Thursday, August 2, 2012

Medical Memory Helpers - funny ...not for the faint of heart

http://www.valuemd.com/anatomy.php


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Anatomy Mnemonics
Anatomy Mnemonics
Bones of the Wrist
Some Lovers Try Positions That They Cannot Handle
Slowly Lower Tilly's Pants To The Curly Hairs

Scaphoid, Lunate, Triquetrum, Pisiform, Trapezium, Trapezoid, Capitate, Hamate
Brachial Plexus
Randy Travis Drinks Cold Beers Robert Taylor Drinks Cold Beer

Roots, Trunks, Divisions, Cords, Branches
Branches of the Brachial Plexus (In order from most lateral to most medial)
My Aunt Raped My Uncle

Musculocutaneous, Axillary, Radial, Median, Ulnar
Cranial Nerves
Oh Oh Oh To Touch And Feel Virgin Girls Vaginas And Hymens
You have 1 nose. You have 2 eyes. (The first "O" is Olfactory, second "O" is Optic)

To remember what cranial nerve is Motor, Sensory, or Both use this ( In order from CN I to CN XII):
Some Say Marry Money, But MBrother Says BiBras Matter Most
Extraocularmotor muscles
LR6 (SO4) LR6: Lateral rectus --> VI abductens
SO4: Superior Oblique --> IV Trochlear
All other extraocularmotor muscles are CN III
Branches of the Facial Nerve
Ten Zebras Bought My Car
Ten Zebras Bit My Cock
Two Zulus Buggered My Cat
To Zanzibar By Motor Car

Temporal, Zygomatic, Buccal, Masseteric, Cervical
Miscelaneous Anatomy Mnemonics

Innervation of phrenic nerve
c345 keeps the phrenic alive
c345 keep the diaphragm alive

Long thoracic nerve innervates serratus anterior
c5-6-7 raise your arms to heaven

Relationship of Thorasic duct to Esophagous and Azygous
The duck is between two gooses.
duck = thoracic duct 2 gooses = azyGOUS and esophaGOUS

Attachments of Pectoralis Major, Teres Major and Latissimus DrosiA lady between tow majors.
Pectoralis major attaches to lateral lip of bicipital groove, the teres major attaches to medial lip of bicipital groove, and the latissimus dorsi attaches to the floor of bicipital groove. The "lati" is between two "majors."

Innervation of the Penis 
Parasympathetic puts it up; sympathetic spurts it out.
Point Shoot Score
Parasympathetic, sympathetic, somatomotor

Lateral and Medial Pectoral Nerve
Lateral is less, medial is more.
Lateral pectoral nerves goes through pectoralis major while medial pn goes though both pectoral major and minor.

Layers of the epidermis
Granpa Shagging Grandma's Love Child.
Brent Spiner Gained Lieutenant Commander
Germinativum or Basale, Spinosum, Granulosum, Lucidum, Corneum

Things going through Orbital Fissure 
Seven French Tarts Sit Naked In Anticipation
Brachial plexus subunits"Randy Travis Drinks Cold Beer": Roots Trunks Divisions Cords Branches · Alternatively: "Real Texans Drink Coors Beer".

