巧记解剖结构英文版.docx
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巧记解剖结构英文版
AfewIuseare(well,somearen'tmneumonics):
Radialn.-"thegreatextensor"itextendseverythinginthearmandforearm.
2LOAFformediann.inhand(everythingelseulnarn.)-1sttwolumbricals,opponenspollicis,abductorpollicisbrevis,flexorpollicisbrevis.
longus,brevis,longus,brevis,longus(forearmm.onextensorsideinorder)-extensorcarpiradialislongus,extensorcarpiradialisbrevis,abductorpollicislongus,extensorpollicisbrevis,extensorpollicislongus.
Tom,Dick,andVeryNervousHarry(medialmalleolousclosesttofurthest)-Tibposterior,flexordigitorumlongus,tibiala.,tibialn,tibialvein,flexorhallucislongus
Thosearetheonesoffthetopofmyhead.YouprobablyalreadyknowVAN,TAN,NAVAL,Armyover/Navyunder.:
luck:
Hellodoesanybodyknowhowtorememberspinalrootinnervationforupperlimb?
Why
wristflexion--C6,C7,C8,T1
elbowflexion--C5,C6,C7
elbowextension--C6.C7C8
armabduction--C5,C6
deltoidsemsatopm--C5.C6
Idontknowofanymnemonicperseforit,butitshouldntbesohardtomemorizethese.
Firstthing,brachialplexusisfromc5tot1,sothestartingpointisc5.
Thereisaprogression,doyounoticeit?
Atthetopthereare2,then3attheelbowand4atthewrist.
Deltoidsensation=armabduction,toptherefore2nerves,startingpointisc5thenyouthinkc5andc6.
Wristflexioniseverythingexceptc5.
thetrickyiselbow,youhave3nervesso,smallgofirst,flexionissmallerwordstartsatc5plus2,thereforeitendsatc7andforextensionjustgoonedown.
Idontknowifthishelpedyou,butthisisthewayIwouldlearnit.
Anyways,thesedoesntseemsohighyield.Trytocorrelatethesewithclinicalsituations,learnwhatwouldgiveyouaclawhand,popesblessing,etc.Aswellastheclinicalreflexesandthemusclesthatinervateeachnerve,forexampleradialnerveinnervatestheBEST.
ThankyousomuchJavMD.Yourwayofexplanationisgreat!
!
ThereasonwhyIamaskingisbecausethereisoneqinQbankaboutonepatientwhohasallthesesymptoms,andtheqis--whichnerverootisdamaged?
Soyouhavetolistalltheroots,andfindoutthecommonone.
Thanksforremindingthehighyield.Iwasreading2005versionofFA,andIdontthinkitmentionsBESTmusclesbyradialnerve.Anyway,Ichecked2008versionofFA,it'sthere!
Tomemorizeagain,BEST--brachioradialis,extendorofwristanddigits,supinator(toholdasoup)andtriceps.
Thanksagain!
ANATOMY2MNEMONICS
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BRACHIALPLEXUS:
Roots,Trunks,Divisions,Cords,Branches
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RandyTravisDrinksColdBeers.
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RobertTaylorDrinksColdBeer.
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CRANIALNERVES:
I-optic,II-olfactory,III-oculomotor,IV-trochlear,V-trigeminal,VI-abducens,VII-facial,VIII-acoustic(vestibulocochlear),IX-glossophrayngeal,X-vagus,XI-spinalaccessory,XII-hypoglossal
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OnOldOlympusToweringTops,AFinnAndGermanViewedSomeHops
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YouhaveInose.YouhaveIIeyes.(I-Olfactory;II--Optic)
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InnervationofExtraocularmotorMuscles:
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LR6(SO4)3
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LR6--Lateralrectus-->VIabductens
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SO4--SuperiorOblique-->IVTrochlear
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3--Theremaining4eyeballmovers=III
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SomeSayMarryMoney,ButMyBrotherSaysBigBrasMatterMore(whatcranialnerveisMotor,Sensory,orBoth)
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BRANCHESOFFACIALNERVE:
Temporal,Zygomatic,Buccal,Masseteric,Cervical
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TenZebrasBoughtMyCar
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ToZanzibarByMotorCar
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CERVICALSPINALNERVES:
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c345keepsthephrenicalive(innervationofphrenicnerve)
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c345keepthediaphragmalive(innervationofdiaphragm)
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c5-6-7raiseyourarmstoheaven(nerverootsoflongthoracicnerveinnervateserratusanterior)
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LOCATIONOFTHORACICDUCT:
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Theduckisbetweentwogooses(duck=thoracicduct)
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2gooses=azyGOUSandesophaGOUS
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ATTACHMENTSOFCHESTMUSCLES:
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Aladybetweentwomajors.
