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1. Identification Anatomy 2. Brief description 3. Entrance requirements

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ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> <strong>Identification</strong><br />

Name of Department:<br />

Department of <strong>Anatomy</strong><br />

Name of Chair:<br />

Department of <strong>Anatomy</strong><br />

Level:<br />

Undergraduate students<br />

Course Title:<br />

<strong>Anatomy</strong><br />

<strong>2.</strong> <strong>Brief</strong> <strong>description</strong><br />

Number of students:<br />

150<br />

Code of Department:<br />

ARAN<br />

Subject Code:<br />

0<strong>1.</strong>018<br />

Credit Points:<br />

8,5 CP<br />

Annotation:<br />

The objectives - to give the students an entire picture of a human body structure, to create threedimensional<br />

imagination of the body, organs, tissues and their relationships. <strong>Anatomy</strong> as a basic<br />

science of all biomedical disciplines, updates modern and future perspectives in basic and<br />

applied anatomy and awakes the students interest in future fields of medicine.<br />

Languages: Timing:<br />

Estonian, English I cours: fall semester(19 weeks),<br />

spring semester (13 weeks)<br />

Teaching staff:<br />

Responsible Teacher: H. TAPFER, Assist. Prof.<br />

A. LIIGANT, Assist. Prof., I. KOLTS, Assist. Prof., H. TOMUSK, Assist., E. RAJAVEE, Assist.,<br />

E. PÕLDOJA, Assist., K. KOKK, Assist.<br />

Teaching and learning methods:<br />

Lectures<br />

Lectures 32 h<br />

Practicals 178 h<br />

Independent work 130 h<br />

Total: 340 h<br />

<strong>3.</strong> <strong>Entrance</strong> <strong>requirements</strong><br />

No<br />

1


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. Structure and Content<br />

2<br />

Lectures (1,3CP) Hours Contents<br />

Introduction. 1 The subject of anatomy, short history, literature and<br />

terminology. Organs, organsystems.<br />

Principal axes, planes, anatomical position.<br />

The beginning of human development, 1 Formation of basic organs and systems. The fetal<br />

early stages.<br />

General features of the skeleton.<br />

Morfological structures.<br />

period. Variations. Malformations.<br />

1 Connections of skeletal parts, classification of<br />

joints, construction, planes of movement,<br />

types and axes. Synovial, fibrous and cartilaginous<br />

joints. Types of synovial joints. Bursae, tendon sheats.<br />

Vertebral column as a whole. 1 Functional anatomy of vertebral column<br />

and fibrocartilaginous joints - intervertebral disks. Tho-<br />

Comparative anatomy of the<br />

1<br />

rax. Curvatures of vertebral column. Variations.<br />

Functional anatomy of the junctions of the upper<br />

skeleton<br />

and lower limbs.<br />

Differentiation of mesoderm in the cranial 1 Development of the cranium. Desmocranium, chond-<br />

region.<br />

rocranium. Ossification of the skull. Malformations.<br />

Skeletal elements of the skull. 1 Viscero and neurocranium . Variations of special features<br />

intramembranous ossification.<br />

Vault, sutures, sinuses. Clinical tips. Malformations.<br />

External and internal base of the skull. 1 Connections, cavities.<br />

The skull as a whole.<br />

Muscular system. 1 The principal features of muscles, function.<br />

Classification.Architecture of muscles. Development.<br />

Skeletal muscles of different regions. 1 Muscles of the head, neck. Comparison of the muscles of<br />

upper and lower limbs<br />

Digestive System .<br />

1 General introduction, the principal stages<br />

Foregut, derivates<br />

of development. The derivates of the foregut and the<br />

general principles of the structures.<br />

Midgut and hindgut, derivates. 1 The general princips of functional anatomy of the liver,<br />

gallbladder, pancreas.<br />

Peritoneum, cavities. 1 The general introduction, development, cavitas abdominalis<br />

and cavitas peritonealis, supracolic, infracolic<br />

compartment bursae, recesses.<br />

Upper respiratory system. 1 The functional anatomy of nose, pharynx. Sceletotopia,<br />

syntopia. Respiration, phonation. Functional anatomy<br />

Lower respiratory system, lungs 1 The functional anatomy of the larynx, lungs; structural<br />

units, vessels,circulation. Pleura, mediastinum<br />

Urogenital System 1 Urinary organs. Development of the different generations<br />

of kidney, Kidney - structure, blood vessels, structural<br />

units, circulation. Malformations, variations, functional<br />

anatomy<br />

Genital organs of the man and female. 1 Classification, syntopia, general features. Development,<br />

malformations, variations, functional anatomy<br />

Heart, development 1 The systemic and pulmonary circulation. The circulation<br />

of the embryo. Development of the cardio-vascular<br />

system. Blood circulation during the prenatal period.<br />

Cardio-vascular system 1 Classification of the blood vessels, branching pattern,<br />

anastomoses, blood circulation, structure of walls of<br />

blood vessels. Microcirculation.<br />

Venous system. 1 Veins, classification, the structure of the wall, anastomoses,<br />

collateral circulation Great subcutaneus veins.<br />

Hepatic portal system.<br />

Nervous system. General consideration. 1 Classification. The nerve cells, synapses neuronal circuits,<br />

nerve fibres, peripheral nerves, neuroglia, reflex<br />

arches


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

Spinal nerves. Peripheral nervous system. 1 Division, branches, plexuses, spinal reflex arch.<br />

Lymphatic system. 1<br />

Development, classification, functional anatomy of the<br />

spinal nerves.<br />

Lymph. Lymphatic organs, -vessels, lymph capillaries, -<br />

trunks and topography of lymph nodes.<br />

Development of nervous system. 1 Formation of the neural tube, flexures. The primary<br />

division of the brain, development. Spinal cord.<br />

Central nervous system. Brain 1 Survey. Classification. General dates.<br />

Vascular system of the brain. Blood-Brain 1 Meninges. Circulation of cerebrospinal fluid. Spaces<br />

Barrier<br />

Cranial nerves 1 Cranial nerves of the sensory organs.<br />

Somatomotor cranial nerves. Cranial nerves of of the<br />

branchial arches.<br />

Autonomic nervous system. 1 Central-, peripheral parts of the sympathetic and<br />

parasympathetic systems. Neuronal circuits, sympathetic<br />

Connections of the brain.<br />

Pathways. The sensory system<br />

trunks, ganglia. Veget. nerves, plexuses<br />

1 General somatic afferent pathways.<br />

Ascending tracts and pathways of protopathic, epicritic<br />

sensibility. Special somatic afferent pathways.<br />

The motor pathways. 1 The descending - pyramidal pathways.<br />

The extrapyramidal motor system.<br />

Sensory organs. 1 Organ of vision - eyelids, orbits, lacrimal apparatus, eye<br />

muscles. Organ of hearing and equilibrium, external,<br />

middle ear, tympanic cavity; internal ear. Clinical tips.<br />

Endocrine system. 1 Hypothalamo-hypophyseal system, epiphysis, thyroid gl.,<br />

parath. gl., islets of pancreas, ovary, testis.<br />

Practicals (7,2CP) Hours Contents<br />

Introduction<br />

Vertebral column.<br />

The upper limb<br />

The lower limb<br />

Comparison of the joints of the upper and<br />

lower limbs<br />

Skeletal elements of the skull.<br />

Neurocranium.<br />

Viscerocranium<br />

The skull as a whole.<br />

6<br />

6<br />

6<br />

6<br />

6<br />

6<br />

6<br />

6<br />

Overview of the planes, positions, terms of movement,<br />

literature, general terminology. Skeleton of the trunk<br />

Differences of the vertebrae, variants. Ribs. Sternum.<br />

Joints and ligaments between the vertebrae. Vertebral<br />

column considered as a whole. The joints between<br />

vertebrae and ribs and sternum. Joints associated with<br />

the skull.<br />

Skeletal elements and joints, ligaments of the shoulder<br />

girdle and upper limb. Functional anatomy of joints and<br />

ligaments of the upper limb - forearm, hand.<br />

Skeletal elements , ligament and joints of the pelvic<br />

girdle and lower limb - joints of pelvis, tihgh, leg and<br />

foot. Functional anatomy, variations, malformations.<br />

Functional anatomy, variations, malformations.<br />

Preliminary examination<br />

Frontal-, parietal-, ocipital bones, temporal bone - cavitas<br />

tympany, canals of the temporal bone.<br />

Maxilla, mandible, zygomatic, nasal, lacrimal, inferior<br />

nasal concha, vomer, and palatine bones; their landmarks,<br />

including the foramina, structures, areas of<br />

muscular attachment. Dentitions.<br />

Bony orbit and nasal cavity; temporal, infratemporal and<br />

pterygopalatine fossa. External and internal base of the<br />

skull, cranial fossae. The cavities, openings,<br />

communications, clinical tips, skull shapes. Temporo-<br />

3


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4<br />

The muscles of the head and neck; thorax,<br />

back, upper limb.<br />

The muscles of the abdominal wall, lower<br />

limb<br />

The digestive system.<br />

The organs of foregut.<br />

The organs of midgut, hindgut.<br />

The small and large intestine.<br />

Peritoneum.<br />

The respiratory organs. The upper<br />

respiratory tract<br />

The lower respiratory tract.<br />

Urinary organs<br />

Genital organs<br />

Heart<br />

The dissection course<br />

6 weeks<br />

6<br />

6<br />

6<br />

6<br />

6<br />

6<br />

6<br />

6<br />

6<br />

6<br />

30<br />

mandibular joint. Masticatory apparatus. Functional anatomy,<br />

variations of malformations. Preliminary examination<br />

Functional anatomy of the mimetic, masticatory muscles;<br />

muscles that move the head, vertebral column; muscles<br />

of back muscles of breathing, muscles of shoulder<br />

girdle; muscles, that move the shoulder joint, forearm,<br />

wrist, fingers.<br />

Functional anatomy of the muscles that support the<br />

abdominal wall; diaphragm; muscles of pelvis; muscles<br />

that move the hip, knee, foot joints.<br />

Preliminary examination<br />

Oral cavity - vestibulum and oral cavity proper, lips,<br />

cheeks, gums, hard and soft palate; tongue, teeth, salivary<br />

glands, tonsils. Pharynx - general areas, walls, muscles,<br />

tonsils, openings; Esophagus. Stomach.<br />

The small intestine, liver, pancreas. Large intestine<br />

Peritoneum.The abdominal and peritoneal cavity, mesenteries.<br />

Greater and lesser omentum. Clinical tips.<br />

Nose. Nasal cavity, nasal septum, walls, meatuses, nasal<br />

sinuses, openings, nasolacrimal canal. Clinical tips.<br />

Larynx - position, the structures - skeleton, ligaments,<br />

joints, muscles. Laryngeal ventricle, folds, clinical tips.<br />

Functional anatomy, variations, malformations.<br />

Trachea, bronchi, lungs. Sceletotopia, structural units -<br />

lobes, segments, fine structure - alveoli, respiratory,<br />

terminal bronchioli. Pleura. Borders. Functional<br />

anatomy, variations, malformations.<br />

Preliminary examination.<br />

Kidney. The structural units, vessels. Sceletotopia, Syntopia,<br />

Holotopia. Organs of urinary tract - renal pelvis,<br />

ureter, urinary bladder. Functional anatomy, variations,<br />

malformations.<br />

Functional anatomy of male and female genital organs.<br />

Pelvic floor, space of lesser pelvis. Sceletotopia,<br />

Syntopia, Holotopia. Functional anatomy, variations,<br />

malformations.<br />

Preliminary examination.<br />

Structure, location - sceletotopia, holotopia, coverings,<br />

wall, chambers, valves, coronary veins, - arteries,<br />

conduction system, cycle. Aging pecularities, fetal<br />

circulation. Malformations.<br />

Preliminary examination<br />

The dissections of corpses reveals the topographic<br />

relationships of the peripheral pathways of the nerves and<br />

vessels, theyr relations to the fasciae, muscles, joints;<br />

gives imagination of the variations and malformations of<br />

organs and its distribution. Knowledge of the topographic<br />

anatomical relationships - a three dimensional


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

General structure of the brain<br />

Brain<br />

Cranial nerves<br />

Cranial nerves<br />

Vegetative nervous system<br />

Sensory pathways<br />

The motor pathways<br />

Sesnsory organs. Endocrine, classification,<br />

functsional anatomy.<br />

Practicals Subtotal 178 h<br />

Total 210 h<br />

5<br />

5<br />

5<br />

5<br />

5<br />

5<br />

5<br />

5<br />

appreciation of the body is the one essential purposes to<br />

serve the needs of the various medical specialities.<br />

Meninges, ventricles, sinuses, cisternae, spinal cord.<br />

Hemispheres. Divisions of brain. The forebrain, cerebral<br />

cortex, cerebral sulci and gyri (preparation of meninges).<br />

The inner structure of telencephalon (preparation)<br />

The preparation of telencephalon. Lateral ventricles,<br />

nuclei basales. Diencephalon, mesencephalon, III<br />

ventricle. Rhombencephalon, IV ventricle. Circulation of<br />

the cerebrospinal fluid.<br />

Preliminary examination.<br />

Classification, the functional anatomy, leaving from the<br />

brain, entering and exit openings from the cranium.<br />

Sensory nerves I, II, VIII; Somatomotor nerves III, IV,<br />

VI, XII<br />

Cranial nerves of visceral arches V, VII, IX, X<br />

Central, peripheral, vegetative nervous system. Sympathetic-,<br />

parasympathetic parts<br />

Pathways of protopathic and epicritic sensibility and its<br />

connection to the cranial and spinal nerves - tractus<br />

spinothalamicus.<br />

The pyramidal motor system and its connection to the<br />

spinal nerves and cranial nerves. Tractus corticospinalis,<br />

Tr. corticonuclearis. The extrapyramidal motor system.<br />

The cerebellar pathways Reticular activating system.<br />

Limbic system.<br />

Preliminary examination<br />

The eye - bulbus oculi, nervus opticus; accessory<br />

apparatuses. Refracting media. Organ of hearing and<br />

equilibrium - auris externa, auris interna Endocrine<br />

system.<br />

5


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> Resources<br />

6<br />

5.1 Bibliography<br />

Lepp A. , Lepp - Kogerman E., Maimets O., Rooks G., Ulp K. “Inimese anatoomia I “, Valgus 1974;<br />

