壹、教學時間表

Transcription

1 國立台灣大學醫學院 106 學年度學習指引 ;3-1 大體解剖學及實驗上 組織學上 生理學甲上 胚胎學上 臺大醫學院共同教育及教師培訓中心編印

2 編輯緣起 本院自八十一學年度起開始編輯及出版學習指引系列 其最主要目的是讓學生對於各學科的學習內容, 以及教師的教學進度 教學方式 作業或評量要求等有一全面性的瞭解, 以加強學習效果 編輯學習指引系列的另一目的是希望能藉其使不同學科的教師及同一學科的授課老師, 彼此了解授課的內容及教學的方式, 加強學習內容的協調, 避免不必要的重複或遺漏, 以提昇本院的教學品質 完整的學習指引, 其內容應包括 : 該學科的教學目標, 教學進度, 所涵蓋的單元主題, 教學方法及詳細的教學活動方式, 詳細的作業及成績評量規定, 參考資料, 教師的其他要求 本指引每年均根據老師與學生反應由相關單位的授課教師提供修正資料, 以期更能充實內容 ; 同時希望使用本指引的同學能夠繼續提出修正的建議, 使學習指引系列的內容更能符合同學的學習需求 臺大醫學院共同教育及教師培訓中心 民國 106 年 8 月 1

3 序 醫學系的教育目標是讓學生在七年的修業期間之內能夠學習到做為一個醫師所必須具備的知識 技能 態度並培養終生學習的動機和主動學習的習慣 此一目標的達成必須依賴教師與學生的共同合作 ; 教師方面以積極的熱忱提供各種教學活動, 學生方面則應有充分的配合意願與行動 除了知識與技能之外, 豐富的人性與積極的社會使命感等做為醫師必須具備的人格 科學的思考能力以及適當判斷力的養成, 尤其需要學生方面的體能及力行 本手冊的主要目的在於讓學生了解本系目前的課程 教學計畫 及教學主題, 希望他有助於促進師生間良好的溝通, 學生能夠了解而且善盡自己的學習責任, 教師能夠妥適規劃教學內容, 以提昇醫學系的教學品質 自八十三學年度開始, 本院醫學系一年級至六年級的學生均按照新課程實施教學 ; 已將臨床預備階段的傳統型課程轉變為整合型課程, 將臨床階段的傳統型課程轉變為核心 選修型課程 ; 啟發式小班教學也全面實施並逐漸落實 在這新階段的開始, 希望教師同仁們繼續在教學方面加以改進, 使本院的新課程能夠展示其效果 教學改進的成功有賴於事前的充分準備 學生的充分了解 教師的充分配合, 以及不斷的檢討改進, 希望本手冊的編印能對於提昇本院的教學品質, 提高本院的教學成效有所協助 敬請使用本手冊的教師同仁以及同學, 對於本書在內容方面的缺失及應改進的地方, 提出高見, 以便修正 臺大醫學院共同教育及教師培訓中心 民國 106 年 8 月 2

4 目 錄 編輯緣起序壹 教學時間表 1 貳 大體解剖學及實驗上 19 參 組織學上 36 肆 生理學甲上 51 伍 胚胎學上 58 3

5 壹 醫學系三年級整合課程教學時間表 106 學年度第 1 學期 第一週 Introduction & [Integumentary /Muscloskeletal/Nervous] 日期時間科別主題教師 09/11 Mon 09/12 Tue 09/13 Wed 08:10-08:20 08:20-08:30 08:30-08:40 08:40-10:00 10:20-12:10 13:20-15:10 08:10-08:40 08:40-12:10 13:20-15:10 15:30-17:20 13:20-15:10 15:30-17:20 組織 組織 組織 組織 組織 小組討論 大體解剖 大體解剖 大體解剖 組織 組織 組織 組織 Introduction (10 min) LM technique (10 min) EM technique (10 min) Cell (I) Lab orientation; Microscope check-out ( 三東 ) Slide box check-out ( 三東 ) 解剖 生理小組討論 ( 含課前教育 ) Introduction (501) Basic terms in Anatomy (501) Skeletal system I: Vertebrae and Thoracic cage (501) Cell (II) Epithelial Tissue Muscular Tissue Muscular Tissue Lab 王淑慧 龔秀妮 龔秀妮 黃敏銓黃敏銓 全體教師 小班老師 李立仁 謝松蒼 謝松蒼 黃敏銓 龔秀妮 王淑慧 全體教師 09/14 Thu 09/15 08:10-10:00 胚胎 Introduction; Bilaminar and trilaminar germ disk 黃敏銓 Fri 備註 : * 為尊重大體老師及感謝家屬, 除特殊理由請假外, 請同學務必出席大體老師的重要儀式 1. 大講堂上課教室 : 基礎醫學大樓 501 講堂 ( 解剖學科 ) 302 講堂 ( 生理學科 ) 年 09 月 11 日 ( 星期一 ) 本學期上課開始 年 10 月 04 日 ( 星期三 ) 中秋節放假日 年 10 月 09 日 ( 星期一 ) 調整放假 (9 月 30 日補上班 上課 ) 年 10 月 10 日 ( 星期二 ) 國慶紀念日 年 11 月 15 日 ( 星期三 ) 本校校慶 ( 停課一天 ) 年 01 月 01 日 ( 星期一 ) 開國紀念日 年 01 月 06 日 ( 星期五 ) 本學期上課最後一天 - 1 -

6 第二週 -Introduction & [Integumentary /Muscloskeletal/Nervous] 日期時間科別主題教師 08:10-12:10 大體解剖 Lab: Skeletal system: Vertebrae and Thoracic cage ( 三東 ) 謝松蒼 09/18 Mon Skeletal system II: Cranial skeleton (501) 13:20-15:10 小組討論 解剖 生理小組討論 小班老師 ( 單元 1: 遺傳基因 ) 人文社會 09/19 Tue 08:10-10:00 10:20-12:10 13:20-15:10 組織組織大體解剖 Blood Epithelial Tissue and Blood Lab Lab Cranial skeleton ( 三東 ) 黃敏銓全體教師謝松蒼 15:30-17:20 大體解剖 Skeletal system II: Facial skeleton (501) 09/20 Wed 09/21 Thu 13:20-15:10 15:30-17:20 08:10-10:00 大體解剖胚胎大體解剖 Skeletal system III: Upper limb Embryonic and fetal period Lab Facial skeleton 謝松蒼賴逸儒謝松蒼 09/22 Fri 13:05-13:20 13:20-17:20 生理生理 Introduction Ion channels & Membrane excitability 胡孟君郭鐘金 - 2 -

7 第三週 -[Integumentary /Muscloskeletal/Nervous] 日期時間科別主題教師 09/25 Mon 09/26 Tue 09/27 Wed 09/28 Thu 09/29 Fri 09/30 Sat 08:10-10:00 10:20-12:10 13:20-15:10 大體解剖大體解剖小組討論 Lab Upper limb ( 三東 ) 大體老師家庭訪視行前輔導 (501) 解剖 生理小組討論 ( 單元 1: 遺傳基因 I) * 人文社會 ( 單元 2: 遺傳基因 II) * 人文社會 蔡詩力小班老師 08:10-10:00 組織 Connective Tissue 龔秀妮 10:20-12:10 組織 Connective Tissue Lab 全體教師 13:20-15:10 胚胎 Placenta and fetal membrane 賴逸儒 15:30-17:20 大體解剖 Skeletal system IV: Lower limb (501) 謝松蒼 13:20-15:10 大體解剖 Lab Lower limb ( 三東 ) 李立仁 15:30-17:20 大體解剖 Muscular system I (501) 李立仁 13:20-17:20 生理 Muscle 郭鐘金 08:10-10:00 組織 Cartilage & Bone & Bone Formation 王淑慧 10:20-12:10 組織 Cartilage & Bone & Bone Formation Lab 全體教師 - 3 -

8 第四週 -[Integumentary /Muscloskeletal/Nervous] &[Blood/Heart/Circulation] 日期時間科別主題教師 10/02 Mon 10/03 Tue 10/04 Wed 10/05 Thu 10/06 Fri 08:10-10:00 10:20-12:10 13:20-15:10 08:10-10:00 10:20-12:10 13:20-17:20 組織 組織 小組討論 組織 組織 大體解剖 Nervous Tissue (PNS) Nervous Tissue (PNS) Lab 解剖 生理小組討論 ( 單元 2: 遺傳基因 II) * 人文社會 Nervous Tissue (CNS) Nervous Tissue (CNS) Lab Muscular system II (501) 中秋節 ( 放假日 ) 謝松蒼 全體教師 小班老師 謝松蒼全體教師 李立仁 13:20-16:20 生理 Heart 李宗玄 - 4 -

