.Anatomy BRACHIAL PLEXUS: Roots, Trunks, Divisions, Cords, Branches Randy Travis Drinks Cold Beers.

s. Robert Taylor Drinks Cold Beer. CRANIAL NERVES: I-optic, II-olfactory, IIIoculomotor, IV-trochlear, V-trigeminal, VI-abducens, VII-facial, VIII-acoustic (vestibulocochlear), IXglossophrayngeal, X-vagus, XI-spinal accessory, XIIhypoglossal On Old Olympus Towering Tops, A Finn And German 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 Big Bras 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 = thoracic duct)

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 the pudental nerve, derived from spinal cord levels S2-4 "Lateral is less, medial is more." Lateral pectoral nerves goes through pectoralis major while medial p.n. goes though both pec major and minor AORTIC BRANCHES: ABC'S Aortic arch gives off the Bracheiocephalic trunk, the left Common Carotid, and the left Subclavian 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

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), Scorpion bites, 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 a disease 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 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. CAGE--alcohol use screening

Have you ever felt it necessary to CUT DOWN on your drinking? Has anyone ever told you they were ANNOYED by 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 absent due 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

 Predisposing Conditions for Pulmonary Embolism: TOM SCHREPFER T--trauma O--obesity M--malignancy S--surgery C--cardiac disease H--hospitalization R--rest (bed-bound) E--estrogen, pregnancy, post-partum P--past hx F--fracture E--elderly R--road trip ARTERIAL OCCLUSION: pain pallor pulselessness paresthesias poikilothermia HYPERSENSITIVITY REACTIONS: "Anna Cycled Immediately Downhill--Gell & Goombs" or "ACID." Type I Anaphylaxis Type II Cytotoxic-mediated Type III Immune-complex Type IV Delayed hypersensitivity WBC Count: "Never Let Mom Eat Beans" and "60, 30, 6, 3, 1" Neutrophils 60% Lymphocytes 30% Monocytes 6% Eosinophils 3% Basophils 1: