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By Ganeshay 614 : De Kung Pall -  ~ (No Muscles - "srd function of lateral...

By Ganeshay 614 : De Kung Pall -  ~ (No Muscles - "srd function of lateral E medial 2/3rd 2nd Best-junc of exteral 15th E Medial medial 3/5th lateral Acronie - - i ↳ (Sternoclavicular It) clavicular It.  A Acromion- · superior Angle->Tz process coracoid process spine of scapula -> ↳ T3 (M) glenoid() - cavely A (spinous (forms shoulderst · Er Tranverse-> process L -> spinius process vertebral canal AA (P) - - head GreaterWerder -> I - Interenber to mucal Mechst comment L M * I success groove location for Shaft fracture -Ispiral/Radial casian media groove I ) A Acillary neme#S side I que groove a exterio, lateral !d - Floor ! ↳ Epicondys S! Medial Epicondyle wnar... - nerve - · f d Mochlea capeulum ↳for Radius (for una  Acillary nerve Posterial circumfle Mural vessels I , (AGV] Aullarynerary neve A Radial nelue , Profunda Brachi vessels Radial nelve - newe war ↑ pectorates hejol(lateral lip, X seeswiya Medial e e Rotation cuff - lesser tubes ? Supraspinatus Muscles ↓ Infraspinatus -- Here Mino attached -- to greater tubercle subscapularis ~ ~ -> Olecranon * process head - week-- Radial - tubero sely *... Una doesn't contribute to Wrist It wristicular disc - L ↳ T cartilage T + C H · 3 vetacarpals ---- B I L C 234 5 M --MCP · > => PIP Proximate Middle- - Distal- DIP Capitate - Pesiform capitate pisifolne E * - Mediah nerve compression was Mack like projec sesamoid Bone Articulates I Triquetral inside - (Bone - Muscle) - - Most under go dislocation # common carpal bone to ↳ Lunate  Any long one ⑮ -I EA Il E ↓BISE I Metacarpal R T - dursary - BcP orery - ↓ Pectoralis - Minor A  - - L Dorsal Rani all-ventual [ Ranni DSLE - poot - - - Root value (5 supplies Rhomboid majors miner levatol scapulal , AX 25 26 C7 a K a.. Nerve of Bell Serratur Anteriol ↳I Trunk (upper) : 25 C6 25(6 supraspinatus Infraspinatus 156 Subdavius m. = (ML => - - 25 6 (7 2526(7 Pectonalis vajor *~ 25C6(7 BBC Biceps Brachialis brachi - , Colacobrachialis (526(7 (851 M 4 = - cyc8t 28T1 pectoralis najor vinor 28+ 2 ,skin) 28 +1 sensory nerves 28 T1 A 2728T1 - / Cutaneous New-semary esten te # e I * SAR 25CG subscapularis + jees najier 25C6 subscaplars  25 - C6 C1 18 1. Roots-DSLR ↳ 25 26 (7 Latissimus Horse S ②. Trunk -> SST --C56 3. Lateral cerd -> (ML->2526 (7 * ↳ 25C6. Medial cord ->MnU--1852 Dettoid+ T miner 5 ↳ 28 T1 Posterial cord. & (6(7(8 A ↳ S T ↳ AR set W All C5(627(8 +1 · - Medean N-All * Radial N-All Upper Trunk Unar N-C7C8T1 (526 undue separation of heads shoulder I ↓ position of in A liml is -> A DDUCTION I & Ellow EXTENSION MEDIAL ROTATION & Hand PRONATION Acillary , Musculocutaneous , suprascapular A Lower Trunk DIP - PIP 28T1 - ~ Mc Hyper abduction of Arm caw Hand Intrinsic Muscles of Hands Lumbricate ~ ~ * ~niosis (constriction of pupil - Plosis (drooping of upper Eyelid) (o Annydrosis - of sweating on face) I ~ Enopthalmos ↳sunken Eyeball) - & Loss of Ariospinal Reflex ↳ (dilation of Pupil ·same on neck side pinching UPPER TRUNK * I neve earish Are -ites , Fir d * A ~ ~ ~ Clavide , Sternum ? Rile Bicipital groove (numerus) Elecion E Medial & Adduction Av , Rotation shoulder It. e Riles (upper 8) scapula E thoracic & Long nerve & ~ ~ Boxer's Muscle Pushing G punching Movem ent * PROTRACTION ~ ~ - : of scapula clateral A view) A A Long thoracic nerve * Paralysis of Serratus Anterior -> L loss of protraction of scapula Medial Border E Inferior Angle A ~ of scapula is prominent ~ occurs I scapulothoracie It Rhomboid Major Serrates Anterior E M Trapezius -> -> R Mind. (Middle files) clavice E scapula Numerus (Dettoid tuberosity) Quillary nerve v Abduction I shoulder It. - A (15"-900)  C D S D * A supraspinatus Dettoid serratus Anterior Trapezius Cephalic vein * vinor Dectoid Paralysis of Teres  Abduction & Shoulder It (15 :- 90' less of loss of pounded contour shoulde of Regimental Badge sensory loss-alt involvement · of upper lateral cutaneous nerve of Arm (Branch of Acillary nerve ( " 3 Retrac ID Auscultation -> Elevation X of ↳ less no of files * Spinal Nerve (CN11) Accessory RV, LV -> (W limbus of Fossa avalis Fo - -om 0 - - - (projections from wall) A v ~ / ↓ - Anterior left Right Aortic PAS posterior (Also called No sinues Aortic sines de coronary since ↓ Origin of Right Left (A Coronary A  Arch OA -S /A RCAn -> arcumfe ↑ ru ( Latrn N / I ~ - Descending... Aorta Aortic Sines Posterio Interventricular Artery * = Interventricular A Keft DescendingA Anterior Anterior -. * Left circumfle A * - ~ - - - V -  - - - - n - - - arone ne · A. Aortic Area-2ICS left Nerve B Pulmonic Area-Rt CICS supply.. - - - - sympathetic- Is to 5 spinal nerves C. Tricuspid drea-LTHICS D Mitral. Area-Lt 5ICS Parasympathetic evagus Angina - - -> Pain is referred to Dermatomes of Is to T5 G to IntercostoBrachial Nerve (Branch to T2)  Cdt collapse) air O muscle , contractive E T * IC shaped tracheal ~ ring) A - · for Each lung Carina (10 (for Each love) -a Machio Bronchial (For Each Angle Bronchopulmonary segment  - - Right left pee up ene sauer" upper lawer(3) I silum - ⑨ A - · 3 B Itupper in love of It lung  Brochu divide before Epatterial & weumitraterial - ⑦want e - an arch A Asygos vien * Aortic Arch  > - E - Note - Surgely ↳ 3 constrious 15 25 9, , 40cm a arch of - Aorta Es left Bronchus * Endoscopy- dinicalas pect 15 6 23 9 28 11 48 15 A  Behind Median Btw" RtE left crus or Arcuate S ligament Aorta A Horacic duct Azygous vein Anterial v - 0 · - 0 - O A I ur ↑ left crus Rtcrus Posterior * Left Internal jugular vein E, Left Subclavian vein and Best'-left Brachio & Cephalie vin - Azygos Descending Aorta - envoic - duct ↳ cisterner chyli (in Abdomen) internal Left Jugular ↓ Thoracic duct 11 m - S - In W/a / -Left ~ subclavian I X 3I L / Left Brachiocephalic vein - right or Right BVE, Left BV IJVE Su  & ↳ - ISts Right BV st-4th 1- Left BV < , Right Posterior I Intercostal V. 2nd to Azygous -emiazyg essary5th th e t - Hemiazygous 9th ,2th -  - - e ~ W W - ~ w ~ - divides Ant 4 Posterior RtE, t part- ->  18-24 months (last to close) 2-3 months Rt (Bregmal Antero coronal suture rental Anterior ⑧ lateral prias-sagutal ⑧ fontanale fontained ↑ Isphenad) posterior lambelo-- occipital Rt E , It ⑳ · fontanalles