Johari MBBS Anatomy Module PDF

MORE THAN 250+ ANATOMY VIDEOS LECTURES 100K+STUDENTS USING JOHARI MBBS VIDEOS WITH UNIVERSITY EXAM NOTES LECTURES.NOTES FOR UNIVERSITY EXAM JOHARIMBBS ANA T DMY AR UM BES JK ANATOMYL...

MORE THAN 250+ ANATOMY VIDEOS LECTURES 100K+STUDENTS USING JOHARI MBBS VIDEOS WITH UNIVERSITY EXAM NOTES LECTURES.NOTES FOR UNIVERSITY EXAM JOHARIMBBS ANA T DMY AR UM BES JK ANATOMYLEOTURES RA WITH 3 ANATOM, LICAL ANA OMY SU TRUSTED BY 100K MEDICOS UPPER LIMB ANATOMY LOWERLIMB ANATOMY THORAX ANATOMY VOLUME EMBRYOLOGY GENERAL ANATOMY CADAVER & HISTOLOGY BONE CHARTS & X-RAY  UPPER LIMB IMPS TOPICS JOHARI IMBBS | YOUTUBE MUSCLE CHARTSs UPPER LIMB UPPER LIMB CHARTS -2 BLOOD SUPPLY OF PLEXUS 3 1) BRACHIAL -4 2) AXILLA ARTERY -5 3) AXILLARY 4) CUBITAL FOSSA 5) MAMMARY GLAND 6) RADIAL NERVE -11 7) ULNAR NERVE -13 8) MEDIAN NERVE 15 9) ROTATOR CUFF 17 AR 10) FLEXOR RETINACULUM-17 11) MID PALMAR SPACE -19 12) SNUFF BOX -19 UM 13) LUMBRICAL 20 14) THENAR -20 JK 15) SHOULDER JOINNT 21 14) ELBOwjoINT 23 15) SUPINATION & PRONATION -24 RA UNIVERSITY QUESTIONS 26 SU MCQS OF UEPPR LIMB 29 LOWER LIMB IMPS LOWER LIMB MUSCLE CHART 30 NERVE SUPPLY OF LOWER LIMB CHARTS 31 1) FEMORAL TRIANGLE 32 2) FEMORAL SHEATH & CANAL -34 3) FEMORAL ARTERY -34 4) FEMORAL NERVE 35 5) ADDUCTOR CANAL -37 6) POPLITEAL FOSSA - 39 7) OBTURATOR NERVE -39 8) SCIATIC NERVE 41 9) ARCHE OF FOOT -43 10) VENOuS DRAINAGE OF LoWER LIMB 44 11) HAMSTRING 47 Printer by: paramountbindina01@nmail com 12) FLEXOR RETTINACULUM 47 13) HIP JOINT -49 14) LOCKING & UNLOCKING OF KNEE 50 15) KNEE JoINT 52 UNIVERSITY QUESTIONS 55 MCQS OF LOWER LIMB 56 THORAX IMPS THORAX MUSCLE CHARTS 57 ABDOMEN MUSCLE CHARTS 58 1) PLEURA 59 AR 2) RECESSES OF PLEURA -61 3) PULMONARY LIGAMENTT 61 UM 4) FISSURE AND LOBE OF LUNG-62 5) ROOT OF LUNG - 64 6) BRONCHOPULMONARY SEGMENTS -66 JK 7) SUPERIOR &« INFERIOR MEDIASTINUM -68 8) PERICARDIUM 71 9) RIGHT ATRIUM 73 RA 10) ARTERY SUPPLY OF HEART 74 11) VEINS OF HEART - 75 12) AZYGOS VEIN - 77 SU 13) ARCH OF AORTTA -77 14) THORACIC DUCT -79 15) INTERCOSTAL NERVE 80 14) INTERCOSTAL SPACE 82 15) INLET OF THORAX 83 16) OUTLET OF THORAX -84 UNIVERSITY QUESTION 85 MCQ OF THORAX LIMB 86  EMBRYOLOGY -87 DEVELOPMET 1) FIRST WEEK OF -89 DEVELOPMENT 2) SECOND WEEK OF -90 DEVELOPMENT 3) THIRD WEEK OF DEVELOPMENT 90 4) NOTOCHORD ARCHES 92 5) PHARYNGEAL DEVELOPMENT 93 6) THYROID 93 7) TONGUE DEVELOPMENT -95 8) HEART DEVELOPMENT -95 9) RIGHT ATRIUM DEVELOPMENT DEVELOPMENT 10) INTERVENTRICULAR SEPTUM 95 11) DEVELOPMENT OF FACE 9 12) DEVELOPMENT OF SOFT PALATE 97 13) DEVELOPMENT OF PANCREAS -99 AR DUODENUM 14) DEVELOPMENT OF 15) DEVELOPMENT OF LIVER UM 16) ROTATION OF MIDGUT - 101 17) DEVELOPMENT OF KIDNEY -101 18) DEVELOPMENT OF HIDGUT JK -103 19) DEVELOPMENT OF GONADS - 103 20) DESCENT OF TESTIS RA UNIVERITY QUESTION -104 SU BONE CHARTS 1) NORMA VERTICALIS -113 2) NORMA OCCIPITALIS -113 3) NORMA FRONTALIS -116 - 117 4) NORMA LATERALIS 5) NORMA BASALIS 118 6) CLAVICLE BONE 119 7) SCAPULA BONE - 121 8) HUMERUS BONE -125 - 128 9) RADIUS BONE 10) ULNA BONE - 129 11) HIP BONE 131 12) FEMUR BONE - 136  13) FIBULA BONE -139 14) TIBIA BONE -140 GENERAL ANATOMOY 1) EPIPHYSIS -105 -Spongy bone 2) BONE -105 3) BLOOD SUPPLY OF BONE 107 -Articular cartilage 4) CARTILAGE -108 Epiphyseal ine 5) JOINT -109 -Periosteum -Compact 6) SYNOVIAL - 110 bone -Medullary 7) KARYOTYPINGS -111 cavity 8) DOWN SYNDROME -112 AR 9) KLINEFELTER SYNDROMAE - 112 10) TURNER SYNDROME - 112 UM X-RAY 143 TO 145 JK CADAVER 146 TO148 HISTOLOGY 149 RA 1) HYALINE CARTILAGE, SEROUS GLAND 149 SU 2) SKELETON MUSCLE, CARDIAC MUSCLE -149 - 150 3) CARDIAC MUSCLE, SPLEEN 4) LIVER, PALATINE TONSIL -150 5) PANCREAS, APPENDIX - 151 6) UROTHELIUM, RESPIRATORY EPITHELIUM 151 - 152 7) DUODENUM, STOMACH - 152 8) KIDNEY, URINARY BALDDER - 153 11) PROSTRATE GLAND, UTERUS 15) THYRoID, CEREBELLUM -153  UPPER LIMB ANATOMY -Radial Nerve PPER LIMB MUSCUES Nerve -Radial -Postexior intexosseoug Nexve - Musculocutanevus Nexve D - Mecdian Neuve Ulnar Neve POSTERIOR COMPARTMENT TRICEPs BRACNI ANTERIOR COMPARTMENT. ARM POSTERIOR /EXTENsOR o BICEP BRACHI0 BRAGAIALIS CoMPARTMENT GORACOBRAGHIALIS AR SUPERFICIAL ANcONEUS BRACNIORADIALIS ANTERIOR /FLEXOR UM EXTEANSOR CARPM RADIALUS COMPARTMENT LONUS EXTENSORCARPI RADIALIS SUPERFIcIAL PRONATOR TERES BREVIS JK NTENSOR DIGITORUM FLENDR CARPI RADIALIS ENTENSD8 DIUNT) PALMARIS LONGUs MNIM FOREARM FLENDR DIGITOR0M TUPERFICIALIS ENTENSOR CARPI ULNAR FLEXOR CARPI ULNARIS RA DEEP DEEP SUPINATOR ABDUCTOR POLLICS FLEXOR dIGirORUM PROFUNDA MEDIAL/2 SU LDN&US EXEADR PDLLICE ATERAL /2 BREUIS FLEROR POLLICIS LONGUS EXTENSOR POLLICE PRDNATOR QUADRATUS LONGUS EXTENSOR INDICI HAND THENAR Abduetor Pollicis brevis Flexor Pollitis revis OPPpnens pollicis AdductorPollicis HYPOTHENAR Abdvctoy digiti minimi +- -Ftexdr digii noinimi L.opponens eligiti minimi LUMBRICALST 1* 2rd - 4h - Median Nesve TEROSSEL.Dorsol INTEROSEIT Palmar Deep branch of Ulnar Nexve JOHARI MBBS LECTURES 1 Youlube  UPPER LIMB ANATOMY Right subclian- BLOOD SsUPPLY OF UPPER LIMB Axilary Right Left common common carotid carotic Hurneral crcumflex Deep brachial- Righyi Brachiocephallo Left subctavian aubctavian runk Brachial Uhar collateral Right Aortic axillary arch Radial Right brachial Arterior crural AR Thoracic interosseous Left aorta ventricle. Unar Right Right radinl na UM Deep pamar arch Superficial palmar JK Digital arch teres -Digtal RA HOmerus sUBCLAVIAN ein VEIN SU enlab AXILLARY VEIN BRACHIAL VEIN CEPHALIC ULNAR RADIAL BASILIC VEIN VEIN VEIN VEIN JOHARI MBBS LECTURES 2 OYonlnbe  UPPER LIMB ANATOMY BRACHIAL PLEXUS WHICH SUPPLY UPPER LIMB A NETWORK OF NERVE BRACHIAL PLEXUS IS AND BRANCHES. TRUNKS, DIVISIONS, CORDS CONSIST. ROOTS. RAMI C5 c8 AND T1. ROOTS- CONSTTUTED BYy ANTERIOR PRIMARY & DOWNWARD ORIGIN OF PLEXUS MAY SHIFT UPWARD PREFIXED PLEXUS- C4 IS LARGE AND T2 ABSENT C5 REDUCED IN SIZE POSTFIXED PLEXUS Ti LARGE. T2 PRESENT, C4 ADSENT TRUNK C5 & C6 - UPPER TRUNK C7 MIDDLE TRUNK c8& T1 - LOWER TRUNK & DORSAL DIVISION DIVISTON >EACH TRUNK DIVIDE INTO VENTRAL & MIDDLE TRUNK CORD LATERAL UNION VENTRAL DIVISION OF UPPER CORD MEDIAL cORD VENTRAL DIVISON OF LOWER TRUNK AR POSTERIOR CORD - DORSAL DIVISION OF ALL3 TRUNK BRANCHES LATERAL cORD LATERAL PECTORAL NERVE (C5-C7) UM - MUSCULOCUTANEOUS NERVE ( C5-C7) - LATERAL ROOT OF MEDIAN( C5-C7) MEDIAL CORD MEDAIL PECTORAL ( c8. T1 ) JK - MEDIAL CUTANEoUS NERVE OF ARM ( C8,T1) - MEDIAL cUTANEOUS NERVE OF FOREARM ( c8,TI) - ULNAR ( C7,C8,T1) MEDIAL ROOT OF MEDIAN NERVE ( C8-T1) RA - POSTERIOR CORD - UPPER SUBSCAPULAR (C5. C6) - NERVE TO LATISSIMUS DORSI (C6-C8 SU - LOWER sUBSCAPULAR NERVE ( C5-C6) - AXILLARY NERVE ( C5-C6 ) RADIAL NERVE ( C5-c8, T1) CLINICAL ANATOMY 1. ERB'S PARALYSIS - SITE OF INJURY ERBS POINT IN UPPER TRUNK ADDUCTED AND MEDIALLY ROTATED DEFORMITY ARM FOREARM- EXTENDED & PRONATED THE DEFORMITY ALSO KNOWN AS POLICEMAN'S TIP HAND NERVE RoOT INVOLVE - MATNLY C5 & PARTIALLY C6 2. LUMPKES PARALYSIS - SITE OF INJURY LOWER TRUNK DEFORMITY CLAW HAND DUE TO UNOPPOSED ACTION 5 OF LONG FLEXORS AND EXTENSO CLAW HAND HYPEREXTENSTON AT METACARPOPHALANGEAL JOINT -FLEXION AT INTERPHALANGEAL JOINT NERVE ROOT INVOLVE MAINLY Ti & PARTIALLY C8 JOHARI MBBS LECTURES 3 YouTube  UPPER LIMB ANATOMY RoOTS TRUNKSs DIVISIONs C6 cORDS ----- Loe peLtbval eiu BRANCHes usCtetutaeau Lateal-ot, -. fammgarn mEAnneu Ti Long tvai AR Aril Medn pecterainewe -Medial utancouw nerue ogaum Raia Metiad cutauesu nowe fuaim UM Madial oct of mudian nuve. Nedia nuwe ULna nawe JK Braunia plexu and i branner ISS-Sprascapula neuwe NS- Nweto Suldawiue US UPP Siubscapuian neue LS tewerJubrcapulass noane T-Te vaco dosa newe Dorsas seaputar nuue ] RA AXILLA cUBsCAPULAATS SU sCAPULA TERES MATOR POSTERTaR CORO SERRATUS ANTERTOR ATISSLMvs ooRST TERAL CORD HUMERUS NERVE To E«RATUS mTERCOR AV av- AxTLLARY VEIN AA AA AXTLARY ARTE 81cE (iONE) HEDTAL LORD 8sEPs smoRT HEAo) coRACOB& ALHZALES ATUARy SHETH P6CTOLAA MINOR PECTOLARIS MhJOR JOHARI MBBS LECTURES YouTube  UPPER LIMB ANATOMY TDEFINETION PYRAMIDAL SPACE, SITUATED-UPPER PART OF THE ARM AND CHEST WALL BOUNDARIES :- APEX ANTERIOR COVER BY CLAVICLE POSTERIOR BY SUPERIOR BORDER OF SCAPULA - MEDIAL BY OUTER BORDER OF FIRST RIB BASE SKIN, SUPERFICIAL FASCIA ANTERTOR WALL PECTORAL MAJOR & MINOR, CLAVIPECTORAL FASCTA POSTERIOR WALL SUBSCAPULARIS, TERES MAJOR LATISSIMUS DORST LATERAL WALL - NARROW, CORACOBRACHIALIS & SHORT HEAD OF BICEP BRACHII SCAN QR AR CONTENTS 1) AXILLARY ARTERY & VEIN BRANCHEs WITH QRBOT APP 2) INFRACLAVICULAR PART OF BRACHIAL PLEXUS TO DIRECTLY OPEN VIDEO LINK UM 3) AXILLARY LYMPH NODE 4) LONG THORACIC & INTERCOSTOBRACHIAL NERVE 5) AXILLARY FAT AND AREOLAR TISSUE JK AXILLARY ARTERY RA INTRODUGTION - CONTINUATION OF SUB CLAVIAN ARTERY -EXTEND - OUTER BORDER OF FIRST RIB TO LOWER BORDER OF TERES MAJOR MS. SU -DEVIDED-3 PARTS PECTORALIS MINOR MUSCLE CROSs ARTERY DIVIDES