9 第五週 - [Blood/Heart/Circulation] 日期時間科別主題教師 10/09 Mon 10/10 Tue 10/11 Wed 10/12 Thu 10/13 Fri 13:20-15:10 15:30-17:20 13:20-15:10 15:30-17:20 組織 組織 生理生理 調整放假 (9 月 30 日補上班上課 ) 國慶紀念日 Cardiovascular System Cardiovascular System Lab 心臟電生理綜合討論 Lab 1: 動物保定 消防安全與 Chart 軟體 介紹 陳玉怜 全體教師 湯志永 - 5 -

10 第六週 -[Integumentary /Muscloskeletal/Nervous] &[Blood/Heart/Circulation] 日期時間科別主題教師 08:10-10:00 10:20-12:10 組織組織 Integumentary System Integumentary System Lab 龔秀妮 全體教師 10/16 Mon 13:20-15:10 小組討論 解剖 生理小組討論 小班老師 ( 單元 2: 遺傳基因 II) * 人文社會 08:10-10:00 組織 ( 單元 3: 下肢 - 腳踝 ) * 解剖 Quiz (I); 全體教師 10/17 Tue 10:20-15:10 大體解剖 Lab Review Muscular system III (501) Lab Muscular system ( 三東 ) 李立仁李立仁 10/18 Wed 10/19 Thu 10/20 Fri 15:30-17:20 10:20-12:10 13:20-15:10 15:30-17:20 胚胎 生理 大體解剖 大體解剖 Skeletal and muscular system Clinical ECG Vascular system I (501) Lab vascular system I 李立仁 蔡佳醍 陳玉怜陳玉怜 13:20-16:20 生理 Circulation 張國柱 - 6 -

11 第七週 -[Integumentary /Muscloskeletal/Nervous] &[Blood/Heart/Circulation] 日期時間科別主題教師 08:10-12:10 組織 Histology Exam (Lec and Lab) 全體教師 10/23 Mon 13:20-15:10 小組討論 解剖 生理小組討論 小班老師 ( 單元 3: 下肢 - 腳踝 ) * 解剖 10/24 Tue 08:10-10:00 10:20-12:10 13:20-14:10 14:20-17:20 10:20-12:10 大體解剖大體解剖胚胎大體解剖生理 vascular system II (501) Lab vascular system II Integumentary system Nervous system I (501) Circulation 陳玉怜陳玉怜黃敏銓謝松蒼張國柱 10/25 Wed 13:20-15:10 15:30-17:20 大體解剖大體解剖 Nervous system II (501) Lab V: Skeletal and Muscular systems and 謝松蒼謝松蒼 10/26 Thu 10/27 Fri 13:20-16:20 16:30-17:00 生理生理 Review Circulation Lab 2: Cardiovascular simulation 張國柱 - 7 -

12 第八週 -[Integumentary /Muscloskeletal/Nervous] &[Blood/Heart/Circulation] 日期時間科別主題教師 10/30 Mon 10/31 Tue 11/01 Wed 11/02 Thu 11/03 Fri 08:10-12:10 13:20-15:10 08:10-09:50 09:50-10:10 10:10-11:00 11:00-12:10 13:20-17:20 大體解剖 小組討論 大體解剖 大體解剖 大體解剖 大體解剖 大體解剖 Midterm Exam: Skeletal, Muscular, Nervous, Vascular system (Lec + Lab) 解剖 生理小組討論 ( 單元 3: 下肢 - 腳踝 ) * 解剖 ( 單元 4: 循環系統 ) * 解剖生理 Pectoral region and Axilla (I) (Lec) (501) Upper limb 針扎割傷處理 Lab safety and skin preparation 啟用儀式預演 大體老師啟用儀式 Pectoral region and Axilla (II) (Lab) Lab orientation 13:20-17:20 大體解剖 Arm and cubital region & Superficial back and scapular region(lec + Lab) Lab Brachial and Anterior cubital regions Back 13:20-17:20 生理 Lab 3 : 心電圖描記術 & 動脈血壓及寒冷檢壓 試驗 全體教師小班老師黃敏銓葉啟娟全體教師黃敏銓黃敏銓 - 8 -

13 第九週 -[Integumentary /Muscloskeletal/Nervous] &[Blood/Heart/Circulation] 日期時間科別主題教師 08:10-12:10 大體解剖 Forearm (I) (Lec + Lab) 黃敏銓 11/06 Mon 13:20-15:10 小組討論 Lab Scapular and Deltoid regions 解剖 生理小組討論 小班老師 ( 單元 4: 循環系統 ) * 解剖生理 08:10-12:10 大體解剖 Forearm (II) (Lab) 黃敏銓 11/07 Tue 13:20-17:20 大體解剖 Lab Flexor region of forearm Hand I (Lec + Lab) Lab Palm of hand; Extensor region of 黃敏銓 forearm and Dorsum of hand 10:20-12:00 生理 期中考 11/08 Wed 11/09 Thu 11/10 Fri 13:20-17:20 大體解剖 Hand II (Lab) 黃敏銓 Lab Palm of hand;extensor region of forearm and Dorsum of hand 13:20-16:20 生理 Blood 余佳慧 - 9 -

14 第十週 -[Integumentary /Muscloskeletal/Nervous] &[Blood/Heart/Circulation] 日期時間科別主題教師 11/13 Mon 11/14 Tue 11/15 Wed 11/16 Thu 11/17 Fri 08:10-10:00 10:20-12:10 13:20-15:10 08:10-12:10 13:20-17:20 大體解剖 大體解剖 小組討論 大體解剖 大體解剖 Joints of shoulder girdle and upper limb (Lec) Lab Joints of shoulder girdle and upper limb 解剖 生理小組討論 ( 單元 4: 循環系統 ) * 解剖生理 ( 單元 5: 血液系統 ) * 生理 Lab review Thoracic wall and Lungs Thorax Lab Thoracic wall Pleural cavities and Lungs 本校校慶停課一天 12:00-17:20 生理 Lab 4-1: 影響動脈血壓之諸多因素 & 神經 刺激與肌肉收縮 曾國藩曾國藩 小班老師 李立仁

15 第十一週 -[Respiratory] &[Blood/Heart/Circulation] 日期時間科別主題教師 08:10-12:10 大體解剖 Middle mediastinum and Heart (I) 李立仁 11/20 Mon 13:20-15:10 小組討論 Lab Middle mediastinum and Heart 解剖 生理小組討論 小班老師 ( 單元 5: 血液系統 ) * 生理 08:10-10:00 組織 Respiratory system 陳玉怜 10:20-11:10 大體解剖 Clinical lecture 謝榮賢 11/21 Tue 11:20-12:10 大體解剖 Middle mediastinum and Heart (II) 李立仁 11/22 Wed 11/23 Thu 11/24 Fri 13:20-15:10 15:30-17:20 胚胎組織 Respiratory System Lab Respiratory System 13:20-15:10 胚胎 Cardiovascular system (I) 15:30-17:20 大體解剖 Superior and Posterior mediastinum; Joints of thorax Lab Superior and Posterior mediastinum 12:00-17:20 生理 Lab 4-2: 影響動脈血壓之諸多因素 & 神 經刺激與肌肉收縮 陳玉怜全體教師黃敏銓李立仁

16 第十二週 -[Respiratory] & [ Digestion] 日期時間科別主題教師 11/27 Mon 11/28 Tue 11/29 Wed 11/30 Thu 12/01 Fri 08:10-12:10 大體解剖 Anterior abdominal wall (I) Abdomen 賴逸儒 13:20-15:10 小組討論 Lab Anterior abdominal wall 解剖 生理小組討論 ( 單元 5: 血液系統 ) * 生理 ( 單元 6: 上肢 ) * 解剖生理 小班老師 08:10-12:10 大體解剖 Anterior abdominal wall (II) and The 賴逸儒 abdominal cavity (I) 13:20-17:20 大體解剖 The abdominal cavity (II) 賴逸儒 Lab Abdomino-pelvic cavity in situ 09:10-12:10 生理 Respiration 賴亮全 13:20-15:10 組織 Lymph Node & Thymus 許書豪 15:30-17:20 組織 Lab Lymph Node & Thymus 全體教師 13:20-16:20 生理 Respiration 賴亮全

