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ANATOMY/HISTOPATHOLOGY/RADIOLOGY
Structure Block Leader: Barbara Freeman, Ph.D.
        = ;            Structure Team  Members: Fadi Abdul-Karim, MD, William Bligh-Glover, MD, <= span style=3D'font-size:20%;color:white;mso-color-index:0'>Dawn Dawson, PhD, Richard Drake, PhD, Maryann Fitzmaurice, MD, PhD,
        = ;            &n= bsp;   John Fredieu, PhD, Lina Mehta, MD, Joseph Miller, PhD, Scott Simpso= n, PhD, Jay Wasman, MD, Nicholas Ziats, PhD, and Nivo Hanson

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Goals and Objectives
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Block 2:
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DIABETES
Gross Anatomy: Introduction to the cadaver
        = ;            &n= bsp;        The body donation program
Histopathology: The pathology of diabetes
        = ;            &n= bsp;         Physical Diagnosis:  &= #13;
        = ;            &n= bsp;        The power of observation
        = ;            &n= bsp;         Psycho-social effects
        = ;            &n= bsp;         Patient with Type I Diabetes
        = ;            &n= bsp;     
AORTIC DISSECTION
Patient with successful graft, 8 years later
        = ;    His story (symptoms, surgery, recovery)
        = ;    Psychological, financial aspects
Physical Diagnosis:  Heart= rate – the pulse
        = ;            &n= bsp;            = ;   Auscultation –aorta, renal artery
        = ;            &n= bsp;            = ;   Observational bias
Radiology: CT, ultrasound
Gross Anatomy: thoracic aorta, subclavian and carotid arteries; pulses in peripheral vascular examination
Histopathology: histology of normal, abnormal arteries
ALCOHOLISM
Patient: health; goals, past and present; family,  
        = ;      community
        = ;      Addiction – introductory
Physical Diagnosis: observation, mental status exam
Radiology: brain imaging, MRI, PET
Gross Anatomy: liver, portal circulation, portal-caval 
        = ;            &n= bsp;        shunts
Histopathology: effects of alcohol on liver, brain
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Difficulty Conceiving
Gross Anatomy: Gross anatomy of the normal male and
        = ;            &n= bsp;         female reproductive tracts
Histopathology:  Histopathology of the normal male and
        = ;            &n= bsp;        female genital tracts
        = ;    
Early Pregnancy
Gross Anatomy: Ectopic pregnancy
        = ;            &n= bsp;        Placental development
Histopathology:  Histo= logy of normal placenta, pathology
        = ;            &n= bsp;         of ectopic pregnancy and mole
        = ;    
Late Pregnancy
Gross Anatomy Fetal circulation
        = ;            &n= bsp;         Early heart development – ultrasound
        = ;            &n= bsp;         Early nervous system development-
        = ;            &n= bsp;         ultrasound
Histopathology:  Pathology of the placenta
Delivery and Peripartum
Gross Anatomy: Bony pelvis, pelvic diaphragm, perineum,
        = ;            &n= bsp;        episiotomy
        = ;            &n= bsp;        Reducing pain of childbirth – “ spinal”
        = ;            &n= bsp;        anesthesia, epidural anesthesia,        = ; 
        = ;            &n= bsp;        pudendal nerve block
Histopathology:  PID
Other
Histopathology: Gynecologic infections and non-
        = ;            &n= bsp;        neoplastic prostate pathology <= /span>
Hi= stopathology: Intr= oduction to Neoplasia
Histopathology: Histology and pathology of pituitary,   
        = ;            &n= bsp;        adrenal gland, pancreas
Histopathology: Histology and pathology of thyroid and 
        = ;            &n= bsp;        parathyroid
Histopathology: Neoplasias of male and female genital 
        = ;            &n= bsp;       tract
Histopathology: Neoplasias of male and female genital
        = ;            &n= bsp;        tract
Gross Anatomy:= Oral cavity, pharynx, esophagus
        = ;            &n= bsp;        Cranial nerves IX, X and XII
Histopathology: Esophageal Disease= 3;
        = ;            &n= bsp;           Motor dysfunction
        = ;            &n= bsp;           Inflammation/infection
        = ;            &n= bsp;           GERD
        = ;            &n= bsp;           Barret’s esophagus
        = ;            &n= bsp;           Neoplasia
Gross Anatomy: Abdominal walls and h= ernias
Histopathology: Gastroduodenal diseas= e
        = ;            &n= bsp;           Gastritis, acute and chronic
        = ;            &n= bsp;           PUD
        = ;            &n= bsp;           Neoplasia
Gross Anatomy: Stomach and duodenum; Pancreas and liver
Histopathology: Biliary and pancreati= c 
        = ;            &n= bsp;        disease
        = ;            &n= bsp;            Choledocholithiasis
        = ;            &n= bsp;            Pancreatitis
        = ;            &n= bsp;            Neoplasia
Histopathology: Liver disease
        = ;            &n= bsp;           Acute and chronic liver disease
        = ;            &n= bsp;           Toxic and infections hepatitides
        = ;            &n= bsp;           Vascular disease
        = ;            &n= bsp;           Neoplasia
Gross Anatomy: Small and large intes= tines; Rectum
Histopathology: Small and large intes= tines
        = ;            &n= bsp;            Motor/vascular dysfunction, abnormalities
