Anatomical planes, position and terms Bones and cartilage Joints Muscles basics

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Anatomy Basics: Planes, Bones & Cartilage, Joints, and Muscles


1. Anatomical Planes, Position, and Terms

Standard Anatomical Position

The body is standing erect, arms by the sides, palms facing forward. All anatomical descriptions are made relative to this position. The skull has its own standard: the Frankfurt horizontal, where the lower margin of the orbit and upper margin of the external acoustic meatus lie in the same horizontal plane, parallel to the ground. - Forensic Anthropology: A Comprehensive Introduction

The Three Reference Planes

Anatomical position and the three planes - sagittal (blue), transverse (purple), and coronal (green)
PlaneOrientationDivides Body Into
SagittalVerticalLeft and right sections; the mid-sagittal (midsagittal/median) plane creates equal halves
Coronal (Frontal)Vertical, perpendicular to sagittalAnterior (front) and posterior (back) portions
Transverse (Axial/Horizontal)HorizontalSuperior (upper) and inferior (lower) sections

Directional Terms

TermMeaning
Anterior / VentralToward the front / belly side
Posterior / DorsalToward the back
Superior / CranialToward the head / above
Inferior / CaudalAway from the head / below
MedialToward the midline of the body
LateralAway from the midline
ProximalNearer to the trunk (used for limbs)
DistalFarther from the trunk (used for limbs)
SuperficialToward the body surface
DeepAway from the body surface
IpsilateralOn the same side
ContralateralOn the opposite side
Example: The humerus is proximal to the radius and ulna. The tibia is distal to the femur.
  • Forensic Anthropology: A Comprehensive Introduction

Movements at Joints

TermDefinition
FlexionDecreasing the angle between body parts
ExtensionIncreasing the angle between body parts
AbductionMoving away from the midline
AdductionMoving toward the midline
RotationTurning around a long axis
CircumductionCombining flexion, extension, abduction, and adduction in a circular motion
Pronation / SupinationRotating forearm so palm faces down / up
Inversion / EversionTurning sole inward / outward
Dorsiflexion / PlantarflexionFoot upward / foot downward

2. Bones and Cartilage

Bone - Overview

Bone is a living connective tissue that provides structural support, protects organs, enables movement (via muscle attachment), stores minerals (especially calcium and phosphate), and houses bone marrow for hematopoiesis.

Classification of Bones by Shape

TypeDescriptionExamples
Long bonesGreater length than width; shaft (diaphysis) + two ends (epiphyses)Femur, humerus, tibia
Short bonesRoughly equal dimensionsCarpals, tarsals
Flat bonesThin, broad platesSkull bones, scapula, sternum
Irregular bonesComplex shapes, don't fit other categoriesVertebrae, facial bones
Sesamoid bonesEmbedded in tendonsPatella

Bone Structure (Macroscopic)

  • Periosteum - tough fibrous outer covering; contains osteoprogenitor cells
  • Compact (cortical) bone - dense outer layer, arranged in osteons (Haversian systems)
  • Cancellous (spongy/trabecular) bone - inner meshwork with marrow spaces
  • Endosteum - thin membrane lining the inner surfaces
  • Medullary cavity - hollow center in long bones; contains yellow (fat) or red (hematopoietic) marrow

Ossification (Bone Formation)

  1. Intramembranous ossification - bone forms directly from mesenchymal cells (flat bones of the skull, clavicle)
  2. Endochondral ossification - bone replaces a cartilage model (most of the skeleton). The epiphyseal growth plate (hyaline cartilage) is responsible for longitudinal growth.

Cartilage - Three Types

TypeCompositionKey FeaturesLocation
Hyaline cartilageType II collagen + ground substance; chondrocytes in lacunaeSmooth, glassy; most common; no blood/nerve supplyArticular surfaces, costal cartilages, tracheal rings, fetal skeleton, growth plates
FibrocartilageDense type I collagen bundlesStrongest; highest tensile strengthIntervertebral discs, pubic symphysis, menisci, tendon insertions
Elastic cartilageElastin fibers + type II collagenFlexible and resilientAuricle (pinna), epiglottis, Eustachian tube
Key fact: Cartilage is avascular - it receives nutrients by diffusion through the matrix. This is why cartilage heals slowly after injury.

3. Joints (Articular System)

Joints exist wherever two or more bones meet. They display a broad spectrum of shapes, sizes, tissue composition, and organization, each uniquely fitted to the specific type and range of motion needed.