17 第十三週 -[Respiratory] & [ Digestion] 日期時間科別主題教師 08:10-10:00 10:20-12:10 胚胎 大體解剖 Cardiovascular system (II) Detailed examination of abdominal 黃敏銓 賴逸儒 viscera(i) 12/04 Mon Lab Detailed examination of abdominal viscera 12/05 Tue 12/06 Wed 12/07 Thu 12/08 Fri 13:20-15:10 08:10-12:10 13:20-15:10 15:30-17:20 10:20-11:10 11:20-12:10 13:20-15:10 15:30-17:20 小組討論 大體解剖 組織 組織 生理 生理 組織 組織 解剖 生理小組討論 ( 英文口頭報告 ) Detailed examination of abdominal viscera(ii) Lab Detailed examination of abdominal viscera Spleen, Tonsil & Haemopoiesis Lab Spleen, Tonsil & Haemopoiesis Respiration Lab 5: 呼吸生理學模擬軟體 Oral cavity & Teeth Oral cavity & Teeth Lab 13:20-16:20 生理 Lab 6: 人體呼吸之化學調節 小班老師賴逸儒許書豪全體教師賴亮全賴亮全陳玉怜全體教師

18 第十四週 -[ Digestion] & [Uro-genitary and affiliate] 日期時間科別主題教師 12/11 Mon 12/12 Tue 12/13 Wed 12/14 Thu 12/15 Fri 08:10-10:00 10:20-12:10 13:20-15:10 組織組織小組討論 Major salivary gland, Esophagus & Stomach Lab Major salivary gland, Esophagus & Stomach 解剖 生理小組討論 ( 單元 6: 上肢 ) * 解剖生理 08:10-09:00 胚胎 Congenital heart disease 09:10-12:10 大體解剖 Kidney and Suprarenal gland (Lec+ Lab) Lab Kidney and Suprarenal gland 13:20-15:10 組織 Intestine and Pancreas 15:30-17:20 組織 Lab Intestine and Pancreas 09:10-12:10 生理 Digestion 13:20-15:10 組織 Liver & Gall Bladder 15:30-17:20 組織 Lab Liver & Gall Bladder 13:20-17:20 生理 Lab 7: 腸道雙醣酶活性實驗 王淑慧全體教師小班老師王主科賴逸儒陳玉怜全體教師余佳慧許書豪全體教師

19 第十五週 -[ Digestion] & [Uro-genitary and affiliate] 日期時間科別主題教師 08:10-10:00 10:20-12:10 大體解剖組織 Posterior abdominal wall and Diaphragm (Lec) Kidney & Lower Urinary tract 王淑慧陳玉怜 12/18 Mon 13:20-15:10 小組討論 解剖 生理小組討論 小班老師 ( 單元 6: 上肢 ) * 解剖生理 ( 單元 7: 胸腔系統 ) * 生理 08:10-10:00 10:20-12:10 胚胎大體解剖 Digestive System Lab Posterior abdominal wall and 賴逸儒王淑慧 12/19 Tue Diaphragm 13:20-17:20 大體解剖 Gluteal region (Lec+ Lab) Pelvis & Perineum 陳玉怜 Lab Gluteal region 09:10-12:10 13:20-15:10 生理組織 Digestion Quiz(II) 余佳慧全體教師 12/20 Wed 15:30-17:20 大體解剖 Kidney & Lower Urinary tract Lab Blood vessels, nerves and muscles of pelvis (Lec+ Lab) (I) 陳玉怜 Lab Pelvic wall; Scrotum, spermatic cord, and 12/21 Thu testis 12/22 Fri 08:10-10:00 13:20-17:20 組織生理 Lab Review ( 三東 ) Kidney 林水龍

20 第十六週 -[Uro-genitary and affiliate] 日期時間科別主題教師 12/25 Mon 12/26 Tue 12/27 Wed 12/28 Thu 12/29 Fri 08:10-12:10 13:20-15:10 大體解剖小組討論 Blood vessels, nerves and muscles of pelvis (Lec+ Lab) (II) 解剖 生理小組討論 ( 單元 7: 胸腔系統 ) * 生理 08:10-09:00 大體解剖 Clinical lecture 09:10-12:10 大體解剖 Pelvic viscera (I) (Lec+ Lab) Lab Pelvic cavity 13:20-17:20 大體解剖 Pelvic viscera (II) (Lec+ Lab) Lab Pelvic cavity 08:10-10:00 生理 Kidney 13:20-15:10 胚胎 Final Exam 15:30-17:20 大體解剖 Perineum (I) (Lec+ Lab) Lab Anal triangle 12:00-17:20 生理 Lab 8: 腎臟調控體液的能力 陳玉怜小班老師梁金銅陳玉怜陳玉怜林水龍全體教師呂俊宏

21 第十七週 -[Uro-genitary and affiliate] 日期時間科別主題教師 01/01 Mon 01/02 Tue 01/03 Wed 08:10-12:10 13:20-17:20 組織 大體解剖 開國紀念日 ( 放假日 ) 第一學期 Exam (Lec+Lab) Perineum (II) (Lec+ Lab) Lab Urogenital triangle 13:20-17:20 大體解剖 Perineum (III) (Lec + Lab) Lab Urogenital triangle 01/04 Thu 01/05 Fri 備註 :107 年 1 月 1 日 ( 星期一 ) 開國紀念日 ( 放假日 ) 107 年 1 月 5 日 ( 星期五 ) 本學期上課最後一天 全體教師 呂俊宏 呂俊宏

22 第十八週 - 期末考週 日期時間科別主題教師 01/08 Mon 08:10-12:10 13:20-15:10 大體解剖 小組討論 Lab review 解剖 生理小組討論 ( 單元 7: 胸腔系統 ) * 生理 小班老師 ( 學期末老師總結討論 ) 01/09 Tue 08:10-12:10 大體解剖 Gross Exam : Lec and Lab 全體教師 01/10 Wed 09:20-12:00 01/11 Thu 01/12 Fri 13:20-16:00 生理 正課 實驗期末考 備註 :107 年 01 月 08 日 ( 星期一 ) 期末考試開始 107 年 01 月 12 日 ( 星期五 ) 期末考試結束

23 貳 大體解剖學及實驗上 教學內容 : 課程內容融合系統解剖學與局部解剖學 上學期前八週簡單介紹骨骼 肌肉 神經與脈管系統, 尤其著重於骨骼系統, 配合骨骼標本分組實習 ; 上學期前七週後十週與下學期十五週進行局部解剖之實際操作, 包括頭頸 胸腹 骨盆 上肢及下肢 每次實習前由老師就當日實習內容做重點提示與扼要講解 學分數 :4 / 3 學分 ( 上下學期 ) 上課時間 :2017 年 9 月 12 日至 2018 年 7 月 03 日, 每半天為一單元上午 8:10-12:10 及下午 1:20-5:20( 上學期 ) -6:20( 下學期 ) Date Time Topics Lab Lecturer Tue-AM 08:10 08:40 08:40 12:10 Introduction (501) Basic terms in Anatomy (501) Skeletal system I: Vertebrae and Thoracic cage (501) 李立仁謝松蒼 謝松蒼 Mon-AM 08:10 12:10 Lab: Skeletal system: Vertebrae and Thoracic cage ( 三東 ) Skeletal system II: Cranial skeleton (501) Tue-PM 01:20 05:20 Lab Cranial skeleton ( 三東 )13:20-15:10 Skeletal system II: Facial skeleton (501) 謝松蒼 Wed-PM 01:20 03:10 Lab Facial skeleton ( 三東 ) 13:20-15: Fri-AM 08:10 10:00 Skeletal system III: Upper limb (501) 謝松蒼 Mon-AM 08:10 10:00 Lab Upper limb ( 三東 ) 8:10-10: Mon-AM 10:20 12:10 大體老師家庭訪視行前輔導 (501) 蔡詩力 Tue-PM 03:30 05:20 Skeletal system IV: Lower limb (501) 謝松蒼 Wed-PM 01:20 05:20 Muscular system I (501) Lab Lower limb ( 三東 ) 李立仁 01:20-03: Tue -PM 01:20 05:20 Muscular system II (501) 李立仁 李立仁 Tue-PM 10:20 15:10 Muscular system III (501) Lab Muscular system ( 三東 ) 13:20-15: Wed-PM 01:20 05:20 Vascular system I (501) + Lab vascular system I 陳玉怜 Tue-AM 08:10 12:10 vascular system II (501) + Lab vascular system II 陳玉怜 Tue-PM 02:20 05:20 Nervous system I (501) 謝松蒼 Wed-PM 01:20 03:10 Nervous system II (501) 謝松蒼 Wed-PM 03:30 05:20 Lab V: Skeletal and Muscular systems Lab ( 三東實習室 ) and Review ( 三東 ) 03:30-05:20 謝松蒼 Mon-AM 08:10 12:10 Midterm Exam: Skeletal, Muscular, Nervous, Vascular system (Lec + Lab) Tue-AM 08:10 09:50 Pectoral region and Axilla (I) (Lec) (501) Upper limb Tue-AM 09:50 11:00 針扎割傷處理 Lab safety and skin 11:00 12:10 preparation+ 啟用儀式預演大體老師啟用儀式 Tue-PM 01:20 05:20 Pectoral region and Axilla (II) (Lab) + Lab orientation (501) Wed-PM 01:20 05:20 Arm and cubital region & Superficial back and scapular region (Lec + Lab) Pectoral region Pectoral region Brachial and Anterior cubital regions Back 全體教師 黃敏銓 全體教師 黃敏銓 黃敏銓 Mon-AM 08:10 12:10 Forearm (I) (Lec + Lab) Scapular and Deltoid 黃敏銓

