Coronary Artery Disease Anatomy ● Describe the origins, courses and main branches of the left and right coronary arteries and discuss the functional consequences of their obstruction ● Explain the venous drainage of the heart ● Recognise the coronary arteries on angiogram ● Describe the function of the pericardium

Clinical ● What is coronary artery disease ● Describe the pathophysiology behind coronary artery disease ● What are the main risk factors for CAD ● Describe the clinical presentation (angina pectoris, heart failure, ACS) ● What are the appropriate investigations (coronary angio, echo) ● What’s the appropriate management- (medical vs PCI vs CABG) ● Describe the CABG procedure

Valvular Disease Anatomy ● Describe the functional parts of the adult heart, internally and externally ● locate the atrio-ventricular, pulmonary and aortic valves on a heart, demonstrate their surface markings and how they relate to clinical and radiological examinations and describe their role in the prevention of regurgitation of blood. ● Describe where the valves can best be auscultated ● Describe the parts of the conducting system of the heart ● Describe the anatomical course of excitation through the chambers of the heart

Clinical ● What is valvular disease (stenosis vs regurgitation) ● What are the main causes of valvular disease (eg age related calcification, structural deformity, ischaemia, rheumatic heart disease) ● Describe the clinical presentation of aortic stenosis/ regurg and mitral stenosis/ regurg ● Describe the appropriate investigations (CXR, ECG, bloods, echo) ● Discuss management options (catheter based options vs open heart surgery) ● Describe open heart surgery and discuss various valve replacement options

Lung Cancer Anatomy ● Describe the subdivisions of the thorax ● List the structures of the thoracic wall including the thoracic spine, ribs and sternum ● Describe the basic structure of the airway ● Summarise the anatomy of the bronchial tree and bronchopulmonary segments and explain their functional significance ● Identify the features of each lung and the difference between left and right lungs ● Identify the root of the lung and the structures that form it as they enter and leave the lung and its hilum ● Identify the lobes and fissures of the lungs and describe their major anatomical relationships to the ribs, heart, aorta and other major vessels of the thorax ● Describe the lymphatic drainage of the lungs and its medical significance ● Describe the nerve supply of the lungs ● Describe the arterial supply of the thoracic wall ● Describe the neurovascular bundle in the intercostal space ● Recognise normal structures on radiographs and recognise common abnormalities

Clinical ● Describe how lung cancers are classified ● Describe the main risk factors ● Describe the clinical features of lung cancer and what other differentials should be considered ● Explain where lung cancers are likely to metastasise to ● Explain the clinical features that result from local invasion of lung cancer (eg Pancoast tumour) ● Describe the relevant investigations for suspected lung cancer (bloods, CXray, CT, PET scan) ● Discuss management options (chemotherapy, radiotherapy, surgical management) ● Describe video-assisted thoracoscopic surgery (VATS) lobectomy and compare to open surgery