Lepp A. “Urogenitaalsüsteem” Tartu 1994; Lepp A., Kogerman-Lepp E. “Tsentraalnärvisüsteem”, Tartu 1988;<br />

Tapfer H., “Inimese suure vereringe arterid I” Tartu 1998; Tapfer H "Pea ja kaela arterid" Tartu 1992; Lepp A.,<br />

Kogermann-Lepp E. “Kraniaalnärvid” Tartu 1990; Lepp A, Kogerman-Lepp E. “Spinaalnärvid”, Tartu 1988; Kahle<br />

W “Color Atlas/ Text of Human <strong>Anatomy</strong>”, Vol. 1 Locomotor System 1992; Kahle W. “Color atlas /Text of Human<br />

<strong>Anatomy</strong>” Vol. 2 Internal Organs 1993;Kahle W “Color Atlas/Text of Human <strong>Anatomy</strong>” Vol. 3 Nervosus System<br />

and Sensory Organs 1993;Feneis H. “Pocket Atlas of Human <strong>Anatomy</strong>” 1985;Rauber / Kopsch “Anatomie des<br />

Menschen” I-IV Lehrbuch und Atlas Stuttgart /New York 1987;Gray`s <strong>Anatomy</strong> New York 1995;H. Frick, B.<br />

Kummer, R. Putz “Wolf- Heidegger´s Atlas of Human <strong>Anatomy</strong>” Basel 1990;Tortora G. J. Human <strong>Anatomy</strong>, Harper<br />

Collins College Publishers 1995;Wolf-Heidegger´s "Atlas of Human <strong>Anatomy</strong>" Karger 1990; Rohen J.W. , Chihiro<br />

Yokochi " Anatomie des Menschen" Schattauer, Stuttgart /New York 1988;Terminologia Anatomica, FCAT,<br />

Thieme, Stuttgart /New York 1998;<br />

1<br />

5.2 Teaching Resources<br />

Teaching materials for lecture / classroom demonstration<br />

32 Power Point Slide Show Kits; ~300 Slideprojector Slides; ~300 transparencies for demonstration<br />

in classroom;<br />

Teaching / learning materials to be distributed among students<br />

Each lecture handouts 3-5 Pages lecture material per 10 Students<br />

Teaching / learning materials in Internet<br />

At http:// www.ut.ee/ARAN/anatomy.html In English and http://www.ut.ee/ARAN/anatoomia.html In<br />

Estonian Are Links To Lectures, Practicals And Electives. At These Sites Students Can Find The Timetable And<br />

Topics Of Lectures And Practicals Together With Information About Electives. Shortly A Learning Material Skeletal<br />

System Will Be Posted At Internet. A Learning Material Skeletal System Will Be Made Available In Internet In<br />

February 200<strong>1.</strong><br />

Laboratory and technical equipment<br />

Anatomical models, sceletons, preparations - dry and moist preparations, multimedia anatomical<br />

programs (4) and multimedia projectors.<br />

Other resources / comments<br />

Dissection materials (cadavers); exposition of anatomical preparations (A. Rauber's Museum with<br />

~1000 exponates)<br />

6. Assessment<br />

6.1 Assessment method:<br />

Continuous assessment<br />

Practical work<br />

Written (test)<br />

Written (essay)<br />

Oral<br />

Part of complex examination<br />

Combination<br />

Other<br />

None<br />

6.2 Comments:<br />

Continuos assessment - 10 preliminary examinations, control of using of latin terminology (~3000<br />

terms) and anatomical knowledge. At the end of the subject the exam, which consists of written<br />

test (100 questions) and practical test - on the preparations and cadaver.


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> <strong>Identification</strong><br />

Name of Department:<br />

Institute of <strong>Anatomy</strong><br />

Name of Chair:<br />

Surgical anatomy<br />

Level:<br />

Undergraduate students<br />

Course Title:<br />

Regional And Clinical <strong>Anatomy</strong><br />

<strong>2.</strong> <strong>Brief</strong> <strong>description</strong><br />

Number of students:<br />

~100<br />

Code of Department:<br />

ARAN<br />

Subject Code:<br />

0<strong>3.</strong>008<br />

Credit Points:<br />

3,0 CP<br />

Annotation:<br />

Subject of anatomy connects topographic anatomy with regional anatomy, which gives overview<br />

about relations between the tissues and organs in different regions and clinical-anatomical<br />

features connected with diseases. This subject is the base for better understanding of clinical area.<br />

Languages: Timing:<br />

Estonian Spring semester, 16 weeks<br />

Teaching staff:<br />

Professor ENNU SEPP - responsible teacher<br />

senior assistant - ALLA MÕTTUS<br />

assistant - JANA PETERSON<br />

Teachingand learning methods:<br />

Lectures - 12 h<br />

Seminars - 12 h<br />

Practicals - 48 h<br />

Independent works - 48 h<br />

<strong>3.</strong> <strong>Entrance</strong> <strong>requirements</strong><br />

<strong>Anatomy</strong> ARAN 0<strong>1.</strong>018<br />

Patological <strong>Anatomy</strong> ARPA 0<strong>1.</strong>014<br />

Physiology ARFS 0<strong>1.</strong>007<br />

Patological Physiology ARMP 0<strong>3.</strong>003<br />

7


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. Structure and Content<br />

8<br />

Lectures (0,5 CP) Hours Contents<br />

The Upper Limb<br />

The Upper Limb<br />

The Lower Limb<br />

The Lower Limb. The Thoracic<br />

Wall<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

Lectures Subtotal 12 h<br />

The upper limb. Possibilities of blood supply in case of thrombosis of<br />

a. axillaris (scapular arterial collateral blood supply). Shoulder joint,<br />

common directions of dislocations of shoulder joint, possible<br />

complications. Possible dangers in case of puncture of shoulder joint.<br />

Bursa subacromialis. Accesses to shoulder joint. Location of ends of<br />

clavicle in case of typical fracture of clavicle and possible<br />

complications. Dislocations of clavicle, anatomical characterisation of<br />

clinical picture. Digital compression of a. subclavia. Lymph nodes in<br />

fossa axillaris and direction of the lymph flow, oncology aspect.<br />

Injuries of brachial plexus depending on character of trauma,<br />

symptoms. Fractures of the humerus and n. radialis. Part of a. profunda<br />

brachii in arterial collateral network, rete articulare cubiti.<br />

Supraconylar fractures, bursa synovialis subcutanea olecrani, it’s<br />

bursitis. Fractures ulna and radius. Possible nerve injuries may occur<br />

together with the fracture of neck of radius. Space of Pirogov-Paron.<br />

Tendineuos sheaths of flexors and extensors of fingers, spreading of<br />

infection depending from anatomical structure. Carpal canal. Injuries in<br />

palm of the hand, concurrent complications. Contractura Dupuytren.<br />

Palpatio of a. brachialis, a. cubitalis, a. radialis.<br />

Lower limb. Foramen supra- et infrapiriforme, vessels and nerves<br />

passing through. Clinical-anatomical specific features of a. glutea<br />

superior in case of it's injury. Accesses to the hip joint. Dislocation of<br />

the hip joint, aseptic necrosis of caput femoris. Coxa valgum et varum.<br />

Specific features of the hip joint depending on the age. Clinicalanatomical<br />

features of the blood vessels and nerves in the upper,<br />

middle and lower third of the thigh. Importance of a. profunda femoris<br />

in collateral blood supply. Canalis femoralis, obturatorius et<br />

adductorius and hernias. Symptom of m. psoas. Superficial and deep<br />

venous system of lower limb, connecting veins, valves of veins.<br />

Varicose veins, post-thrombotic syndrome, venous ulcer – their<br />

clinical-anatomical base.<br />

Common injuries of knee joint. Accesses to the knee joint, bursae<br />

synoviales. Morbus Schlatter, Baker’s cyst. A. poplitea, clinicalanatomical<br />

base of it’s injury. Venous sinuses of m. soleus and their<br />

clinical importance. Bimalleolar fractures. Deformations of the foot.<br />

Clinical-anatomical base of classical methods of amputations.<br />

Palpation of a. femoralis, a. poplitea, a. tibialis posterior and a.<br />

dorsalis pedis.<br />

Thoracic wall - bony base, most common pathological changes of ribs<br />

and sternum (pectus excavatum et carinatum, syndrome Down,<br />

accessory cervical rib). Topography of intercostal vessels and nerves,<br />

importance of knowing it in clinical practice (dermatoma, herpes<br />

zoster, parevertebral and intercostal blocks). A. thoracica interna,<br />

specific features of blood supply (thorax, pericardium and myocardium,<br />

diaphragm, anterior abdominal wall). Injuries of ribs, haemorrhage,<br />

paradoxical segment, pneumothorax, haemothorax, chylothorax.<br />

Thoracocentesis.<br />

Surgical anatomy of breast, mammography. Syndrome of Klinefelter,<br />

polymastia, gynecomastia. Possible complications in case of surgical<br />

removing of breast. Structure of diaphragm, openings, blood and nerve<br />

supply. Hernia oesophagi, Bochdalek, Morgagni. Rupture of<br />

diaphragm.