Tarsal bones

"TalCalifornian NavMedcial Interns LaCuties":
· In order (right foot, superior to inferior, medial to lateral): Talus Calcanous Navicular Medial cuneiformIntermediate cuneiform Lateral cuneifrom Cuboid
Atrioventricular valves"LAB RAT": Left Atrium: Bicuspid Right Atrium: Tricuspid
Tarsal tunnel: contents
"Tiny Dogs Are Not Hunters":
· From superior to inferior:
TTibialis posterior F: flexor Digitorum longus A: posterior tibial Artery N: tibial Nerve H: flexor Hallucis longus
Vagal nerve: path into thoraxVagus nerve, unlike phrenic, continues through diaphragm with esophagus--it is "Not Left Behind": · The left vagus is anterior, right is posterior [behind].
Inguinal canal: walls"MALT: 2M, 2A, 2L, 2T":
· Starting from superior, moving around in order to posterior: Superior wall (roof): 2 Muscles: · internal obliqueMuscle · transverse abdominus Muscle Anterior wall: 2 Aponeuroses:  · Aponeurosis of external oblique ·Aponeurosis of internal oblique Lower wall (floor): 2 Ligaments: · inguinal Ligament · lacunar Ligament Posterior wall: 2Ts: · Transversalis fascia · conjoint Tendon
Bronchopulmonary segments of right lung
"A PALM Seed Makes Another Little Palm":
· In order from superior to inferior: Apical Posterior Anterior Lateral Medial Superior Medial basal Anterior basal Lateral basal Posterior basal  
Tarsal bones
"Traverse City (is) Noted (for) MIchigan's Lovely Cherries": Talus Calcaneus (new row) Navicular (new row)Medial Intermediate cuneiforms Lateral cuneiform Cuboid
Aorta vs. vena cava: right vs. leftAorta and right each have 5 letters, so aorta is on the right.  Vena andcava and left each have 4 letters, so vena cava is on the left.
Hip: lateral rotators"Play Golf OGOQuaaludes": · From top to bottom: Piriformis Gemellus superiorObturator internus Gemellus inferior Obturator externus Quadratus femoris · Alternatively: "P-GO-GO-Q".
Facial bones"Virgil Can Not Make MPet Zebra Laugh!": Vomer Conchae Nasal Maxilla Mandible PalatineZygomatic Lacrimal
Scalp layers
SCALP: · From superficial to deep: Skin Connective tissue Aponeurosis Loose areolar tissue Pericranium
Thoracoacromial artery branches"CAlifornia Police Department": Clavicular Acromial Pectoral Deltoid
Ankle: anterior compartment of leg contents
"The Hamptons Are Never Dull Parties": · From medial malleolus: Tibialis anterior tendon (Extensor) Hallacus longus Artery (anterior tibial) Nerve (deep peroneal) (Extensor) Digitorum Peroneus tertius
Erector spinae muscles
"I Love Sex":
· From lateral to medial: Iliocostalis Longissimus Spinalis
· Alternatively:
"I Long for Spinach"
· "Sex" helps you think of "Erector", but "Long" and "Spinach" help you remember the muscles' names.
Leg: anterior muscles of leg"The Hospitals Are Not Dirty Places": TTibialis anterior H: extensor Hallucis longus A: anterior tibial Artery N: deep fibular Nerve D: extensor Digitorum longus PPeronius tertius [aka fibularis tertius]
Nasal cavity components
"Never Call MNeedle Nose!":
Nares [external] Conchae Meatuses Nares [internal] Nasopharynx · Note mnemonic sentence is nasally-related.
Rotator cuff muscles"The SITS muscles":