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Pectoralismajorattachestolaterallipofbicipitalgroove.
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Teresmajorattachestomediallipofbicipitalgroove.
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Latissimusdorsiattachestothefloorofbicipitalgroove.
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The"lati"isbetweentwo"majors."
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INNERVATIONOFPENIS:
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Parasympatheticputsitup;sympatheticspurtsitout
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"S2,3,4keepthepenisoffthefloor"
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Innervationofthepenisbybranchesofthepudentalnerve,derivedfromspinalcordlevelsS2-4
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"Lateralisless,medialismore."
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Lateralpectoralnervesgoesthroughpectoralismajorwhilemedialp.n.goesthoughbothpecmajorandminor
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AORTICBRANCHES:
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ABC'S
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AorticarchgivesofftheBracheiocephalictrunk,theleftCommonCarotid,andtheleftSubclavianartery
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ORDEROFTHINGSINTHIGH:
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"NAVEL"
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nerve,artery,vein,emptyspace,lymphatics
Pterygoidmuscles:
functionoflateralvs.medial
"Lookathowyourjawendsupwhensayingfirstsyllableof'Lateral'or'Medial'":
"La":
yourjawisnowopen,soLateralopensmouth.
"Me":
yourjawisstillclosed,somedialclosesthemandible.
Supinevs.pronebodyposition"Supineisonyourspine.
Therefore,prone'sthe"other"one.·Also,pronetosuffocateinproneposition.
Meckel'sdiverticulumdetails
2incheslong.2feetfromendofileum.2timesmorecommoninmen.2%occurrenceinpopulation.2typesoftissuesmaybepresent.·Note:
"di-"means"two",sodiverticulumisthethingwithallthetwos.
Perinealvs.peroneal
Perinealisinbetweenthelegs.Peronealisontheleg.
Anteriorforearmmuscles:
superficialgroupTherearefive,likefivedigitsofyourhand.Placeyourthumbintoyourpalm,thenlaythathandpalmdownonyourotherarm,asshownindiagram.Your4fingersnowshowdistribution:
spellsPFPF[pass/fail,pass/fail]:
PronatorteresFlexorcarpiradialisPalmarislongusFlexorcarpiulnarisYourthumbbelowyour4fingersshowsthemusclewhichisdeeptotheotherfour:
Flexordigitorumsuperficialis.
CarpaltunnelsyndromecausesMEDIANTRAP:
MyxoedemaEdemapremenstruallyDiabetesIdiopathicAgromegalyNeoplasmTraumaRheumatoidarthritisAmyloidosisPregnancy·Mnemonicfitsnicelysincemediannerveistrapped.
Lumbarplexus"I,IGetLaidOnFridays":
Iliohypogastric[L1]
Ilioinguinal[L1]
Genitofemoral[L1,L2]
Lateralfemoralcutaneous[L2,L3]
Obtruator[L2,L3,L4]
Femoral[L2,L3,L4]
·Alternatively:
"ItwiceGetLaidOnFridays".·Alternatively:
"InterestedInGettingLaidOnFridays?