Classification by Histological Composition

Synovial joint structure - histological section of a juvenile knee showing articular cartilage, synovial cavity, meniscus, growth plate, and ossification centers
Joint TypeTissue BridgeMovementAlso CalledExamples
FibrousDense connective tissueMinimal to noneSynarthrosesSkull sutures, gomphoses (teeth), syndesmoses (tibia-fibula)
CartilaginousHyaline cartilage or fibrocartilageSlightAmphiarthrosesPubic symphysis, intervertebral discs, costal cartilage-rib1 junction, epiphyseal plates
SynovialSynovial cavity + fluidFreely moveableDiarthrosesHip, knee, shoulder, elbow, wrist, ankle
  • Firestein & Kelley's Textbook of Rheumatology

Synovial Joints in Detail

Synovial joints are the major functional joints of the skeleton. Their features:
  • Articular cartilage covers opposing bone ends - resilient, zonal, provides nearly frictionless motion
  • Synovial cavity filled with synovial fluid (water, plasma filtrate, hyaluronic acid, lubricin, phospholipids)
  • Synovial lining (synovium) - produces fluid and lines the cavity
  • Fibrous capsule - encloses and protects the joint

Synovial Joint Sub-types by Shape

ShapeAxesMotionExample
HingeUniaxialFlexion/ExtensionElbow (humeroulnar)
PivotUniaxialRotationAtlantoaxial (C1-C2), proximal radio-ulnar
Condyloid (Ellipsoid)BiaxialFlex/Ext + Abd/AddWrist (radiocarpal)
SaddleBiaxialFlex/Ext + Abd/AddFirst carpometacarpal
Ball and SocketMultiaxialAll planesShoulder (glenohumeral), hip
Plane (Gliding)Multiaxial (gliding)GlidingPatellofemoral, intercarpal

4. Muscles - Basics

Three Types of Muscle Tissue

TypeControlStriationsLocation
SkeletalVoluntary / reflexYesAttached to bones; movement, posture
CardiacInvoluntaryYesHeart wall
SmoothInvoluntaryNoHollow organs (gut, blood vessels, bladder)

Skeletal Muscle Structure (Hierarchical Organization)

Skeletal muscle structure from whole muscle down to myofilaments: Muscle → Fascicle → Muscle cell/fiber → Myofibril → Sarcomere → Thick & thin filaments
From largest to smallest:
LevelStructureCovering Sheath
Whole muscleMade of fascicle bundlesEpimysium
FascicleBundle of muscle fibersPerimysium
Muscle fiber (cell/myofiber)Multinucleated elongated cellEndomysium
MyofibrilCylindrical element inside fiberSarcolemma (cell membrane)
SarcomereFunctional/contractile unit-
MyofilamentsActin (thin) + Myosin (thick)-
  • Medical Physiology (Boron & Boulpaep)

The Sarcomere

The sarcomere is the basic contractile unit, bounded by Z-lines. Key bands:
  • A band - full length of thick (myosin) filaments
  • I band - only thin (actin) filaments; bisected by Z-line
  • H zone - central zone of A band, only myosin
  • M line - center of H zone
Contraction works by the sliding filament theory: actin thin filaments slide over myosin thick filaments, shortening the sarcomere without changing filament length.

Neuromuscular Control

  • All skeletal muscle is under somatic (voluntary) motor control
  • Motor neuron axon terminals release acetylcholine (ACh) at the neuromuscular junction (NMJ)
  • ACh binds nicotinic receptors on the motor end plate, generating an end-plate potential
  • A motor unit = one motor neuron + all the muscle fibers it innervates
  • Small innervation ratio (few fibers per neuron) = fine, precise movements (e.g., extraocular muscles ~3 fibers/neuron)
  • Large innervation ratio = powerful, coarse movements (e.g., gastrocnemius ~100-1000 fibers/neuron)

Connective Tissue Associated with Muscles

StructureDescription
TendonCollagen-rich cord connecting muscle to bone
AponeurosisFlat, sheet-like tendon
LigamentConnects bone to bone (stabilizes joints)
FasciaConnective tissue sheath surrounding muscles and compartments

Muscle Actions (Classification by Role)

RoleDescriptionExample
Agonist (prime mover)Main muscle producing a movementBiceps brachii in elbow flexion
AntagonistOpposes the agonist; relaxes to allow movementTriceps brachii during elbow flexion
SynergistAssists the agonist; stabilizes intermediate jointsBrachialis assisting biceps
FixatorStabilizes the origin of the agonistRotator cuff during deltoid action

Sources:
  • Forensic Anthropology: A Comprehensive Introduction, 2nd Edition - Anatomical position and planes
  • Firestein & Kelley's Textbook of Rheumatology - Classification of joints
  • Medical Physiology (Boron & Boulpaep) - Skeletal muscle structure and neuromuscular control
  • Imaging Anatomy: Bones, Joints, Vessels and Nerves, Vol. 3 - Bones, muscles, tendons, joints, and cartilage

