You are on page 1of 7

FACULTY OF MEDICINE UPH

LIPPO VILLAGE KARAWACI TANGERANG - BANTEN

MANUAL OF ANATOMY LABORATORY


Bernard SM Hutabarat;dr,PAK

BLOCK : CARDIOVASCULARIA

ODD SEMESTER ( V ) 2016 / 2017

MORTUI VIVOS DOCENT


( THE DEAD TEACH THE LIVING )

GENERAL RULES AT THE DISSECTION ROOM.

STUDENTS MUST:

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


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

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

TOPICS : LOCATION AND EXTERNAL PARTS OF THE HEART

COMPETENTCY AREA : 5

COMPETENTCY LEVEL : 4A ( ABLE TO IDENTIFY )

1
LEARNING OBJECTIVES :

After finished laboratory practice Student should be able to identify :

1. Mediastinum and its division.


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

ATTENTION FOR STUDENTS :

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


procedures :

1. Discuss among the group bones of the thoracic cavity ( cavitas thoracis ).
How many bones make the thoracic cavity ? Look for their parts

Thoracic Cavity tidak sama dengan Regio Thorax. Bedanya Thoracic Cavity ga pakai
clavicula sementara Regio Thoraks pakai 2 claviculanya.
Terdiri dari : 12 x 2 tulang costa, 12 tulang vertebrae, 1 tulang sternum. = 37 Buah Tulang.

2
2. Discuss among the group how to divide mediastinum into superior mediastinum
( mediastinum superius ) and inferior mediastinum ( mediastinum inferius ).
Mediastinum Superior dan Inferior dibatasi oleh bidang transversal semu yang dimulai dari
Angulus Sterni Ludovici disebelah anterior sampai dengan diantara vertebrae T4-T5.
3. Identify at the cadaver the mediastinum. Look for :
3.1. Superior mediastinum ( mediastinum superius ).
3,2. Inferior mediastinum ( mediastinum inferius ), consists of :
3.2.1. Anterior mediastinum ( mediastinum anterius )
3.2.2. Middle mediastinum ( mediastinum medius )
3.2.3. Posterior mediastinum ( mediastinum posterius )

4. Discuss among the group where is the location of the heart.


Jantung terletak di Mediastinum Media, 1/3 dikanan dan 2/3 bagiannya dikiri.
5. Identify cover of the heart. Look for pericardium.
Perikardium terbagi menjadi 2, Perikardium Parietal dan Perikardium Viseral. Antara
kedua perikardium, ada perikardial fluid. Kalau misalnya ada peningkatan tekanan
Cardiac Tamponade.

3
6. Discuss among the group:
6.1. Imaginary axis of the heart ( cardiac axis, axis cardiacus )

Jantung bila kita lihat dari sisi Anterior, sesuai dengan cara
kerja elektrofisiologinya, jantung itu normal aksisnya
adalah -30o sampai +90o. ( Arah jam 2 sampai arah jam
6 ).

6.2. What is the influence of axis cardiacus to the


position of the heart
Karena cardiac aksis normalnya diposisi itu,
posisi jantung mengikuti cardiak aksis itu.
Sehingga 2/3 bagian jantung terletak
disebelah kiri.

6.3. What is the influence of axis cardiacus to morphology anatomy of the heart
Cardiac aksis juga mempengaruhi arah kekuatan potensial aksi, yang
mempengaruhi arah penyaluran kekuatan / vektor kontraksi otot. Akibatnya
bentuk otot pun mengikuti arah cardiak aksis. Sehingga otot jantung lebih
tebal dibagian kiri, dan adanya apeks cordis.

7. Identify the external part of the heart at the specimen . Look for :
Perhatikan baik-baik prisma tegak segitiga ABC.DEF!! Bayangkan jantung
berbentuk prisma tegak segitiga.

4
Bidang ABC, Fascies Pleuralis Dekstra.
Bidang EDF, Fascies Pleuralis Sinistra.
Bidang ABDE, Basis Cordis.
Bidang F, Apeks Cordis.
Gambaran Aksis Cordis, Diagonal Sisi A ke F.
7.1. Anterior/sternocostal surface of the heart (Facies anterior/sternocostalis cordis)
Bidang ACEF.
7.2. Diaphragmatic/inferior surface of the heart (Facies diaphragmatica/inferior cordis )
Bidang BCDF
7.3. Right border of the heart ( Margo dexter cordis )
Garis EF
7.4. Left border of the heart ( Margo sinister / obtusus cordis )
Garis BC, tepiannya tumpul
7.5. Acute margin of the heart ( Margo acutus codis )
Garis DF, tepiannya lancip.
7.6. Sulci of the heart ( sulci cordes ) :

7.6.1 .Anterior interventricular sulcus of the heart ( Sulcus interventricularis anterior


cordis ).
What vessels are located there?
Cekungan disebelah fascies anterior jantung, ada cekungannya berjalan
dari deket auricula sinistra sampai ke apeks cordis.
Vessel yang melewatinya A. Coronaria Sinistra ( Left Anterior
Decending Artery / LAD) dan V. Interventricularis Anterior.

5
7.6.2. Posterior interventricular sulcus of the heart (Sulcus interventricularis posterior
cordis ). What vessels are located there?
Cekungan disebelah fascies posterior jantung, yang berjalan dari atrium
dekstrum, sampai apeks cordis.
Vessel yang melewatinya adalah A. Coronaria Dekstra Ramus
Interventicularis Posterior & V. Cardiaca Media.

7.6.3. Coronary sulcus of the heart ( Sulcus coronarius cordis ).


What vessels are located there?
Cekungan horizontal dibagian posterior.
Vessel yang melewatinya adalah Sinus Coronarius.
8. Identify chambers of the heart externalli.

6
Sulcus Interventricularis Anterior dan Sulcus Interventricularis Posterior, keduanya
bersatu di puncak apeks cordis yang disebut Vortex cordis.

SPECIMENS :

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


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

INSTRUCTORS :

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

REFERENCES

1. Atlas of Anatomy:
2. Federative International Programme on Anatomical Terminologies ( FIFAT ) :
Terminologia Anatomica , 2nd edit. Georg Thieme Verlag , Stuttgart New York
3. Textbook of Anatomy
4. Textbook of Anatomy
5. Lecture materials

EDITED BY :
1. Ryoku, dr, Sp.JP, FIHA

GOD SPEED AND BLESS THE STUDENTS

Jangan belajar dari kesuksesan orang lain.


Belajarlah dari kesalahan yang dibuat orang lain.
Karena semua orang dapat membuat kesalahan yang sama.
-Jack Ma-

You might also like