INTO 3 PARTS 15T PART BRANCHES SUPERIOR THORACIC ARTERY 2hD PART BRANCHES THORACOCROMIAL ARTERY -LATERAL THORACIC ARTERY * 3RD PART-BRANCHES - SUBSCAPULAR ARTERY -ANTERTOR CIRCUMFLEX HUMERAL ARTERY -POSTERIOR CIRCUMFLEX HUMERAL ARTERY BRANCHES 1.5UPERIOR THORACIS ARTERY BRANCH 1ST PART OF AXILIARY ARTERY DIRECTION DOWN, FORWARDd & MEDICAL SUPPLY PECTORAL MAJOR 2.THORACOCROMIAL ARTERY BRANCH 2ND PART OF AXILLARY ARTERY JOHARIMBBS LECTURES 5 YoTnbe  UPPER LIMB ANATOMY 3.LATERAL THORACIC ARTERYY - BRANCH 2ND PART OF AXILLARY ARTERY IT EMERGES LOWER BORDER OF PECTORALIS MINOR.ANTERIOR CIRGUMFLEX HUMERAL ARTERY BRANCH-3RD PART OF AXILLARY ARTERY ARISE LOWER PART OF SUBSCAPULARIS SUPPLY -ANASTOMOSIs POSTERIOR CIRCUMFLEXX HUMERAL ARTERY 5.POSTERIOR CIRCUMFLEX HUMERAL ARTERY - BRANCH-3RD PART OF AXILLARY ARTERY EXTEND LOWER BORDER OF SUBSCAPULARIS - SUPPLY-SHOULDER JOINT,DELTOID 6.SUBSCAPULARIS ARTERY BRANCH-3 PART OF AXILLARY ARTERY EXTEND -LOWER BORDER OF SUBSCAPULARIS TO TERMINATE NEAR INFERIOR ANGLE OF SCAPULA. AR SUPPLY-LATISSIMUS DORSI & SERRATUS ANTERIOR MUSCLE NOTE :- DIAGRAM OF AXILLARY ARTERY PAGE NO.005 UM CUBITAL FOSSA JK INTRODUCTION-TRIANGULAR HOLLOW SITUATED FRONT OF ELBOW BOUNDARIES RA 1. LATERAL MEDIAL BORDER OF BRACHIORADIALIS 2. MEDIAL - LATERAL BORDER OF PRONATOR TERES 3. BASE IMAGINARY LINE OF EPTCHONDYLES SU 4. APEX AREA WHERE BRACHIORADIALIS & PRONATOR TERES CROSSES 5. ROOF- SKIN, SUPERFICTAL FASCIA -BICIPITAL APONEUROSIS 6. FLOOR BRACHTALTSs CONTENTS: 1) MEDIAN NERVE GIVE BRANCHES - FLEXOR CARPI RADIALIS -PALMARIS LONGUS, FLEXOR DIGITORUM SUPERFICIALIS 2) RADIAL NERVE - GIVE POSTERIOR INTEROSSEI NERVE AND DEEP BRANCH OF RADIAL NERVE 3) BRACHIAL ARTERY GIVE RADIAL ARTERY- RADIAL RECURRENT BRANCH -ULNAR ARTERY ANTERIOR & POSTERIOR RECURRENT BRANCH, cOMMON INTEROsSEOUS BRANCH 4) TENDON OF BICEP BRACHII JOHARI MBBS LECTURES 6 Youlube  UPPER LIMB ANATOMY CLINICAL ANATOMY 1.MEDIAN CUBITAL VEIN VEIN OF CHOICE FOR INTRAVENOUS INJECTION. ARTERY INFRONT OF ELBOW 2.BLOOD PRESSURE UNIVERSALLY RECORDED BRACHIAL Cubita) Foss Content g CFrem medlal to akerd aide) orisin brachio rad 1.Median nerve 2- Brachial arery Bae 3.Tenden e Bicep Cu bit Fossa 4 Radi Nerve brarch) Auperficia CemmonPloor AR UM origin Brachio radialis -Pronator teres CONTENT OF CUBITAL FOSSA JK.THORACOACROMIAL ARTER SuBCLAVIAN ARTERY RA LATERALTHORACIC SU ARTERY SuPERIORCSU PREME) THORACIC ARTERY AXTLARY ARTERY POSTERTOR ANTERTOR CIATUMPLEX HUMERAL ARTERY CIRCUMFLEX -PECTORALIS HUMERAL ARTERY MINOR SUbsCAPULAR ARTERY TERES MATOR BRACHTALARTERY BRANCHES OF AXTLLARY ARTERY JOHARI MBBS LECTURES 7 YouTube  UPPER LIMB ANATOMY MAMMARY GLAND BREAST IS MOST IMPORTANT STRUCTURE PRESENT IN PECTORAL REGION FOUND IN BOTH SEX BUT RUDIMENTARY IN MALE. MODIFTED SWEAT GLAND. SITUATTON LIE IN SUPERFICIAL DIVIDE INTO 4 QUADRANT FASICA. UPPER MEDIAL, - UPPER LATERAL, LOWER MEDIAL, LOWER LAEA EXTENSTON OF UPPER QUADRANT CALLED AXILLARY TAIL OF SPENCE THROUGH OPENING IN DEEP FASICA. WHICH PASsES OPENING CALLED FORAMEN OF LANGER. EXTENT OF BREAST VERTICALLY 2ND 6TH RIB HORIZONTAL LATERAL BORDER OF STERNUM To MID AXILLARY LINE DEEP RELATION BREAST LIE ON DEEP FASCIA -DEEPER THERE ARE PART OF 3 MUSCLES PECTORALIS MAJOR - SERRATAUS ANTERIOR - EXTERNAL OBLIQE MUSCLE AR STRUCTURE OF BREAST SKIN cONICAL POSITION OF NIPPLE ->AT LEVEL-4TH INTERCOASTAL SPACE. - NIPPLE PIERCED BY 15-20 LECTIFEROUS DUCT. IT CONTAIN CIRCULAR & LONGITUDINAL UM - SMoOTH MUsCLE. SKIN SURROUNDING BASE OF NIPPLE IS PIGMENTED & FORM CIRCULAR AREA CALLED AREOLA PARENCHYMA - MAMMARY GLAND COMPOUND TUBULOALVEOAR GLAND JK WHICH SECRETES MILK - IT IS A MODIFIED SWEAT GLAND GLAND CONSISTS 50-20 LOBES - EACH LOBE -> CLUSTER OF ALVEOLI -» DRAINED BY LECTIFEROUs DUCT - LECTIFEROUS DUCT -» CONVERGE -» TOWARD NIPPLE LECTIFERAL DUCT NEAR ITS TERMINATION DILATATION -> CALLEDD RA - LECTIFEROUS SINUJS STROMA- FROM SUPPORTIVE FRAMEWORK OF GLAND SU - PARTLY FIBROUS PARTLY FATTY BLOOD SUPPLY 1.INTERNAL THORACIC ARTERY 2.LATERAL THORACIC, SUPERFICIAL THORACIC, ACROMIOTHORACIC 3.LATERAL BRANCH -> POSTERrOR INTERcOASTAL ARTERY VEINS > FOLLOW THE ARTERY 1.SUPERFICTAL VEIN -> DRAIN INTERNAL THORACIC VETN 2.DEEP VEN -» DRAIN-> AXILLARY & POSTERIOR INTERCOASTAL VEIN FNERVESUPPLY SUPPLY BY ANTERIOR AND LATERAL CUTANEOUS BRANCHES OF 4H & 6TH INTERCOASTAL NERVE POINTS TO REMEMBER * NERVE DO NOT cONTROL SECRETIION OF MTLK SECRETION CONTROL BY HORMONE PROLACTIN JOHARI MBBS LECTURES 