Create a presentation summarizing these anatomy basics

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Running Command

mkdir -p /home/daytona/workspace/anatomy-basics-pptx && ls /home/daytona/workspace/anatomy-basics-pptx

Running Command

node /home/daytona/skills/shared/scripts/fetch_images.js \ "https://cdn.orris.care/cdss_images/892441b3b16b50336b6a3fa2859b2567057007f18b9ebd4aee82365b104b69be.png" \ "https://cdn.orris.care/cdss_images/d1e862db9b089b138234c853dc1c4c5fbc695755445b78d469a000d755c99a7f.png" \ "https://cdn.orris.care/cdss_images/4957a1e14023483530f3cba257927c5a6786df2827faea23230a4de825e46077.png" \ 2>/dev/null | node -e "const d=require('fs').readFileSync('/dev/stdin','utf8'); const arr=JSON.parse(d); arr.forEach((x,i)=>{ console.log(i, x.error ? 'ERROR:'+x.error : 'OK len='+x.base64.length); });"

All three images fetched successfully. Now let me write the full presentation script.
Writing File

~/anatomy-basics-pptx/build.js

const pptxgen = require("pptxgenjs");
const { execSync } = require("child_process");

// ── Fetch images ──────────────────────────────────────────────────────────────
const imageUrls = [
  "https://cdn.orris.care/cdss_images/892441b3b16b50336b6a3fa2859b2567057007f18b9ebd4aee82365b104b69be.png", // planes
  "https://cdn.orris.care/cdss_images/d1e862db9b089b138234c853dc1c4c5fbc695755445b78d469a000d755c99a7f.png", // joints histology
  "https://cdn.orris.care/cdss_images/4957a1e14023483530f3cba257927c5a6786df2827faea23230a4de825e46077.png", // muscle structure
];
const imgData = JSON.parse(
  execSync(
    `node /home/daytona/skills/shared/scripts/fetch_images.js ${imageUrls.map((u) => `"${u}"`).join(" ")}`
  ).toString()
);
const [imgPlanes, imgJoint, imgMuscle] = imgData.map((d) => d.base64);

// ── Color palette ─────────────────────────────────────────────────────────────
// Deep navy dominant, teal accent, light slate content bg, warm white text
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  gold:      "E8B84B",  // key term accent
  divider:   "1A8F7A",  // line color
};

// ── Presentation setup ────────────────────────────────────────────────────────
const pres = new pptxgen();
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pres.title = "Anatomy Basics";
pres.author = "Orris Medical";

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// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 1 — Title
// ═══════════════════════════════════════════════════════════════════════════════
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// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 3 — Anatomical Position & Planes (image + text)
// ═══════════════════════════════════════════════════════════════════════════════
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// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 4 — Directional Terms
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    ["Medial", "Toward the midline"],
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    ["Distal", "Farther from the trunk (limbs)"],
    ["Superficial", "Toward the body surface"],
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// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 5 — Movement Terms
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    { term: "Extension", def: "Increase angle between segments" },
    { term: "Abduction", def: "Move away from midline" },
    { term: "Adduction", def: "Move toward midline" },
    { term: "Rotation", def: "Turn around long axis" },
    { term: "Circumduction", def: "Combines flex/ext + abd/add in a circle" },
    { term: "Pronation", def: "Forearm rotates — palm faces down" },
    { term: "Supination", def: "Forearm rotates — palm faces up" },
    { term: "Dorsiflexion", def: "Foot pulled upward" },
    { term: "Plantarflexion", def: "Foot pushed downward" },
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// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 6 — Section divider: Bones & Cartilage
// ═══════════════════════════════════════════════════════════════════════════════
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// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 7 — Bone Types by Shape
// ═══════════════════════════════════════════════════════════════════════════════
{
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  slideTitle(s, "Classification of Bones by Shape");

  const bones = [
    { type: "Long Bones", desc: "Greater length than width\nShaft (diaphysis) + two ends (epiphyses)", eg: "Femur, Humerus, Tibia", color: C.gold },
    { type: "Short Bones", desc: "Roughly equal in all dimensions\nResilient under compressive forces", eg: "Carpals, Tarsals", color: "3A7BD5" },
    { type: "Flat Bones", desc: "Thin, broad protective plates\nContain diploe (spongy bone) between two cortical layers", eg: "Skull, Scapula, Sternum", color: C.teal },
    { type: "Irregular Bones", desc: "Complex shapes; don't fit other categories\nOften have mixed trabecular and cortical structure", eg: "Vertebrae, Facial bones", color: "E67E22" },
    { type: "Sesamoid Bones", desc: "Embedded within tendons\nProtect tendons from compressive forces", eg: "Patella", color: "9B59B6" },
  ];

  bones.forEach((b, i) => {
    const x = 0.2 + (i % 3) * 3.25;
    const y = i < 3 ? 0.92 : 2.6;
    const w = 3.1;
    const h = 1.55;
    s.addShape(pres.shapes.RECTANGLE, {
      x, y, w, h, fill: { color: C.cardBg }, line: { color: b.color, width: 1.2 },
      shadow: { type: "outer", color: "000000", blur: 4, offset: 2, angle: 135, opacity: 0.2 },
    });
    s.addShape(pres.shapes.RECTANGLE, { x, y, w, h: 0.38, fill: { color: b.color }, line: { color: b.color } });
    s.addText(b.type, {
      x: x + 0.1, y: y + 0.02, w: w - 0.15, h: 0.35,
      fontSize: 11, bold: true, color: C.navy, fontFace: "Calibri", valign: "middle", margin: 0,
    });
    s.addText(b.desc, {
      x: x + 0.1, y: y + 0.42, w: w - 0.15, h: 0.72,
      fontSize: 9.5, color: C.offWhite, fontFace: "Calibri", margin: 0,
    });
    s.addText("e.g. " + b.eg, {
      x: x + 0.1, y: y + 1.15, w: w - 0.15, h: 0.3,
      fontSize: 9, color: b.color, bold: true, italic: true, fontFace: "Calibri", margin: 0,
    });
  });
}

// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 8 — Bone Structure & Ossification
// ═══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  contentBg(s);
  slideTitle(s, "Bone Structure & Ossification");

  // Left: structure
  card(s, 0.2, 0.9, 4.7, 2.3, "Macroscopic Bone Structure", [
    "Periosteum — outer fibrous covering; osteoprogenitor cells",
    "Compact (cortical) bone — dense outer layer, Haversian systems",
    "Cancellous (spongy/trabecular) bone — inner meshwork + marrow spaces",
    "Medullary cavity — yellow (fat) or red (hematopoietic) marrow",
    "Endosteum — lines inner surfaces",
  ], C.gold);

  card(s, 0.2, 3.3, 4.7, 2.15, "Ossification (Bone Formation)", [
    "Intramembranous: bone forms from mesenchymal cells directly (skull, clavicle)",
    "Endochondral: bone replaces hyaline cartilage model (most of skeleton)",
    "Epiphyseal growth plate drives longitudinal bone growth until puberty",
  ], "E67E22");

  // Right: Cartilage types
  const carts = [
    { name: "Hyaline Cartilage", color: "3A7BD5", traits: ["Type II collagen + ground substance", "Most common; no blood/nerve supply", "Articular surfaces, costal cartilages, growth plates"] },
    { name: "Fibrocartilage", color: C.teal, traits: ["Dense type I collagen", "Strongest; highest tensile strength", "Intervertebral discs, pubic symphysis, menisci"] },
    { name: "Elastic Cartilage", color: "9B59B6", traits: ["Elastin + type II collagen", "Flexible and resilient", "Auricle (ear), epiglottis, Eustachian tube"] },
  ];
  s.addText("CARTILAGE TYPES", {
    x: 5.1, y: 0.9, w: 4.7, h: 0.4,
    fontSize: 12, bold: true, color: C.tealLight, fontFace: "Calibri", charSpacing: 2,
  });
  carts.forEach((c, i) => {
    card(s, 5.1, 1.35 + i * 1.41, 4.7, 1.3, c.name, c.traits, c.color);
  });

  s.addText("Key: Cartilage is AVASCULAR — heals slowly after injury (nutrients via diffusion)", {
    x: 5.1, y: 5.1, w: 4.7, h: 0.35,
    fontSize: 9, color: C.gold, italic: true, fontFace: "Calibri",
  });
}

// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 9 — Section divider: Joints
// ═══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  sectionHeader(s, "03. Joints", "Where bones meet — classification, structure, and motion", "3A7BD5");
  s.addText("03", {
    x: 7.9, y: 0.55, w: 1.6, h: 1.6,
    fontSize: 36, bold: true, color: "3A7BD5", fontFace: "Calibri",
    align: "center", valign: "middle", transparency: 40,
  });
}

// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 10 — Joint Classification
// ═══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  contentBg(s);
  slideTitle(s, "Classification of Joints");

  const joints = [
    {
      name: "Fibrous (Synarthroses)",
      tissue: "Dense connective tissue",
      mvt: "Minimal / none",
      sub: ["Sutures (skull)", "Syndesmoses (tibia-fibula)", "Gomphoses (teeth in sockets)"],
      color: "E74C3C",
    },
    {
      name: "Cartilaginous (Amphiarthroses)",
      tissue: "Hyaline cartilage or fibrocartilage",
      mvt: "Slight",
      sub: ["Synchondroses (rib 1-sternum, growth plates)", "Secondary cartilaginous (pubic symphysis, IVDs)"],
      color: C.gold,
    },
    {
      name: "Synovial (Diarthroses)",
      tissue: "Synovial cavity + fluid + articular cartilage",
      mvt: "Freely moveable",
      sub: ["Hinge — elbow", "Pivot — atlantoaxial", "Ball & socket — hip, shoulder", "Condyloid — wrist", "Saddle — 1st CMC", "Plane — patellofemoral"],
      color: "3A7BD5",
    },
  ];

  joints.forEach((j, i) => {
    const x = 0.2 + i * 3.25;
    const y = 0.9;
    const w = 3.1;
    const h = 4.55;
    s.addShape(pres.shapes.RECTANGLE, {
      x, y, w, h,
      fill: { color: C.cardBg }, line: { color: j.color, width: 1.5 },
    });
    s.addShape(pres.shapes.RECTANGLE, { x, y, w, h: 0.42, fill: { color: j.color }, line: { color: j.color } });
    s.addText(j.name, {
      x: x + 0.1, y: y + 0.03, w: w - 0.15, h: 0.37,
      fontSize: 11, bold: true, color: C.navy, fontFace: "Calibri", valign: "middle", margin: 0,
    });
    s.addText("Tissue: " + j.tissue, {
      x: x + 0.1, y: y + 0.5, w: w - 0.15, h: 0.45,
      fontSize: 9.5, bold: true, color: C.offWhite, fontFace: "Calibri", margin: 0,
    });
    s.addText("Movement: " + j.mvt, {
      x: x + 0.1, y: y + 0.93, w: w - 0.15, h: 0.38,
      fontSize: 9.5, color: j.color, bold: true, fontFace: "Calibri", margin: 0,
    });
    s.addShape(pres.shapes.RECTANGLE, {
      x: x + 0.1, y: y + 1.35, w: w - 0.2, h: 0.04,
      fill: { color: j.color, transparency: 50 }, line: { color: j.color, transparency: 50 },
    });
    const richItems = j.sub.map((t, si) => ({ text: "• " + t, options: { breakLine: si < j.sub.length - 1 } }));
    s.addText(richItems, {
      x: x + 0.1, y: y + 1.46, w: w - 0.15, h: h - 1.56,
      fontSize: 9.5, color: C.offWhite, fontFace: "Calibri",
      valign: "top", lineSpacingMultiple: 1.3, margin: 0,
    });
  });
}

// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 11 — Synovial Joint Histology
// ═══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  contentBg(s);
  slideTitle(s, "Synovial Joint — Structure & Components");

  s.addImage({ data: imgJoint, x: 0.25, y: 0.92, w: 4.4, h: 4.5 });

  const components = [
    { name: "Articular Cartilage", desc: "Hyaline cartilage covering opposing bone ends; resilient, zonal, near-frictionless motion" },
    { name: "Synovial Cavity", desc: "Space filled with synovial fluid — contains hyaluronic acid, lubricin, and phospholipids" },
    { name: "Synovium", desc: "Inner lining that produces synovial fluid; type A (macrophage-like) and type B (fibroblast-like) cells" },
    { name: "Fibrous Capsule", desc: "Outer tough connective tissue enclosing and protecting the joint" },
    { name: "Growth Plate", desc: "Hyaline cartilage between epiphysis and diaphysis — active during skeletal growth" },
  ];

  components.forEach((c, i) => {
    s.addShape(pres.shapes.RECTANGLE, {
      x: 4.8, y: 0.9 + i * 0.88, w: 5.0, h: 0.82,
      fill: { color: i % 2 === 0 ? C.cardBg : C.navy }, line: { color: "3A7BD5", width: 0.6 },
    });
    s.addShape(pres.shapes.RECTANGLE, { x: 4.8, y: 0.9 + i * 0.88, w: 0.07, h: 0.82, fill: { color: "3A7BD5" }, line: { color: "3A7BD5" } });
    s.addText(c.name, {
      x: 4.95, y: 0.9 + i * 0.88 + 0.04, w: 4.78, h: 0.3,
      fontSize: 10.5, bold: true, color: C.gold, fontFace: "Calibri", margin: 0,
    });
    s.addText(c.desc, {
      x: 4.95, y: 0.9 + i * 0.88 + 0.35, w: 4.78, h: 0.4,
      fontSize: 9, color: C.offWhite, fontFace: "Calibri", margin: 0,
    });
  });

  s.addText("Image: Frontal section of juvenile mouse knee — safranin O & fast green stain\n(Firestein & Kelley's Textbook of Rheumatology)", {
    x: 0.25, y: 5.08, w: 4.4, h: 0.4,
    fontSize: 7.5, color: C.offWhite, italic: true, fontFace: "Calibri", transparency: 20,
  });
}

// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 12 — Section divider: Muscles
// ═══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  sectionHeader(s, "04. Muscles", "Structure, hierarchy, and neuromuscular control", "9B59B6");
  s.addText("04", {
    x: 7.9, y: 0.55, w: 1.6, h: 1.6,
    fontSize: 36, bold: true, color: "9B59B6", fontFace: "Calibri",
    align: "center", valign: "middle", transparency: 40,
  });
}

// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 13 — Muscle Types
// ═══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  contentBg(s);
  slideTitle(s, "Three Types of Muscle Tissue");

  const types = [
    { name: "Skeletal Muscle", control: "Voluntary / reflex", striated: "Yes", location: "Attached to bones", function: "Movement, posture, heat generation", color: "9B59B6" },
    { name: "Cardiac Muscle", control: "Involuntary (autorhythmic)", striated: "Yes", location: "Heart wall (myocardium)", function: "Pumps blood continuously", color: "E74C3C" },
    { name: "Smooth Muscle", control: "Involuntary", striated: "No", location: "Walls of hollow organs", function: "Peristalsis, vasoconstriction, sphincters", color: C.teal },
  ];

  types.forEach((t, i) => {
    const x = 0.2 + i * 3.25;
    const y = 0.92;
    const w = 3.1;
    const h = 4.55;
    s.addShape(pres.shapes.RECTANGLE, {
      x, y, w, h, fill: { color: C.cardBg }, line: { color: t.color, width: 1.5 },
    });
    s.addShape(pres.shapes.RECTANGLE, { x, y, w, h: 0.42, fill: { color: t.color }, line: { color: t.color } });
    s.addText(t.name, {
      x: x + 0.1, y: y + 0.02, w: w - 0.15, h: 0.4,
      fontSize: 12, bold: true, color: C.navy, fontFace: "Calibri", valign: "middle", margin: 0,
    });

    const rows = [
      ["Control", t.control],
      ["Striations", t.striated],
      ["Location", t.location],
      ["Function", t.function],
    ];
    rows.forEach(([lbl, val], ri) => {
      s.addText(lbl, {
        x: x + 0.1, y: y + 0.6 + ri * 0.88, w: 1.0, h: 0.35,
        fontSize: 9.5, bold: true, color: t.color, fontFace: "Calibri", margin: 0,
      });
      s.addText(val, {
        x: x + 1.05, y: y + 0.6 + ri * 0.88, w: w - 1.15, h: 0.35,
        fontSize: 9.5, color: C.offWhite, fontFace: "Calibri", margin: 0,
      });
      if (ri < 3) {
        s.addShape(pres.shapes.RECTANGLE, {
          x: x + 0.1, y: y + 0.6 + ri * 0.88 + 0.35, w: w - 0.2, h: 0.04,
          fill: { color: t.color, transparency: 75 }, line: { color: t.color, transparency: 75 },
        });
      }
    });
  });
}

// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 14 — Skeletal Muscle Hierarchy
// ═══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  contentBg(s);
  slideTitle(s, "Skeletal Muscle — Hierarchical Organization");

  s.addImage({ data: imgMuscle, x: 6.2, y: 0.9, w: 3.6, h: 4.5 });

  const levels = [
    { level: "Whole Muscle", sheath: "Epimysium", desc: "Bundle of fascicles enclosed in outer sheath" },
    { level: "Fascicle", sheath: "Perimysium", desc: "Bundle of muscle fibers" },
    { level: "Muscle Fiber (cell)", sheath: "Endomysium + Sarcolemma", desc: "Multinucleated elongated cell" },
    { level: "Myofibril", sheath: "–", desc: "Cylindrical elements inside the fiber" },
    { level: "Sarcomere", sheath: "Z-lines (boundaries)", desc: "The basic contractile unit — bounded by Z-lines" },
    { level: "Myofilaments", sheath: "–", desc: "Actin (thin) + Myosin (thick) — sliding produces contraction" },
  ];

  levels.forEach((l, i) => {
    const y = 0.9 + i * 0.77;
    s.addShape(pres.shapes.RECTANGLE, {
      x: 0.2, y, w: 5.85, h: 0.71,
      fill: { color: i % 2 === 0 ? C.cardBg : C.navy },
      line: { color: "9B59B6", width: 0.5 },
    });
    s.addShape(pres.shapes.RECTANGLE, { x: 0.2, y, w: 0.07, h: 0.71, fill: { color: "9B59B6" }, line: { color: "9B59B6" } });
    s.addText(l.level, {
      x: 0.35, y: y + 0.05, w: 1.9, h: 0.32,
      fontSize: 10.5, bold: true, color: C.gold, fontFace: "Calibri", margin: 0,
    });
    s.addText("Sheath: " + l.sheath, {
      x: 0.35, y: y + 0.37, w: 1.9, h: 0.28,
      fontSize: 8.5, color: "9B59B6", italic: true, fontFace: "Calibri", margin: 0,
    });
    s.addText(l.desc, {
      x: 2.3, y: y + 0.08, w: 3.65, h: 0.56,
      fontSize: 9.5, color: C.offWhite, fontFace: "Calibri", valign: "middle", margin: 0,
    });
  });

  s.addText("Source: Medical Physiology (Boron & Boulpaep)", {
    x: 6.2, y: 5.1, w: 3.6, h: 0.3,
    fontSize: 7.5, color: C.offWhite, italic: true, fontFace: "Calibri",
  });
}

// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 15 — Neuromuscular Control & Muscle Roles
// ═══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  contentBg(s);
  slideTitle(s, "Neuromuscular Control & Muscle Functional Roles");

  // Left: NMJ & motor unit
  card(s, 0.2, 0.9, 4.7, 2.5, "Neuromuscular Junction (NMJ)", [
    "Motor neuron axon terminal releases Acetylcholine (ACh)",
    "ACh binds nicotinic receptors on motor end plate",
    "End-plate potential → action potential → muscle contraction",
    "Motor unit = 1 motor neuron + ALL fibers it innervates",
    "Small innervation ratio → fine movement (extraocular ~3 fibers/neuron)",
    "Large innervation ratio → powerful movement (gastrocnemius ~100-1000)",
  ], "9B59B6");

  card(s, 0.2, 3.5, 4.7, 1.95, "Connective Tissue", [
    "Tendon — collagen cord connecting muscle to bone",
    "Aponeurosis — flat, sheet-like tendon",
    "Ligament — bone to bone (joint stabilization)",
    "Fascia — sheath surrounding muscles and compartments",
  ], C.teal);

  // Right: muscle functional roles
  const roles = [
    { role: "Agonist (Prime mover)", def: "Main muscle producing the movement", eg: "Biceps brachii in elbow flexion" },
    { role: "Antagonist", def: "Opposes and controls the agonist; relaxes to allow movement", eg: "Triceps brachii during flexion" },
    { role: "Synergist", def: "Assists the agonist; stabilizes intermediate joints", eg: "Brachialis assisting biceps" },
    { role: "Fixator", def: "Stabilizes the origin of the agonist", eg: "Rotator cuff during deltoid action" },
  ];

  s.addText("FUNCTIONAL ROLES", {
    x: 5.1, y: 0.9, w: 4.7, h: 0.38,
    fontSize: 11, bold: true, color: "9B59B6", fontFace: "Calibri", charSpacing: 2,
  });
  roles.forEach((r, i) => {
    s.addShape(pres.shapes.RECTANGLE, {
      x: 5.1, y: 1.32 + i * 1.08, w: 4.7, h: 1.02,
      fill: { color: i % 2 === 0 ? C.cardBg : C.navy }, line: { color: "9B59B6", width: 0.8 },
    });
    s.addShape(pres.shapes.RECTANGLE, { x: 5.1, y: 1.32 + i * 1.08, w: 0.07, h: 1.02, fill: { color: "9B59B6" }, line: { color: "9B59B6" } });
    s.addText(r.role, {
      x: 5.22, y: 1.32 + i * 1.08 + 0.04, w: 4.5, h: 0.3,
      fontSize: 10.5, bold: true, color: C.gold, fontFace: "Calibri", margin: 0,
    });
    s.addText(r.def, {
      x: 5.22, y: 1.32 + i * 1.08 + 0.36, w: 4.5, h: 0.3,
      fontSize: 9.5, color: C.offWhite, fontFace: "Calibri", margin: 0,
    });
    s.addText("e.g. " + r.eg, {
      x: 5.22, y: 1.32 + i * 1.08 + 0.67, w: 4.5, h: 0.28,
      fontSize: 8.5, color: "9B59B6", italic: true, fontFace: "Calibri", margin: 0,
    });
  });
}

// ═══════════════════════════════════════════════════════════════════════════════
// SLIDE 16 — Summary / Closing
// ═══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  darkBg(s, C.tealLight);

  s.addShape(pres.shapes.OVAL, { x: 7.5, y: -0.6, w: 3.5, h: 3.5, fill: { color: C.teal, transparency: 88 }, line: { color: C.teal, transparency: 70, width: 1 } });
  s.addShape(pres.shapes.OVAL, { x: -0.8, y: 3.8, w: 2.5, h: 2.5, fill: { color: C.tealLight, transparency: 90 }, line: { color: C.tealLight, transparency: 80, width: 1 } });

