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.Anatomy BRACHIAL PLEXUS: Roots, Trunks, Divisions,

Cords, Branches Randy Travis Drinks Cold Beers.

Robert Taylor Drinks Cold Beer. CRANIAL NERVES: I-optic, II-olfactory, III-

oculomotor, IV-trochlear, V-trigeminal, VI-abducens,VII-facial, VIII-acoustic (vestibulocochlear), IX-glossophrayngeal, X-vagus, XI-spinal accessory, XII-hypoglossal

On Old Olympus Towering Tops, A Finn AndGerman Viewed Some Hops

You have I nose. You have II eyes. (I - Olfactory;II -- Optic)

Innervation of Extraocularmotor Muscles: LR6 (SO4) 3

LR6--Lateral rectus--> VI abductens SO4--Superior Oblique--> IV Trochlear 3--The remaining 4 eyeball movers = III

Some Say Marry Money, But My Brother Says BigBras Matter More (what cranial nerve is Motor,

Sensory, or Both) BRANCHES OF FACIAL NERVE: Temporal,

Zygomatic, Buccal, Masseteric, Cervical Ten Zebras Bought My Car To Zanzibar By Motor Car

CERVICAL SPINAL NERVES: c345 keeps the phrenic alive (innervation of

phrenic nerve) c345 keep the diaphragm alive (innervation of

diaphragm) c5-6-7 raise your arms to heaven (nerve roots of

long thoracic nerve innervate serratus anterior) LOCATION OF THORACIC DUCT:

The duck is between two gooses (duck = thoracicduct)

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2 gooses = azyGOUS and esophaGOUS ATTACHMENTS OF CHEST MUSCLES:

A lady between two majors. Pectoralis major attaches to lateral lip of

bicipital groove. Teres major attaches to medial lip of

bicipital groove. Latissimus dorsi attaches to the floor of

bicipital groove. The "lati" is between two "majors."

INNERVATION OF PENIS: Parasympathetic puts it up; sympathetic spurts it

out "S2, 3, 4 keep the penis off the floor"

Innervation of the penis by branches of thepudental nerve, derived from spinal cordlevels S2-4

"Lateral is less, medial is more." Lateral pectoral nerves goes through pectoralis

major while medial p.n. goes though both pecmajor and minor

AORTIC BRANCHES: ABC'S

Aortic arch gives off the Bracheiocephalictrunk, the left Common Carotid, and the leftSubclavian artery

ORDER OF THINGS IN THIGH: "NAVEL" nerve, artery, vein, empty space, lymphatics

Biochemistry Phosphorylation cascade active when blood glucose

low: "In the Phasted State Phosphorylate. " DNA expression into mature mRNA: "Exons

expressed, Introns in the trash. " Pyrimidines are Cytosine, Uracil, Thiamine and are one

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ring structures. Purines are double ring structures:"Pyrimidines are CUT from purines."

Pharmacology

"One heart two lungs" beta receptor activity: Beta-1 primarily on heart;

airway is beta-2 receptors

Clinical CAUSES OF ACUTE PANCREATITIS:

"GET SMASH'D" Gallstones, Ethanol, Trauma, Steroids,

Mumps, Autoimmune(PAN), Scorpionbites, Hyperlipidemia, Drugs(azathioprine,diuretics)

A-P-G-A-R: A - appearance (color) P - pulse (heart rate) G - grimmace (reflex, irritability) A - activity (muscle tone) R - respiratory effort

Multiple Endocrine Neoplasia: Each of the MENs is adisease of three or two letters plus a feature.

MEN I is a disease of 3 P's (pituitary, parathyroid,and pancreas) plus adrenal cortex

MEN II is a disease of 2 C's(carcinoma of thyroidand catacholamines [pheochromocytoma]) plus

parathyroid for MEN IIa or mucocutaneousneuromas for MEN IIB(aka MEN III)

Acute pneumonia caused by Pyogenic bacteria--PMN

infiltrate Acute pneumonia caused by Miscellaneous microbes--

Mononuclear infiltrate Takayasu's diz = pulseless diz, therefore when you have

Takayasu's, I can't Tak'a yu pulse. CAGE--alcohol use screening

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Have you ever felt it necessary to CUT DOWN onyour drinking?

Has anyone ever told you they were ANNOYEDby your drinking?

Have you ever felt GUILTY about your drinking? Have you ever felt the need to have a drink in the

morning for an EYE OPENER? P-Q-R-S-T--eliciting and HPI and exploring symptoms

P--palliative or provocative factors for the pain Q--quality of pain(burning, stabbing, aching, etc.) R--region of body affected S--severity of pain(usually 1-10 scale) T--timing of pain(eg.-after meals, in the morning,

etc.) A-S-C-L-A-S-T--eliciting and HPI and exploring

symptoms A--aggravatiing and alleviating factors S--severity C--character, quality L--location A--associated sx

S--setting T--timing note: ASCLAST means let the patient talk first,

then ask him/her specific questions Argyll-Robertson Pupil--syphilitic pupil:

Accommodation reflex present, Pupillary reflex absentdue to damage at pretectal area. Also called the"prostitute's pupil" (accommodates but does not react).

The five W's--post-operative fever

Wind--pneumonia, atelectasis Wound--wound infections Water--urinary tract infection Walking--walking can help reduce deep vein

thromboses and pulmonary embolus Wonderdrugs--especially anesthesia

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