24 regions Tue-AM 08:10 12:10 Forearm (II) (Lab) Flexor region of forearm 黃敏銓 Tue-PM 01:20 05:20 Hand I (Lec + Lab) Palm of hand; Extensor region of forearm and Dorsum of hand Wed PM 01:20 05:20 Hand II (Lab) Palm of hand;extensor region of forearm and Dorsum of hand Mon AM 08:10 10:00 Joints of shoulder girdle and upper limb Joints of upper limbs (Lec) Mon-AM 10:20 12:10 Joints of shoulder girdle and upper limb Joints of upper limbs (Lab) Tue-AM 08:10 12:10 Lab review Tue-PM 01:20 05:20 Thoracic wall and Lungs Thorax Thoracic wall Pleural cavities and Lungs 黃敏銓黃敏銓曾國藩曾國藩李立仁 Mon-AM 08:10-12:10 Middle mediastinum and Heart (I) Middle mediastinum and Heart 李立仁 Tue-AM 10:20 11:10 Clinical lecture 謝榮賢 Tue-AM 11:10-12:10 Middle mediastinum and Heart (II) Middle mediastinum and 李立仁 Heart Wed-PM 03:30 05:20 Superior and Posterior mediastinum; Joints Superior and Posterior of thorax mediastinum Mon-AM 08:10 12:10 Anterior abdominal wall (I) Anterior abdominal wall Abdomen Tue-AM 08:10 12:10 Anterior abdominal wall (II) and The abdominal cavity (I) Tue-PM 01:20 05:20 The abdominal cavity (II) Abdomino-pelvic cavity in situ Mon-AM 10:20 12:10 Detailed examination of abdominal viscera(i) Detailed examination of abdominal viscera Tue-AM 08:10 12:10 Detailed examination of abdominal Detailed examination of viscera(ii) abdominal viscera Tue-AM 09:10-12:10 Kidney and Suprarenal gland (Lec+ Lab) Kidney and Suprarenal gland Mon-AM 08:10-10:00 Posterior abdominal wall and Diaphragm Posterior abdominal wall (Lec) and Diaphragm Tue-PM 10:20 12:10 Posterior abdominal wall and Diaphragm Wed-PM 03:30 05:20 Blood vessels, nerves and muscles of pelvis Pelvic wall; Scrotum, (Lec+ Lab) (I) spermatic cord, and testis Mon-AM 08:10 12:10 Blood vessels, nerves and muscles of pelvis Pelvic wall; Scrotum, (Lec+ Lab) (II) spermatic cord, and testis 李立仁 賴逸儒 賴逸儒 賴逸儒 賴逸儒 賴逸儒 賴逸儒 王淑慧 王淑慧 陳玉怜 陳玉怜 Tue-AM 08:10 09:00 Clinical lecture 梁金銅 Tue-AM 09:10 12:10 Pelvic viscera (I) (Lec+ Lab) Pelvic cavity 陳玉怜 Tue-PM 01:20 05:20 Pelvic viscera (II) (Lec+ Lab) Pelvic cavity 陳玉怜 Wed-PM 03:30 05:20 Perineum (I) (Lec+ Lab) Anal triangle 呂俊宏 Tue-PM 01:20 05:20 Perineum (II) (Lec+ Lab) Urogenital triangle 呂俊宏 Wed-PM 01:20 05:20 Perineum (III) (Lec + Lab) Urogenital triangle 呂俊宏 Mon-AM 08:10 12:10 Lab review Tue-AM 08:10 12:10 Gross Exam : Lec and Lab 全體教師 教科書 Clinically Oriented Anatomy, KL Moore, AF Dalley, and AMR Agur,, Lippincott, Williams & Wilkins

25 實習手冊 *Grant s Dissector, PW Tank, Lippincott Williams & Wilkins 圖譜 僅供參考 : 1. Atlas of Human Anatomy, FH Netter, Novartis 2. Grant s Atlas of Anatomy, AMR Agur and AF Dalley, Lippincott Williams & Wilkins 3. Atlas of Anatomy, PW Tank and TR Gest, Lippincott Williams & Wilkins 重要日期 大體老師縫皮復原 ( 一東 ):2018 年 7 月 2 日至 2018 年 7 月 6 日 課程負責人 : 李立仁基礎醫學大樓六樓分機 助教 : 張銘峰基礎醫學大樓六樓分機

26 教學大綱 : 教學大綱 : 系統解剖學 : 1. 題目 :Skeletal system (Ⅰ) (Ⅱ) 教學目標 :1.Divisions of the skeleton 2.The axia1 skeleton and its locations and main features 1.General features and surface markings of bones 2.Divisions of the skeleton 3.The vertebral column Curvatures of the vertebral column A typical vertebra Cervical vertebrae Thoracic vertebrae Lumbar vertebrae Sacrum and coccyx 4.The thorax Sternum Ribs 5.The skull Suture and fontanels Bones of the cranium Paranasal sinuses Bones of the face Ossicles of the ear Hyoid bone 2. 題目 :Skeletal system (Ⅲ) (IV) 教學目標 :1.The appendicular skeleton and its locations and main features 2.Classification of joint 3.Description of some major joints 1.The upper extremities (limbs) Pectoral girdle Bones of the arm, forearm, and hand 2.The lower extremities (limbs) Pelvic girdle and pelvis Bones of the thigh, leg, and foot Arches of the foot 3.Classification of joints

27 Fibrous joints Cartilaginous joints Synovial joints Movement at synovial joints Types of synovial joints 4.Description of some major joints Glenohumeral (shoulder) joint Coxal (hip) joint 3. 題目 :Muscular System (Ⅰ) (Ⅱ) 教學目標 :1.General description of muscles 2.Specific muscles and their function 1.General description A. How muscles are named B. Attachment of muscles C. Architecture of muscles D. Individual and group action of muscles E. Lever system and muscle actions 2.Specific muscle groups A. Muscles of facial expression B. Muscles that move the eyeball C. Muscles of mastication D. Muscles that move the tongue E. Muscles that move the head and the vertebral column F. Muscles used in quiet breathing G. Muscles that support the abdominal wall H. Muscles that move the shoulder girdle and humerus I. Muscles that move the elbow and wrist joints J. Muscles that move the thumb and fingers K. Muscles that move the femur at hip joint L. Muscles that act on the knee joint M. Muscles that move the feet and toes 4. 題目 :Nervous System 教學目標 :1.To study the anatomical organization of the nervous system. 2.To understand the regional anatomy of the central nervous system (I) 3. To understand the regional anatomy of the CNS (II) 4.To understand the anatomical organization of the PNS 5. To understand the general orgainzation of the autonomic nervous system