  s.addText("Key Takeaways", {
    x: 0.4, y: 0.3, w: 7, h: 0.7,
    fontSize: 30, bold: true, color: C.white, fontFace: "Calibri",
  });
  s.addShape(pres.shapes.RECTANGLE, { x: 0.4, y: 1.05, w: 4.0, h: 0.06, fill: { color: C.tealLight }, line: { color: C.tealLight } });

  const summaryPoints = [
    ["Anatomical Position", "Body erect, palms forward — all terms reference this standard"],
    ["3 Reference Planes", "Sagittal (L/R) · Coronal (front/back) · Transverse (up/down)"],
    ["Bone Types", "Long, short, flat, irregular, sesamoid — each suited to its role"],
    ["Cartilage Types", "Hyaline (articular), Fibrocartilage (discs), Elastic (ear) — all avascular"],
    ["Joint Classification", "Fibrous (none) · Cartilaginous (slight) · Synovial (freely mobile)"],
    ["Muscle Hierarchy", "Muscle → Fascicle → Fiber → Myofibril → Sarcomere → Myofilaments"],
    ["Motor Unit", "1 motor neuron + its muscle fibers — basis of graded force production"],
  ];

  summaryPoints.forEach((pt, i) => {
    s.addShape(pres.shapes.RECTANGLE, {
      x: 0.4, y: 1.2 + i * 0.6, w: 9.3, h: 0.54,
      fill: { color: i % 2 === 0 ? C.cardBg : C.navy }, line: { color: C.teal, width: 0.5 },
    });
    s.addText(pt[0] + "  ", {
      x: 0.55, y: 1.2 + i * 0.6 + 0.06, w: 2.1, h: 0.38,
      fontSize: 10, bold: true, color: C.tealLight, fontFace: "Calibri", margin: 0,
    });
    s.addText(pt[1], {
      x: 2.7, y: 1.2 + i * 0.6 + 0.06, w: 6.9, h: 0.38,
      fontSize: 10, color: C.offWhite, fontFace: "Calibri", margin: 0,
    });
  });
}

// ── Write file ────────────────────────────────────────────────────────────────
pres.writeFile({ fileName: "/home/daytona/workspace/anatomy-basics-pptx/Anatomy_Basics.pptx" })
  .then(() => console.log("SUCCESS: /home/daytona/workspace/anatomy-basics-pptx/Anatomy_Basics.pptx"))
  .catch((e) => { console.error("ERROR:", e); process.exit(1); });
Running Command

cd /home/daytona/workspace/anatomy-basics-pptx && node build.js 2>&1

The buffer overflow is because the base64 strings are massive (2-4MB each) and execSync has a 1MB stdout limit. I need to pre-save the images to disk first, then reference them by path in the script.
Running Command

cd /home/daytona/workspace/anatomy-basics-pptx && node -e " const { execSync } = require('child_process'); const fs = require('fs'); const urls = [ 'https://cdn.orris.care/cdss_images/892441b3b16b50336b6a3fa2859b2567057007f18b9ebd4aee82365b104b69be.png', 'https://cdn.orris.care/cdss_images/d1e862db9b089b138234c853dc1c4c5fbc695755445b78d469a000d755c99a7f.png', 'https://cdn.orris.care/cdss_images/4957a1e14023483530f3cba257927c5a6786df2827faea23230a4de825e46077.png' ]; const names = ['img_planes.png','img_joint.png','img_muscle.png']; urls.forEach((url, i) => { execSync(\`curl -sL \"\${url}\" -o /home/daytona/workspace/anatomy-basics-pptx/\${names[i]}\`); console.log('Saved', names[i], fs.statSync('/home/daytona/workspace/anatomy-basics-pptx/'+names[i]).size); }); " 2>&1

Images saved locally. Now update the script to use local file paths instead of downloading via execSync.
Editing File

~/anatomy-basics-pptx/build.js

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/anatomy-basics-pptx/build.js'
Also remove the execSync import since it's no longer needed:
Editing File

~/anatomy-basics-pptx/build.js

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/anatomy-basics-pptx/build.js'
Running Command

cd /home/daytona/workspace/anatomy-basics-pptx && node build.js 2>&1

The file was written but the images aren't embedded (they need path: not data: when using local file paths). Let me fix the addImage calls — switch from data: to path::
Running Command

grep -n "addImage" /home/daytona/workspace/anatomy-basics-pptx/build.js

Editing File

~/anatomy-basics-pptx/build.js

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/anatomy-basics-pptx/build.js'
Editing File

~/anatomy-basics-pptx/build.js

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/anatomy-basics-pptx/build.js'
Editing File

~/anatomy-basics-pptx/build.js

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/anatomy-basics-pptx/build.js'
Running Command

cd /home/daytona/workspace/anatomy-basics-pptx && node build.js 2>&1

Model call limits exceeded: run limit (20/20)
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