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

Practicals (2,0 CP) Hours Contents<br />

Basic Concept of Regional<br />

<strong>Anatomy</strong>.<br />

<strong>1.</strong> The Upper Limb<br />

<strong>2.</strong> The Upper Limb<br />

<strong>3.</strong> The Upper Limb, the Lower<br />

Limb<br />

4. The Lower Limb<br />

5. The Lower Limb<br />

6. The Head<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

Regio scapularis. Borders. Topography of the layers. Blood and nerve<br />

supply. Topographical-anatomical areas: fossa supra- et infraspinata,<br />

foramen quadrilaterum, foramen trilaterum.<br />

Regio deltoidea. Borders, topography of the layers. Blood and nerve<br />

supply. Spatium subdeltoideum. Shoulder joint, synovial bursaes.<br />

Regio infraclavicularis. Borders, fascias. Blood and nerve supply.<br />

Trigonum deltoideopectorale. Regio axillaris. Borders. Fossa axillaris.<br />

Blood supply. Nerves: pars supraclavicularis et pars infraclavicularis<br />

plexus brachialis. Lymph nodes and -vessels.<br />

Regio brachialis. Regio brachialis anterior: borders, layers. Fascias,<br />

groups of muscles. Topography of the blood vessels and nerves in the<br />

superior, middle and inferior third of the region. Regio brachialis<br />

posterior: borders, fascias, groups of muscles. Topography of the blood<br />

vessels and nerves in the superior, middle and inferior third of the<br />

region.<br />

Regio cubitalis. Borders. Regio cubitalis anterior, fossa cubitalis.<br />

Blood vessels and nerves. Regio cubitalis posterior. Rete articulare<br />

cubiti.<br />

Regio antebrachialis. Regio antebrachialis anterior. Borders, layers,<br />

fascias, groups of muscles. Topography of the blood vessels and nerves<br />

in the superior, middle and inferior third of the region. Space of<br />

Pirogov.<br />

Regio antebrachialis posterior. Layers, fascias, muscular groups.<br />

Topography of the blood vessels and nerves in the superior, middle and<br />

inferior third of the region.<br />

Lymphatic drainage.<br />

Regio manus. Palma manus. Aponeurosis palmaris. Canalis carpi, it's<br />

blood supply. Arcus palmaris superficialis et profundus. Nerves and<br />

muscular groups. Synovial sheaths of the flexor muscles of the fingers.<br />

Dorsum manus. Layers, synovial canals, blood vessels, nerves.<br />

Attaching of the tendons of the flexor and extensor muscles of the<br />

fingers.<br />

Regio glutealis. Borders. Foramen suprapiriforme et infrapiriforme.<br />

Blood vessels, nerves. Topographic anatomy of the hip joint.<br />

Regio femoralis. Regio femoralis anterior. Borders, fascias, muscular<br />

groups. Topography of the main blood vessels and nerves in the<br />

superior, middle and inferior third of the region. Trigonum femorale,<br />

canalis femoralis, obturatorius et adductorius. Lymph drainage. Regio<br />

femoralis posterior. Fascias, muscular groups. Blood vessels, nerves.<br />

Regio genus. Regio genus anterior. Borders, topography. Patella.<br />

Bursaes. Articulatio genus. Ligaments. Meniscuses.<br />

Regio genus posterior. Borders. Borders of the fossa politea.<br />

Topography of the blood vessels and nerves.<br />

Regio cruralis. Regio cruralis anterior. Borders, fascias, muscular<br />

groups. Blood vessels and nerves. Regio cruralis posterior. Borders,<br />

topography of the layers, fascias, muscular groups. Canalis<br />

cruropopliteus. Topography of the blood vessels and nerves in the<br />

superior, middle and inferior third of the region.<br />

Regio articulationis talocruralis. Layers, dividing. Topography of the<br />

tendons, blood vessels and nerves.<br />

Regio pedis. Dorsum pedis. Topography of the layers. Attaching of the<br />

tendons of the extensor muscles. Blood vessels and nerves. Planta<br />

pedis. Topography of the layers. Aponeurosis plantaris, muscular<br />

groups. Blood vessels and nerves.<br />

Cranium. Topographical anatomy of the cerebral part of the cranium.<br />

9


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

7. The Face<br />

8. The Neck<br />

9. The Neck<br />

10. The Thorax<br />

1<strong>1.</strong> The Thorax<br />

1<strong>2.</strong> The Abdomen<br />

1<strong>3.</strong> The Abdomen<br />

14. The Abdomen, the Retroperitoneal<br />

Space<br />

10<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

Regio frontoparietooccipitalis. Regio temporalis. Regio mastoidea.<br />

Borders, blood and nerve supply.<br />

Topographical anatomy of the facial part of the cranium. Regio facialis<br />

lateralis superficialis. Regio parotideomasseterica. Regio buccalis.<br />

Regio facialis lateralis profunda. Regio oralis. Regio nasalis. Sinus<br />

paranasales. Borders, blood and nerve supply.<br />

Neck. Cervical fascias. Regio cervicalis anterior. Regio suprahyoidea.<br />

Trigonum submandibulare. Trigonum submentale.<br />

Regio infrahyoidea. Trigonum caroticum. Trigonum omotracheale.<br />

Topography of the layers. Cervical organs (larynx, trachea, pharynx,<br />

oesophagus, thyroid gland and parathyroid glands), blood vessels,<br />

nerves, truncus symphaticus.<br />

Neck. Regio sternocleidomastoidea. Trigonum scalenivertebrale.<br />

Regio cervicalis lateralis. Trigonum omotrapezoideum. Trigonum<br />

omoclaviculare. Regio cervicalis posterior.<br />

Thorax. Borders. External landmarks. Topography of the thoracic wall.<br />

Blood vessels and nerves. Topographical anatomy of the breast.<br />

Regional lymphatic system.<br />

Cavitas thoracis. Borders. Topography of the pleura. Pulmones.<br />

Topography and surface markings of the hilus pulmonis. Blood and<br />

nerve supply of the lungs and bronchi. Lymphatic drainage.<br />

Thorax. Mediastinum. Borders, dividing. Mediastinum superius -<br />

topographical anatomy of the organs, nerves and blood vessels.<br />

Mediastinum medius.<br />

Structure of the heart, blood and nerve supply. Projection to the<br />

thoracic wall. Pericardium. Parts, blood and nerve supply. Mediastinum<br />

posterius. Thoracic aorta, oesophagus, nn. vagi, v. azygos et v.<br />

hemiazygos, truncus sumpathicus, ductus thoracicus, their topography.<br />

Diaphragm. Pars sternalis, aortalis et lumbalis. Hiatus aorticus et<br />

oesophagus. Trigonum sternocostale et lumbocostale. Blood vessels,<br />

nerves, lymphatic system.<br />

Abdomen. Borders of the abdomen. Anterior abdominal wall, dividing.<br />

Projection of the abdominal organs to the anterior abdominal wall: -<br />

muscles, aponeurotic tissues, fascias - blood and nerve supply, lymph<br />

drainage. Topographical-anatomical features of the anterior abdominal<br />

wall. So called weak areas of the anterior abdominal wall. Trigonum<br />

inguinale. Topography of the anterior abdominal wall from inner view.<br />

Cavitas peritonei. Bursa omentalis, it's sacs.<br />

Abdomen. Topographical anatomy of the upper abdominal organs<br />

(syntotopy, sceletotopy, blood and nerve supply). Ventriculus. Surface<br />

markings, relations, ligaments, blood vessels, nerve supply, lymphatic<br />

system. Topography of the n. vagus. Duodenum. Surface markings,<br />

relations, ligaments, blood vessels, nerves, lymphatic system. Papilla<br />

duodeni major et minor. Pancreas. Surface markings, relations, blood<br />

vessels, nerve supply, lymphatic system. Lien. Surface markings,<br />

relations, ligaments, blood vessels, nerves, lymphatic system. Hepar.<br />

Surface markings, relations, lobes, ligaments, blood vessels, nerves,<br />

lymphatic system. Lig. hepatoduodenale. Topography of the v. portae.<br />

Vesica fellae. Relations, blood vessels, lymphatic system, bile ducts.<br />

Abdomen. Organs of the lower part of the abdominal cavity (surface<br />

markings, relations). Parts of the small and large intestine, blood and<br />

nerve supply, lymph drainage. Mesenterium et mesocolon. Topographic<br />

anatomy of the retroperitoneal cavity - fascias, muscles, spaces of the


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

15. The Pelvis<br />

16. The Pelvis and Perineum<br />

3 h<br />

3 h<br />

Practicals Subtotal 48 h<br />

Seminars (0,5 CP) Hours Contents<br />

<strong>1.</strong> The Thoracic Cavity. The<br />

Abdominal Wall<br />

<strong>2.</strong> The Peritoneal Space<br />

<strong>3.</strong> The Peritoneal Space. The<br />

Pelvis<br />

3 h<br />

3 h<br />

3 h<br />

connective tissue. Surface markings and relations of the right and left<br />

kidney. Fixing ligaments. Hilum renale. Gll. suprarenales. The ureters,<br />

relations of the ureters, blood vessels, nerve supply, lymph drainage.<br />

Aorta, it's parts. The vena cava inferior. Truncus symphaticus. Regio<br />

lumbalis. Borders, weak areas. Blood vessels, nerve supply, lymph<br />

drainage. Ductus thoracicus, v. azygos et hemiazygos.<br />

Pelvis. Pelvis minor and major, borders. Walls and floor of the pelvis<br />

minor. Perineum. Diaphragma urogenitale et pelvis. Fascias. Blood<br />

vessels and nerves. Fossa ishciorectalis.<br />

Male pelvic organs. Rectum, ureter, vesica urinaria, vesiculae<br />

seminales, prostata. Relations, blood vessels, nerve supply, lymphatic<br />

system. Female pelvic organs, their topographic anatomy. Rectum,<br />

ureter, vesica urinaria, ovarium, tuba uterina, uterus, vagina.<br />

Relations, blood vessels, nerve supply, lymphatic system. Regio<br />

pudendalis. Penis scrotum, vestibulum, vaginae, labiae minorae et<br />

majorae.<br />

Cavum pleura. Recessus costodiaphragmaticus, it's clinical meaning.<br />

Innervation of pleura. Puncture and drainage of pleural cavitas (typical<br />

sites for performing these procedures (clinical-anatomical bases) and<br />

dangers. Pleuritis, radiation of pain (nn.intercostales, n. phrenicus).<br />

Lungs. Blood supply of lungs and bronchi. Bronchial obstruction,<br />

foreign bodies. Embolus of pulmonary artery. Tracheoesophagal<br />

fistula. Spreading of purulent infections from neck and retroperitonael<br />

space into mediastinum. Coronary arteries, angina pectoris, infarctus<br />

myocardii, ductus arteriosus (Botalli), ligamentum arteriosum,<br />

coarctatio aortae. Puncture of pericardial cavity (accesses) and<br />

possible complications. Syndrome of v. cava superior. Clinical<br />

<strong>Anatomy</strong> of v. subclavia. Thoracal aortal aneurysm. Injuries of<br />

oesophagus.<br />

Anterior abdominal wall, it's structure in different parts. Blood supply,<br />

specific features of spreading of hematomas. Nerve supply of muscles,<br />

specific features of nerve supply of m.rectus abdominis. Differences in<br />

structure of anterior abdominal wall in case of different surgical<br />

accesses. Puncture of peritoneal cavity and laparocentesis - typical sites<br />

for performing, possible complications. Omphalocele, urachus,<br />

gastrochisis. So called "weak areas" in anterior abdominal wall -<br />

hernia linea albae, inguinalis, umbilicalis, Spiegeli.<br />

Peritoneal space. Abdominal part of oesophagus, oesophageal hernias.<br />

Varices oesophagi, achalasia. Clinical-anatomical appearance of portal<br />

hypertension. Portocaval anastomosis. Stomach, problems involved in<br />

perforation of the posterior wall gastric ulcer (bursa omentalis, canalis<br />

lateralis). Surgical anatomy of n. vagus. Specific anatomical-clinical<br />

features of blood and nerve supply of duodenum. Spasm of pylorus.<br />

Specific anatomical-clinical features of injuries of duodenum. Pancreas,<br />

surgical accesses. Pancreatitis and parapancreatical connective tissue.<br />

Clinical anatomy of liver and lien, ruptures. Recess of peritoneal space,<br />

their clinical-anatomical importance, "inner" hernias. Blood supply of<br />

small and large bowels, it's clinical meaning. Diverticulum Meckeli.<br />

Dolichosigma, diverticulosis. Difficulties and dangers in performing of<br />

appendectomy (topographic-anatomical bases).<br />

Retroperitoneal space. Fasciae, spaces of connective tissue. Aorta and<br />

inferior caval vein. Abdominal aortal aneurysm. Kidneys, ren<br />

arcuatum, ureter, urethra. Paranephritis. Clinical-anatomical bases of<br />

11


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. The Head and the Neck 3 h<br />

Seminars Subtotal 12 h<br />

Total 120 h<br />

12<br />

irradiation of pain. Truncus sympathicus. Lumbar region. Lumbar<br />

hernias. Lumbar puncture. Pelvis. Large and small pelvis. Measures,<br />

sexual differences. Muscles, vessels, nerves. Atherosclerotic damage of<br />

iliac arteries. Syndrome Leriche and arterial collateral network. Pelvic<br />

veins and plexuses. Clinical-anatomical features of bifurcation of<br />

abdominal aorta and inferior vagal vein. Clinical-anatomical bases of<br />

thrombotic embolus. Most deeper recess of peritoneal space, their<br />

importance in clinic. Access into spatium Douglas. Accesses into<br />

urinary bladder and prostate. Catheterisatio. Spatium Retzii. Ruptura of<br />

urinary bladder. Perineum, fossa isciorectalis. Paraproctitis, pararectal<br />

fistula. Clinical-anatomical bases of irradiation of pain in case of<br />

pathology of pelvic organs.<br />

Cerebral part of cranium. Layers, anatomical-clinical specific features<br />

of blood supply. Specific features of subcutaneous layer. Problems<br />

involved to hemostasis and spread of infection. Cephalic and<br />

extradural, hemorrhage. Topograpy of a. meningea media. Clinicalanatomical<br />

specific features of bony fornix cranii. Antrum mastoideum,<br />

mastoiditis, possible directions of spreading of infection. Palpation of<br />

a. temporalis superficialis.<br />

Facial part of cranium. Possible directions of spread of infection in area<br />

of face. V. facialis, connections with intracranial veins. Paranasal<br />

sinuses. Antrum Highmor, it's connections with teeth and drainage.<br />

Glandula parotis, possible complications in case of purulent infection.<br />

Injuries of tongue, anatomical- topographic base of ligate of a.<br />

lingualis.<br />

Neck. Clinical anatomy of cervical fasciae, blood vessels and nerves.<br />

Importance of fasciae in spreading of infections in neck. Access to<br />

suppurative focuses in neck. Clinical-anatomical bases of trachestomy<br />

and conicotomy.<br />

Thyroid and parathyroid gland - possible complications in case of<br />

partial or total removing of thyroid gland (topography of n. laryngeus<br />

superior, n. laryngeus recurrens and parathyroid glands). Clinicalanatomical<br />

bases of vagosympathic block and block of ganglion<br />

stellatum. Topography of v. subclavia, a. subclavia and cupula pleura.<br />

Possible complications in case of catheterization of v. subclavia.<br />

Ductus thoracicus, angulus venosus sinister. Palpation of a. carotis<br />

communis.