8 YouTube  UPPER LIMB ANATOMY LYMPHATIC DRAINAGE OF BREAST LYMPHATIC DRAINAGE OF BREAST ASSUMED GREAT IMP. TO SURGEON BECAUSE CARCINOMA SPREAD THROUGH LYMPH NODE. LYMPH NODE- 1.AXTLLARY LYMPH NODE ANT., POST. LAT., CENTRAL, APCAL L.N. (757%) 2.INTERNAL MAMMARY L.N. (207%) 3.SOME LYMPH (5%) -> FROM BREAST REACH-> SUPRACLAVICULAR NODE *DELTOPECTORAL NODE *POST.INTERCOASTAL NODE * SUB DIAPHRAGMATIC LYMPHATIC VESSELSS 1.SUPERFICAL LYMPHATICS--DRAIN->SKIN OVvER BREAST AR EXCEPT NIPPLE & AREOLA 2.DEEP LYMPHATIC--DRAIN-9PARENCHYMA OF BREAST UM 3.LYMPH FROM ANTERTOR &POSTERIOR LYMPH NODE PASS CENTRAL & LATERAL LYMPH NODE THROUGH--APICAL GROUP- JK ->SUPRACLAVICAL NODES 4.INTERNAL MAMMARY NODE DRAIN LYMPH NOT ONLY FROM INNER HALF RA OF BREAST BUT ALSO OUTER HALF OF BREAST. 5.PLEXUS OF LYMPHATIC VESSELS PRESENT DEEP TO AREOLA IS SU SUBAEROLAR PLEXUs OF SAPPEY--DRAIN-- ANTERIOR LYMPH NODE. 6.DEEP LYMPHATIC OF BREAST --PASS THROUGH PECTORALIS MAJOR MUSCLE CLAVIPECTORAL FASICA->APICAL NODE. & CLINICAL ANATOMY 1.UPPER AND LOWER QUADRANT OF BREAST IS FREQUENT SITE OF CARCINOMA 2.CANCER CELL MAY INFILTRATE THE SUSPENSARY LIGAMENT THEN BREAST BECOMES FIX cONTRACTION OF LIGAMENT->CAUSE RETRACTION OR FOLDING OF sKIN. 3.0BSTRUCTION OF sUPERFICIAL LYMPH VESSEL BY CANCER CELL->PRODUCE OEDEMA OF SKIN--APPEAR GIVING APPEARANCE LIKE SKIN OF ORRANGE (PEAU D'ORANGE APPEARANCE). 4.CARCINOMA USUALLY ARISES FROM EPITHILIUM OF LARGE DUCTS. JOHARI MBBS LECTURES 9 YouTube  UPPER LIMB ANATOMY Lobes(15-1) Peckora fasug yamen Alvoli/acini gusponsary Cooper Rebomammary Space Lacher Faty Shom Lachemu Aveoli/aels duc Lachfenw AR Si'nn " Juspeany aun &iz bbe Loeltnou breat UM one lobe aruchure gland amiay JK STRUCTURE OF BREAST Supra claviculr RA Apieal Anlerior SU axily Cena4 axillaryy Lale Axilhry Peserior Axillary Roclia fncip Interna mammary LYMPH NODE DRAINING BREAST JOHARI MBBS LECTURES 10 YouTube  UPPER LIMB ANATOMY RADIAL NERVE THICKEST BRANCH OF BRACHIAL PLEXUS VENTRAL RAMI OF C5, & T1 ROOT VALUE c8 COURSE AXTLLA RADIAL NERVE LIE POSTERIOR TO AXILLARY ARTERY -THEN ENTER IN LOWER TRIANGULAR SPACE. SPACE RADTAL SULCUS - RADIAL NERVE ENTER THROUGH LOWER TRIANGULAR INTO RADIAL SULCUS. CUBITAL FOSSA - NERVE ENTER LATERAL SIDE OF CUBITAL FOSSA. TERMNATE INTO sUPERFICIAL & DEEP BRANCH. DEEP BRANCH-sUPPLY->EXTENSOR CARPIRADIALIS BREVIS --SUPINATOR. *THEN IT COURSE BETWEEN TWO HEAD OF SUPINATOR AR MUSCLE-->REACH BACK OF FOREARM. SUPERFICIAL BRANCH ->LEAVE CUBITAL FOSSA TO ENTER LATERAL SIDE OF FRONT OF FOREARM. UM DORSUM OF FOREARM - SUPERFICIAL BRANCH-- -DESCEND TILL SNUFF BOx TO REACH DORSUM OF HAND---SUPPLY SKIN OF DORSAL HALF HAND. JK BRANCHES 1.AXTLLA--MUSCULAR--LONG HEAD OF TRICEP BRACHT RA.-MEDIAL HEAD OF TRICEP BRACHI -CUTANEOUS-POSTERIOR CUTANEOUS NERVE OF ARM SU 2.RADIAL sULCUS--->MUSCULAR-LATERAL HEAD OF TRICEP BRACHII ->ANCONEAUS ->CUTANEOUS--LATERAL CUTANEOUS NERVE OF ARM ->POSTERIOR CUTANEOUS NERVE OF FOREARM. 3.LATERAL sIDE OF ARM-MUSCULAR-BRACHIORADIAL --EXTENSOR CARPI RADIALIS LONGUS 4.DEEP BRANCH--DEEP BRANCH OF RADIAL NERVE -SUPINATOR MUSCLE --EXTENSOR CARPI RADIALIS BREVIS 5.SUPERFICIAL BRANCH- ->SUPERFICIAL BRANCH OF RADIAL NERVE -CUTANEOUS BRANCHES IN ANATOMICAL SNUFFBOX (TO SUPPLY LATERAL HALF OF DORSUM OF HAND) SCAN QR WITH QRBOT APP TO DIRECTLY OPEN VIDEO LINK JOHARI MBBS LECTURES 11 YouTube  UPPER LIMB ANATOMYY Suponor Course and distribution Laxtra Medo OF the RADIAL NERVE inpenor - RhDIAL NERVE pasteior eutaneou nerve Ofarmn Long head oF tieeps ProRunda brachi AR Latetol heod artey f tnceps Louoer Laterat cutanepus E Medial htad of tieps UM ineye Of arm Anon Lateral intermusular Septum Brachioradialis ARM JK Extensor capadialis - Prachíatis Csmaitatepa p >Eboa Joint_ RA posteriortutaneous neve OF Fotatm Deep termínat broanth oF radiat nerre (posterior intrasseoerre) SU Supfnator ne superticlal terminat breneh Extensor corpí oF radtal nerve radlalis bris - Radial arteny Ctensor gitorum Extnsor digiti minimi FORE ARM Extehsor carpí uuars.. TeN DONS OF Abductor pollieie lang eRtensor pollíeis brevis - Brachioradials Extorco pollfeis. longus Sxtensor indki -FAbductor pottícs lorgus xtonsor pollieir Briv Exneer poilfais longus oF attral oide, oF dorsum skinhand HAND and Latural 3/2' digits oF Exeept' nasl beds BRANCHES OF RADIAL NERVE JOHARI MBBS LECTURES 12 YouTube  UPPER LIMB ANATOMMY WRIST DROP-RADIAL NERVE INJURY IN RADIAL GROOVE DUE TO FRACTURE OF SHAFT OF HUMEROUS CAUSE WRIST