Posterolateral (lambda) (nastoid)  Middle Meningral Artery Lateral surcus (Anterior Branch) of cerebral venisphere * F E A- Pettion S T · T P - Foramen P Asterion ⑧ Magnum - superior view) part of Ethmoid bone , CNI CN# (Optic nerves opthalmic artery CN3 4369 VI(opthalmic , w. ) - - Maxillary n. ~ MALE - Mandibular n. Accessory veningeal a. lesser petrossal n. Emiss vein ary  Middle meningeal I ~ ~ a CN7589 vessels labrynthine ~ CN9 Internal vein E , 10 , 11 , jugular CW12 Hypoglossal nerve Inferior Petrossal sinces lower part of Medulla ? meninges vertebral Spinal (Anteriors posterior a r te r i e s a., - ↑ - of 0 - - -.. - a To potur dum spinosum lacrimal gland eye ~ sac ea opens in Nasal cavity lacrimalgland Roof - - Pyramidal shape - Redise tachen Frontal bone + sphenoid A ⑱ Pa By Ma Bi , , Palatine Sygomatic Nailla-main , USMLE - , - contribution ⑪ - S 8 E L ⑭ sphenoid FORAMEN vertebral passes : artery Fr of CI to Co three (FT) -> ⑧ -> (it has most prominent spinous processes) · for pulsation/Palpation of Common carotid a) - * ~ - junctions of (39Cn (corresponds to upper [1 Border of Thyroid cartilage) * C6- corresponds to border of cricoid -- DENS/ lower odontoid ↳cartilage. process Ends & this level pharyna Carync ↳ Esophagus E Trachea Begin & this level 2  Frontal nacia Ethmoid vastoid Antrum ? Mastoid Air Cells sphenoid - nastoid process part of temporal bone) or subaponeurotic layer * - - Dangerous Layer of scarp (dIt presence of. Emissary veins. fibrous layer occipito frontalis muscle IIII --Aponeurosis / // / Frontalis -> - occipitalis -  - except Angle Quandible ↳ er Kell over - S ⑰ ~ ↳ By greater - except Mastication > nandibular a nuscle of By - newl LPS(Levator palpatra superioris-By occulomotor n I I By Mandibular nerve - - -> INFECTION (A) (Initial part of facial vein ? ~ Angular vein it i ~ Facial vein facial - Drains ↓ in - ↓ Dep racial vein superior main Route I ↓ opthalmic Pterygoid Venous Percus - ~ ↓ Emissary ↓ vein - L CAVERNOUS SINUS  Yo Cavernous ⑧ senes↑ ⑱ ⑧.. Emissaly · - d ven 9 A ~ To ~ Trochlear 3 occulomotor opthalmic CS CS * X S S not /I -> Alducent n. incuded Internal a carotid how · en lateral wall * - - - (passes thru' carotid canal) Is * ⑲ --- - -> ECA =A X* - CCA  SULFOPAMS A superior Ist branch of ECA Thyroid a - lingual facial occipital post Auricular a. Ascending smallest branch of ECA pharyngeal a * Navialy ~ ~ Terminal -> Branches superficial temporal- * Facial Artely-I) Superior Labial Artery * Consillac Artery /for Palatine tonsil) Malary Altery Middlemeningeal astery 12 Sphenopalatine a E , Greater Palatine a. ~ (Or Adenoids  ~ ~ ~ - (Potion of Deep cervical - ~ INS GO SID Post Nasal preauricular auricular cavity 4 LN hard - 3 - occipital Add - L Palate ↓ L · IN a ty ⑧ 1 Deperical I -> - ↓ ranger submental submandibular LN LN LA (main) 3 Cilliaris Sphicker Pupilial - ~ a parotid gland ~ 7/greater petross all ~ lacrimal gland 7(Chorda tympani) Submandibular gland COPS sublingual gland 3977  FREY * X facial neve- Retromandibular vein Est caroted a A hear upper and volar tooth 0 *= ⑭ - - Injury of Auricul temporal n. (Blanch of Mandibular n -  -A Lateral I Main L pterygoid Massetter Temporalis E medial Pterygoid Temporalis Both pterygoid (protrussion) Sternocide mastoid Trapezius davide vidline Imaginary of neck SCM naudible Lower b o rd e r ) Imaginang , I X  - (lateral side of Neck) - -> - - S : 56 => C5-T Isthmen > C7 x4 A Thyroidea IMA Artery - ~ ↑ ↳ Arises from Alch of Aorta or Brachio cephalic a.  