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97 Cards in this Set

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  • Back
Down's syndrome - Instability in what joint?
Atlanto-axial joint (C1-C2)
Spondylolysis
Unilateral fracture

Loosening of attachment of contiguous vertebrae
Spndylolisthesis
Bilateral fracture

Body of superior vertebrae slides forward
Last fascial layer crossed for lumbar puncture?
Ligamentum flavum
Layers needle passes through for lumbar puncture?
skin, fascia, interspinous ligament, ligamentum flavum, fatty tissue, internal vertebral venous plexus, dura mater, arachnoid mater
Epidural hemorrhage
Fracture of pterion

Middle meningeal a.

Convex
Subdural hemorrhage
Venous bloeed

Concave

Elderly, alcoholics
Subarachnoid hemorrhage
Burst aneurysm/AVM

Worst headache of life
External carotid branches
Some angry lady figured out PMS

Superior thyroid a.
Ascending pharyngeal a.
Lingual a.
Facial a.
Occipital a.
Posterior auricular a.
Maxillary a.
Superficial temporal a.
Horner's syndrome symptoms
S - Sympathetic impairment
P - Ptosis
A - Anhydrosis
M - Miosis (constriction of pupil)
Only m. to open jaw
Lateral pterygoid
Only joint in pectoral girdle with bony attachment
Sternoclavicular jt.
Most common dislocation of shoulder?
Anteriorly
Nursemaid's elbow

1) Dislocation of

2) Due to
1) Radial head

2) Annular ligament
Carpal bones
So - Scaphoid
Long - Lunate
To - Triquetrum
Pinky - Pisiform
Here - Hamate
Comes - Capitate
The - Trapezoid
Thumb - Trapezium
Snuffbox fracture - what bone?
Scaphoid b.
What carpal bone associates with thumb?
Trapezium
Fracture to hook of hamate affects what nerve?
Ulnar n.
Erb-Duchenne's Palsy / Waiter's Tip - due to?
Upper/superior trunk C5-C6
Klumpke's palsy/complete claw hand - due to?
Lower/inferior trunk C8-T1

Ulnar, median nn.
Falling from tree, reach out to prevent fall, damage what nerves?
Lower/inferior trunk C8-T1

Ulnar, median nn.
Flexed elbow and drop wrist

1) Usually compression where?

2) What nerve?
1) Axilla

2) Radial n.
Radial n. innervation
Posterior arm, forearm, elbow
Median n. innervation
Anterior forearm, lateral hand
Median n. innervation - hand
1/2 LOAF

1,2 lumbricals
opponens pollicis
abductor pollis brevis
flexor pollicis brevis
Hand of benediction
Median n.
Carpal tunnel syndrome
Median n.
Ulnar n. innervation
Anterior forearm, medial hand
Ulnar n. innervation - hand
3/4 LOAF + PAD (of butter)

3,4 lumbricals
opponens digiti minimii
abductor digiti minimii
flexor digiti minimii

dorsal interossei (adduct)
palmar interossei (abduct)
DR CUMA
Drop wrist - Radial n.
Claw hand - Ulnar n.
Apostolic sign - Median n.
Musculocutaneous n. innervation
Anterior arm, biceps brachii, coracobrachialis, brachioradialis
Axillary n. innervation
Deltoid m.
Difficulty abducting initially, kick arm out
Suprascapular n.

Supraspinatus
Winged scapula
Long thoracic n.

Serratus anterior
Fracture of surgical neck of humerus
Axillary n.
Fracture of distal/middle 1/3 of humerus
Radial n.
Fracture of medial epicondyle
Ulnar n.
Deep palmar arch
Radial a.
Superficial palmar arch
Ulnar a.
Nipple dermatome
T4
Umbilicus dermatome
T10
Aortic valve auscultation
2nd intercostal space

Right upper sternal border
Pulmonary valve auscultation
2nd intercostal space

Left upper sternal border
Tricuspid valve auscultation
5th intercostal space

Left lower sternal border
Mitral valve auscultaiton
5th intercostal space

Midclavicular line
Right coronary a. br.
Posterior descending a.

Right marginal a.
Left coronary a. br.
Left circumflex a.