"
Elbow:
musclesthatflexitThreeB'sBendtheelBow:
BrachialisBicepsBrachioradialis
CavernoussinuscontentsOTOMCAT:
OTOMarelateralwallcomponents,inorderfromsuperiortoinferior.CAarethecomponentswithinthesinus,frommedialtolateral.CAendsatthelevelofTfromOTOM.·Seediagram.Occulomotornerve(III)Trochlearnerve(IV)Ophthalmicnerve(V1)Maxillarynerve(V2)CarotidarteryAbducentnerve(VI)T:
Whenwritten,connectstotheTofOTOM.
Bronchi:
whichoneismorevertical"Inhaleabite,goesdowntheright":
Inhaledobjectsmorelikelytolodgeinrightbronchus,sinceitistheonethatismorevertical
61阿
Carotidsheathcontents"ISee10CC'sintheIV":
ISee(I.C.)=InternalCarotidartery
10=CN10(Vagusnerve)
CC=CommonCarotidartery
IV=InternalJugularVein
V3innervatedmuscles"MyA$$MeetsTheToilet":
Mylohyoid
Anteriordigastric
MusclesofMastication
Tensorvelipalatini
Tensortympani
Inferiorvenacavatributaries"ILikeToRiseSoHigh":
Illiacs
Lumbar
Testicular
Renal
Suprarenal
Hepaticvein.
·ThinkoftheIVCwantingtorisehighuptotheheart.
Spleen:
dimensions,weight,surfaceanatomy"1,3,5,7,9,11":
Spleendimensionsare1inchx3inchesx5inches.
Weightis7ounces.
Itunderliesribs9through11.
Heartvalvesequence"TryPullingMyAorta":
Tricuspid
Pulmonary
Mitral
Aorta
Liver:
sidewithligamentumvenosum/caudatelobevs.sidewithquadratelobe/ligamentumteres"VCgoeswithVC":
TheVenosumandCaudateisonsamesideasVenaCava[posterior].Therefore,quadrateandteresmustbeonanteriorbydefault.
·Seeinferior-viewdiagram.
Cranialbones"PESTOF6":
Parietal
Ethmoid
Sphenoid
Temporal
Occipital
Frontal
·The6justremindsthatthere's6ofthemtoremember.
Thyroid:
isthmuslocation"Rings2,3,4maketheisthmusfloor":
Isthmusoverliestrachealrings2,3,4
Cervicalplexus:
arrangementoftheimportantnerves"GLAST":
·4compasspoints:
clockwisefromnorthontherightsideofneck:
Greatauricular
Lesseroccipital
AccessorynervepopsoutbetweenLandS
Supraclavicular
Transversecervical
·Seediagram.
Lumbarplexusroots"2from1,2from2,2from3":
2nervesfrom1root:
Ilioinguinal(L1),Iliohypogastric(L1).
2nervesfrom2roots:
Genitofemoral(L1,L2),LateralFemoral(L2,L3).
2nervesfrom3roots:
Obturator(L2,L3,L4),Femoral(L2,L3,L4).
71
Jointsinthemidline"SC":
Inmedialline,belowSecondCervical,jointsareSecondaryCartilaginousandusuallyhaveadiSC.
·Notes:
secondarycartilaginousisalsoknownassymphysis.Theonethatdoesn'thaveadiscisxiphi-sternal.
Anteriorforearmmuscles:
superficialgroup"PimpsF*ckProstitutesForFun":
Pronatorteres
Flexorcarpiradialis
Palmarislongous
Flexorcarpiulnaris
Flexordigitorumsuperficialis
Externalcarotidarterybranches"SomeAggressiveLoversFindOddPositionsMoreStimulating":
Superiorthyroid
Ascendingpharyngeal
Lingual
Facial
Occiptal
Posteriorauricular
Maxillary
Superficialtemporal
Axillaryarterybranches"ScrewTheLawyerSaveAPatient":
Superiorthoracic
Thoracoacromiol
Lateralthoracic
Subscapular
Anteriorcircumflexhumeral
Posteriorcircumflexhumeral
Descendingabdominalaortabranchesfromdiaphragmtoiliacs"ProstitutesCauseSaggingSwollenRedTesticles[inmen]LivingInSin":
Phrenic[inferior]
Celiac
Superiormesenteric
Suprarenal[middle]
Renal
Testicular["in