Inf Thyroid a speichen upper - OAPOL -> Posterior aspect * Cilliaris sphincter pupillar also supplied occulomotor by - upper Eyelid Ecorsion Intorsion occulomotol n. accept IR6SOn Addre Abduc Elevation SIN RAD superiors Recti Adduct. Intort -~ - -  ~ ~ - - - /Injury - All Muscle paralysed Except LR > SOn - - -sulcus Posterior most part /Base - Posterior"sI ↳ terminalis PAPILLA W - " ↑ ⑧ · -↑ -> -Ts circumvallate Papillar Filliform I (3) to located anterior Anterior numerous most - Sliminalis 213 ⑦ three out - < Foliate Rudimentary - 12: in humans Fungiform - located I tip E sides of tongue IT gross - -> genio - (CN1O+(N11) /pharyngeal cranial comploc part of Accessory n 7. * lingual n. Chorda Sympani Gossopharyngeal vague n. (Int Caryngeal n ) ⑤ ·. safety of Jonque muscle Action-profession of sonque A ** = E Nasopharyn  ~ u * * Note RIN vagus- -> SIN-Gt laryngeal n. -> Int earyngeal n. * X * * I SER 4 ST intent + Arise. ~ ~ - Greater Petrossal In ↳ Ist Branch O-renicalate 4 of Facial nerve G- of geniculate ganglia M. present a sever Ear Nerve to stapedues A - - Chorda T. Fotofid Xuesion Ax.. Grebrum rac e - i FIBERS nerve nucleus - WMN A LMN contralateral lower 2 of face paralysed forehead Muscle spared (Not Paralysed * (Bell's Palsy' - xresion T - psilateral half of face Paralysed L Including forehead) W - ~ ~ Normal Bell's paly e ~ - - X "  sphenoid - Frontal tursica- -sella opening ↑ - Sinus sens R ET Hard palate ⑧ - soft palate - - ⑧ C2 -M X - Jonque (yenioglossus) ⑧ * Epiglottis A Mandible aoid karyns -> lock I aw ~ - ~ 10 * * X - - * * =  X I E - located a ponto medullary sunc - = A - ~ u - linqualn-Related to 3rd molar tooth ~ ~ ~ - ~ - w W W W  see maiearian set i anime e Lumbar Puncture Epidural- Epidural procedures Fillem Terminate - (Extension of Piamater) lattached to coccyc  MFORNEx-- centralsulcus I ⑱ - > pineal gland · - sinm- -I Mamillary - 4th. - synian Body * - I ventricle -- or caleral - * suces Btw" Fronto parietal -> Temporal lobe. 2 I leptomeninges Fornit ⑲MB - -> Pineal Body mamillar ↳"Cere B Pete M Bellum S * spinal cord ends at-LI (lower Border) Adults - A ↳ Cuppel Border) - New Born /Infants.  Duramatter I Arachnoid Ends @S2 subdural space Ilower Border) * ~ subarachnoid space longitudinalfissure ↓Median Body R ↑ splenium L gener -> Anterior - Posteri => corus callosum - - ↳ Rostrum - - - -- - foreps Minor R L Tapatum- - P forps vajor ↑ Cerebral cotter) Grey natter corner I white oft I as - - InternW - - - Association  * tracts - > Mover area entralsuccessory area are Sensor speech Werniche's ↳- central sulcus Broca's -I- Paracentual ms notel speech [ - - -> visual lobule alla ↓ Auditory arce alla * * q - MCA ACA = = -lateral -> Medial surface surface PLA - -perior I surface A A ⑧ giv wate j7⑰ L insula -ar * L C C -. Straight