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

5. Resources<br />

5.1 Bibliography<br />

<strong>1.</strong> Inimese topoanatoomia. E. Sepp, 1998<br />

<strong>2.</strong> Clinically oriented <strong>Anatomy</strong>. Keith L. Moore, 1999<br />

<strong>3.</strong> Wolf-Heidegger’s Atlas of Human <strong>Anatomy</strong>. Hans Frick, Benno Kummer, Reinhard Putz, 1990<br />

4. McMinn’s Functional Clinical <strong>Anatomy</strong>.<br />

5. Robert M H McMinn, Penelope Gaddum-Rosse, Ralph T Hutchings, Bari M Logan, 1995<br />

6. Clinical <strong>Anatomy</strong> Atlas. Robert A. Chase, John A. Gosling, John Dolph jt., 1996<br />

7. Clinical <strong>Anatomy</strong> Principles. Lawrence H. Mathers, Robert A. Chase, John Dolph, jt., 1996<br />

8. Clinical <strong>Anatomy</strong> Dissections. Eric F. Glasgow, John Dolph, Robert A. Chase, jt., 1996<br />

9. Atlas der topographischen Anatomie. Von Werner Platzer, 1982<br />

10. Anatomisches Bildwörterbuch. Heinz Feneis, Wolfgang Dauber, 1993<br />

1<strong>1.</strong> Taschenatlas zum Präparierkurs. Bernhard Tillmann, Michael Schünke, 1993<br />

1<strong>2.</strong> Essential <strong>Anatomy</strong>. J.S.P. Lumley/ J.L. Craven/ J.T. Aitken, 1995<br />

1<strong>3.</strong> Scott: An Aid to Clinical Surgery. R.C.N. Williamson, Bruce P. Waxman, 1994<br />

14. Last’s <strong>Anatomy</strong>, Regional and Applied. R.M.H. McMinn, 1994<br />

15. Surface <strong>Anatomy</strong>, The Anatomical Basis of Clinical Examination. John S. P. Lumley, 1996<br />

16. Topographische Anatomie des Menschen. 6. Auflage. G.-H. Schumacher, G. Aumüller, 1994Topographische Anatomie. 9.<br />

Auflage. J.W.Rohen, 1992<br />

17. Anatomie des Menschen. Lehrbuch und Atlas. Band IV. H. Leonhardt, B. Tillmann, G. Töndury, K. Zilles<br />

18. Pocket medical dictionary. Ed. by Churchill Livingstone, 1987Gray’s <strong>Anatomy</strong>. Ed. by Churchill Livingstone. 1995<br />

19. Photographic Atlas of Practical <strong>Anatomy</strong> I. Thiel W. 1997CD: Human <strong>Anatomy</strong><br />

20. CD: Clinical <strong>Anatomy</strong>. Interactive Lesson. The Standford Project.Elective courseClinical <strong>Anatomy</strong>,<br />

2<strong>1.</strong> H. H. Lindner, 1989Clinical <strong>Anatomy</strong> for Medical Students.<br />

2<strong>2.</strong> R. S. Snell, 1995Clinical <strong>Anatomy</strong> of the Masticatory Apparatus and Peripharyngeal Spaces. Lang, J. 1995<br />

2<strong>3.</strong> Clinical <strong>Anatomy</strong> 9: 71 - 99 1996<br />

24. Essential Clinical <strong>Anatomy</strong>. Keith L. Moore, Anne M. R. Agur, 1995<br />

5.2 Teaching Resources<br />

Teaching materials for lecture / classroom demonstration<br />

Teaching / learning materials to be distributed among students<br />

Teaching / learning materials in Internet<br />

Laboratory and technical equipment<br />

Anatomical models<br />

Other resources / comments<br />

Dissection Materials<br />

6. Assessment<br />

6.1 Assessment method:<br />

Continuous assessment<br />

Practical work<br />

Written (test)<br />

6.2 Comments:<br />

Written (essay)<br />

Oral<br />

Part of complex examination<br />

Combination<br />

Other<br />

None<br />

13


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> <strong>Identification</strong><br />

Name of Department:<br />

Institute of <strong>Anatomy</strong><br />

Name of Chair:<br />

Surgical <strong>Anatomy</strong><br />

Level:<br />

Undergraduate students<br />

Course Title:<br />

Surgical <strong>Anatomy</strong><br />

<strong>2.</strong> <strong>Brief</strong> <strong>description</strong><br />

14<br />

Number of students:<br />

~ 60<br />

Code of Department:<br />

ARAN<br />

Subject Code:<br />

ARAN 0<strong>3.</strong>003<br />

Credit Points:<br />

0,5 CP<br />

Annotation:<br />

Program gives overview about human topography and clinical anatomy connected with most<br />

common surgical procedures, witch are necessary in everyday practical medicine.<br />

Languages: Timing:<br />

Estonian Spring semester<br />

Teaching staff:<br />

Professor ENNU SEPP - responsible teacher<br />

Senior assistant - ALLA MÕTTUS<br />

Teaching and learning methods:<br />

Lectures - 12 h<br />

Independent works - 8 h<br />

<strong>3.</strong> <strong>Entrance</strong> <strong>requirements</strong><br />

<strong>Anatomy</strong> ARAN 0<strong>1.</strong>018


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. Structure and Content<br />

Lectures (CP) Hours Contents<br />

<strong>1.</strong> Surgical <strong>Anatomy</strong> of the Limbs<br />

<strong>2.</strong> Surgical <strong>Anatomy</strong> of the Neck and the<br />

Thorax<br />

<strong>3.</strong> Surgical <strong>Anatomy</strong> of the Abdomen<br />

4. Surgical <strong>Anatomy</strong> of the Retroperitoneal<br />

Space, Organs of the pelvis minor and<br />

the Head<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

Lectures Subtotal 12 h<br />

Total 20 h<br />

Detecting of blood vessels and nerves in the upper and<br />

lower limb. Vagosymphatetic block, blocking of<br />

ganglion stellatum. Puncture and drainage of v.<br />

subclavia. Collateral blood flow. Varicose veins, removing.<br />

Neurolysis and sewing of nerves. Panaricium.<br />

Muscles, tendons (sewing, prolongation, shortening).<br />

Accesses to the joints, arthrodesis, arthroplastica.<br />

Correction of bony axes, bony sequesters. Basic<br />

principles of amputations.<br />

Puncture of pleural cavity, drainage. Removing of the<br />

breast, oesophagotomia. Para-vertebral anaesthesia.<br />

Tracheotomy. Surgical anatomy of thyroid gland.<br />

Puncture of peritoneal, pericardial cavity, laparotomy.<br />

Connections of gastric and intestinal tracts. Gastric and<br />

small intestinal fistula. Accesses to the appendix. Anus<br />

praeter naturalis, fistula stercoralis, gastroenterostomia.<br />

Gastric resection. Accesses to the gall bladder and bile<br />

tracts.<br />

Access to the kidneys, blocking of paranephrium.<br />

Pneumoretroperitoneum. Surgical anatomy of urinary<br />

bladder. Puncture, sectio alta. Injuries of the urinary<br />

bladder. Cranial trepanation, trepanation of proc.<br />

mastoideus. Lumbal puncture.<br />

15


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

5. Resources<br />

5.1 Bibliography<br />

<strong>1.</strong> Inimese topoanatoomia. E. Sepp, Tartu, 1998<br />

<strong>2.</strong> Topographische Anatomie. 9. Auflage. J.W.Rohen, 1992<br />

<strong>3.</strong> Photographic Atlas of Practical <strong>Anatomy</strong> I., Thiel W. 1997<br />

4. Photographic Atlas of Practical <strong>Anatomy</strong> I., Thiel W. 1999<br />

5. <br />

6. <br />

1963<br />

7. Atlas der Operativen hirurgie, E. Vachs, 1961<br />

8. Clinical <strong>Anatomy</strong> 9: 71 - 99 1996<br />

9. Essential Clinical <strong>Anatomy</strong>. Keith L. Moore, Anne M. R. Agur, 1995<br />

5.2 Teaching Resources<br />

16<br />

Teaching materials for lecture / classroom demonstration<br />

Teaching / learning materials to be distributed among students<br />

Teaching / learning materials in Internet<br />

Laboratory and technical equipment<br />

Anatomical models<br />

Other resources / comments<br />

Dissection Materials<br />

6. Assessment<br />

6.1 Assessment method:<br />

Continuous assessment<br />

Practical work<br />

Written (test)<br />

6.2 Comments:<br />

Written (essay)<br />

Oral<br />

Part of complex examination<br />

Combination<br />

Other<br />

None


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> <strong>Identification</strong><br />

Name of Department:<br />

Department of <strong>Anatomy</strong><br />

Name of Chair:<br />

Chair of Histology<br />

Level:<br />

Undergraduate students<br />

Course Title:<br />

Histology<br />

<strong>2.</strong> <strong>Brief</strong> <strong>description</strong><br />

Number of students:<br />

150<br />

Code of Department:<br />

ARAN<br />

Subject Code:<br />

ARAN.0<strong>2.</strong>003<br />

Credit Points:<br />

3<br />

Annotation:<br />

The objective of the course of special histology is to lead a student to understand the microscopic<br />

structure of organs and organ-systems, i.e. to learn microscopic anatomy. The course gives<br />

students knowledge about normal microscopic structure of organs essential for understanding<br />

pathology.<br />

The course consists of 28 hours of lectures and 42 hours of practicals. During practicals students<br />

have to master 61 slides, write 5 tests and take preliminary examination at the end of the semester.<br />

The course is completed by the final written examination as a part of the complex examination in<br />

<strong>Anatomy</strong> and Histology.<br />

Languages: Timing:<br />

Estonian and English Spring semester<br />

Teaching staff:<br />

ANDRES AREND, docent, responsible teacher<br />

PEETER ROOSAAR, docent<br />

MARGE SOOM, assistant<br />

PIRET HUSSAR, assistant (half-time)<br />

Teaching and learning methods:<br />

Lectures - 28 hours, practicals 42 hours. In total 70 hours - 3 CP (including 50 hours of individual<br />

work)<br />

<strong>3.</strong> <strong>Entrance</strong> <strong>requirements</strong><br />

General Histology , Medical Biology<br />

17


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. Structure and Content<br />

Lectures (<strong>1.</strong>2 CP) Hours Contents<br />

Introduction to Microscopic <strong>Anatomy</strong>. Basic<br />

principles of organ construction.<br />

Nervous System I-II.<br />

Sense Organs I-II.<br />

Endocrine Organs I-II.<br />

Digestive System I-III.<br />

Respiratory System.<br />

Urinary System.<br />

Reproductive System I-II.<br />

18<br />

2 h<br />

4 h<br />

4 h<br />

4 h<br />

6 h<br />

2 h<br />

2 h<br />

4 h<br />

Lectures Subtotal 28 h<br />

Practicals (<strong>1.</strong>8 CP) Hours Contents<br />

<strong>1.</strong> Blood vessels.<br />

<strong>2.</strong> Blood vessels. Lymphoid organs.<br />

3 h<br />

3 h<br />

Introduction. Basic construction principles of solid and<br />

tubular organs.<br />

Structure of the spinal cord, brain and cerebellum.<br />

Autonomic nervous system.<br />

Microscopic structure of the eyeball. Cornea and sclera.<br />

Choroidea, iris and ciliary body. Eye chambers. Retina<br />

and photoreceptors. Lens and vitreous body. Eyelids,<br />

conjunctiva and lacrimal apparatus. Structure of the ear.<br />

Inner ear: semicircular canals, vestibule and cochlea.<br />

Membraneous labyrinth. Sensory regions: cristae ampullaris,<br />

maculae and organ of Corti.<br />

Endocrine system and its regulation. Hypothalamus,<br />

hypophysis and hormonal regulating factors. Pineal<br />

gland. Thyroid and parathyroid glands. Adrenals.<br />

Langerhans islets. Diffuse endocrine system.<br />

Structures of the oral cavity. Teeth and their<br />

development. Tongue and lingual papillae. Taste buds.<br />

Salivary glands. Tonsils. Pharynx, esophagus, stomach<br />

and gastric glands. Small intestine: villi and crypts. Large<br />

intestine. Liver: blood supply, liver lobules and<br />

hepatocytes. Biliary tree and gallbladder. Pancreas:<br />

pancreatic acini. and duct system.<br />

Nasal cavity, larynx, trachea and lungs: bronchi,<br />

bronchioles, alveolar ducts and alveoli. Bronchial and<br />

alveolar trees. Air-blood barrier.<br />

Structure of the kidney. Renal corpuscles and tubules.<br />

Nephron. Ultrafiltration and filtration barrier.<br />

Juxtaglomelural apparatus. Ureters, urinary bladder and<br />

urethra.<br />

Male reproductive system. Testes: seminiferous tubules,<br />

spermatogenesis, excretory ducts of the testis.<br />

Epididymis, ductus deferens. Accessory male sex glands:<br />

seminal vesicles, prostate, bulbourethral gland. Penis and<br />

male urethra.<br />

Female reproductive system. Ovary, ovarian follicles,<br />

corpora lutea. Uterine tubes, uterus, vagina, and external<br />

female genitalia.<br />

Circulatory system. Structure of blood vessels. Elastic<br />

and muscular arteries. Veins.<br />

Practical microscopy:<br />

*Aorta (H&E.)<br />

*Aorta (resorcin-fuchsin)<br />

*Inferior caval vein (H&E)<br />

*Inferior caval vein (resorcin-fuchsin)<br />

*Radial artery and -vein (H&E.)<br />

*Radial artery and -vein (resorcin-fuchsin)<br />

Circulatory system and lymphoid organs. Arterioles,<br />

capillaries and venules. Thymus, spleen and lymph<br />

nodes.<br />

Practical microscopy:<br />

*Small blood vessels in pia mater (carm.picroindigocarm.)<br />

*Thymus (H&E)


