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97 Cards in this Set
- Front
- Back
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Down's syndrome - Instability in what joint?
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Atlanto-axial joint (C1-C2)
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Spondylolysis
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Unilateral fracture
Loosening of attachment of contiguous vertebrae |
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Spndylolisthesis
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Bilateral fracture
Body of superior vertebrae slides forward |
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Last fascial layer crossed for lumbar puncture?
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Ligamentum flavum
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Layers needle passes through for lumbar puncture?
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skin, fascia, interspinous ligament, ligamentum flavum, fatty tissue, internal vertebral venous plexus, dura mater, arachnoid mater
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Epidural hemorrhage
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Fracture of pterion
Middle meningeal a. Convex |
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Subdural hemorrhage
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Venous bloeed
Concave Elderly, alcoholics |
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Subarachnoid hemorrhage
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Burst aneurysm/AVM
Worst headache of life |
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External carotid branches
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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. |
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Horner's syndrome symptoms
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S - Sympathetic impairment
P - Ptosis A - Anhydrosis M - Miosis (constriction of pupil) |
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Only m. to open jaw
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Lateral pterygoid
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Only joint in pectoral girdle with bony attachment
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Sternoclavicular jt.
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Most common dislocation of shoulder?
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Anteriorly
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Nursemaid's elbow
1) Dislocation of 2) Due to |
1) Radial head
2) Annular ligament |
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Carpal bones
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So - Scaphoid
Long - Lunate To - Triquetrum Pinky - Pisiform Here - Hamate Comes - Capitate The - Trapezoid Thumb - Trapezium |
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Snuffbox fracture - what bone?
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Scaphoid b.
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What carpal bone associates with thumb?
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Trapezium
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Fracture to hook of hamate affects what nerve?
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Ulnar n.
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Erb-Duchenne's Palsy / Waiter's Tip - due to?
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Upper/superior trunk C5-C6
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Klumpke's palsy/complete claw hand - due to?
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Lower/inferior trunk C8-T1
Ulnar, median nn. |
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Falling from tree, reach out to prevent fall, damage what nerves?
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Lower/inferior trunk C8-T1
Ulnar, median nn. |
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Flexed elbow and drop wrist
1) Usually compression where? 2) What nerve? |
1) Axilla
2) Radial n. |
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Radial n. innervation
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Posterior arm, forearm, elbow
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Median n. innervation
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Anterior forearm, lateral hand
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Median n. innervation - hand
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1/2 LOAF
1,2 lumbricals opponens pollicis abductor pollis brevis flexor pollicis brevis |
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Hand of benediction
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Median n.
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Carpal tunnel syndrome
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Median n.
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Ulnar n. innervation
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Anterior forearm, medial hand
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Ulnar n. innervation - hand
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3/4 LOAF + PAD (of butter)
3,4 lumbricals opponens digiti minimii abductor digiti minimii flexor digiti minimii dorsal interossei (adduct) palmar interossei (abduct) |
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DR CUMA
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Drop wrist - Radial n.
Claw hand - Ulnar n. Apostolic sign - Median n. |
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Musculocutaneous n. innervation
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Anterior arm, biceps brachii, coracobrachialis, brachioradialis
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Axillary n. innervation
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Deltoid m.
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Difficulty abducting initially, kick arm out
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Suprascapular n.
Supraspinatus |
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Winged scapula
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Long thoracic n.
Serratus anterior |
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Fracture of surgical neck of humerus
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Axillary n.
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Fracture of distal/middle 1/3 of humerus
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Radial n.
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Fracture of medial epicondyle
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Ulnar n.
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Deep palmar arch
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Radial a.
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Superficial palmar arch
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Ulnar a.
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Nipple dermatome
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T4
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Umbilicus dermatome
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T10
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Aortic valve auscultation
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2nd intercostal space
Right upper sternal border |
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Pulmonary valve auscultation
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2nd intercostal space
Left upper sternal border |
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Tricuspid valve auscultation
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5th intercostal space
Left lower sternal border |
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Mitral valve auscultaiton
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5th intercostal space
Midclavicular line |
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Right coronary a. br.
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Posterior descending a.
Right marginal a. |
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Left coronary a. br.
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Left circumflex a.
Left anterior descending a. |
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Aspirated object most likely goes into?
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Right lower lobe
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Diaphragm innervation
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Phrenic n
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Direct hernias
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Enter Hasselbach's triangle
Medial to inferior epigastric |
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Indirect hernias
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Through inguinal canal into scrotum
Lateral to inferior epigastric |
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Foramen of Winslow connects
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Greater and lesser sac
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Duodenal blood supply
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First half - gastroduodenal
Second half - SMA |
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Ligament of Treitz
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Connects r crux of diaphragam to duodenal-jujenual junction
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McBurney's point
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Right lower quadrant, Rovsing's sign, appendix
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Midgut autonomic inn
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Parasym - Vagus
SNS - Lesser, least splanchnic nn. |
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Hindgut autonomic nn.