DROP WRIST THIS RESULT TN WEAKNESS AND LOSS OF POWER OF EXTENSION IN ULNAR NERVE ULNAR NERVE AL5O KNOWN AS MUSICIAN NERVE BECAUSE IT CONTROLS FINE MOVEMENTS OF FINGERS COURSE ASPECT OF UPPER ARISE FROM BRACHIAL PLEXUS -->DESCEND DoWN MEDIAL ARM. EPICONDYLE OF HUMEROUS ULNAR NERVE IS PALPABLE--LIES BEHIND MEDIAL CARPI ULNARIS ENTER FOREARM--->PASSING BETWEEN 2 HEAD OF FLEXOR (CUBITAL TUNNEL) FLEXOR CARPI ULNARIS. IN FOREARM---IE ALONG--->LATERAL BORDER OF AR TO FLEXOR RETINACULUMA ENTER PALM-PASSING sUPERFICIAL UM BRANCHES: 1.MUSCULAR--->FLEXOR CARPI ULNARIS FLEXOR DIGITORUM PROFUNDUS (HALF) JK 2.CUTANEOUS----PALMER CUTANEoUS BRANCH (sUPPLIES SKIN OVER HYPOTHENAR MUSCLE) RA -->DORSAL CUTANEOUS BRANCH (SUPPLIES MEDIAL 2HALF FINGER DORSUM OF HAND) SU 3.PALMAR--SUPERFICIAL TERMINAL BRANCH->PALMARIS BREVIS DIGITAL BRANCH --- -DEEP TERMINAL BRANCH HYPOTHENAR INTEROsSEOUS MUSCLE -MEDIAL 2 LUMBRICAL CLINICAL ANATOMY Palmar aspec Darsal aspe 1.ULNAR NERVE INJURY AT WRIST- PRODUCE ULNAR CLAW HAND CAUSE- HYPEREXTENSTON AT METACARPOPHALANGEAL FH JOINTS AND FLEXION AT THE INTERPHALANGEAL JOINTS., INVOLVE-INDEX OR MIDDLE FINGER. SENSORY LOSS MEDIAL 1/3 OF PALM AND MEDIAL 1HALF FINGER. -MEDIAL HALF OF DORSUM OF HAND. o(a) (0) JOHARI MBBS LECTURES 13 Youfube o UPPER LIMB ANATOMY Superio distrlbuion o Course &nerve Ulnar Lakeral Heda TGA* - ULNAR NERVE laeri AxILLA Brachial Arkery ARM Nedia inernutuur deptum arm - Nedial epicond-yle qhumerus ELboo. AR UM Join Flexor carpi ulneris JK FOREARH ulnav Arteny -Flsor duplhorum pmfunday Cmediad huly RA SU Fleor carpi Ulnorl Palmar cfaneous brane - doraal culsneus branch o) medind Aide d dorum Csin Palmurs g hand emedil Th Auperd brevis Deep termnad branch HAND 0wrist Jintdagitexam minini Addudor Pellices pclicec - palmar upe medial Iieik temPr|ida temina Branth For a-Abducor dlgiH inimi Pponens digiti minlmi Fleor -3palnar inlerosei breuie Ckn) 2 media kumbk doraal Inerosse) L4 BRANCHES OF ULNAR NERVEE JOHARI MBBS LECTURES 14 YouTube  UPPER LIMB ANATOMY oV MEDIAN NERVE MEDIAN NERVE IS THE MAIN NERVE OF FOREARM. rCOURSE RM MEDIAL NERVE LIE MEDIAL TO BRACHTAL ARTERY ENTER CUBITAL FOSSA. - CUBITAL FOSSA LIE MEDIAL IN CUBITAL FOSSA THEN LEAVE FOSSA BY PASSING BETWEEN TWO HEAD OF PRONATOR TERES. FOREARM LIE BETWEEN FLEXOR DIGITORUM SUPERFICIALIS AND FLEXOR DIGITORUM PROFUNDUS. PALM ENTER IN HAND LIE DEEP TO ---FLExOR RATINOCULUM THROUGH CARPAL TUNEL. BRANGH 1.MUSCULAR-ARM-PRONATOR TERES CUBITAL FOSSA----->FLEXOR CARPI RADIALIS AR --->FLEXORDIGITORUM SUPERFICIALIS -->PALMARIS LONGUS UM FOREARM----FLEXOR DIGITORUM PROFUNDUS ----PRONATOR QUADRATUS FLEXOR POLLICIS LONGUS THENAR MUSCLE PALM-- JK ---LATERAL 2 LUMBRICALS 2.CUTANEOUS-PALMARIS CUTANEOUS PALM (SUPPLY SKIN OVER THENAR MUSCLE) RA 3.ARTICULAR BRANCHES-----ARE GIVEN TO ELBOW JOINT 4.MUSCULAR BRANCH--->sUPPLY RADIAL AND ULNAR NERVE. SU CLINICAL ANATOMY CARPAL TUNNEL SYNDROME- CAUSED BY cOMPRESSION OF MEDIAL NERVE AND CARPI TUNNEL SENSQRY CHANGE- LOSS OF SENSATION IN LATERAL 3 HALF DIGITS INCLUDING NAIL BEDS ON DORSUM OF HAND. Lagingin mating tst MOTOR CHANGE- APE MONKEY LIKE THUMB DEFORMITY LOss OF OPPOSITION OF THUMB, INDEX AND MIDDLE FINGER LAG BEHIND MAKING FIST DUE TO PARALYSIS OF FIRST AND SECOND LUMBRICAL MUSCLE. Make fist- e8sly VASOMOTOR CHANGE- SKIN AREA WITH SENSORY LOSS WARMER DUE TO ARTERIAL DILATATION. TROPIC CHANGE- LONG STANDING CAUSE OF -Fatened thena PARALYSIS LEAD TO DRYER eminence SCALY SKIN. JOHARI MBBS LECTURES 15 YouTube  UPPER LIMB ANATOMY -MEDIAN NERYE AXILL ARM - BRCHIAL ARTERY AR - B1cEPs TENDON UM PRONATOR TERES ANTERLOR INTERossEous- NERVE PlExoR CARPL RAPLALLS JK flexoR Po llLCLS LONGUs PALMARLS LONGoS FoREARM flExOR PtGLTORUM RA - suPeRFLcLALLS fLEXOR DEqttopuM PROFUrpUS PRONATOR qUAPRATus SU wRIST AND 2NFeRLOR RADEO-ULMAR JoDNF- -FLExOR DIGLTORUM SUPERFLCIALL3 FLGXOR cARPLL RADIALLS ****-.>.:**DALLS PALMAR GUTANEOUus 8RANCH FieXOR RETLNACULUM HAND wM8R1eAL wMBaLCAL ADDUCTOR PoltLCLs BRev£s R PALMAR DI14ITAL BRANCHS AeroR PolLLezs BrevL& P Po NENGE PotLLeLs Cdatual dizjts in elbaingnail beds) BRANCHES OF MEDIAN NERVE JOHARIMBBS LECTURES 16 YouTube  UPPER LIMB ANATOMY ROTATOR CUFF 1.FIBROUs SHEATH>FORM BY 4 FLATTENED TENDONS WHICH BLEND WITH THE CAPSULE OF SHOULDER JOINT AND STRENGTHENED IT 2.MUSCLE WHICH FORM ROTATOR CUFF ARISE >SCAPULA INSERTION-LESSER GREATER TUBERCLE HUMEROUS 3.MUSCLE FORM ROTATOR CUFF-SUBSCAPULARIS, SUPRASPINATUS, INFRASPINATUS, TERES MINOR. 4.CUFF GIVE STRENGTH TO SHOULDER JOINT-->EXCEPT->INFERIORLY. 5.THUS DISLOCATION OF HUMEROUS OCCUR cOMMONLY INFERIOLATERAL. 6.SUBACROMIAL BURSA--->FLUID FILLED SAC. REDUCED FRICTION ->LARGEST BUSRA OF BODY BLOW cORACOACROMIAL ARC. AR NOTE - DIAGRAM OF ROTATOR CUFF UM PAGE NO.16 FLEXOR RATINACULUM 1.STRONGEST FIBROUS BAND WHICH BRIDGE ANTERIOR CONCAVITY JK OF CARPUs & cONVERT INTO TUNNEL-CARPLE TUNNEL 2.ATTACHMENT MEDIAL ->PISIFORM BONE, HOOK OF HAMATE RA LATERAL--TUBERCLE OF SCAPHOID, CREST OF TRAPEZTUM. MEDIAL SUPERFICIAL SLTP---PISIFORM BONE SU (cONVERT INTO TUNNEL-PASs-ULNAR VESSEL & NERVE) LATERAL DEEP SLIP-MEDIAL GROOVE ON TRAPEZIUM (cONVERT INTO TUNNEL--PASS-->FLEXOR CARPI RADIALIS TENDON) 3.RELATION:- STRUCTURE PASSES SUPERFICIAL TO FLEXOR RETINACULUM 1.PALMARIS CUTANEOUS BRANCH OF MEDIAN NERVE & ULNAR NERVE. 2.PALMARIS LONGUs TENDON. 3.ULNAR NERVE AND VESSEL. 9 STRUCTURE PASSES DEEP TO F.R.i 1.MEDIAN NERVE. 2.ULNAR & RADIAL BURSA. 3.4 TENDON OF FLEXOR DIGITORUM SUPERFICIALIS. 4.4 TENDON OF FLEXOR DIGITORUM PROFUNDUS. 5.TENDON OF FLEXOR POLLTCIS LONGUS JOHARI MBBS LECTURES 17 YouTube  UPPER LIMB ANATOMY Palmaris cutaneoun Dymnch unar ncrye Volar cae pu Pa lmaris leng ipament branch of meinn ulnar arlery -Falmar culaneou nerve nerve Flexo Relinawlum Hypothenar Thenar mucle ucle - Median nerve P Fleror cap Hom radihlin Flexor polll e longu radtUa lurt Tendona S flexor digitorum SCa AR uperficias diglorum ulnar Tendona lxor UM prefundu Burtg FLEXOR RETINOCULUM JK Suprupinaha RA Infrupinatuu. - Jeint cavi ty SU Gop in dhe Joint aopule for Sobrcapulor buzda Teres minor Subtcapularisi qlenel Cavity Capule of aholder Toint qlensid labrum Rotaor ul ROTATOR CUFF JOHARI MBBS LECTURES 18 YouTube  UPPER LIMB ANATOMY MID PALMAR SPACE A WAY ARRANGEMENT OF FASCIAE AND THE FASCIAL SEPTA IN THE HAND IN SUCH MANY SPACES ARE FORMED, SPACES ARE SURGICAL IMPORTANCE BECAUSE THEY MAY BECOME INFECTED- IMPORTANT SPACES ARE AS FOLLOWS A.PALMAR SPACES--PULP SPACE OF FINGER, MID PALMAR SPACE, THENAR SPACE. B.DORSAL SPACE----->DORSAL SUBCUTANEOUs AND DORSAL SUBAPONEUROTIC SPACE. C.THE FOREARM SPACE OF PARONA. MTD PALMAR SPACE 1. SHAPE---TRIANGULAR 2. sITUATION--3UNDER INNER HALF OF HOLLOW OF PALM AR 3. EXTEND--PROXIMAL FOREARM SPACE OF PARONA DISTAL DISTAL PALMAR CREASE. UM - FLEXOR TENDONS OF 3RD,4TH,& 5TH DIGITS. 4.BOUNDARY-->ANTERIOR -2ND 3RD & 4TH LUMBRICALS. -PALMARAPONEUROSIS. JK --POSTERTOR FASCIA COVERING INTEROSSET METACARPALS. --LATERAL INTERMIDIATE PALMAR SEPTUM. RA --MEDIAL MEDIAL PALMAR SEPTUM. - 3RD OR 4TH WEB SPACE. 5.DRAINAGE-INCISION IN EITHER THE SU ANATOMICAL SNUFFBOX TRIANGULAR DEPRESSION-PoSTERIOR LATERAL SIDE OF WRIST, SEEN WHEN THUMB IS EXTENDED. BOUNDARIES: 1. ANTERIORLY ABDUCTOR POLLICTS LONGUS, EXTENSOR POLLICIS BREVIS. 2. POSTERIORLY EXTENSOR POLLICIS LONGUS. 3. FLOOR SCAPHOID & TRAPEZIUM. CONTENT 1.RADIAL ARTERY & RADIAL NERVE 2.CEPHALIC VEIN JOHARI MBBS LECTURES 19 Youlube  UPPER LIMB ANATOMY Supersidal palmar Inkrmeslae palmarapu arth Larer palmar dephu Flexor kendon h to index Media mdle, riry & lite fanta Flexor nden olmar sephum Tendon ol Flero pelltei longuy Thenarmurdle Hypethensr mekacorpd -Fict thenar apae FiFh mchcarf Adductor Peltda MIdpamar Doraal obuknesw spaee AR Doraa ubaponeu rihc 2pace MID PALMAR SPACE UM JK doraal venouy RA arch SU Radia artry fic cephallc vi» rd'nuve Extensor pollicis Extenor Plli bruru lnu AbductoT polli lo "Anamical u box ANATOMICAL SNUFF BOX JOHARI MBBS LECTURES 19 OYouTube  UPPER LIMB ANATOMY LUMBRICAL MUSCLE ORIGIN: 1ST LATERAL SIDE OF TENDON OF FLEXOR DIGITORUM PROFUNDUS OF 2ND DIGIT. 2ND LATERAL SIDE OF SAME TENDON OF 3D DIGIT 3RD ADJACENT SIDES OF SAME TENDONS OF 3RD & 4TH DIGIT. 4TH-ADJACENT SIDES OF SAME TENDONS OF 4TH & 5TH DIGIT. INSERTION - EXTENSOR EXPANSION---DORSUM OF BASE OF---DISTAL PHALANGES NERVE UPPLY- 1sST & 2ND -MEDIAN NERVE 3RD&4TH--ULNAR NERVE - ACTION- FLEX METACARPOPHALANGEAL JOINTS SCANQR WITH QRBOTAPP TO DIRECTLYOPENVIDEO LINN - EXTEND INTERPHALANGEAL JOINT AR THENAR EMINENCE UM 1.ABDUCTORPOLLICIS BREVIS ORIGIN - TUBERCLE OF SCAPHOID, CREST OF TREPAZIUM, FLEXOR RETINACULUM INSERTION BASE OF PROXIMAL PHALANX OF THUMB JK ACTION ABDUCTION OF THUMB 2.FLEXOR POLLICIS BREVIS RA *ORIGIN FLEXOR RETINACULUM, CREST OF TREPAZIUM & CAPITATE BONES INSERTION BASE OF PROXIMAL PHALANX OF THUMB ACTION FLEXES METACARPOPHALANGEAL JOINT OF THUMB SU 3.OPPONENS POLLICIS ORIGIN FLEXOR RETINACULUM CREST OF TREPAZIUM INSERTION LATERAL HALF OF PALMAR SURFACE OF THE SHAFT OF MATACARPAL BONE OF THUMB ACTION PULLS THUMB MEDIALLY AND FORWARD ACROSS PALM (OPPOSES THUMB ToWARDS THE FINGERS) 4.NERVE SUPPLY OF THENAR MUSCLE:MEDIAN NERVE POINTS TO REMEMBER 1.PALMAR INTEROSSEI ACTION->ADDUCTION OF FINGERS TOWARDS CENTER. 2.DORSAL INTEROSSEO - ACTION- ABDUCTION OF FINGER FROM CENTER OF THIRD DIGIT. JOHARI MBBS LECTURES 20 YouTube  UPPER LIMB ANATOMY SHOULDER JOINT TYPE-SYNOVIAL JOINT OF BALL & SOCKET VARIETY EARTICULATING SURFACE:- GLENOID CAVITY OF SCAPULA & HEAD OF HUMERUs. wEAK JOINT BECAUSE GLENOTD CAVITY IS SMALL & SHALLOW STABILITY OF JOINT IS MAINTAIN BY - -CAROCOACROMIAL ARCH ROTATOR CUFF --GLENorD LEBRUM (LIP.) LIGAMENT 1.CAPSULAR LIGAMENT- ATTACHMENT- VERY LooSE AND PERMIT FREE MOVEMENT MEDIALLY- sUPRAGLANOID TENDON LATERAL- ANATOMICAL NECK OF HUMERUS ANTERIOR- CAPSULE IS REINFORCED BY SUPERIOR, AR MIDDLE, INFERIOR GLANOHUMERAL LIGAMENT 2.cORACOACROMIAL LIGAMENT ATTACHMENT ROOT OF CORACord PROCESS TO UM NECK OF HUMERUS. 3.TRANSVERSE HUMERAL LIGAMENT BRIDGE UPPER PART OF BICIPITAL GROoVE JK OF HUMERUS. -TENDON OF LONG HEAD OF BICEP BRACHIT PASS DEEP TO THE LIGAMENT RA 4.GLANOID LABRUM FIBRO CARTILAGINOUS RIM COVERS GLENOID CAVITY SU BURSAE- SUBACROMIAL BURSA, SUBsCAPULARIS BURSA, INFRASPINATOUS BURSA RELATION- SUPERIOR cORACOACROMIAL ARCH, SUBACROMIAL BURSA -SUPRASPINATOUS & DELTOID INFERTOR - LONG HEAD OF TRICEP BRACHTT - AXILLARY NERVE -POSTERIOR CIRCUMFLEX HUMERAL ARTERY ANTERIOR SUBSCAPULARISS -CORACOBRACHTALTS & SHORT HEAD OF BICEP BRACHII POSTERIOR INFRASPINATOUS & TERES MINOR BLOOD sUPPLY ANT & POST. CIRCUMFLEX HMERAL ARTERY - SUPRASCAPULAR VESSEL & SUBSCAPULAR VESSEL NERVE SUPPLY - AXILLARY NERVE SUPPLY MUSCULOCUTANOUS NERVE SUPRASCAPULAR NERVE JOHARI MBBS LECTURES 21 YouTube  UPPER LIMB ANATOMY Cqpule o Ahoulde Tendon o long head o oint bieep akiin Asnual Ahoalk qlurd Cou -Superior glunohumurad pamu labum ( -qreater uberele humer Lesser Mmeaa yuma uberle o humeru d Trawverie Ineo glanoumed dieam In ier berular Aulcu ,Aiddle AR glushuumUM LIGAMENT OF SHOULDER JOINT JK Acoman Suprlepinatuy Coracoaomial ligament RA (naeplnatu CoTO CDld procen Subaeomial procen Palenior lbre SU o delhid Anlemor fibres Te re nuiner delld BicepeComchobrah quny labun Subrcapul ars Axillarynervt Posleior cirum|u Lop haad huml cUrluy icees RELATION OF SHOULDER JOINT JOHARI MBBS LECTURES 22 YouTube  UPPER LIMB ANATOMY MOVEMENT OF SHOULDER JOINT 1.FLEXION ARM MOVE FORWARD & MEDIAL 2.EXTENSION ARM MOVE LATERAL BACKWARD 3.ADDUCTION OPPOSITE OF ABDUCTION 4.ABDUCTION ARM MoVE ANTEROLATERALLY AWAY FROM TRUNK 5.MEDIAL ROTATION - HAND MoVE MEDIAL ACROSS THE CHEST 6.LATERALL ROTATION HAND MOVE LATERAL OF THE SHOULDER JOINT 7.CIRCUMDUCTION cOMBINATION OF DIFFERENT MOVEMENT ELBOW JOINT TYPE-SYNOVIAL JOINT OF VARIETY OF HINGE JOINT BETWEEN LOWER END OF HUMEROUS & UPPER END OF RADIUS & ULNA. AR ARTICULATION SURFACE 1.UPPER-->CAPITULUM& TROCLEAR CONDYLE OF HUMERUSS UM -cORNOID FOSSA JUST LIE ABOVE TRoCHLEAR (CORONOID FOSSA FIT CORONOID PROCESS OF ULNA IN FLEXION) -RADIAL FOSSA JUST ABOVE CAPITULUM (RADIAL FOSSA FIT RADIAL HEAD OF FLEXTON) JK 2.LOWER-- ->HEAD OF RADIUS wITH CAPITULUM -TROCHLEAR NOTCH OF ULNA WITH TROCHLEAR cONDYLE OF RA HUMERUS LIGAMENT SU 1.CAPSULAR LIGAMENT-ATTACHMENT SUPERIOR LOWER END OF HUMERUS INFEROMEDIAL- MARGIN OF TROCHLEAR NOTCH OF ULNA INFERIOLATERAL- ANGULAR LIGAMENT SHAPE 2.ULNAR COLLATERAL LIGAMENT- TRIANGULAR IN -APEX-MEDIAL EPICHONDYLE OF HUMERUS -BASE-ULNA -ANTERIAR BAND- BELOW CORONOID PROCESS PROCESS -POSTERIOR BAND- BELOW OLECRANON SHAPE 3.RADIAL cOLLATERAL LTGAMENT-FAN EPICHONDYLE->ANGULAR -EXTEND LATERAL LTGAMENT JOHARI MBBS LECTURES 23 OYouTube  UPPER LIMB ANATOMY BLOOD SUPPLY - FROM ANATOMoSES AROUND ELBOW JOINT NERVESUPPLY- ULNAR, MEDIAN, RADIAL & MUsaULOCUTANEOUS NERVE MOVEMENT FLEXION --BRACHIALIS --BICEP BRACHII & BRACHIORADIALIS EXTENSTON-TRICEPs BRACHII --ANCHONEUS SPINATION & PRONATION 1.SUPINATION & PRONATION ARE ROTATORY MOVEMENT OF FOREARM-VERTICAL AXIS IN SEMIFLEX ELBOW AR 2.SUPINATION-PALM--->TURN UPWARD. 3.PRONATION----PALM TURN DOWNWARDS. UM 4.VERTICAL AXIS MOVEMENT PASS CENTER OF HEAD OF RADIUS ABOVE. 5.THIS AXIS IS NOT STATIONARY BECAUSE--LOWER END OF ULNA IS NOT FIXED. 