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>3.</strong> Skin and its derivatives. Test I.<br />

4. Nervous system<br />

5. Organs of special sense I. Eyeball and<br />

eyelid.<br />

6. Organs of special sense II. Inner ear.<br />

Test II.<br />

7. Endocrine organs.<br />

8. Digestive system I (oral cavity). Test III.<br />

9. Digestive system II (alimentary canal).<br />

10. Digestive system III (liver, pancreas),<br />

Respiratory system.<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

*Spleen (carm.-picroindigocarm.)<br />

*Spleen (resorcin-fuchsin)<br />

*Lymph node (H&E)<br />

Written test (blood vessels and lymphatic organs).<br />

Integumentary system. Structure of the skin and skin<br />

appendages: hair, sebaceous glands, sweat glands,<br />

mammary gland and nails.<br />

Practical microscopy:<br />

*Skin from fingertip (Heidenhain`s ironhem.)<br />

*Longitudinal section of nail (carm.-indigocarm.)<br />

*Skin from scalp (H&E)<br />

*Lactating mammary gland (carm.-picroindigocarm.)<br />

Central nervous system. Structure of cerebral and<br />

cerebellar cortex, spinal cord and ganglia.<br />

*Spinal ganglion (azan or H&E)<br />

*Cross section of spinal cord (thionin)<br />

*Cross section of spinal cord (Weigert)<br />

*Cerebellar cortex (thionin)<br />

*Cerebral cortex (thionin)<br />

*Cerebral cortex (Weigert)<br />

General structure of the eyeball. Cornea, iridocorneal<br />

angel, retina. Structure of the eyelid.<br />

Practical microscopy:<br />

*Eye (H&E or carm.-indigocarm.)<br />

*Eyelid (carm.-indigocarm.)<br />

Written test (skin and its appendages)General structure of<br />

the ear. Inner ear, cochlear duct and organ of Corti.<br />

Practical microscopy:<br />

*Inner ear (azan)<br />

Structure of the endocrine organs: hypophysis, thyroid<br />

gland, adrenals, pancreatic islets.<br />

Practical microscopy:<br />

*Hypophysis (H&E)<br />

*Thyroid gland (H&E)<br />

*Adrenal (suprarenal) gland (H&E)<br />

*Pancreatic islet (H&E)<br />

Written test (nervous system)<br />

Oral cavity: tonsils, teeth, salivary glands, tongue and<br />

papillae, taste buds.<br />

Practical microscopy:<br />

*Palantine tonsil (H&E)<br />

*Developing tooth (H&E)<br />

*Tongue (H&E)<br />

*Vallate papilla (H&E)<br />

*Taste buds [foliate papilla of rabbit] (H&E)<br />

Alimentary canal: esophagus, stomach, small and large<br />

intestine.<br />

Practical microscopy:<br />

*Esophagus (H&E)<br />

*Mucosa of the fundus part of the stomach (H&E)<br />

*Mucosa of the pyloric part of the stomach (H&E)<br />

*Small intestine of cat (Van Gieson)<br />

*Small intestine of human (H&E)<br />

*Mucosa of the duodenum (H&E)<br />

*Large intestine (H&E)<br />

*Appendix (H&E)<br />

Structure of the liver: liver lobules, vascularization.<br />

Gallbladder and pancreas. Respiratory system: trachea<br />

and lungs: bronchi, bronchioles, alveolar ducts and<br />

alveoli.<br />

Practical microscopy:<br />

19


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

1<strong>1.</strong> Excretory system. Test IV.<br />

1<strong>2.</strong> Reproductive system I.<br />

1<strong>3.</strong> Reproductive system II. Test V.<br />

14. Repetition and preliminary examination.<br />

20<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

Practicals Subtotal 42 h<br />

Total 72 h<br />

*Porcine liver (Van Gieson)<br />

*Human liver (H&E)<br />

*Rabbit liver (injected)<br />

*Exocrine part of the pancreas (H&E)<br />

*Cross section of the trachea (H&E)<br />

*Lung (carm.-picroindigocarm.)<br />

Written test (digestive system).<br />

Urinary system. Kidney: general structure, renal<br />

corpuscles, nephron, kidney tubules, juxtaglomerular<br />

apparatus. Ureter and urinary bladder.<br />

*Kidney (H&E)<br />

*Ureter (azan)<br />

*Urinary bladder (carm.-picroindigocarm.)<br />

Male reproductive system. Testis: general structure,<br />

seminiferous tubules and spermatogenesis. Epididymis,<br />

ductus deferens. Accessory sex gland: prostate, seminal<br />

vesicles, bulbourethral glands. Penis.<br />

Practical microscopy:<br />

*Testis (H&E)<br />

*Spermatozoa (Heidenhain`s hem.)<br />

*Epididymis (H&E)<br />

*Ductus deferens (carm.-picroindigocarm.)<br />

*Prostate (carm.-picroindigocarm.)<br />

*Penis (H&E)<br />

Written test (excretory system, respiratory system)<br />

Female reproductive system. General structure of the<br />

ovary, ovarian follicles, corpus luteum. Uterine tube.<br />

Uterus.<br />

Practical microscopy:<br />

*Ovary (H&E)<br />

*Ampulla of the uterine tube (H&E)<br />

*Ovary after the menopaus (H&E)<br />

*Uterus (carm.-picroindigocarm.)


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

5. Resources<br />

5.1 Bibliography<br />

Textbooks in Estonian<br />

<strong>1.</strong> Arend Ü., Hussar Ü., Kübar H., Kärner J., Põldvere K. Histoloogia praktikum. Tallinn: Valgus, 198<strong>3.</strong> /Practical<br />

works in histology/<br />

<strong>2.</strong> Arend Ü. Naha ja tema derivaatide histoloogia.Tartu, 1986. /Skin and its appendages/<br />

<strong>3.</strong> Arend Ü., Hussar Ü., Roosaar P. Tsirkulatsiooniorganite histoloogia. Tartu, 1988. /Histology of circulatory<br />

organs/<br />

4. Hussar Ü. Vereloome ja immuunorganite histoloogia. Tartu, 1986. /Histology of blood formation and immune<br />

organs/<br />

5. Tehver J., Hussar Ü. Suuõõne ja hammaste histoloogia. Tartu, 1979. /Histology of oral cavity and teeth/<br />

6. Tehver J. Koduloomade histoloogia. Tallinn:Valgus, 1979. /Histology of domestic animals/<br />

7. Tehver J., Hussar Ü. Histoloogia eesti-, vene-, inglise- ja saksakeelne seletussõnaraamat, 1996. /Histological<br />

explanatory dictionary in Estonian, Russian, English and German/<br />

8. Keyserlingk D., Hussar Ü. Neurohistoloogia. Tartu, 199<strong>2.</strong> /Neurohistology/<br />

9. Textbooks in English<br />

10. Di Fiore M.S.H. Atlas of Human Histology. Philadelphia, Lea & Fibiger, 1980.<br />

1<strong>1.</strong> Stevens A., Lowe J.S. Human Histology. London, Mosby, 1997<br />

1<strong>2.</strong> Ross M.H., Romrell L.J., Kayne G.I. Histology: A Text and Atlas. Baltimore, Williams & Wilkins, 1995.<br />

5.2 Teaching Resources<br />

Teaching materials for lecture / classroom demonstration<br />

26 PowerPoint Slide Show kits and 26 sets of overhead transparencies both for lectures and practicals.<br />

Teaching / learning materials to be distributed among students<br />

Handouts of 3-4 pages per student.<br />

Teaching / learning materials in Internet<br />

At URL: http://www.ut.ee/ARAN/histology.htm in English and http://www.ut.ee/ARAN/histo.htm in Estonian are<br />

links to Lectures, Practicals, Electives and Textbooks. At these sites students can find the timetable and topics of<br />

lectures and practicals together with information about electives and available textbooks. Shortly a chapter of Special<br />

Histology - Histology of the Respiratory System - will be posted at Internet.<br />

Laboratory and technical equipment<br />

24 microscopes, overhead, slide projector, multimedia projector connected to demonstration<br />

microscope<br />

Other resources / comments<br />

6. Assessment<br />

6.1 Assessment method:<br />

Continuous assessment<br />

Practical work<br />

Written (test)<br />

Written (essay)<br />

Oral<br />

Part of complex examination<br />

6.2 Comments:<br />

Histology forms a part of the subject block <strong>Anatomy</strong> and Histology<br />

Combination<br />

Other<br />

None<br />

21


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> <strong>Identification</strong><br />

Name of Department:<br />

Department of <strong>Anatomy</strong><br />

Name of Chair:<br />

Chair of Histology<br />

Level:<br />

Undergraduate students<br />

22<br />

Number of students:<br />

150<br />

Course Title:<br />

General Histology and Human Embryology<br />

<strong>2.</strong> <strong>Brief</strong> <strong>description</strong><br />

Code of Department:<br />

ARAN<br />

Subject Code:<br />

ARAN.0<strong>2.</strong>014<br />

Credit Points:<br />

2<br />

Annotation:<br />

The objective of general histology course is to lead a student to understand the general structure of cells<br />

and tissues. The main aim is to study four basic tissues of the human body - epithelial,<br />

connective/supportive, muscle and nervous tissues. Appropriate cytological and embryogenetical details<br />

are given. The course consists of 16 hours of lectures and 32 hours of practicals. During practicals<br />

students have to master 456 slides, write 4 tests and to take preliminary examination at the end of the<br />

semester.<br />

Languages: Timing:<br />

Estonian and English Fall semester<br />

Teaching staff:<br />

ANDRES AREND, docent, responsible teacher<br />

PEETER ROOSAAR, docent<br />

MARGE SOOM, assistant<br />

PIRET HUSSAR, assistant (half-time)<br />

Teaching and learning methods:<br />

Lectures - 16 hours, practicals 32 hours. In total 48 hours - 2 CP.<br />

<strong>3.</strong> <strong>Entrance</strong> <strong>requirements</strong><br />

No <strong>requirements</strong> besides of admission to the Medical Faculty


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. Structure and Content<br />

Lectures (0.7 CP) Hours Contents<br />

Introduction. Interpretation of tissue<br />

sections. Cell junctions.<br />

Tissues. Epithelial tissues I.<br />

Epithelial tissues II.<br />

Connective tissues I.<br />

Connective tissues II.<br />

Connective tissue III.<br />

Muscle tissues.<br />

Nervous tissue.<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

Lectures Subtotal 16 h<br />

Introduction to histology. Histology and other<br />

disciplines. Guidelines for better understanding of<br />

histological slides. Cell junctions: mechanisms<br />

involved in holding cells together.<br />

Development and classification of tissues. Surface<br />

epithelium. Epithelial cells and their surface<br />

specializations. Simple epithelia.<br />

Stratified epithelia. Glandular epithelium. Glands<br />

and secretion. Classification of exocrine glands.<br />

Blood and bone marrow. Morphology of blood<br />

cells: red blood cells, white blood cells and<br />

platelets. Hemopoiesis.<br />

Connective tissue proper. Cells and extracellular<br />

matrix: fibers and ground substance. Mononuclear<br />

phagocytic system.<br />

Cartilage and bone. Chondroblasts and chondrocytes.<br />

Cartilage matrix. Perichondrium. Hyaline<br />

cartilage, elastic cartlage and fibrocartilage. Bone<br />

tissues. General structure of bones. Osteoblasts, osteocytes<br />

and osteoclasts. Osteon. Bone formation.<br />

Fractures and bone repair<br />

Classification of muscle tissues. Smooth muscle.<br />

Smooth muscle cells. Smooth muscle contraction.<br />

Skeletal muscle fibers. Myofibrils and<br />

myofilaments. Sarcomere. Contraction of skeletal<br />

muscle. Cardiac muscle. Intercalated discs. Cardiac<br />

conducting cells. Regeneration of muscle tissues.<br />

Nerve cells and neuroglia. Nerve cell body and<br />

processes: dendrites and axons. Synapses and<br />

neurotransmitters. Neuroglial cells: oligidendrocytes,<br />

astrocytes, microglia and ependyma. Nerve<br />

fibers. Schwann cells and myelin sheath. Regeneration<br />

of nerve fibers. Nerve endings.<br />

Practicals (<strong>1.</strong>3 CP) Hours Contents<br />

Introduction. Size and shape of cells. 2 Instructions and guidelines for practical works.<br />