· Clockwise from top: Supraspinatus Infraspinatus Teres minor Subscapularis · A pro baseball pitcher has injured his rotator cuff muscles. As a result, he SITS out for the rest of the game, and then gets sent to theminor leagues.  
Radial nerve: muscles innervated
"Try A Big Chocolate Chip Sundae, Double Dip Cherries And Peanuts Preferably Included":
· In order of their innervation, proximal to distal:
Triceps Anconeus Brachioradialis ext. Carpi radialis longus ext. Carpi radialis brevis Supinator ext. Digitorum ext.Digiti minimi ext. Carpi ulnaris Abductor poll. longus ext. Poll. brevis ext. P poll. longus ext. Indicis · For the neighboring words that start with the same letter (eg: chocolate and chip), notice that the longer word in the mnemonic, corresponds to the longer of the two muscle names (ex: ext. carpi radialis longus and ext. carpi radialis brevis)
Deep tendon reflexes: root supply
· God designed body reflexes according to a nursery rhyme: One, two-- buckle my shoe. Three, four-- kick the door. Five, six-- pick up sticks. Seven, eight-- shut the gate. S1,2 = ankle jerk L3,4 = knee jerk C5,6 = biceps and brachioradialis C7,8 = triceps
Penis autonomic innervation actions
"Parasympathetic Puts it up. Sympathetic Spurts it out". Alternatively: "Point and Shoot": ParasympatheticPoints it, Sympathetic Shoots out the semen.
· Erection and Ejaculation (Emission).
Internal iliac artery: anterior branchesWhat Bill admitted to Hilary: "I Milked Our Insatiable Intern'sUdders Under the Desk": Inferior gluteal Middle rectal Obturator Inferior vesical artery Internal pudendal artery Umbilical U/D=Uterine artery (female)/ Deferential artery (male)
Muscles: potentially absent ones· Muscles which may be absent but may be important: 5 P's: Palmaris longus [upper limb] Plantaris [lower limb] Peroneus tertius [lower limb] Pyramidalis [anterior abdominal wall]Psoas minor [posterior abdominal wall]
Carpal bones"Stop Letting Those People Touch The Cadaver's Hand": · Proximal row, lateral-to-medial:Scaphoid Lunate Triquetrum Pisiform · Distal row, lateral-to-medial: Trapezium Trapezoid Capitate Hamate
Carpal bones"She Looks Too Pretty; Try TCatch Her": · Proximal row then distal row, both lateral-to-medial: Scaphoid Lunate Triquetrium Pisiform Trapezium Trapezoid Capate Hamate · Alternatively: "She LikesTPlay; Try TCatch Her".
Flexor digitorum muscles: how they insert onto fingers· A little rhyme: Superficialis Splits in two, ToPermit Profundus Passing through.  
Scrotum layers
"Some Damn Englishman Called IThe Testis":
· From superficial to deep: Skin Dartos External spermatic fascia Cremaster Internal spermatic fascia Tunica vaginalis Testis
Femoral triangle: contents NAVY:
· In order from lateral to medial: Nerve Artery Vein Y of the groin · Alternatively: Y = Y-fronts [male underwear].
Vagus nerve: path into thorax"I Left my Aunt in Vegas": Left Vagus nerve goes Anterior descending into the thorax.
Supine vs. prone body position Know SUPination is your hand while carrying a bowl of SOUP. Your face follows where your palm is facing [i.e. up]. Put a handpuppet on your hand while hand is in supination and the puppet will be the supine position. · See diagram.

Axillary artery branches

"Suzy Thompkins Loves Sex, Alcohol, and Pot": · From proximal to distal: Superior thoracic ThoracacromialLateral thoracic Subscapular Anterior circumflex humeral Posterior circumflex humeral
Horner's syndrome componentsSPAMSunken eyeballs/ Symphathetic plexus (cervical) affected PtosisAnhydrosis Miosis
Voicebox: names of parts in sagittal cross-section
"There's 3 V's in your Voicebox": Vestibular fold Ventricle Vocal fold · Note: Vestibular and Vocal cord also known as false and true cords respectively.  
Serratus anterior: innervation SALTSerratus Anterior = Long Thoracic.
Hip: lateral rotators "Piece Goods Often GOQuilts": Piriformis Gemellus superior Obturator internusGemellus inferior Obturator externus Quadratus femoris
Thigh: innervation by compartmentMAP OF Sciatic":
Medial compartment: Obturator Anterior compartment: Femoral Posterior compartment: Sciatic
· So all the thigh muscles in that compartment get innervated by that nerve.
Internal jugular vein: tributaries"Medical Schools Let Confident People In": · From inferior to superior:Middle thyroid Superior thyroid Lingual Common facial Pharyngeal Inferior petrosal sinus
Genu valgum vs. genu vargum Genu valGUM (knock-knee): knees are GUMmed together.
· Varum (bowleg) is the other by default, or Far rhymes with Var, so knees are far apart.
Erector spinae muscles"I Like Standing":
· From lateral to medial Illiocostalis Longissimus Spinalis
Cubital fossa contents "N-MAN":
· From lateral to medial: Nerve Muscle Artery Nerve · Specifics are radial Nerve, biceps Muscle tendon, brachial Artery, median Nerve.
External carotid artery branches"Suzy Always Lays Flat OPillows Making Sex Terrific": Superior thyroidAscending pharyngeal Lingual Facial Occipital Posterior auricular Maxillary Superificial Temporal  
Median nerve: recognizing it in an opened axillaThe Median nerve is the Middle of a giant capital "M" formed by the musculocutaneous and ulnar nerves.  
Trigeminal nerve: where branches exit skull"Standing Room Only": Superior orbital fissure is V1 foramenRotundum is V2 foramen Ovale is V3
Dermatome C7 locationC7 gives the finger to heaven (as in middle finger).
External carotid artery branches"Some Angry Lady Figured Out PMS": Superior thyroid Ascending pharyngeal Lingual Facial Occipital Posterior auricular Maxillary Superificial temporal
Brachioradialis: function, innervation, one relation, one attachment BrachioRadialis: Function: Its theBeer Raising muscle, flexes elbow, strongest when wrist is oriented like holding a beer. Innervation: BreaksRule: it’s a flexor muscle, But Radial. (Radial nerve usually is for extensors: Recall BEST rule: B was for brachioradialis). Important relation: Behind it is the Radial nerve in the cubital fossa. Attachment: Attaches toBottom of Radius.
Pleura surface markings"All the even ribs, in order: 2,4,6,8,10,12 show its route": Rib2: sharp angle inferiorly Rib4: the left pleura does a lateral shift to accommodate heart Rib6: both diverge laterally Rib8: midclavicular line Rib10: midaxillary line Rib12: the back · See diagram.  
Aortic arch: major branch order "Know your ABC'S":
Aortic arch gives rise to: Brachiocephalic trunk left Common Carotid left Subclavian · Beware though trick question of 'What is first branch of aorta?' Technically, it's the coronary arteries.
V3 innervated muscles (branchial arch 1 derivatives)
"M.D. My TV": Mastication [masseter, temporalis, pterygoids] Digastric [anterior belly] Mylohyoid tensorTympani tensor Veli palatini
Foramen ovale contents
MALEMandibular nerve Accessory meningeal artery Lesser petrosal nerve Emissary veins
Head & Neck
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
For the order of nerves that pass through the superior orbital fissure:
               "Lazy French Tarts Lie Naked in Anticipation."
                (Lacrimal, Frontal, Trochlear, Lateral, Nosociliary, Internal,
                Abducens)
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 makin loveg, Others Prefer S & M
Some Angry Lady Figured out PMS    
Innervation of Extraocularmotor Muscles: LR6 SO4 3
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
Subclavian artery
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)   
Cranial Bones
     Annoying, aren't they?
     The cranial bones are the PEST OF 6...
 
     Parietal, Ethmoid,Sphenoid,Temporal,Occipital,Frontal- 6 ? (6-the number of bones!)
     ( another one)  Old People From Texas Eat Spiders.
LOCATION OF THORACIC DUCT: The duck is between two gooses (duck = thoracic duct) 2 gooses = azyGOUS and esophaGOUS 
Cartilages of the Larynx - There are 4 cartilages in the larynx whose initial letters are TEAC (also the brandname of a home stereo).
  Thyroid, Epiglottis, Arytenoid, Cricoid
Abdomen-Pelvis
 
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!!!!
Brachioradialis
Extensors
Supinator
Triceps
Course of Ureters
Water runs under the bridge (uterine a. and ductus deferens)
Carotid Sheath-- VAN
Internal Jugular Vein
Common carotid Artery
Vagus Nerve
Dermatomes
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) 
Pelvic Diaphragm
PICOLO(A) -Posterior to anterior
PIriformis
COccygeus
Levator Ani
Pelvic Splanchic-Parasympathetic
Sacral Splanchic-Sympathetic
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 Child. 
Limbic System- the 5 F’s- Feeding, Fighting, Feeling, Flight and makin loveg
The 5 sphincters found in the Alimentary Canal are APE OIL:
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.
TIRE- four abdominal muscles -- transversus, internal oblique, rectus abdominus, and external oblique
GFR -Layers of the adrenal:-- Glomerular, Fascicular, Reticular





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