Numerous learning styles, schemes, and models are described in the literature. Most common are VARK (visual, auditory, read/write, kinesthetic) model of learning style and Kolb's experiential learning. Since the concept of learning style was first described, educational psychologists and medical educators have debated its validity. Notwithstanding these disagreements, VARK model is the one most utilized by teachers and students. This article describes how medical students with different learning styles learn anatomy and integrate multiple learning styles (multimodal) to achieve the learning goals and focuses on the approach taken by kinesthetic learners. In addition to clay modeling, drawing, and sketching, kinesthetic learners adopted "crochet" to create a three-dimensional (3-D) conceptual model that helped them mentally visualize the structures in situ. From the lectures and cadaveric dissection, a kinesthetic learner could create a 3-D mental model. However, by "crochet" and clay modeling, kinesthetic learners are able to gain broader visuospatial understanding.
Background: Congenital deformities of the femur vary from minimal hypoplasia to total absence with or without other skeletal or organ system involvement. The proximal focal femoral deficiency is a rare congenital deformity with various degrees of involvement. Materials and Methods: During physical examination of a donated body (willed body program) we observed a donor with extreme hypoplasia of the left femur with other musculoskeletal anomalies. The donor was a 77-year old Caucasian female, who died of coronary artery and peripheral vascular disease. Results and Observations: We report here a rare case of proximal focal femoral deficiency with overlapping phenotype of Müllerian duct anomaly typifying congenital absence of uterus, fallopian tube, uterine cervix and vagina (Mayer-Rokitansky-Kuster-Hauser (MKRH) syndrome). Dissection of the cadaver revealed unilateral hypoplasia of the left femur with an aplastic acetabulum, femoral head and patella. The left tibia and fibula were anatomically normal but shorter. The ovaries were small and atrophied. The external genital structure was normal with blind ending vagina. We also observed involvement of vascular structures. Conclusion: The features we observed are described in the literature as that of proximal focal femoral deficiency with overlapping phenotype of Mayer-Rokitansky-Kuster-Hauser syndrome. This is first report of coexistence of a proximal focal femoral deficiency and congenital absence of uterus, Fallopian tubes, uterine cervix and vagina is a rare defect.
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