28 Central Nervous System (CNS) Spinal cord Brainstem Medulla oblongata (Myelencephalon) Pons and cerebellum (Metencephalon) Midbrain (Mesenphalon) Diencephalon Telencephalon Prosencephalon Peripheral Nervous System (PNS) Spinal nerves Sensory ganglia Cranial nerves Autonomic ganglia Autonomic Nervous System (ANS) Sympathetic -- thoracolumbar outflow Parasympathetic -- craniosacral outflow Regional Anatomy of the CNS (I) Spinal cord External features of the spinal cord Meningeal coverings of the spinal cord Topographical relation of the cord segments to vertebrae Internal structure of the spinal cord Brainstem (BS) External features of the BS Internal structure of ths BS Cerebellum Diencephalon Subdivisions of the diencephalon External features of the diencephalon Internal capsule Cerebrum Cerebral topographical of the cerebrum Basal ganglia Cavity of the CNS Ventricles Canal Peripheral Nervous System Spinal nerves pairs Sensory ganglia Cranial nerves pairs

29 Autonomic ganglia General Organization Sympathetic -- thoracolumbar outflow Parasympathetic -- cranial outflow Sympathetic Nervous System Preganglionic neurons and fibers Location of postganglionic neurons Postganglionic fibers Parasympathetic Nervous System Cranial part Sacral part Parasympathetic nucleus of spinal segments of S2-4 Preganglionic fibers Postganglionic parasympathetic neurons 5. 題目 :Cardiovascular System 教學目標 :1.To understand the general morphology and structure of the heart 2. To understand the vasculature of the human body 1.Introduction to the cardiovascular system 2.Morphology and structure of the heart A. Location and size B. Morphology C. Wall of the heart and pericardium D. Cardiac skeleton E. Heart chambers and valves F. Blood supply of the heart G. Conducting system of the heart H. Nervous control of the heart Types of Blood Vessels I. Major Arteries and Veins of the Body J. Lymphatic System 局部解剖學進度 1:Pectoral Region and Axilla Relevant skeletal features:- thoracic cage - sternum; costal cartilages; ribs and thoracic vertebrae; sternum - manubrium; body; xiphoid process; jugular suprasternal)notch; manubriosternal angle (angle of Louis); first rib - surfaces; borders; ends;

30 clavicle scapula humerus - medial end; shaft; lateral end - surfaces; borders; processes (spine, accomion, coracoid); - head; greater and lesser tubercles; crests of the greater and lesser tubercles; intertubercular groove; surgical neck. Subcutaneous structures:- mammary gland; supraclavicular nerves; anterior and lateral cutaneous branches of intercostal nerves and accompanying arteries; cephalic vein. Deep fascia:- pectoral; clavipectoral ; axillary. Muscles:- pectoralis major; obliquus externus abdominis; serratus anterior; pectoralis minor; subclavius; subscapularis; teres major; latissimus dorsi; coracobrachialis; shiort head of biceps; long head of triceps; deltoid. Boundaries of axilla Nerves:- roots, trunks, divisions and cords of brachial plexus. Arteries:- axillary artery and its branches. Veins:- axillary vein and its tributaries. Lymph nodes:- axillary groups. Surface anatomy:- axillary artery. Applied anatomy:- injuries to brachial plexus; lymph drainage of breast. 進度 2:Front of Arm and Cubital Region Relevant skeletal features:- humerus-deltoid tuberosity;supracondylar ridges; epicondyles; radius -head; radial tuberosity; ulna -coronoid process. Subcutaneous structures:- medial cutaneous nerves of arm and forearm; upper and lower lateral cutaneous nerves of arm; lateral and posterior cutaneous nerves of forearm; cephalic, basilic and median cubital veins; cubital lymph nodes. Deep fascia:- medial and lateral intermuscular septa; (flexor and extensor compartments). Muscles:- biceps brachii; brachiahs; coracobrachialis; pronator teres; brachioradialis. Boundafies of cubital fossa Nerves:- musculocutaneous; ulnar; median; radial. Arteries:- brachial artery and its branches; radial and ulnar arteries. Veins:- venae comitantes of brachial artery. Surface anatomy:- brachial artery. Applied anatomy:- suitability of antecubital veins for intravenous injections and taking blood for analysis and for transfusion. 進度 3:Superficial Dissection of Back of Trunk, Scapular Region and Back of Arm

31 Relevant skeletal features:- skull - mastoid process; superior nuchal line; external occipital protuberance and crest; vertebral column - spines of vertebrae; vertebra prominens C7 (ort 1); sacrum; coccyx; hip bone - iliac crest; supracristal plane at the level of L4 spine; posterior superior iliac spine at the level of S2 spine; scapula - medial, superior and lateral (axillary) borders; scapular notch; spine of scapula; supra- and infraspinous fossae; spinoglenoid notch; glenoid cavity; infraglenoid tubercle; superior angle at the level of T2 spine; spine of scapula at the level of T3 spine; inferior angle at the level of T7 spine; humerus - greater and lesser tubercles; deltoid tuberosity; radial groove; ulna - olecranon process. Subcutaneous structures:- cutaneous branches of dorsal rami; posterior cutaneous nerve of arm. Deep fascia:- thoracolumbar fascia. Ligaments:- ligamentum nuchae; supraspinous ligaments; coraco-acromial ligament; superior transverse scapular ligament. Muscles:- trapezium; latissimus dorsi; levator scapulae; rhomboideus minor and major; deltoid; supraspinatus; infraspinatus; teres major and minor; inferior belly of omohyoid; subscapularis; serratus anterior; triceps brachii; anconeus. Boundaries of quadrangular and triangular spaces Nerves:- accessory; suprascapular; axillary; other nerves supplying muscles. Arteries:- transverse cervical; suprascapular; circumflex scapular; anastomoses around scapula; posterior circumflex humeral. Surface anatomy:- axillary nerve; radial nerve. Applied anatomy:- fracture of the neck of the humerus; fracture of the middle of the shaft of the humerus. 進度 4:Front of Forearm and Hand Relevant skeletal features:- humerus - medial epicondyle; medial supracondylar ridge; radius - surfaces; borders ; styloid process; ulna - surfaces; borders; styloid process; carpus - hook of hamate; tubercle of scaphoid; pisiform; tubercle and groove of trapezium; metacarpus; phalanges. Subcutaneous structures: - medial cutaneous nerve of forearm; lateral cutaneous nerve of forearm; palmar cutaneous branch of ulnar nerve; palmar cutaneous branch of median nerve; digital nerves and vessels; cephalic, basilic and median cubital veins. Deep fascia:- flexor retinaculum; palmar aponeurosis; fascial septa of the hand. Ligaments:- superficial and deep transverse metacarpal ligaments. Muscles:- flexor carpi ulnaris; palmaris longus; flexor carpi radialis; pronator teres;

32 flexor digitorum superficialis; flexor digitorum profundus; flexor pollicis longus; pronator quadratus; thenar and hypothenar muscles; lumbricals; adductor pollicis; interossei. synovial sheaths of long flexor tendons Nerves:- median; ulnar; superficial radial. Arteries:- radial and ulnar arteries and their branches; superficial and deep palmar arches. Surface anatomy:- radial and ulnar arteries; median nerve near the wrist. AppHed anatomy:- Volkmann's ischaemic contracture; Dupuytren's contracture; fascial spaces of hand. 進度 5:Joints of Shoulder Girdle Sternoclavicular Joint Relevant skeletal features:- manubrium; medial end of clavicle; first costal cartilage. Muscles in relation to capsule of joint: - pectoralis major; stemomastoid; subclavius. Capsule:- attachments. Ligaments:- anterior and posterior sternoclavicular; interclavicular; costoclavicular. Synovial membrane:- reflection. Intra-articular structures:- articular disc. Articular surfaces:- size of sternal and clavicular articular surfaces. Movements: - gliding; rotation. Nerve supply:- medial supraclavicular; nerve to subclavius. Acromioclavicular Joint Relevant skeletal features:- lateral end of clavicle; acromion process of scapula. Muscles in relation to capsule of joint:- trapezius; deltoid. Capsule:- attachments. Ligaments:- coracoclavicular. Synovial membrane:- reflection. Intra-articular structures:- articular disc sometimes present. Articular surfaces:- shape. Movements:- gliding; rotation. Nerve supply:- suprascapular; lateral pectoral. Applied anatomy:- dislocation. Shoulder Joint Relevant skeletal features:- glenoid cavity; head of humerus. Muscles in relation to capsule of joint:- deltoid; rotator cuff muscles; long head of biceps; long head of triceps. Capsule: - attachments. Ligaments: - coraco-acromial; coracohumeral; glenohumeral. Intracapsular structures:- tendon of long head of biceps. Synovial membrane:- reflection