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Parasym: S2-S4 sacral outflow
Sym: Lumbar splanchnics |
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Portal triad
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Hepatic a., portal v., common bile duct
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Porta hepatis
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Portal triad + lymph and ANS
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Ducts of intestine
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Cystic duct + hepatic duct --? Common bile duct + main pancreatic duct --> ampulla of Vater/sphincter of Oddi
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Venous drainage of kidney
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L. renal v. longer than r. renal v.
L. testicular/ovarian a. drains tin l. renal v. |
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Blood supply to adrenal gland
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Superior adrenal a. - Inferior phrenic a.
Middle adrenal a. - Aorta Inferior adrenal a. - Renal a. |
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Venous drainage of kidney
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L. renal v. longer than r. renal v.
L. testicular/ovarian a. drains tin l. renal v. |
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Retroperitoneal organs
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Rocker - retroperitoneal
Kids - Kidneys (Ureters/Adrenal glands) Party - Pancreas Down w/ - Duodenum AC - Ascending colon DC - Descending colon Records - Rectum |
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Blood supply to adrenal gland
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Superior adrenal a. - Inferior phrenic a.
Middle adrenal a. - Aorta Inferior adrenal a. - Renal a. |
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Hemorrhoids above pectinate line
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Internal, bleed, painless
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Retroperitoneal organs
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Rocker - retroperitoneal
Kids - Kidneys (Ureters/Adrenal glands) Party - Pancreas Down w/ - Duodenum AC - Ascending colon DC - Descending colon Records - Rectum |
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Hemorrhoids below pectinate line
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External, painful
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Inferior phrenic a. branches from/supplies
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Aorta/Superior adrenal a.
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Hemorrhoids above pectinate line
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Internal, bleed, painless
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L. gastric a. branches from/supplies
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Splenic a./Lesser curvature of stomach
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Hemorrhoids below pectinate line
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External, painful
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Short gastric aa. branch from/supply
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Splenic a./Fundus of stomach
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Inferior phrenic a. branches from/supplies
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Aorta/Superior adrenal a.
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L. gastroepiploic branches from/supplies
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Splenic a/greater curvature of stomach
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L. gastric a. branches from/supplies
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Splenic a./Lesser curvature of stomach
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Short gastric aa. branch from/supply
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Splenic a./Fundus of stomach
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R. gastroepiploic branches from/supplies
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Gastroduodenal a./greater curvature of stomach
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L. gastroepiploic branches from/supplies
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Splenic a/greater curvature of stomach
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R. gastroepiploic branches from/supplies
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Gastroduodenal a./greater curvature of stomach
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R. gastric a. branches from/supplies
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Proper hepatic a./lesser curvature of stomach
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Esophageal porto-caval anastomosis + complications
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Left gastric - Azygos v.
Esophageal varices |
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Paraumbilical porto-caval anastomosis + complications
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Paraumbilical - Small epigastric vv.
Caput medusae |
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Rectal porto-caval anastomosis + complications
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Inferior, middle rectal into IVC - Superior rectal into IVC
Hemorrhoids |
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Most common site of urethral obstruction in men
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Prostatic urethra
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Femoral a. branching
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Femoral a. --> Superficial femoral a. --> Adductor hiatus --> Popliteal a. --> Anterior/posterior tibial a. --> Fibular a.
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Saphenous n. branches from
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Femoral n.
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Sciatic n. branching
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Sciatic n. --> Tibial n. + Common fibular n. --> Superficial/deep fibular n.
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Femoral triangle contents
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N - Femoral n.
A - Femoral a. V - Femoral v. E - Empty space L - Femoral lymphatics |
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Femoral sheath
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Femoral a., v.
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ACL/PCL prevent what type of movement? Of what?
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Anterior/posterior movement of tibia
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Unhappy triad
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Tears of ACL, MCL, lateral meniscus
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Osgood-Schlatter's
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Irritation of patellar tendon at tibial tuberosity
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Inversion sprain - what ligament injured?
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Tripartite ligament:
ATF - Anterior taleofibular ligament CF - Calcaneofibular ligament PTF - Posterior taleofibular ligament |
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Eversion sprain - what ligaments injured?
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Deltoid ligament with bony structure
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Deep fibular n. - Sensory innervation?
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Between first and second toes
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Drop foot caused by ..
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Common fibular n. injury
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