Variations in dimenions of different cells. Shape of<br />

cells in correlation with function.<br />

Practical microscopy:<br />

*Isolated multipolar nerve cell (stained with<br />

carmine)<br />

Histological techniques.<br />

2 Short overview of methods applied in histology -<br />

fixation, embedding, sectioning, staining and<br />

mounting.<br />

Practical part: haematoxylin and eosin staining of<br />

a liver section.<br />

Organelles and inclusions.<br />

2 Cell organelles, their ultrastructure and function.<br />

Cell inclusions.<br />

23


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

Human Embryology.<br />

Epithelial tissues I.<br />

Epithelial tissues II.<br />

Connective tissues I.<br />

Test I.<br />

Connective tissues II.<br />

Test II.<br />

24<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Practical microscopy:<br />

*Golgi complex from the nerve cell of the spinal<br />

ganglion (OsO4)<br />

*Mitochondria in the epithelial cells of nephron's<br />

proximal tubules (Heidenhain`s ironhem.)<br />

*Protein granules in the epidermal cells of an<br />

axolotl (H&E)<br />

*Glycogen granules in the liver cells (PAS)<br />

*Lipid droplets in the liver cells of an axolotl<br />

(OsO4)<br />

*Pigments in the chromatophores (unstained)<br />

Short overview early stages of human embryonal<br />

development starting from fertilization up to the<br />

beginnings of all major structures.<br />

Practical part: students are supplied with<br />

schematic drawings, which they have to label<br />

Surface epithelium. Specific features of epithelial<br />

cells. Simple epithelia: squamous, cuboidal and<br />

columnar. Pseudostratified epithelium.<br />

Practical microscopy:<br />

*Mesothelium of the peritoneum (silver<br />

impregnation)<br />

*Simple cuboidal epithelium (H&E)<br />

*Simple columnar epithelium of the small intestine<br />

(H&E)<br />

*Ciliated pseudostratified columnar epithelium of<br />

the trachea (Heidenhain`s ironhem.)<br />

Stratified epithelia: stratified squamous keratinized<br />

and non-keratinized epithelium, stratified columnar<br />

epithelium, and transitional epithelium. Glandular<br />

epithelium: secretion, glands and their<br />

classification.<br />

Practical microscopy:<br />

*Nonkeratinized squamous epithelium from the<br />

esophagus (H&E)<br />

*Epidermis from the skin of the palm<br />

(Heidenhain`s ironhem.)<br />

*Transitional epithelium from the ureter (azan)<br />

*Parotid gland (H&E)<br />

*Sublingual gland (H&E)<br />

Written test (epithelial tissues).<br />

Blood and blood formation. Morphology of blood<br />

cells: erythrocytes, leukocytes and platelets.<br />

Hemopoiesis: erythropoiesis, myelopoiesis, and<br />

thromocytopoiesis.<br />

Practical microscopy:<br />

*Blood of a frog (H&E)<br />

*Human peripherial blood smear (Pappenheim)<br />

*Smear of the bone marrow (Pappenheim)<br />

Written test (blood and blood formation).<br />

Connective tissue proper. Cells and fibers. Loose<br />

and dense connective tissue.<br />

Practical microscopy:<br />

*Loose connective tissue (hem. and resorcinfuchsin)<br />

*Dense, irregular connective tissue (Heidenhain`s


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

Connective tissues III.<br />

Connective tissues IV.<br />

Muscle tissues.<br />

Test III.<br />

Nervous tissue I-II.<br />

Test IV.<br />

Repetition<br />

Repetition and preliminary examination<br />

Preliminary examination<br />

Practicals Subtotal 32<br />

Total 48 h<br />

2<br />

2<br />

2<br />

4<br />

2<br />

2<br />

2<br />

ironhem)<br />

*Dense, regular connective tissue (H&E)<br />

Connective tissues with special features: mucous<br />

connective tissue, reticular connective tissue, and<br />

adipose tissue.<br />

Practical microscopy: *Mucous connective tissue<br />

from the umbilical cord (H&E), *Reticular<br />

connective tissue from the lymph node (H&E),<br />

*Reticular connective tissue from the lymph node<br />

(silver impregnation), *Adipose tissue surrounding<br />

the adrenals (H&E), *Mast cells from the thymus<br />

(Brachet)<br />

Cartilage and bone. Cartilage cells: chondroblasts<br />

and chondrocytes. Intercellular matrix. Forms of<br />

cartilage tissue: hyaline cartilage, elastic cartilage<br />

and fibrocartilage. Bone cells: osteoblasts, osteocytes<br />

and osteoclasts. Structure of lamellar bone:<br />

osteons. Bone formation.<br />

Practical microscopy: Hyaline cartilage from the<br />

trachea H&E). Elastic cartilage from the epiglottis<br />

(carm.-resorcin-fuchsin), Fibrocartilage from the<br />

intervertebral disk (H&E), *Transverse section of<br />

the dried bone (acidic fuchsin or thionin-picrinic<br />

acid), Longitudinal section of the decalcified bone<br />

(H&E), Bone formation (carm.-picroindigocarm)<br />

Written test (connective tissue proper).<br />

Muscle tissues. Smooth muscles. Striated muscles:<br />

skeletal and cardiac muscles.<br />

Practical microscopy: Smooth muscle (Van Gieson)<br />

(H&E), Longitudinal section of skeletal muscle<br />

(Weigert hem.), *Cross-section of skeletal muscle<br />

(Weigert hem.), Longitudinal and cross-section of<br />

myocardium (Heidenhain`s ironhem.)<br />

Written test (cartilage, bone and muscle tissues).<br />

Composition of nervous tissue. Nerve cells and<br />

neuroglia. Nerve cell body and processes: dendrites<br />

and axons. Nissl bodies and neurofibrils. Nerve<br />

fibers: myelinated and unmyelinated nerves. Nerve<br />

endings.<br />

Practical microscopy: *Motor neuron from the<br />

spinal cord (thionin), *Neurofibrils in the nerve<br />

cells from the spinal cord (OsO4), *Isolated nerve<br />

fibers from the frog's sciadic nerve (carm.+ OsO4),<br />

*Pacinian corpuscles from the mesentery (H&E),<br />

*Cross section through a large peripheral nerve<br />

(azan)<br />

25


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

5. Resources<br />

5.1 Bibliography<br />

Textbooks in Estonian<br />

<strong>1.</strong> Arend Ü., Kübar H., Põldvere K., Kärner J. Üldhistoloogia. Tallinn: Valgus, 1994. /General Histology/<br />

<strong>2.</strong> Arend Ü., Hussar Ü., Kübar H., Kärner J., Põldvere K. Histoloogia praktikum. Tallinn: Valgus, 198<strong>3.</strong> /Practical<br />

works in histology/<br />

<strong>3.</strong> Hussar Ü. Embrüoloogia põhimõisted. Tartu, 1988. /Basic concepts in embryology/<br />

4. Tehver J., Hussar Ü. Histoloogia eesti-, vene-, inglise- ja saksakeelne seletussõnaraamat, Tallinn, 1996.<br />

/Histological explanatory dictionary in Estonian, Russian, English and German/<br />

5. Hussar, Ü. Tsütoloogia, Tartu, 1995. /Cytology/<br />

6. Textbooks in English<br />

7. Di Fiore M.S.H. Atlas of Human Histology. Philadelphia, Lea & Fibiger, 1980.<br />

8. Stevens A., Lowe J.S. Human Histology. London, Mosby, 1997<br />

9. Ross M.H., Romrell L.J., Kayne G.I. Histology: A Text and Atlas. Baltimore, Williams & Wilkins, 1995.<br />

5.2 Teaching Resources<br />

Teaching materials for lecture / classroom demonstration<br />

21 PowerPoint Slide Show kits and 21 sets of overhead transparencies both for lectures and<br />

practicals<br />

Teaching / learning materials to be distributed among students<br />

Handouts of 3-4 pages per student<br />

Teaching / learning materials in Internet<br />

At URL: http://www.ut.ee/ARAN/histology.htm in English and http://www.ut.ee/ARAN/histo.htm in Estonian are<br />

links to Lectures, Practicals, Electives And Textbooks. At these sites students can find the timetable and topics of<br />

lectures and practicals together with information about electives and available textbooks. Shortly a chapter of Special<br />

Histology - Histology of the Respiratory System - will be posted at Internet.<br />

Laboratory and technical equipment<br />

24 microscopes , overhead, slide projector, multimedia projector connected to demonstration<br />

microscope<br />

26<br />

Other resources / comments<br />

6. Assessment<br />

6.1 Assessment method:<br />

Continuous assessment<br />

Practical work<br />

Written (test)<br />

Written (essay)<br />

Oral<br />

Part of complex examination<br />

Combination<br />

Other<br />

None<br />

6.2 Comments:<br />

General Histology and Human Embryology forms a part of the subject block Medical Biology I.


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> <strong>Identification</strong><br />

Name of Department:<br />

Department of <strong>Anatomy</strong><br />

Name of Chair:<br />

Chair of <strong>Anatomy</strong><br />

Level:<br />

Undergrduate/ postgrduate students<br />

Number of students:<br />

90<br />

Code of Department:<br />

ARAN<br />

Subject Code:<br />

0<strong>1.</strong>008<br />

Credit Points:<br />

0,5 AP<br />

Course Title:<br />

Development Of The Organs Of The Abdominal And Thoracic Cavities. Age<br />

Dependent <strong>Anatomy</strong> And Its Variations.<br />

<strong>2.</strong> <strong>Brief</strong> <strong>description</strong><br />

Annotation:<br />

The aim of the lectures is to present enough information to students in understanding that the<br />

knowlege that they encounter first in the dissection room have later great important to undestand<br />

the clinical disciplines. The lectures deal with the clinically oriented problems of the<br />

development and variantanatomy.<br />

Languages: Timing:<br />

Estonian I year, spring semester<br />

Teaching staff:<br />

Responsible teacher: H. TAPFER, Assist. Prof., A. LIIGANT Assist. Prof.<br />

Teaching and learning methods:<br />

Lectures 12 h<br />

Independent work 8 h<br />

<strong>3.</strong> <strong>Entrance</strong> <strong>requirements</strong><br />

Preliminary knowledge of anatomy, the dissection course of anatomy must have passed<br />

27


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. Structure and Content<br />

Lectures ( 0,5 CP) Hours Contents<br />

The development of the cranial region of a<br />

human embryo during the early stages.<br />

The development and malformations of the<br />

midgut and peritoneum.<br />

The early development and malformation of<br />

the respiratory system.<br />

Early development of the heart and primitive<br />

circulation.<br />

Development and malformation of the<br />

kidneys.<br />

Development and malformation of the<br />

genital system.<br />

Lectures Subtotal 12 h<br />

Practicals (CP) Hours Contents<br />

Practicals Subtotal<br />

Total<br />

28<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Branchial arches and its derivates. The pharyngeal<br />

pouches and its derivates. Branchial malformations.<br />

Development of the face, cavities malformations.<br />

Rotation. Return the midgut to the abdomen. Fixation<br />

intestines. Malformations of the midgut. Umbilical<br />

hernia. Volvulus. Meckel´s diverticulum. Development<br />

of body cavities.<br />

Laryngotracheal diverticulum, development of larynx,<br />

bronchi and lungs. Congenital malformations of lungs.<br />

Transformation of the primitive vessels. Futher<br />

development of the heart and great arteries. Septal<br />

defects. Abnormal development of the vessels.<br />

Portioning of the atriaventricular canal, atria and<br />

ventricles.<br />

Blood suppey of the developing kidneys. Positional<br />

changes of the kidney. Congenital malformations of the<br />

kidney and ureter.<br />

Development of testis, ovaries, genital ducts. Congenital<br />

malformations of the genital system.