33 Intra-articular structures:- labrum glenoidale. Articular surfaces:- humeral and glenoidal articular surfaces; labrum glenoidale. Movements:- flexion; extension; abduction; adduction; medial and lateral rotation; circumduction. Nerve supply:- suprascapular; axiuary; lateral pectoral. Applied anatomy:- dislocation. Back of Forearm and Hand Relevant skeletal features:- radius - posterior surface; dorsal tubercle; styloid process; ulna - supinator crest; posterior surface; head; styloid process; metacarpus; phalanges. Subcutaneous structures: - posterior cutaneous nerve of forearm; superficial branch of radial nerve; dorsal branch of ulnar nerve. Deep fascia:- extensor retinaculum; (osteofascial compartments). Muscles:- brachioradialis; extensor carpi radialis longus and brevis; extensor digitorum; extensor digiti minimi; extensor carpi ulnaris; supinator; abductor pollicis longus; extensor pollicis longus; extensor indicis. Nerves:- deep branch of radial; posterior interosseous. Arteries:- posterior interosseous; dorsal carpal arch and branches. Veins:- dorsal venous arch; basilic and cephalic veins. Applied anatomy:- radial nerve palsy; fracture of lower end of radius (Cofles' fracture). 進度 6:Joints of Free Upper Limb Elbow Joint Relevant skeletal features:- humerus - trochlea; capitulum; radial, coronoid and olecranon fossae; ulna - trochlear notch; coronoid and olecranon processes; radius - head; neck; tuberosity. Muscles in relation to capsule of joint:-brachialis; biceps; triceps; anconeus. Capsule:- attachments. Ligaments:- ulnar collateral; radial collateral. Synovial membrane:- reflection. Articular surfaces:- shape; carrying angle; Movements:- flexion; extension. Nerve supply:- musculocutaneous; radial. Blood supply:- anastomosis around elbow. Applied anatomy:- dislocations; fractures. Proximal and Distal Radio-ulnar Joints Relevant skeletal features:- radius - head; ulnar notch.,

34 ulna - radial notch; head. Capsule:- attachments. Ligaments:- annular (proximal joint). Intra-articular structures:- articular disc (distal joint). Synovial membrane:- reflection. Movements:- pronation; supination; axis of movement. Middle Radio-ulnar Joint oblique cord; interosseous membrane. Wrist Joint Relevant skeletal features:- distal end of radius; articular disc; scaphoid; lunate; triquetrum. Capsule:- attachments. Ligaments:- palmar radiocarpal and palmar ulnocarpal; dorsal radiocarpal; radial and ulnar collateral. Synovial membrane:- reflection. Articular surfaces:- shape. Movements:- flexion; extension; adduction; abduction; circumduction. Intercarpal, Midcarpal, Carpometacarpal, Metacarpophalangeal and Interphalangeal Joints Relevant skeletal features:- carpus; metacarpus; phalanges. Capsule:- attachments. Ligaments:- dorsal and palmar; collateral; interosseous. Synovial membrane:- reflection. Movements:- flexion, extension (all joints); adduction, abduction (midcarpal joint, metacarpophalangeal joints and carpometacarpal joint of thumb); rotation and circumduction (carpometacarpal joint of thumb). 進度 7:Thoracic Wall and Lungs Relevant skeletal features:- thoracic cage - sternum; costal cartilages; ribs; thoracic vertebrae; inlet; outlet; sternum - manubrium; body; xiphoid process; jugular notch; manubriosternal angle (angle of Louis); rib - head; neck; tubercle; shaft; angle; costal groove. typical intercostal space Subcutaneous structures: - anterior and lateral cutaneous branches of intercostal nerves. Muscles:- intercostales (external, internal, innermost). Nerves:- intercostal. Arteries:- internal thoracic; anterior and posterior intercostal. Veins:- internal thoracic; anterior and posterior intercostal. Pleurae and lungs:- pleural reflection; surfaces and borders of lungs; root of lung; fissures; lobes; bronchopulmonary segments. Surface anatomy:- surface marking of pleura, lungs and fissures

35 Applied anatomy:- auscultation of breath sounds; plain X-ray of chest;bronchogram; bronchoscopy; paracentesis thoracis;bronchopulmonary segments. 進度 8:Superior and Middle Mediastinum Superior mediastinum and contents:- thymus; brachiocephalic veins; phrenic and vagus nerves; arch of aorta and branches; trachea; oesophagus. Middle mediastinum and contents:- pericardium - fibrous; serous (parietal, visceral); transverse sinus;oblique sinus; heart - surfaces and borders; coronary arteries; coronary sinus; cardiac veins; chambers; innervation; great vessels - ascending aorta; pulmonary trunks; superior and inferior venae cavae; primary bronchi. Surface anatomy:- surface marking of heart and valvular openings. Applied anatomy:- apex beat; percussion of borders; auscultation of heart sounds; X-ray of chest (pulmonary conus, aortic knuckle); E.C.G. 進度 9:Superior and Posterior Mediastinum and Joints of Thorax Superior and posterior mediastinum:- aorta - ascending; arch; descending; branches; venae cavae - superior; inferior; trachea - thoracic part; primary bronchi; oesophagus - thoracic part; constrictions; nerves - vagus; sympathetic trunk; splanchnic nerves: nerve plexuses - cardiac; pulmonary; oesopnageal; veins -posterior intercostal; hemiazygos; accessory hemiazygos; vena azygos; thoracic duct - course. Surface anatomy:- arch of aorta; superior vena cava; inferior vena cava; vena azygos; openings in the diaphragm. Applied anatomy:- barium swallow; oesophagoscopy. Joints of thorax:- manubriosternal - secondary cartilaginous type sternocostal - synovial type except the first sternocostal joint which is a primary cartilaginous joint; interchondral - synovial type except that between ninth and tenth costal cartilages which is fibrous; costovertebral - synovial type with double synovial cavities; radiate ligament; intra-articular ligament; costotransverse - synovial type; superior costotransverse igament;costotransverse ligament; lateral costotransverse ligament; no costotransverse joints for eleventh and twelfth ribs. Applied anatomy:- movements of the thoracic cage during respiration. 進度 10:Anterior Abdominal Wall and External Genitalia

36 Relevant skeletal features:- thoracic cage - lower part; vertebral column - lumbar region; hip bones - pubic symphysis; pubic crest; pubic tubercle; pectineal line; anterior superior iliac spine; iliac crest. Relevant landmarks: - linea alba; umbilicus; linea semilunaris; midaxillary line; posterior axillary line. Subcutaneous structures:- anterior and lateral cutaneous branches of lower intercostal nerves; subcostal nerve; iliohypogastric nerve; superficial epigastric artery; dartos muscle; fatty and membranous layers of the superficial fascia. Muscles:- obliquus externus abdominis; obliquus internus abdominis;cremaster muscle; transversus abdominis; rectus abdominis; pyramidalis; superficial inguinal ring; deep inguinal ring,; rectus sheath. Nerves:- muscular branches of lower intercostal; subcostal; iliohypogastric;ilioinguinal; genitofemoral. Arteries:- lower posterior intercostal; subcostal; lumbar; superior epigastric; inferior epigastric; deep circumflex iliac. Veins:- veins accompanying the above arteries. External genitalia:- male-testes and its coverings; spermatic cord and contents; female - round ligaments. Surface anatomy:- superficial inguinal ring; deep inguinal ring; inguinal canal. Applied anatomy:- surgical incisions on the anterior abdominal wall; vasectomy; inguinal hernia; hydrocele; undescended testis. 進度 11:Abdominal Cavity, Stomach and Intestine Planes of abdomen:- vertical; subcostal; transtubercular; transpyloric. Regions of abdomen:- epigastric; umbilical; hypogastric; right and left hypochondriac; right and left lumbar; right and left iliac. Peritoneum:- parietal; visceral; greater sac; lesser sac; foramen of Winslow; median umbilical fold; medial umbilical fold; lateral umbilical fold; falciforrn ligament; left triangular ligament; lesser omentum; greater omentum; gastrosplenic ligament; lienorenal ligament; mesentery; meso-appendix; transverse mesocolon; phrenicocolic ligament. Viscera:- liver - lower margin; fissure for ligamentum teres; fissure for ligamentum venosum; porta hepatis; caudate lobe; gallbladder - fundus; stomach - fundus; body; pyloric part; greater and lesser curvatures; incisura angularis; sulcus intermedius; stomach bed; interior of the stomach; arterial supply; venous drainage; lymphatic rainage; nerve supply; jejunum and ileum - extent; differences; arterial supply; venous drainage; lymphatic drainage; nerve supply; appendix - position; arterial supply; caecum - posterior relations; colon - ascending; transverse; descending; pelvic; arterial supply; venous drainage; lymphatic drainage; nerve supply