ventrick X - - * lasele. -> YICA L * S * sinces ↳ grd * lateral ventricle P Sup sagittal succes A - venous ** - W senus e - I vision) - Hearing) ~ ~ ~  userum Internal ⑦ E capsule ESL ↳ M Ext C.. A (deep to it is Pyramidal tract) gam · I But C Il "Inf Olivary nucleus ·  superior colicies underain - Inf I facial collicles (& ponss 00 ↓ deep to it III Facial N. (2) Abducent nucleus (grey matter) new Vermis cerbullar cortex - & R L " posteria - 3- L Froculonodular love - - ↑X -> characterestic cell X PEFG Dentate - auer - most  Emboliform Fastigial (inner most Gobose X X choroid plecus of lateral ventricle Inter -ventricular foramen- 3rdv- cerebral aqueduct of Mone of symius subarachnoid Foramen of nagendis X - 4th space E F of leschla Absorption of ISF- By Arachnoid granulations/visei · superior sagittal venous Sinus ③ Fr i S -> ↳ Bulging * - * X (ASA) (PSA) - - - * ICA B BA R B ~ W W v v VA W W A  - A =en A- ~ PEA - - I Drunk-Pneumonic - artery ~ Ant. spinal - CN12 indued  I # medullah e ↳ onus a & -> To reach subarachnoid space Junce of 139 In couter to inner) SILLY Skin fascia E nuscles - - supraspinous - - Interspinous - ligamentum Flauum Dura matter Arachnoid x for Epideval procedures layers peeved are same (1 to 5)  Dorsal - ↑ Dorsal horn cam ⑧ w ↳↳ & hom Lateral / ↳ Grey natter ⑰ ventral horn 3 -> - - * fine touch vibration conscious propioception (joint senses (two point discrimination sparts wo -  · ③ UPL - X & GNICN Periphery > ① DRG - crude touch ↳ pressure A~ ~ A ~ Pain Temperative [ = · ③ Periphery we ⑳SG  X - X Responsible for skilled voluntary Movements crossing of files -> ⑧ & S Medulla (Lower) Si - V Muscle A HI FI PTO ~ - - - - - ~ - - - - - ~ - - - - w ~ ~ Inguinal ig-also called Poupart's ligament ↳ Extends from ASIS to perhic telude Au * * = L Posterial superior Illiac spine-S2 - ~ Midpoint bIw ASIS G Pelic symphysis Femoral located here attery is structures attached-sactories - -> ligament Illiac crest Inguinal Inguinal ligament Mo ↑ -> Illiac crest 2 ASIS · PSIS · AIS - - Acetabulum - I Pulic ↓ -schial tubercle I - - [ ↳far ri It↓ - ⑦ spine ⑰ ⑧ I obturator Foramen Adraber - - Public Symphyses - Ischial ↓ foramen D = tubers obity (lateral)  G minimus Gluteus mediu , E Goth. in help Abduction muscle ↑ - & Hip joint greater -. trochanter C C lesser T.* ↓ Muscles attached Illeacus E Psoas A Eliopsager Both muscle - help in - flexon of Hip It NAVICULAR Gunfam - - - I - - cuboid -> Calcaneus  great too Ei meN C ⑭=By e 3 I D ⑫ * "I - N P ⑧ - T NI C CB ** auto Glargest tabl e al - ↳ GSF - - - Ly5S2S253 - y -> - -Si - Peineum - ~ - - IsF DIN-pass thre both X GGL sciatic foramen  Anterior-Femoral n Thigh Posterior-sciatic n. -> medial-obturator h. I IX - tailors m longest -> m rema - e , - - A (formed by Posterior um - divisions of ventral VL- - Rami of z3 (n) Patella. - - N femoral nerve Palettament/Tend a Extension & knee joint I Patellar tendon - - ventral Rami of in free I e Y => AnteriodivisionePletuate e  present in A. Magnus I gives passage to femoral vessels (A + V) Adduction & Hip It 3 Note - - = * ~ - ~ ~ Adductor (Medial Corder) Conques Sartorius (medial border) Inguinal lig. e