        = ;            &n= bsp;            Infectious/inflammatory
        = ;            &n= bsp;            IBD
        = ;            &n= bsp;            Neoplasia
Gross Anatomy: Autonomic Nervous Sys= tem
<= span style=3D'position:absolute;top:32.28%;left:66.42%;width:33.93%;height:1.2%= '>Throughout Foundations of Med= icine and Health, two hours on Tuesday mornings will be devoted to histopatho= logy, gross anatomy and radiology.  While the emphasis will vary during some sessions, most will address topics that integra= te gross anatomy, histology, radiology and pathology.  On most Tuesday mornings, the 140 medical students will be divided into two groups of 70 students each.<= span style=3D'mso-spacerun:yes'>  In the first hour, 70 students wi= ll discuss the anatomical facts pertinent to the day’s sessi= on and the other 70 will be involved in demonstrations.  At the end of the first hour, the groups will= trade places, and discussions and demonstrations will be repeated. = Demonstration sess= ion:  Groups of 8 or 9 students will ro= tate through four 12-minute demonstrations; the demonstrations will involve prosected cadavers, models, imaging, a physical diagnosis topic, etc.= =
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Proposed Demonstra= tion Stations during a Tuesday morning in Block 4
(1)  Points of auscultation for heart = sounds marked on chest of cadaver / with anterior thoracic wall removed, note po= sition of the heart, great vessels, the four heart valves / additional dissected hearts demonstrating valve structure (2)  Su= rface anatomy on student “volunteers” / points of auscultation marke= d on anterior chest wall / taking turns “listening to heart sounds” (3)  Cadaver = with pericardium opened but heart in place to demonstrate layers of pericardium= / layers of pericardium= and of heart wall, cardiac skeleton, location of SA and AV nodes demonstrated at both = macro- and microscopic levels / pathology of valve disease
4) Pertinent imaging studies
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Block 3:
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Block 4:
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Block 5:
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Block 6:
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Block 1: Anatomy of an Illness
<= span style=3D'position:absolute;top:64.33%;left:66.6%;width:35.19%;height:1.2%'= >Gross Anatomy in Bloc= k 5 is mainly unrelated to the block itself; the anatomy of limbs and back will be addressed.  An orthopedic surgeon, Dr. Shana Miskovsky, is working with the anatomists = to develop cases that= will best illustrate the important anatomical concepts.  Radiology, gross anatomy and histology= of synovial joints, normal and abnormal, will be addressed.   Histopathology will be devoted to a number of pertinent topics:&= nbsp; marrow, thymus, lymphocytes / integument / blood, peripheral smears / anemia, etc.=
Curricula in Anatomy, Embryology and Histology have been reduced in = many medical schools, but all that really means is that these areas of anatomy = have to be more effectively and efficiently presented.  Rather than memorizing details, students can learn the language of medicine by learning to “think anatomically”.   K= nowing the geography of the human body, grossly as well as developmentally and microscopically, is the “structure” upon which most of the res= t of a student’s medical knowledge can be based.  (Hence, the nickname for Block 7 – “Structure”.) &n= bsp; Learning both normal and abnormal structure and function in t= he context of surgical cases, in the context of Physical Diagnosis, and in the context of medical imaging will not only be efficient and effective, but will result in be= ing more able to visually reconstruct what has been seen and, therefore, how to “think anatomically. “  It is the goal of Block 7 to provide the learning opportunities that will lead to the successful learning of “Structure”.
Introducing Anatom= y in Block 1:
Discussions and investigations surrounding altered structure and = function, the hallmar= ks of most disease processes, would take place in a vacuum if those doi= ng the discussing and investigating had no knowledge of the geography of the human body.  The sooner the learning of this geog= raphy takes place in the medical school curriculum, the better.  In addition, no one has found a b= etter tool for learning human anatomy than the human cadaver.  The students will <= span style=3D'position:absolute;top:92.04%;left:1.62%;width:22.02%;height:1.2%'= >learn about the Body Donation Program at Case SOM and will observe several dissections, = giving them an opportunity to consider issues such as death and dyi= ng, respect for the cadaver and for patients, and the more personal and emotional aspects of their journey in medical education
<= span style=3D'position:absolute;top:80.96%;left:65.52%;width:36.1%;height:1.2%'= >The anatomy of the he= ad and neck, particularly of the cranial cavity, of the orbit and oculus, of the = middle and inner ears= , and of the distribution of the cranial nerves will be considered.  A variety of imaging studies will = be helpful to the student.  This anatomy will correlate well with the neuroanatomy being learned in Block 6.  Obviously, neuropathology will be extensively covered.
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