37 Portal vein:- formation; location. Surface anatomy:- fundus of gall bladder; cardiac and pyloric orifices of the stomach; caecum and appendix. Applied anatomy:- referred pain over the umbilical region and pain over right iliac fossa in appendicitis. 進度 12:Liver, Pancreas, Duodenum and Spleen Liver:- surfaces and margins; lobes; relations; structures passing through porta hepatis; bare area; common hepatic duct. Gall bladder:- subdivisions; cystic duct; arterial supply. Pancreas:- subdivisions; relations; arterial supply; venous drainage; openings of the pancreatic ducts. Duodenum:- subdivisions; relations; arterial supply; venous drainage; lymphatic drainage; opening of the bile duct. Spleen:- position; relations. Portal vein:- formation and its tributaries; portosystemic anastomoses. Surface anatomy:- liver; gall bladder; common bile duct; duodenum; spleen. Applied anatomy:- portal obstruction; biliary colic. 進度 13:Kidney, Suprarenal and Posterior Abdominal Wall Kidney:- coverings; relations; arterial supply; venous drainage; hilum. Ureter:- course; constrictions; arterial supply; nerve supply. Suprarenal:- relations; arterial supply; venous drainage. Posterior Abdominal Wall:- Muscles:- diaphragm; psoas; quadratus lumborum; transversus abdominis;iliacus. Nerves:- subcostal; lumbar plexus and branches; sympathetic trunk; coeliac, renal, intermesenteric and hypogastric plexuses. Arteries:- aorta and branches. Veins:- subcostal; inferior vena cava and tributaries; azygos. Lymphatics:- cisterna chyli. Surface anatomy:- kidney; ureter; spleen; aorta; inferior vena cava. Applied anatomy:- inferior vena caval obstruction; renal infarction; polycystic kidneys; ureteric colic. 進度 14:Gluteal Region and Posterior Aspect of the Thigh Relevant skeletal features:- hip bone - gluteal surface; sciatic notches and foramina; iliac crest, tubercle and spines; ischial spine and tuberosity; sacrum; coccyx;

38 femur - greater trochanter; trochanteric fossa; trochanteric crest; quadrate tubercle; gluteal tuberosity; linea aspera; tibia - condyles and shaft; fibula - head. Subcutaneous structures:- cutaneous nerves. Muscles:- gluteus maximus, medius, minimus; tensor fasciae latae; piriformis; obturator internus and gemelh; quadratus femoris; hamstring muscles including the ischiocondylar part of adductor magnus. Nerves:- sciatic nerve and its divisions; inferior gluteal nerve; nerve to quadratus femoris; nerve to obturator internus; pudendal nerve; and superior gluteal nerve. Arteries:- superior and inferior gluteal arteries; arterial anastomoses. Surface anatomy:- posterior superior iliac spine; greater trochanter; gluteal fold; sciatic nerve. Applied anatomy:- site for intramuscular injection. 進度 15:Blood Vessels, Nerves and Muscles of the Pelvis Arteries:- internal iliac, divisions and branches; median sacral. Vein:- internal iliac and tributaries. Nerves:- Sacral plexus; coccygeal plexus; autonomic plexuses. Muscles:-piriformis; obturator internus; coccygeus; levator ani and its subdivisions; pelvic diaphragm Applied anatomy:- pelvic diaphragm and mechanics of labour. 進度 16:Pelvic Viscera Relevant skeletal features:- hip bones - ilium; ischium; pubis; sacrum - ala; anterior sacral foramina; coccyx - coccygeal vertebrae; sacrococcygeal articulation; bony pelvis - inlet; outlet; diameters; ligaments. Peritoneum:- male - pelvic mesocolon; rectovesical pouch; female - pelvic mesocolon; rectouterine pouch; uterovesical pouch; broad ligament of uterus; mesovarium; uterosacral folds. Rectum:- flexures; ampulla; relations; arterial supply; venous drainage; lymphatic drainage; nerve supply; lateral ligaments; Waldeyer's fascia. Uterus:- position; subdivisions; cavity; arterial supply; venous drainage; support; transverse cervical ligament; uterosacral ligament; round ligament. Fallopian tubes:- intramural part; isthmus; ampulla; infundibulum, fimbriae; abdominal ostium. Ovary:- attachments; relations; arterial supply; venous drainage; nerve supply; ligament of ovary. Vagina:- fornices; relations. Urinary bladder:- shape; surfaces; relations in both sexes; arterial supply; venous drainage; nerve supply

39 Ureter:- pelvic part - course; termination; arterial supply in both sexes. Ductus deferens:- course; termination. Seminal vesicle:- shape; position; duct. Prostate:- shape; size; position; subdivisions; capsules; prostatic venous plexus; prostatic urethra; openings of ducts. Surface anatomy:- fundus of the urinary bladder. Applied anatomy:- prolapse of uterus; prolapse of rectum; enlargement of prostate; spread of cancer from pelvic viscera. 進度 17:Perineum Ischiorectal fossa:- boundaries; rectum - sphincters; relations; mucous membrane; arterial supply; venous drainage; portosystemic anastomosis; nerve supply. Urogenital triangle:- superficial perineal pouch and contents; deep perineal pouch and contents. Nerves:- pudendal nerve and branches. Arteries:- internal pudendal artery and branches. Veins:- internal pudendal vein and tributaries. Lymphatics:- superficial inguinal lymph nodes. Surface anatomy:- pudendal canal. Applied anatomy:- rectal examination; vaginal examination;. pudendal block anaesthesia

40 參 組織學上 教學內容 : 本課程之授課對象為醫學院之醫學系三年級 牙醫系三年級 解剖學暨細胞生物學研究所及法醫學研究所碩士般一年級學生, 上課包括演講一至二小時 實驗二至三小時 課程內容之講授以幻燈片為主, 電腦輔助教學教材為輔, 介紹人體各組織之基本結構, 涵蓋層次包括細胞組織之顯微及超微結構, 以及器官系統結構與功能之整合 實驗課主要利用顯微鏡來觀察組織切片, 另有立體模型及顯微與超微相片來輔助教材 每次實驗課前, 由老師就當日實驗內容, 做十五分鐘之重點提示與扼要講解 實驗課結束前二十分鐘, 再由授課老師以電視教學位同學解說當日實驗內容之疑義 學分數 :1 學分上課教室 :501 講堂課程表 : 日期 時間 主 題 任課教師 01 09/11 8:10-8:20 Introduction (10 min) 王淑慧 Mon 8:20-8:30 LM technique (10 min) 龔秀妮 8:30-8:40 EM technique (10 min) 龔秀妮 8:40-10:00 Cell (I) 黃敏銓 10:20-12:10 Lab orientation; Microscope check-out ( 三東 ) 全體教師 Slide box check-out ( 三東 ) 02 09/12 Tue 03 09/13 Wed 04 09/19 Tue 05 09/26 Tue 06 09/30 Sat 07 10/02 Mon 08 10/03 Tue 09 10/11 Wed 10 10/16 Mon 11 10/17 Tue 12 10/23 Mon 1:20-3:10 3:30-5:20 1:20-3:10 3:30-5:20 8:10-10:00 10:20-12:10 Cell (II) Epithelial Tissue Muscular Tissue Muscular Tissue Lab Blood Epithelial Tissue and Blood Lab 黃敏銓龔秀妮王淑慧全體教師黃敏銓全體教師 8:10-10:00 10:20-12:10 Connective Tissue Connective Tissue Lab 龔秀妮全體教師 8:10-10:00 Cartilage & Bone & Bone Formation 王淑慧 10:20-12:10 Cartilage & Bone & Bone Formation Lab 全體教師 8:10-10:00 Nervous Tissue (PNS) 謝松蒼 10:20-12:10 Nervous Tissue (PNS) Lab 全體教師 8:10-10:00 Nervous Tissue (CNS) 謝松蒼 10:20-12:10 Nervous Tissue (CNS) Lab 全體教師 1:20-3:10 Cardiovascular System 陳玉怜 3:30-5:20 Cardiovascular System Lab 全體教師 8:10-10:00 Integumentary System 龔秀妮 10:20-12:10 Integumentary System Lab 全體教師 8:10-10:00 Quiz (I); 全體教師 Lab Review ( 三東 ) 8:10-12:10 Histology Exam (Lec and Lab) 全體教師

