Medico Guides 5th Block (Module No 08) Gross Anatomy Guidelines

by

Prepared by: 

                  Mahnoor (G14)                    

Compiled by: 

                   Muhammad Ahmad Bhatti (G14)

Reference Books:

  • Snell’s Clinical Anatomy

Note: These guidelines are prepared according to the respective LOs and are based on Snell’s. Important topics have been mentioned under each LO to help with exam preparation, especially MCQs. Go through these topics from Snell’s and do max practice of MCQS to ace your block exam!

ENDOCRINOLOGY 

Pituitary Gland

(EnR-A-001)

  • Parts of pituitary gland
  • Relations (vvvimp mcqs)
  • Blood supply

Thyroid Gland and Parathyroid glands

(EnR-A-002)

  • Gross features (Location, extent, etc)
  • Lobes relations and isthmus relations(vvimp)
  • Blood supply (vv imp)
  • Clinicals (imp)
  • Thyroid arteries and nerves relation
  • Thyroidectomy and parathyriodectomy

Testis:

(EnR-A-003)

  • Covering and fascia (vvvimp
  • Relations 
  • Blood and nerve supply (vvvimp)

Accessory Male Glands:

(EnR-A-004)

  • Vas deference, Seminal vesicles, and Ejaculatory duct 
  • Do relations, blood and nerve supply(imp mcqs)

Prostate: (vvvimp topic)

(EnR-A-005)

  • Gross features all (Zones and lobes vv imp)
  • Capsule (True and False imp)
  • Neurovascular supply (imp)
  • BPH vvv imp (which lobe involved in this condition)
  • Clinicals:
  • Hydrocele of spermatic cord and/or testes 
  • Hematocele of testes 
  • Torsion of the spermatic cord 
  • Varicocele (vvimp)

Suprarenal Gland: (this portion is written in abdomen portion)

(EnR-A-007)

  • Gross features
  • Difference between right and left Suprarenal gland’s relations structure and Neurovascular supply (imp)
  • Clinicals:
  • Difference between Addison and Cushing disease (imp)
  • Pheochromocytoma (imp)

PELVIS 

PART 1 & 2

Chapter:7  Pelvis

EnR-A-008: Bony Pelvis (Pelvic Girdle)

  • Bony pelvis ( imp for ospe)
  • Anatomical features of hip bone
  • Anatomical features of sacrum
  • Anatomical features of coccyx

EnR-A-009: (Pelvic Joints)

  • Names of ligaments and movements (MCQs) 

EnR-A-010: (Bony Pelvis)

  • Contents of true pelvis and false pelvis
  • Biological sex differences of pelvis (important)
  • Types of pelvis (frequently asked MCQ: most common type)
  • Pelvic diameters/measurements (important)
  • Obstetrical complications related to pelvis (important)

EnR-A-011-014: (Pelvic Fractures, Pelvic Walls & Pregnancy Changes)

  • Types of pelvic fractures and their consequences
  • Components forming the pelvic walls (ant/post)
  • Formation of pelvic floor/pelvic diaphragm  (important)
  • Table 6.1: Muscles, nerve supply, and actions (important)
  • Changes occurring in the pelvic floor during pregnancy
  • Pelvic floor injury complications (mcqs)

EnR-A-015 to EnR-A-017 (Pelvic Fascia and Peritoneum)

  • Pelvic fascia and its types
  • Male/Female peritoneum reflections written in male and female parts of chapter ( rectovesical/ pouch of Douglas rectouterine) imp for mcqs 

EnR-A-018: Pelvic Inlet/Outlet

(same as covered under true and false pelvis; do from start of Chapter 6)

  • Boundaries and contents for mcqs

EnR-A-019: (differences in peritoneal reflections)

  • (Already done under LO-015)

EnR-A-020-021: Pelvic Neurovasculature

  • Pelvic Arteries (common Iliac/Internal/External Iliac)
  • Course and relations (relations are asked in mcqs)
  • Branches of internal iliac (viva/mcqs)
  • Pelvic plexus and nerves
  • Clinical importance of nerve blocks and injuries
  • Name of lymph nodes

EnR-A-023

Note: All genital organs, their relations and supply are exam favorite. Do focus on these topics

Urethra:

  • Parts of male urethra and constrictions (vimp for mcqs and viva)
  • Clinicals:
    • Ureteric Caliculi, 
    • Cystocele, 
    • Suprapubic Cystotomy, 
    • BPH

Anatomical features of Ovaries and Fallopian Tubes:

  • Ligaments attachments and relations (vvimp for mcqs)
  • Parts of uterine tubes
  • Blood supply and nerve supply and nodes(vvimp mcqs)

Clinicals:

  • Positions of ovaries 
  • Cysts of ovaries 
  • Ectopic pregnancy 
  • Tubal ligation 
  • Salpingitis

Uterus: 

  • Gross features ( read only) and relations(imp)
  • Supports of uterus (vvvimp)
  • Ligaments of uterus: attachments and contents (imp)
  • Normal position of uterus (anteversion & anteflexion)
  • Blood supply, lymphatic drainage, and nerve supply

Vagina:

  • Relations of vagina(imp)
  • Supports of vagina(vvimp)
  • Blood supply, lymphatic drainage, and nerve supply

Clinicals:

  • Prolapse of uterus 
  • Vaginal trauma 
  •  Culdocentesis 

PERINEUM 

Chapter 8: (Perineum)

(EnR-A-024-025)

Note: Make separate tables for male and female perineum, urogenital triangle, and superficial/deep pouches for easier MCQ preparation. 

  • Boundaries and divisions of perineum
  • Perineal membrane and its relations (High-Yield)
  • Superficial and deep perineal pouches
  • Contents of superficial and deep perineal pouches
  • Perineal body and its muscles forming it (Very High-Yield)
  • Blood supply, lymphatic drainage, and nerve supply of male and female perineal organs

Clinicals:

  • Hypospadias 
  • Phimosis
  • Circumcision 
  • Erectile Dysfunction 
  • Internal Hernias 
  • Suprapubic Cystotomy 
  • Rupture Of Bladder 
  • Rectal Examination 
  • Disposition Of Uterus
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