Left anterior descending a.
Aspirated object most likely goes into?
Right lower lobe
Diaphragm innervation
Phrenic n
Direct hernias
Enter Hasselbach's triangle

Medial to inferior epigastric
Indirect hernias
Through inguinal canal into scrotum

Lateral to inferior epigastric
Foramen of Winslow connects
Greater and lesser sac
Duodenal blood supply
First half - gastroduodenal

Second half - SMA
Ligament of Treitz
Connects r crux of diaphragam to duodenal-jujenual junction
McBurney's point
Right lower quadrant, Rovsing's sign, appendix
Midgut autonomic inn
Parasym - Vagus
SNS - Lesser, least splanchnic nn.
Hindgut autonomic nn.
Parasym: S2-S4 sacral outflow

Sym: Lumbar splanchnics
Portal triad
Hepatic a., portal v., common bile duct
Porta hepatis
Portal triad + lymph and ANS
Ducts of intestine
Cystic duct + hepatic duct --? Common bile duct + main pancreatic duct --> ampulla of Vater/sphincter of Oddi
Venous drainage of kidney
L. renal v. longer than r. renal v.

L. testicular/ovarian a. drains tin l. renal v.
Blood supply to adrenal gland
Superior adrenal a. - Inferior phrenic a.

Middle adrenal a. - Aorta

Inferior adrenal a. - Renal a.
Venous drainage of kidney
L. renal v. longer than r. renal v.

L. testicular/ovarian a. drains tin l. renal v.
Retroperitoneal organs
Rocker - retroperitoneal
Kids - Kidneys (Ureters/Adrenal glands)
Party - Pancreas
Down w/ - Duodenum
AC - Ascending colon
DC - Descending colon
Records - Rectum
Blood supply to adrenal gland
Superior adrenal a. - Inferior phrenic a.

Middle adrenal a. - Aorta

Inferior adrenal a. - Renal a.
Hemorrhoids above pectinate line
Internal, bleed, painless
Retroperitoneal organs
Rocker - retroperitoneal
Kids - Kidneys (Ureters/Adrenal glands)
Party - Pancreas
Down w/ - Duodenum
AC - Ascending colon
DC - Descending colon
Records - Rectum
Hemorrhoids below pectinate line
External, painful
Inferior phrenic a. branches from/supplies
Aorta/Superior adrenal a.
Hemorrhoids above pectinate line
Internal, bleed, painless
L. gastric a. branches from/supplies
Splenic a./Lesser curvature of stomach
Hemorrhoids below pectinate line
External, painful
Short gastric aa. branch from/supply
Splenic a./Fundus of stomach
Inferior phrenic a. branches from/supplies
Aorta/Superior adrenal a.
L. gastroepiploic branches from/supplies
Splenic a/greater curvature of stomach
L. gastric a. branches from/supplies
Splenic a./Lesser curvature of stomach
Short gastric aa. branch from/supply
Splenic a./Fundus of stomach
R. gastroepiploic branches from/supplies
Gastroduodenal a./greater curvature of stomach
L. gastroepiploic branches from/supplies
Splenic a/greater curvature of stomach
R. gastroepiploic branches from/supplies
Gastroduodenal a./greater curvature of stomach
R. gastric a. branches from/supplies
Proper hepatic a./lesser curvature of stomach
Esophageal porto-caval anastomosis + complications
Left gastric - Azygos v.

Esophageal varices
Paraumbilical porto-caval anastomosis + complications
Paraumbilical - Small epigastric vv.

Caput medusae
Rectal porto-caval anastomosis + complications
Inferior, middle rectal into IVC - Superior rectal into IVC

Hemorrhoids
Most common site of urethral obstruction in men
Prostatic urethra
Femoral a. branching
Femoral a. --> Superficial femoral a. --> Adductor hiatus --> Popliteal a. --> Anterior/posterior tibial a. --> Fibular a.
Saphenous n. branches from
Femoral n.
Sciatic n. branching
Sciatic n. --> Tibial n. + Common fibular n. --> Superficial/deep fibular n.
Femoral triangle contents
N - Femoral n.
A - Femoral a.
V - Femoral v.
E - Empty space
L - Femoral lymphatics
Femoral sheath
Femoral a., v.
ACL/PCL prevent what type of movement? Of what?
Anterior/posterior movement of tibia
Unhappy triad
Tears of ACL, MCL, lateral meniscus
Osgood-Schlatter's
Irritation of patellar tendon at tibial tuberosity
Inversion sprain - what ligament injured?
Tripartite ligament:

ATF - Anterior taleofibular ligament
CF - Calcaneofibular ligament
PTF - Posterior taleofibular ligament
Eversion sprain - what ligaments injured?
Deltoid ligament with bony structure
Deep fibular n. - Sensory innervation?
Between first and second toes
Drop foot caused by ..
Common fibular n. injury