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

5. Resources<br />

5.1 Bibliography<br />

<strong>1.</strong> Ulrich Drews "Color Atlas of Embryology", Thieme 1995, Stuttgart, New York<br />

<strong>2.</strong> Ben Pansky "Review of Medical Rmbryology", Macmillan Publishing Co., Inc. 1992 New<br />

York, Toronto, London<br />

<strong>3.</strong> Keith L. Moore "The Developing Human" W.B. Saunders Company 1988, Philadelphia/<br />

London/ Toronto/ Montreal/Sydney/Tokyo<br />

4. G.H. Schumacher, B.E.A. Christ "Embryonale Entwicklung und Fehlbildungen des<br />

Menschen" Ullstein 1993<br />

5. W.J.Larsen "Human Embryology", Churchill Livingstone New York/Edinburgh/ London/<br />

Melbourne/ Tokyo<br />

5.2 Teaching Resources<br />

Teaching materials for lecture / classroom demonstration<br />

Slideprojector Slides, transparencies<br />

Teaching / learning materials to be distributed among students<br />

Each lecture handouts 3-5 Pages lecture material per 10 students.<br />

Teaching / learning materials in Internet<br />

Laboratory and technical equipment<br />

Anatomical models, dry and moist preparations<br />

Other resources / comments<br />

Exposition Of Anatomical Preparations (A: Rauber´S Museum With ~1000 Exponates)<br />

6. Assessment<br />

6.1 Assessment method:<br />

Continuous assessment<br />

Practical work<br />

Written (test)<br />

6.2 Comments:<br />

Written (essay)<br />

Oral<br />

Part of complex examination<br />

Combination<br />

Other<br />

None<br />

29


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> <strong>Identification</strong><br />

Name of Department:<br />

Department of <strong>Anatomy</strong><br />

Name of Chair:<br />

Chair of <strong>Anatomy</strong><br />

Level:<br />

Graduated<br />

30<br />

Number of students:<br />

40<br />

Course Title:<br />

Functional <strong>Anatomy</strong> of the Locomotor Apparatus<br />

<strong>2.</strong> <strong>Brief</strong> <strong>description</strong><br />

Code of Department:<br />

ARAN<br />

Subject Code:<br />

0<strong>1.</strong>015<br />

Credit Points:<br />

1 Credit<br />

Annotation:<br />

The aim of the subject is to give the students opportunity to learn the structure of the human joints and<br />

adjacent muscles in fine detail. During the course, the students acquire preparation skills that is useful for<br />

the later traumatologists and surgeons. The preparation of the joints enables to carry through investigative<br />

dissection and gives individual analysing opportunities. The results of the course are summarised in<br />

investigative comparison of the dissected joint to the information given in the handbooks of anatomy. The<br />

similarities and differences between the preparation and the literature together with the found variations,<br />

are discussed.<br />

Languages: Timing:<br />

Estonian, English, Russian Summer semester<br />

Teaching staff:<br />

Responsible teacher: IVO KOLTS, Ass. Professor<br />

HANNES TOMUSK, Assistant<br />

Teaching and learning methods:<br />

Problem based learning during practicals during 24 hours<br />

<strong>3.</strong> <strong>Entrance</strong> <strong>requirements</strong><br />

The attending student must have preliminary knowledge of anatomy and must have passed the<br />

ordinary dissection course of anatomy.


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. Structure and Content<br />

Practicals (1 CP) Hours Contents<br />

<strong>1.</strong> Aims of the individual preparation<br />

<strong>2.</strong> Tendons and capsule<br />

<strong>3.</strong> Extraarticular structures<br />

4. Intraarticular structures<br />

5. Fibro- and hyaline cartilage<br />

6. Additional elements of a real joint<br />

7. Muscles and movements<br />

8. Functional disorders, common injuries<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

Practicals Subtotal 24<br />

Total 24 h<br />

Instructions for the investigative preparation; beginning<br />

of the preparation; removing of the coverings<br />

Separation of the adjacent tendons from the joint capsule;<br />

recognition of the differences between the smooth and<br />

dense connective tissue<br />

Dissection and recognition of the extraarticular structures<br />

(tendon sheets, bursae, ligaments etc.)<br />

Dissection and recognition of capsular- and intraarticular<br />

ligaments, disci, menisci, labra etc.<br />

Dissection and recognition of the different tissues of the<br />

gliding surfaces, fibrocartilage formation in the tendons,<br />

biominaralisation, sesamoid bones<br />

Comparison of the extra- and intraarticular structures of<br />

the different joints; their functional similarities and<br />

differences<br />

Functional analysis of the muscle attachment and its<br />

influence on the movements; muscles strengthening the<br />

joints; intraarticular tendons. Kinesiological analysis.<br />

Disorders within the tendons inserting into the joint<br />

capsule; degenerative changes within the tendons.<br />

Analysis of the morphological basis of the injuries;<br />

clinical statistics of the injuries.<br />

31


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

5. Resources<br />

5.1 Bibliography<br />

<strong>1.</strong> Agur AMR (1991) Grant’s atlas of anatomy, 9th ed. Williams & Wilkins, Baltimore<br />

<strong>2.</strong> Feneis H (1988) Anatomisches Bildwörterbuch, 6th ed. Thieme, Stuttgart - New York<br />

<strong>3.</strong> Frick H, Leonhardt H, Starck D (1991) Human <strong>Anatomy</strong>, vol. <strong>1.</strong> Thieme, Stuttgart - New<br />

York<br />

4. Frick H, Kummer B, Putz R (1990) Wolff-Heidegger’s atlas of human anatomy, 4th ed.<br />

Karger, Basel - München - Paris - London - New York - New Delhi - Bangkok - Singapore -<br />

Tokyo – Sydney<br />

5. Moore LM (1992) Clinically oriented anatomy. Williams & Wilkins, Baltimore - Philadelphia<br />

- Hong Kong - London - Munich - Sydney – Tokyo<br />

6. Platzer W (1992) Locomotor System. In: Kahle W, Leonhardt H, Platzer W (Ed) Color atlas<br />

and textbook of human anatomy, vol. <strong>1.</strong> Thieme, Stuttgart - New York<br />

5.2 Teaching Resources<br />

32<br />

Teaching materials for lecture / classroom demonstration<br />

Teaching / learning materials to be distributed among students<br />

Teaching / learning materials in Internet<br />

X Laboratory and technical equipment<br />

2 stereoscopic microscopes for fine dissecting and examination of the fibre course<br />

X Other resources / comments<br />

Equipment of the dissection hall; cadavers; sample preparations of the muscles and joints<br />

6. Assessment<br />

6.1 Assessment method:<br />

X Continuous assessment<br />

X Practical work<br />

Written (test)<br />

Written (essay)<br />

X Oral<br />

Part of complex examination<br />

X Combination<br />

Other<br />

None<br />

6.2 Comments:<br />

After finishing the preparation of the joint the student must past practical test recognising the dissected structures and<br />

explaining their function. The quality of the preparation is taken into account.


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> <strong>Identification</strong><br />

Name of Department:<br />

Department of <strong>Anatomy</strong><br />

Name of Chair:<br />

Chair of Histology<br />

Level:<br />

Postgraduated students<br />

Course Title:<br />

Cytology and Histology<br />

<strong>2.</strong> <strong>Brief</strong> <strong>description</strong><br />

Number of students:<br />

10<br />

Code of Department:<br />

ARAN<br />

Subject Code:<br />

ARAN.0<strong>2.</strong>007<br />

Credit Points:<br />

2 CP<br />

Annotation:<br />

The course gives systematic overview of the microscopical structures of the human body with<br />

some clinical correlations.<br />

The aim of the course is to refresh knowledge of postgraduate students in cytology and histology<br />

as well as to familiarize the methods and techniques used in histology.<br />

Languages: Timing:<br />

Estonian Spring semester<br />

Teaching staff:<br />

docent ANDRES AREND - responsible teacher<br />

docent - PEETER ROOSAAR<br />

invited lecturers<br />

Teaching and learning methods:<br />

Lectures and seminars<br />

<strong>3.</strong> <strong>Entrance</strong> <strong>requirements</strong><br />

No <strong>requirements</strong> for postgraduate students of the Medical Faculty<br />

33


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. Structure and Content<br />

Lectures (0.75 CP) Hours Contents<br />

<strong>1.</strong> Introduction. Investigation methods in<br />

histology. Cytology.<br />

<strong>2.</strong> Embryology. Epithelial tissues.<br />

<strong>3.</strong> Connective tissues.<br />

4. Muscle tissues. Nervous tissues and<br />

nervous system.<br />

5. Circulatory organs. Skin and skin<br />

appendages.<br />

6. Digestive system.<br />

7. Respiratory organs. Excretory organs.<br />

8. Reproductive system<br />

34<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

Lectures Subtotal 16 h<br />

Seminars (<strong>1.</strong>25 CP) Hours Contents<br />

<strong>1.</strong> Cytology, epithelial cells and cell<br />

contacts<br />

<strong>2.</strong> Electronmicroscopical techniques.<br />

<strong>3.</strong> Connective tissue I. Inflammation and<br />

wound healing.<br />

4. Connective tissue II. Bone regeneration.<br />

5. Muscle tissue. Nervous tissue.<br />

6. Blood vessels.<br />

7. Digestive system. Gastroduodenal<br />

ulcers.<br />

8. Respiratory organs. Excretory organs.<br />

9. Skin and skin appendages.<br />

10. Reproductive system.<br />

1<strong>1.</strong> Digital image analysis.<br />

3 h<br />

3 h<br />

3h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

3 h<br />

2 h<br />

Seminars Subtotal 32 h<br />

Total 64 h<br />

Different investigation methods in histology. Overview<br />

of the organelles for the seminar.<br />

Embryogenesis of tissues. Keynotes of epithelial tissues<br />

for the seminar.<br />

Overview of connective tissues for the seminar.<br />

Keynotes for the seminar about muscle and nervous<br />

tissues.<br />

Overview of the structure of circulatory organs. Keynotes<br />

for the seminar about skin and skin appendages.<br />

Keynotes for the seminar about digestive organs.<br />

Keynotes for the seminars about respiratory and urinary<br />

organs.<br />

Overview of reproductive organs<br />

Cell organelles. Cell membrane and its specializations.<br />

Cell contacts. Epithelia.<br />

Methods in electron microscopy.<br />

Connective tissue proper. Connective tissue cells and<br />

fibers. Inflammation as connective tissue defence<br />

reaction.<br />

Cartilage and bone. Histophysiology. Joints.<br />

Organization of skeletal muscle fibers. Cardiac muscles.<br />

Smooth muscle cells. Neurons and neuroglia.<br />

Structure of blood vessels.<br />

Alimentary canal. Erosions and ulcers. Liver and<br />

pancreas.<br />

Trachea and lungs. Kidney and nephron. Bladder and<br />

urinary passages.<br />

Skin, hairs, nails and glands of the skin.<br />

Testes and excretory genital ducts. Accessory genital<br />

glands. Ovaries, oviduct and uterus.<br />

Computerized image analysis.


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

5. Resources<br />

5.1 Bibliography<br />

<strong>1.</strong> MH Ross, LJ Romrell, GI Kaye. Histology: A Text and Atlas . Williams & Wilkins, 1995.<br />

<strong>2.</strong> LJ Junqueira, J Carnerio, RO Kelley. Basic Histology. Lange/McGraw-Hill, 1998.<br />

<strong>3.</strong> A. Stevens, J Lowe. Human Histology. Mosby, 1997<br />

5.2 Teaching Resources<br />

Teaching materials for lecture / classroom demonstration<br />

9 PowerPoint Slide Show kits<br />

Teaching / learning materials to be distributed among students<br />

Handouts 4-6 pages per student<br />

Teaching / learning materials in Internet<br />

Laboratory and technical equipment<br />

Multimedia projectors, 24 microscopes<br />

Other resources / comments<br />

6. Assessment<br />

6.1 Assessment method:<br />

Continuous assessment<br />

Practical work<br />

Written (test)<br />

6.2 Comments:<br />

Written (essay)<br />

Oral<br />

Part of complex examination<br />

Combination<br />

Other<br />

None<br />

35


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> <strong>Identification</strong><br />

Name of Department:<br />

Department of <strong>Anatomy</strong><br />

Name of Chair:<br />

Chair of Histology<br />

Level:<br />

Undergraduate students<br />

36<br />

Number of students:<br />

30<br />

Course Title:<br />

Morphology Of The Oral Cavity And Teeth<br />

<strong>2.</strong> <strong>Brief</strong> <strong>description</strong><br />

Code of Department:<br />

ARAN<br />

Subject Code:<br />

0<strong>2.</strong>008<br />

Credit Points:<br />

0.5 AP<br />

Annotation:<br />

The course focuses on the histological structure, development, physiological and reparative<br />

regeneration of the upper part of the alimentary tract.<br />

The aim of the course is to give students more detailed overview of the structures in the oral<br />

cavity complementary to the main course of histology.<br />

Languages: Timing:<br />

Estonian Spring semester<br />

Teaching staff:<br />

docent - PEETER ROOSAAR - responsible teacher<br />

docent ANDRES AREND<br />

Teaching and learning methods:<br />

Lectures - 10 hours, practicals -2 hours<br />

<strong>3.</strong> <strong>Entrance</strong> <strong>requirements</strong><br />

General Histology


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. Structure and Content<br />

Lectures (0.4 CP) Hours Contents<br />

<strong>1.</strong> Introduction. Oral cavity.<br />

<strong>2.</strong> Teeth and associated structures.<br />

<strong>3.</strong> Development of teeth<br />

4 h<br />

4 h<br />

2 h<br />

Lectures Subtotal 10 h<br />

Practicals (0.1 CP) Hours Contents<br />

Lips and gingiva. Hart and soft palate. Tongue - papillae,<br />

taste buds. Tonsils.<br />

Periodont. Enamel - cuticle, enamel prisms, ameloblasts,<br />

dentinenamel junction. Dentin - odontoblasts, dentinal<br />

tubules. Cementum - cementocytes. Tooth pulp.<br />

Enamel organ. Enameloblasts and enamelogenesis.<br />

Dental papilla, odontoblasts and dentinogenesis.<br />

Sacculus dentalis and cementoblasts.<br />

<strong>1.</strong> Teeth development 2 h Histological slides of different stages of teeth<br />

development<br />

Practicals Subtotal 2 h<br />

Total 12 h<br />

37


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

5. Resources<br />

5.1 Bibliography<br />

<strong>1.</strong> J Tehver, Ü Hussar. Suuõõne ja hammaste histoloogia. Tartu, 1979. /Histology of Oral Cavity and Teeth/.<br />