sartorius- A longus -> M L ⑫ ⑪  APP I - - LVAN (Medial to lateral) X - - ~ - ~ ~ - ~ - (Note- femoral nerve is outside femoral sheath Ring Femal ⑧- - lymp↳mode (fascial sheath) Mains A ~ ~ ~ (femoral Manch)  Medialis E Vaster Adductor longus - E - sartorus - - Branch - F of. - - nerve - - - - - - GFN (femoral) GFN (Genital) Itingling sensation) * El - - X glutens maximus ~ ~ tens or fascia lata vastu lateralis lateral  I Im - injections this comp in (Boob no nerves - - , E vessels ⑰) *X Inf. Glueal n. extension & Hip It. (Helps in standing from setting position) upper outer quadrant safest - is to IM give - * superior gluteal n Abduction & Hip It - ↳ Provider Pelvic Stabiley ** Al  sciatic n Cit is not part of Hamstrings) I Flecion & knee It. L  - - - sciatio - ⑥i R - - CPN ~ - v Tileral n - - - - redial neniscus more prone to & ~ ↑ Anterior ~ I Injury posterior Stability --I - IM.. - Meniscus to (nedial +lateral kneeft -> A n te r i o r cruciate d lig-prevents Anterior dislocation of lbia - Posterior Fibro-cartilage dislocation of femur. - - ~ By popliteus ~By Quadriceps Note tibal-skin of sole I fast ↳ (smal medial Plantar N lateral , majority supplier of skin of dossum of foot ↳ skin of lateral leg aspect of leg E ↑..... - Barsum of foot O (superior) sin of Ist well * ↓ space deep peroneal N. · common Teral N ↑ (POSt · Tibial NS Peroneal N. Neave of Post winds around an comp of leg. ~ NECK Of FIBULA A De superficial peroneal N Peroneal N Nerve of Nerve of comp lateral comp Ant ~ of leg of leg  ~ ~ X - * /Notes nallucis-great toe] * - - - - common tendon of ala I - Insertion Peripheral - ↳ Achilles tendon Heart of or Tendocalcaneus Body * ↳ nerve supply Actives -s E (1) Subtolar It.2 Jalocalcaneo navicular It. Peroneus Peroneus Brevis by congus by libicles , Tibialis Anterio Posterior - ↑ -> joint Ankle - ↳ ** III Alt injury of Common peroneal n. -> Loss of Dorsiflecion Loss of Eversion -> sensory loss -> 127dt injury of Deep Peroneal n - - loss of Dorsiflocion  External Illiac a de Femoral a. (Thigh) d popliteal a. (P fossa). E I Posterior Ant post tibial ↑ tibial aX tiual a E Pulsation (leg) (leg) Palpate blu - ↓ de medial naucous - Dorsalis Pedis plantar Jendocalcaneus (I foot in Warsum Isole of Inversion) of foot A MM foot) T C * - - - -> At Midthigh Blw Great saphenous 4 femoral v.  Below kne (three in number) -> Deep veins saphenous -> I ↑ - opening ↑ -- GSU (infasia) ↑ - SSV -> ↑ ↑ - ↑ P Sacral < Posterior Anterior lumbar ↑ I Sn 11 - 33 - 55 22 32 13- Knee 32 * In -15-lateral aspect Medial , of eg 51 - E - - ~ - A A  : - Patella ~ - - Great -- tol 0 M IDB ⑫ - I -- - A Jarsal tunnel sX - ~ G alt * compression of Ibial herve.  ~ P I N - v - - - longus - W - - ~  13 A umbilicus -> ↳4 15 A = - - - * supracristal plane-lower der of In -plane three highest point of Illiac crest E - -- - -- ! - * M a - ↓Superficial Inquinal King XInguinal ligament-formed by thickening of External 0. Aponeurosis Linea Alla-common Insertion of External O.. Internal 6. 4 ↳ Abdominis Transversus Extends from Xiphi-sternum to pulic symphysis Linea semilunaris - It corresponds to lateral border of Rectus Aldo miny. ⑧