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 And German Viewed Some Hops (older and cleaner)
Oh Oh Oh To Touch And Feel A Girls Vagina And Hymen (newer and, well ...)
Which cranial nerve is Sensory, Motor, or Both- Some Say Marry Money, But My Brother Says Big Breasts Matter More
BRANCHES OF FACIAL NERVE: Temporal, Zygomatic, Buccal, Mandibular, Cervical
Ten Zebras Beat My Cock
Two Zulus buggered my cat –(for the sicker, amongst you!)
You have I nose. You have II eyes. (I - Olfactory; II -- Optic)
Standing Room Only -Exit of branches of trigeminal nerve from the skull S
V1 -Superior orbital fissure,
V2 -foramen Rotundum, V3 -foramen Ovale
"Lazy French Tarts Lie Naked in Anticipation."
(Lacrimal, Frontal, Trochlear, Lateral, Nosociliary, Internal,
2 Muscle of mastication-
Lateral Lowers- lateral pterygoid is the one that opens the jaw
4 Muscles of Mastication MTPP( which could be read as "Empty Peepee") -masseter, temporal, lateral and medial pterygoids --
Arteries as they come off the external carotid:
Superior thyroid, Ascending pharyngeal, Lingual, Facial, Occipital, Post Auricular, Superficial temporal, Maxillary
Some Anatomists Like Fucking, Others Prefer S & M
Some Angry Lady Figured out PMS
LR6--Lateral rectus--> VI abductens
SO4--Superior Oblique--> IV Trochlear
3--The remaining 4 eyeball movers
= III Oculomotor
ABC'S of the aortic arch!
Aortic arch gives off the Bracheiocephalic trunk,
the left Common Carotid, and the left
BRACHIAL PLEXUS: Roots, Trunks, Divisions, Cords, Branches
Robert Taylor Drinks Cold Beer.
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)
( another one) Old People From Texas Eat Spiders.
INNERVATION OF PENIS:
Parasympathetic puts it up; sympathetic spurts it out
Point , Shoot, Score! (erection, emmision ,ejaculation) Parasympathetic, Sympathetic , Somatomotor
"S2, 3, 4 keep the penis off the floor" Innervation of the penis by branches of the pudental nerve, derived from spinal cord levels S2-4
Structures perforating the esophagus
"At T8 you see, perforates the IVC" (inferior Vena Cava)
the "EsoVagus" pierce T10 (esophagus, vagus nerve)
T12 - red, white and blue (aorta,thoracic duct,azygous vein)
Femoral Sheath (lateral to medial) order of things in thigh -NAVEL
Nerve, Artery, Vein, Empty, Space, Lymphatics
Radial n. innervates the BEST!!!!
Course of Ureters
Water runs under the bridge (uterine a. and ductus deferens)
Carotid Sheath-- VAN
Internal Jugular Vein
Common carotid Artery
C3 is a high turtleneck shirt
T4 is at the nipple
L1 is at the inguinal ligament (or L1 is IL -Inguinal ligament)
Randy Travis Drinks Cold Beer--Brachial plexus
Robert Taylor Drinks Cold Beer
Roots, Trunks, Divisions, Cords, Branches
Bones of the wrist -Scaphoid,
Lunate, Triquetrum, Pisiform, Trapezium,
Trapezoid, Capitate, Hamate
1. Slowly Lower Tilly's Pants To The Curly Hairs
2. Swifty Lower Tilly's Pants to try coitus here. (the risque version)
3.Scared Lovers Try Positions
That They Can't Handle. (Classic version)
PICOLO(A) -Posterior to anterior
Armies travel over bridges, the Navy travels under.
(Bridge is the ligament...reference to suprascapular artery and nerve.)
Pad, dab. Dorsal ABduct...Palmar ADduct...interosseous muscles of hand/foot.
Layers of the epidermis-Germinativum or Basale, Spinosum, Granulosum, Lucidum, Corneum
Grandpa Shagging Grandma's Love
Limbic System- the 5 F’s- Feeding, Fighting, Feeling, Flight and Fucking
Anal, Pyloric, Lower Esophogeal, Oddi, and Ileocecum.
Sally Thompson Loves Sex And Pot pie. The branches of the Axillary Artery are: Superior Thoracic, Thoracoacromial, Lateral Thoracic, Subscapular, Anterior Circumflex Humeral, Posterior Circumflex Humeral, and Profunda Brachii.
In the Phasted State Phosphorylate
Phosphorylation cascade active when blood glucose low.
Exons expressed, Introns in the trash--DNA expression into mature mRNA
Pyrimidines are CUT from purines.
Pyrimidines are Cytosine, Uracil, Thiamine and are one ring structures.
Purines are double ring structures.
"These Ten Valuable Amino Acids Have Long Preserved Life In
(Threonine, Tryptophan, Valine, Arginine, Histidine, Lysine,
Phenylalanine, Leucine, Isoleucine, Methionine)
INsulin gets sugar INto cells-
(Excess sugar is removed via urine.The Romans noticed bees attracted
to the urine of diabetics and coined the term "diabetes" to describe the
overflow of sugar.)
(shhhh.... also Melatonin!)
Morphine excites men, but sedates cats.
One heart two lungs--beta receptor activity
Beta-1 primarily on heart; airway is beta-2 receptors
Meckel’s diverticulum- rule of 2’s
2 inches long,
2 feet from the ileocecal valve,
2% of the population
commonlly presents in the first 2 years of life
may contain 2 types of epithelial tissue
Pheochromocytoma-rule of 10s:
* discussed 10 times more often than actually seen
"BROKen aphasia" (Broca’s aphasia-broken speech)
"Wordys aphasia" (Wernicke’s aphasia- wordy, but making no sense)
GET SMASH'D--Causes of Acute pancreatitis
Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune(PAN), Scorpion bites, Hyperlipidemia, Drugs(azathioprine, diuretics)
(Multiple endocrine neoplasia) Each of the MENs is a
disease of three or two letters plus a feature.
"MEN I" is a disease of the 3 Ps (pituitary, parathyroid and pancreas)
plus adrenal cortex.
"MEN II " is a disease of the two Cs (carcinoma of the thyroid and
catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or
mucocutaneous neuromas 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.
Argyll-Robertson Pupil--syphilitic pupil (AKA "Prostitute's pupil" - Accommodates, but doesn't react )
Accommodation reflex present, Pupillary reflex absent
CAGE--alcohol use screening
1. Have you ever felt it necessary to CUT DOWN on your drinking?
2. Has anyone ever told you they were ANNOYED by your drinking?
3. Have you ever felt GUILTY about your drinking?
4. 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.)
The five W's--post-operative fever
Water--urinary tract infection
Walking--walking can help reduce deep vein thromboses and pulmonary embolus
ACID or "Anna Cycled Immediately Downhill"
classification of hypersensitivity reactions
Type I - Anaphylaxis
Type II - Cytotoxic-mediated
Type III - Immune-complex
Type IV - Delayed hypersensitivity
"Never Let Momma Eat Beans(60, 30, 6, 3, 1)
A - appearance (color)
P - pulse (heart rate)
G - grimmace (reflex, irritability)
A - activity (muscle tone)
R - respiratory effort
Predisposing Conditions for Pulmonary Embolism: TOM SCHREPFER
E--estrogen, pregnancy, post-partum
The 4 P's of arterial Occlusion:
pain pallor pulselessness paresthesias
The 4 T's of Anterior Mediastinal
Mass:Thyroid tumor,Thymoma,Teratoma, Terrible Lymphoma
Comments? Errors? Omissions? Additions! email me- David Goldenberg M.D.