<strong>2.</strong> Chapter 15. Digestive System I: Oral Cavity and Pharynx. In: MH Ross, LJ Romrell, GI Kayne. Histology: A<br />

Text and Atlas. Williams & Wilkins, 1995.<br />

5.2 Teaching Resources<br />

Teaching materials for lecture / classroom demonstration<br />

5 sets of overhead transparencies<br />

Teaching / learning materials to be distributed among students<br />

Handouts of 2-3 pages per student<br />

38<br />

Teaching / learning materials in Internet<br />

Laboratory and technical equipment<br />

Overhead and multimedia projectors, 24 microscope<br />

Other resources / comments<br />

6. Assessment<br />

6.1 Assessment method:<br />

Continuous assessment<br />

Practical work<br />

Written (test)<br />

6.2 Comments:<br />

Written (essay)<br />

Oral<br />

Part of complex examination<br />

Combination<br />

Other<br />

None


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> <strong>Identification</strong><br />

Name of Department:<br />

Department of <strong>Anatomy</strong><br />

Name of Chair:<br />

Chair of Histology<br />

Level:<br />

Undergraduate students<br />

Course Title:<br />

Histological Techniques<br />

<strong>2.</strong> <strong>Brief</strong> <strong>description</strong><br />

Number of students:<br />

20<br />

Code of Department:<br />

ARAN<br />

Subject Code:<br />

0<strong>2.</strong>009<br />

Credit Points:<br />

0.5 AP<br />

Annotation:<br />

The objective of the course is to familiarize students with basic methods in preparation of<br />

histological slides. Students acquire practical skills by performing all stages of processing of<br />

tissue specimen. The most common staining protocols are used.<br />

The aim of the course is to give students both theoretical and practical knowledge of preparation<br />

of tissues for microscopic examination simplifying application of morphological methods in their<br />

future research.<br />

Languages: Timing:<br />

Estonian Spring semester<br />

Teaching staff:<br />

docent - PEETER ROOSAAR - responsible teacher<br />

docent ANDRES AREND<br />

Teaching and learning methods:<br />

Lectures - 4 hours, practicals -8 hours<br />

<strong>3.</strong> <strong>Entrance</strong> <strong>requirements</strong><br />

General Histology<br />

39


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. Structure and Content<br />

Lectures (0.15 CP) Hours Contents<br />

<strong>1.</strong> Introduction. Preparation of tissues for<br />

microscopic examination<br />

<strong>2.</strong> Histological investigation methods<br />

.<br />

40<br />

2 h<br />

2 h<br />

Lectures Subtotal 4 h<br />

Practicals (0.35 CP) Hours Contents<br />

<strong>1.</strong> Embedding.<br />

<strong>2.</strong> Sectioning.<br />

<strong>3.</strong> Staining<br />

2 h<br />

2 h<br />

4 h<br />

Practicals Subtotal 8 h<br />

Total 12 h<br />

Tissue preparation. Fixation. Embedding. Staining.<br />

Different staining methods.<br />

Cell cultures. Histochemistry and cytochemistry.<br />

Immunohistochemistry. Autoradiography. Treatment of<br />

hard tissues. Electronmicroscopic investigations.<br />

Safety precautions in the laboratory. Embedding of tissue<br />

samples.<br />

Sectioning on a microtome<br />

Staining procedures: hematoxylin and eosin, van Gieson<br />

method.


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

5. Resources<br />

5.1 Bibliography<br />

Histoloogia praktikum. Tallinn, 198<strong>3.</strong> /Practical Works in Histology/<br />

Methods. In: MH Ross, LJ Romrell, GI Kaye. Histology: A Text and Atlas. Williams & Wilkins, 1995.<br />

5.2 Teaching Resources<br />

Teaching materials for lecture / classroom demonstration<br />

3 sets of overhead transparencies<br />

Teaching / learning materials to be distributed among students<br />

Handouts of 2-3 pages per student<br />

Teaching / learning materials in Internet<br />

Laboratory and technical equipment<br />

Microtome, microscopes<br />

Other resources / comments<br />

6. Assessment<br />

6.1 Assessment method:<br />

Continuous assessment<br />

Practical work<br />

Written (test)<br />

6.2 Comments:<br />

Written (essay)<br />

Oral<br />

Part of complex examination<br />

Combination<br />

Other<br />

None<br />

41


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> <strong>Identification</strong><br />

Name of Department:<br />

Department of <strong>Anatomy</strong><br />

Name of Chair:<br />

Chair of Histology<br />

Level:<br />

Undergraduate students<br />

Course Title:<br />

Immunohistology<br />

<strong>2.</strong> <strong>Brief</strong> <strong>description</strong><br />

42<br />

Number of students:<br />

30<br />

Code of Department:<br />

ARAN<br />

Subject Code:<br />

0<strong>2.</strong>010<br />

Credit Points:<br />

0.5 AP<br />

Annotation:<br />

The course describes the histology of immune system and lymphoid organs in more detailed<br />

manner than the compulsory histology course.<br />

Understanding of the functioning of the immune system is clinically important and therefore the<br />

aim of the course is to give students deeper insight into the functional histology of the lymphoid<br />

organs.<br />

Languages: Timing:<br />

Estonian Spring semester<br />

Teaching staff:<br />

docent - ANDRES AREND - responsible teacher<br />

prof. emer. - ÜLO HUSSAR<br />

assistant - PIRET HUSSAR<br />

Teaching and learning methods:<br />

Lectures - 8 hours, seminars -4 hours<br />

<strong>3.</strong> <strong>Entrance</strong> <strong>requirements</strong><br />

General Histology


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. Structure and Content<br />

.<br />

Lectures (0.35 CP) Hours Contents<br />

<strong>1.</strong> Introduction to the immune system<br />

<strong>2.</strong> Cells participating in the immune<br />

response<br />

<strong>3.</strong> Nonspecific and specific events in<br />

inflammation.<br />

4. Immunohistochemistry<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

Lectures Subtotal 8 h<br />

Seminars (0.15 CP) Hours Contents<br />

5. Lymphoid organs and immune system<br />

6. Inflammation<br />

2 h<br />

2 h<br />

Seminars Subtotal 4 h<br />

Total 12 h<br />

Organs, tissues and cells of the immune system. Bone<br />

marrow, thymus, MALT organs, spleen, lymph nodes.<br />

T- and B-lymphocytes, plasma cells, macrophages,<br />

dendritic cells, tissue basophils, neutrophils, eosinophils<br />

and other cells of immunity<br />

Antigen recognition, amplification and antigen<br />

destruction. Acute inflammation mediated by immune<br />

complexes and cytotoxic antibodies. Chronic<br />

inflammation and delayed type hypersensitivity reaction.<br />

Antigen-antibody contacts, cell receptors and markers in<br />

cellular and humoral immunity.<br />

Methods applied in immunohistochemistry.<br />

Organs, tissues and cells of the immune system<br />

Acute and chronic inflammation<br />

43


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

5. Resources<br />

5.1 Bibliography<br />

Ülo Hussar. Vereloome- ja immuunorganite histoloogia. Tartu, 1986. /Histology of hemopoietic and immune organs/<br />

The Immune System and Lymphoid Organs. In: LJ Junqueira, J Carnerio, RO Kelley. Basic Histology.<br />

Lange/McGraw-Hill, 1998.<br />

Immune System. In: A. Stevens, J Lowe. Human Histology. Mosby, 1997.<br />

5.2 Teaching Resources<br />

Teaching materials for lecture / classroom demonstration<br />

6 PowerPoint Slide Show kits<br />

Teaching / learning materials to be distributed among students<br />

Handouts 2-3 pages per student<br />

44<br />

Teaching / learning materials in Internet<br />

Laboratory and technical equipment<br />

Multimedia projector<br />

Other resources / comments<br />

6. Assessment<br />

6.1 Assessment method:<br />

Continuous assessment<br />

Practical work<br />

Written (test)<br />

6.2 Comments:<br />

Written (essay)<br />

Oral<br />

Part of complex examination<br />

Combination<br />

Other<br />

None


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

<strong>1.</strong> <strong>Identification</strong><br />

Name of Department:<br />

Department of <strong>Anatomy</strong><br />

Name of Chair:<br />

Chair of Histology<br />

Level:<br />

Undergraduate students<br />

Number of students:<br />

100<br />

Course Title:<br />

Early Stages Of Human Embryonal Development<br />

<strong>2.</strong> <strong>Brief</strong> <strong>description</strong><br />

Code of Department:<br />

ARAN<br />

Subject Code:<br />

0<strong>2.</strong>016<br />

Credit Points:<br />

1 AP<br />

Annotation:<br />

The course focuses on the human embryonal development during the first weeks. The formation of<br />

structures starting from fertilization up to development of the beginnings for all tissues and organs are<br />

followed. Role of fetal membranes and placenta is shown. Critical periods and possible malformations are<br />

discussed.<br />

The aim of the course is to give more detailed overview of human embryonal development<br />

complementary to the compulsory histology course.<br />

Languages: Timing:<br />

Estonian and English Spring semester<br />

Teaching staff:<br />

docent - ANDRES AREND - responsible teacher<br />

Teaching and learning methods:<br />

Lectures - 12 hours, seminars -6 hours - 1 CP including 22 h of individual work<br />

<strong>3.</strong> <strong>Entrance</strong> <strong>requirements</strong><br />

General Histology<br />

45


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

4. Structure and Content<br />

Lectures (0.5 CP) Hours Contents<br />

<strong>1.</strong> Introduction to embryology.<br />

Gametogenesis<br />

<strong>2.</strong> Fertilization. First week of embryonal<br />

development<br />

<strong>3.</strong> Second week of embryonal development<br />

4. Third and fourth week of embryonal<br />

development<br />

5. Fetal membranes and placenta. Multiple<br />

pregnancies<br />

6. Critical periods and malformations<br />

46<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

2 h<br />

Lectures Subtotal 12 h<br />

Seminars (0.25 CP) Hours Contents<br />

<strong>1.</strong> Baer as the father of modern<br />

embryology<br />

<strong>2.</strong> Malformations<br />

<strong>3.</strong> Test in embryology<br />

2 h<br />

2 h<br />

2 h<br />

Seminars Subtotal 6 h<br />

Total 18 h<br />

Introduction to embryology. Spermatogenesis.<br />

Ovogenesis. Hormonal regulation of the ovarian cycle.<br />

Ovulation.<br />

Fertilization. Cleavage of the zygote. Morula and<br />

blastocyst. Implantation. In vitro fertilization.<br />

Bilaminar embryonic disc. Differentiation of the<br />

trofoblast. Amnion and yolk sac. Chorion.<br />

Gastrulation. Derivatives of the germ layers. Formation<br />

of the notochord. Allantois. Neurulation. Somites.<br />

Primitive cardiovascular system.<br />

Chorion. Amnion. Yolk sac. Allantois. Maternal and fetal<br />

part of placenta. Placental membrane. Multiple<br />

pregnancies: dizygotic and monozygotic twins. Siamese<br />

twins.<br />

Sensitivity to different factors during developmental<br />

stages. Possible malformations. Teratology.<br />

Baer's contribution to science and in particular to<br />

embryology. Seminar in the Baer's Museum.<br />

Seminar about various malformations using samples from<br />

the Pathological <strong>Anatomy</strong> Collection.<br />

Final written test in embryology.


ANATOMY & HISTOLOGY DESCRIPTION OF THE COURSE<br />

5. Resources<br />

5.1 Bibliography<br />

In Estonian:<br />

Ülo Hussar. Embrüoloogia põhimõisted. Tartu, 1988 /Basic concepts in embryology/<br />

In English:<br />

T.W. Sadler. Langman’s Medical Embryology. Williams & Wilkins, 1995<br />

K.L. Moore. The Developing Human. W.B. Saunders Company, 1988<br />

5.2 Teaching Resources<br />

Teaching materials for lecture / classroom demonstration<br />

6 PowerPoint Slide Show kits with several animations<br />

Teaching / learning materials to be distributed among students<br />

Handouts of 3-4 pages<br />

Laboratory and technical equipment<br />

Multimedia projector<br />

Other resources / comments<br />

6. Assessment<br />

6.1 Assessment method:<br />

Continuous assessment<br />

Practical work<br />

Written (test)<br />

6.2 Comments:<br />

Written (essay)<br />

Oral<br />

Part of complex examination<br />

Combination<br />

Other<br />

None<br />

47

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