARDIOVASCULARIA

ODD SEMESTER ( V ) 2016 / 2017

MORTUI VIVOS DOCENT

( THE DEAD TEACH THE LIVING )

GENERAL RULES AT THE DISSECTION ROOM.

STUDENTS MUST:

1. Follow Anatomy Code of Ethic ( Based on Mortui Vivos Docent )

1.1. Respect the cadavers as the students respect their living teachers.
1.2. NOT make fun of cadavers or parts of the cadavers whatever the condition of the
cadavers or parts of the cadavers might be.
1.3. NOT throw part of the cadaver if his / her fellow student wants to borrow the
specimen.
1.4. Give / take directly the specimen from his / her fellow student if he / she wants to
lend / borrow the specimen.
1.5. NOT damage cadavers or parts of the cadavers on purpose or for fun.
2. Prepare him / herself for Laboratory practice, including :
2.1. Study the Lab. Manual accordingly
2.2. Bring along Anatomy dissecting instruments ( minimum 1 for each group )
2.3. Bring along Lab. Manual, Anatomy atlas and ( if necessary ) anatomy lecture
materials
2.4. Wear the required Laboratory dress properly
3. Work very carefully to avoid accidents from dissection instruments.

WEEK ( LABORATORY ) ONE ; SEPTEMBER 19, 20 , 22 , 2016

TOPICS : LOCATION AND EXTERNAL PARTS OF THE HEART

COMPETENTCY AREA : 5

COMPETENTCY LEVEL : 4A ( ABLE TO IDENTIFY )

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LEARNING OBJECTIVES :

After finished laboratory practice Student should be able to identify :

1. Mediastinum and its division.

2. Location and position of the heart
3. Topographical relation between the heart and surrounding organs
4. Covers of the heart
5. External parts of the heart
6. Imaginary axis of the heart ( axis cordis )
7. Sulci of the heart ( sulci cordes )
8. Location of cardiac vessels ( Vasae cardiacae )
9. The Great cardiac vessels and their location.

ATTENTION FOR STUDENTS :

To achieve the learning objectives Students at Dissection Room do the following

procedures :

1. Discuss among the group bones of the thoracic cavity ( cavitas thoracis ).
How many bones make the thoracic cavity ? Look for their parts
Sternum, 12 thoracal, 24 costae
2. Discuss among the group how to divide mediastinum into superior mediastinum
( mediastinum superius ) and inferior mediastinum ( mediastinum inferius ).
Dipisahkan oleh garis imajiner dari thoracal 4
3. Identify at the cadaver the mediastinum. Look for :
3.1. Superior mediastinum ( mediastinum superius ). Terdapat di T1-T4
3,2. Inferior mediastinum ( mediastinum inferius ), consists of :
3.2.1. Anterior mediastinum ( mediastinum anterius ) bagian depan
3.2.2. Middle mediastinum ( mediastinum medius ) bagian jantung (rongga
jantung)
3.2.3. Posterior mediastinum ( mediastinum posterius ) bagian belakang
4. Discuss among the group where is the location of the heart.
Di medial inferior mediastinum
5. Identify cover of the heart. Look for pericardium.
Terdiri dari 2 lapisan, pericardium visceral (menempel pada jantung) dan parietal
<berpisah dengan jantung :( >
6. Discuss among the group:
6.1. Imaginary axis of the heart ( cardiac axis, axis cardiacus ) garis bidang khayalan yang
melalui basis cordis (belakang kanan atas-pinggang jantung) dan apex cordis (kiri
depan bawah-ictus cordis)
6.2. What is the influence of axis cardiacus to the position of the heart. Membuat
letak jantung tidak simetris (2/3 bagian dikiri dan 1/3 bagian di kanan)
6.3. What is the influence of axis cardiacus to morphology anatomy of the heart
menentukan arah jantung, jika berbeda akan menyebabkan gangguan
7. Identify the external part of the heart at the specimen . Look for :
7.1. Anterior/sternocostal surface of the heart (Facies anterior/sternocostalis cordis)
7.2. Diaphragmatic/inferior surface of the heart (Facies diaphragmatica/inferior cordis )
7.3. Right border of the heart ( Margo dexter cordis )
7.4. Left border of the heart ( Margo sinister / obtusus cordis )
7.5. Acute margin of the heart ( Margo acutus codis )

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 7.6. Sulci of the heart ( sulci cordes ) :
7.6.1 .Anterior interventricular sulcus of the heart ( Sulcus interventricularis anterior
cordis ). Memisahkan RV dengan LV bagian depan.
What vessels are located there? Left Anterior Descending C.A (R.
Intervenrikularis Anterior C A) , V. Cordis Magna
7.6.2. Posterior interventricular sulcus of the heart (Sulcus interventricularis posterior
cordis ). Memisahkan RV dengan LV bagian belakang
What vessels are located there? R. interventricularis posterior , Right
C A , V. Cordis Media
7.6.3. Coronary sulcus of the heart ( Sulcus coronarius cordis ). Melingkari
jantung
What vessels are located there? Left circumflexa C A , Right C A , sinus
Coronaria , V. Cordis Parva

ABCD = POSTERIOR
DEFC = ANTERIOR
AEFB = INFERIOR
CBF = SINISTRA
DAE = DEXTRA

8. Identify chambers of the heart externalli.

SPECIMENS :

1. Ribs ( costae ), thoracic vertebra ( vertebra thoracica ) , sternum

2. Cadaver
3. Heart ( Cor )
4. Plastinates.

INSTRUCTORS :

1. Bernartd SM Hutabarat,dr,PAK
2. Stefanus S Sumali,dr,MBiomed

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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. Textbook of Anatomy
5. Lecture materials

GOD SPEED AND BLESS THE STUDENTS