41 13 11/21 Tue 14 11/29 Wed 15 12/05 Tue 16 12/06 Wed 17 12/11 Mon 18 12/12 Tue 19 12/13 Wed 20 12/18 Mon 22 12/20 Wed 23 12/22 Fri 23 01/02 Tue 8:10-10:00 3:30-5:20 1:20-3:10 3:30-5:20 1:20-3:10 3:30-5:20 1:20-3:10 3:30-5:20 8:10-10:00 10:20-12:10 Respiratory System Respiratory System Lab Lymph Node & Thymus Lymph Node & Thymus Lab Spleen, Tonsil & Haemopoiesis Spleen, Tonsil & Haemopoiesis Lab Oral cavity & Teeth Oral cavity & Teeth Lab Major salivary gland, Esophagus & Stomach Major salivary gland, Esophagus & Stomach Lab Intestine and Pancreas Intestine and Pancreas Lab 陳玉怜全體教師許書豪全體教師許書豪全體教師陳玉怜全體教師王淑慧全體教師 1:20-3:10 3:30-5:20 陳玉怜全體教師 1:20-3:10 Liver & Gall Bladder 許書豪 3:30-5:20 Liver & Gall Bladder Lab 全體教師 10:20-12:10 Kidney & Lower Urinary tract 陳玉怜 全體教師 1:20-3:10 Quiz(II) Kidney & Lower Urinary tract Lab 8:10-10:00 Lab Review ( 三東 ) 全體教師 8:10-12:10 第一學期 Exam (Lec+Lab) 全體教師 上課用教課書 : Histology: a text and atlas with correlated cell and molecular biology. 參考用教課書 : seventh edition, ( 最新版 ) Edited by Michael H. Ross and Wojciech Pawlina Lippincott Williams & Wilkins Wheater s Functional Histology: a text and colour atlas. 6th edition. Edited by B. Young and J.W. Heath Churchill Livingstone ELSEVIER 實習用教課書 : 組織學實驗手冊 : 台大醫學院解剖學科編著, 今名圖書公司經銷 課程負責人 : 王淑慧老師 助教 : 廖孟琳分機

42 教學大綱 : 組織學教學大綱 : 1. 題目 :Introduction, LM & EM Techniques 教學目標 :Definition of Histology and the Study Methods of Histology Definition of Histology Overview of Methods used in Histology Histochemistry and Cytochemistry Light microscopy preparation of HE stained histology section Electron microscopy preparation of thin sections for EM Textbook and Atlas : Ross and Pawlina (2011) HISTOLOGY : A Text and Atlas. 6 th ed. Chapter 1, pp 題目 : 細胞 ( 一 ) ( 二 ) Cell (I, II) 教學目標 :Structure and function of the cell cytoplasm(organelles and inclusions), cell cycle organelles:plasma membrane(cell coat or glycocalyx), unit membrane, ribosomes, polyribosomes, endoplasmic reticulum(rough and smooth), Golgi apparatus,lysosomes, peroxisomes, mitochondria, centrioles, microtubules,microfilaments, intermediate filaments. inclusions:pigment, glycogen, lipids, secretory granules nucleus:nuclear envelope pore, chromatin, sex chromatin, chromosomes, nucleolus Textbook and Atlas : Ross and Pawlina (2011) HISTOLOGY: A Text and Atlas. 6 th ed. Chapter 2 & 3, pp.22-74, & 題目 : 上皮組織 Epithelial tissue 教學目標 : 1.Four basic tissues:concept and classification 2.Various types of epithelium and examples for each type of epithelium 3.Structure and function of each type of epithelium 4.Surface specialization of epithelial cells 5.Functional significance of various intercellular junctions 1. Four basic tissues(epithelium, connective tissue, muscluar tissue and nervous tissue) 2. Covering or lining epithelium, glandular epithelium

43 3. Classification of the epithelium: Simple epithelium and stratified epithelium;squamous, cuboidal and columnar epithelium, pseudostratified and transitional epithelium 4. Cell polarity 5. Surface modification : microvilli, striated borders, brush borders, stereocilia, kinocilia 6. Specialization of intercellular junction : zonula occludens (tight junction), zonula adherens (intermediate junction), macula adherens (desmosomes), gap junctions (nexus) and hemidesmosomes. 7. Basement membrane:basal lamina, reticular lamina 8. Gland Textbook and Atlas : Ross and Pawlina (2011) HISTOLOGY : A Text and Atlas. 6 th ed. Chapter 4 & 5, pp , & 題目 : 肌肉組織 Muscular tissue 教學目標 : Histological features of three types of muscular tissues Epimysium, perimysium, endomysium Skeletal muscle White and Red myofibers: multinucleated Myofibrils--sarcomeres--thin and thick filaments A band, I band, M line, H band, Z line Sarcoplasmic reticulum: site of calcium storage T-tubule: invagination of plasma membrane Triad, function in muscle contraction Motor end plates--neuromuscular junction Satellite cells: muscle regeneration Cardiac muscle Myocardium, epicardium, endocardium Myofibers: single, centrally located nucleus Myofibrils Intercalated disc desmosome-like junction, gap junction Atrial granules Conducting system Smooth muscle single, ovoid nucleus no myofibrils (no striation) myofilaments, dense bodies, intermediate filaments (desmin) gap junction between cells Textbook and Atlas : Ross and Pawlina (2011) HISTOLOGY : A Text and Atlas. 6 th ed. Chapter

44 11, pp 題目 : 血液 Blood 教學目標 : 1. Formed elements of blood 2. Structural features of platelets, erythrocytes and leucocytes Erythrocytes Leucocytes agranulocytes: 1. lymphocytes : T lymphocytes(cell-mediated immune response) B lymphocytes(plasma cells;antibody production) 2. monocytes(azurophilic granules;phagocytosis;macrophages) granulocytes: 1. neutrophils (multilobed nucleus;azurophilic and specific granules) 2. basophils(s or U-shaped nucleus; basophil granules/histamine, haparin, vasodilation) 3. eosinophils(bilobed nucleus;eosinophilic granules/lysosmal enzymes, peroxidase) Platelets blood clotting megakaryocytes Textbook and Atlas : Ross and Pawlina (2011) HISTOLOGY : A Text and Atlas. 6 th ed. Chapter 10, pp 題目 : 結締組織 Connective tissue 教學目標 : 1. Struture and function of connective tissue components 2. Classification of connective tissue Ground substances(hyaluronic acid, chondroitin sulfate) Cells Fibroblasts:collagen production Mast cells:basophilic granules;metachromasia Plasma cells:eccentric nucleus, basophilic cytoplasm, antibody production Leucocytes Fat cells Pigment cells Fibers Collagenous fiber:collagen Reticular fiber:reticulin;silver stain

45 Elastic fiber:elastin;resorcin fuchsin stain Classification Embryonic connective tissue Adult connective tissue proper Textbook and Atlas : Ross and Pawlina (2011) HISTOLOGY : A Text and Atlas. 6 th ed. Chapter 6, pp 題目 : 軟骨與硬骨 Cartilage and Bone 教學目標 : 1.Histological features of three types of cartilages 2.Growth and development of cartilages 3.Components of the bone Cartilage Component:chondrocytes(in lacuna), fibers, ground substance Types Hyaline cartilage Elastic cartilage Fibrocartilage Growth Insterstitial growth Appositional growth Perichondrium Bone Matrix:organic and inorganic substance Cells Osteocytes Osteoblasts Osteoclasts:ruffled border;howship's lacuna Periosteum, endosteum Architecture Spongy bone:trabeculae Circumferential and interstitial lamellae Textbook and Atlas : Ross and Pawlina (2011) HISTOLOGY : A Text and Atlas. 6 th ed. Chapter 7 & 8, pp , & , 題目 : 骨形成 Bone formation 教學目標 : 1.Intramambranous and endochondral bone formation 2.Bone remodeling