6.IT MOVE --BACKWARD LATERALLY IN PRONATION JK -FORWARD MEDIALLY IN SUPINATION 7.SUPINATION IS POWERFUL BECAUSE IT IS ANTI GRAVITATIONAL 8.SUPINATION MOVEMENT IS RESPONSIBLE FOR ALL SCREWING MOVEMENT OF HAND RA 9.AROUND 50 DEGREE OF SUPINATIN AND PRONATION ARE GENERALLY TO PERFORM MANY ROUTINE ACTIVITIES SU 10.PRONATION----- -9CHEIFLY BY PRONATOR QUADRATUS RAPIDLY MOVEMENT BY PRONATOR TERES 11.SUPINATION-- >CAUSE BY SUPINATOR MUSCLE & BICEP BRACHII ->SLOW sUPINATION---->BY SUPINATR MUSCLE ---RAPID SUPINATION --BY BICEP BRACHII Palm Palm anterior posterior Supination-Pronation JOHARI MBBS LECTURES 24 YouTube  UPPER LIMB ANATOMY Elbow Toin Capitulum o humeru arHwlahes uh upper yace a head a radius Troch lea o humeru ariculakes th Frochlear notch o ulna Supenr adioul nar Tpint The rwm furante ot head Aadiu ari wlaen wlk He radial noteh ulna The arH culaions AR Cwbi UM JK RA SU Hedia Eplconduyle Humeruy olecranon Lalomd eplkenciye PrDcem Capi ulun Posluior bamd Aoel'ad collaltn Ankmer band Jpomu Lobllque band Aunulun ollalenas ulnar Lapeamont Jupau Corawoid pro ce Radius Ragi al Collate Unar collakural Ja amn amon ELBOW JOINT JOHARI MBBS LECTURES 25 YouTube  UPPER LIMB ANATOMY PREVIOUS YEAR UNIVERSITY QUESTIONS LONG QUESTIONS 20MARKS 1.DESCRIBE BRACHIAL PLEXUs WITH ITS APPLIED ANATOMY ? STUDY TIPS FOR MAXTMUM MARKS I ih CLINICAL ANATOMY OR APPLIED ANATOMY YOU HAVE TO WRITE ONLY 3-4 1.IN CLINICAL ANATOMY POINTS (ONLY BDC CLINICAL ANATOMY POINTS) ANATOMY- 2.IF IT IS MENTION TO WRITE ON SPECIFIC CLINICAL HAVE TO WRITE FOR EXAMPLE WRITE CLINICAL ANATOMY OF ERBS PALSY THEN YoU ONLY ABOUT ERB PALSY IN 1-1/2 PAGE. 2.DESCRrBE MEDIAL NERVE UNDER FOLLOWING HEADS - AR ANATOMY 1.ROOT VALUE 2.cOURSE & RELATION 3.DISTRIBUTION 4.CLINICAL HoW TO WRITE IN UNIVERSITY EXAM (TIME MANAGEMENT) UM GIVEN TO EACH HEADING 1.IN MULTIPLE HEADING QUESTION SPECIFIC MARKS ARE FOR EXAMPLE 2MARKS FOR ROOT VALUE, 8MARKS FOR COURSE, 5MARKS FOR JK DISTRIBUTION & 5MARKS FOR CLINICAL ANATOMY. 2.MARKS DISTRIBUTION OF EACH HEADING ARE GIVEN IN PAPER. 3.WRITE ACCORDING TO MARKS DISTRIBUTION. RA (ZYADA LIKHNE SE ZYADA MARKS NAHI MILENGE, 2MARKS HAIN TO 2MARKS HI MILENGE ZYADA LIKHNE KE CHAKKAR ME TIME WASTE MAT KARNA PAPER MISS HO SU JAAYEGA) 3. A 30-YEAR-OLD MALE PRESENTED TO EMERGENCY DEPARTMENT AFTER A ROAD TRAFFIC ACczDENT WITH COMPLAINING OF RIGHT ARM PATN AND INABTLITY TO MOVE HIS EXTREMITY. THE FOLLOWING MORNING, HE DEVELOPED CLAWING. NERVE cONDUCTION STUDIES ON THE PERIPHERAL NERVES OF HIS ARM CONFIRMED THE DIAGNOSIs OF INJURy TO THE ULNAR NERVE. KEEPING THTS SCENARIO IN MIND. ANSWER THE FOLLOWING QUESTIONS 1) ORIGIN, ROOT VALUE OF THE NERVE 2) COURSE & DISTRIBUTION 3) BRANCHESs EXPLAIN REASON FOR DEVELOPING THE CLAW HAND JOHARI MBBS LECTURES 26 YouTube  UPPER LIMB ANATOMY HOW TO sOLVE CASE STUDY I 1.MAINLY NERVES (MEDIAN, RADIAL, ULNARNERVE) ARE GIVEN IN CASE STUD. 2.IDENTIFICATION TRICK - 1.IF MENTON INJURY TO SPECIFIC NERVE THEN WRITE ABOUT THAT(FOR EXAMLE IN ABOVE CASE STUDY IT MENTION'S ULNAR NERVE INJURY) 2.IF INJURY IS NOT MENTIONED THEN SEE SENSORY LOSS -IN RADIAL NERVE INJURY SENSORY LOSS -IN ULNAR NERVE INJURY SENSORY LOSS IN DORSAL LATERAL HALF IN MEDIAL HALF OF BOTH DORSAL & PALMAR SIDE -IN MEDTAN NERVE INJURY SENSORY LOSS IN - LATERAL HALF OF PALMAR SIDE. (TDENTIFY AARAM SE KARNA, GALAT CASE STUDY IDENTIFY KARNE SE SEEDHE 20MARKS KA LOSS HOGA AUR FAIL.) 4.MID PALMAR SPACE IN HAND ? AR UM HOWTO DRAW A DIAGRAM 1.TRY TO MAKE COLOURFUL DIAGRAM 1.RED cOLOUR ARTERY JK 2.BLUE VEIN 3.BROWN MUSCLE 4.YELLOW NERVE RA 5.GREEN LIGAMMENT 2.IN LONG QUESTION TRY TO MAKE 2-3 DIAGRAMS ONLY. (NUMBEROF DIAGRAM MARKs) SU YAADA DTAGRAM BANANE ME TIME WASTE MAT KARNA WARNA NEXT QUESTION MISS HO JAYEGA TIME MANAGE KARE CHALNA) 3.TRY TO MAKE CLEAR, COLOURFUL & WELL LABELLED DIAGRAM. 5.DESCRIBE MAMMARY GLAND? HOW TO WRITE IN LONG QUESTIONS III 1.IF IN LONG QUESTIONS HEADINGS ARE NOT ETVEN, THEM WRITE IN FOLLOWING HEADINGS 1.DEFINITION 2.EXTERNAL FEATURES 3.BLOOD sUPPLY 4.NERVE SUPPLY 5.LYMPHATIC DRAINAGE 6.CLINICAL ANATOMY JOHARIMBBS LECTURES 27 YouTube  UPPER LIMB ANATOMY sCRIBE SHOULDER JOINT UNDER THE FOLLOWING HEADINGS 1.TYPE OF JOINT å ARTICULAR SURFACE 2.CAPsULAR LIGAMMENT 3.RELATION 4.APPLIED ANATOM 7. DESCRIBE ELBOW JOINT UNDER THE FOLLOWING HEADINGS 1.TYPE OF JOINT & ARTICULAR SURFACE 2.LIGAMENT 3.APPLIED ANATOMY SHORT QUESTIONS 5MARKSS HOW TO WRITE IN SHORT QUESTIONS II 1.IN SHORT QUESTIONS WRITE 2-3 PAGES WITH ONE DIAGRAM &1 CLINICAL ANATOMY - MAXIMUM. 2.MINIMUM 1-2 PAGES WITH DIAGRAM. (ZYADA LIKHNE ME TIME WASTE MAT KARNA, 5 ME SE 10 MARKS NAHI MILENGE 5 ME 5 HI MILENGE, ZYADdA LIKHNE KE CHAKKAR ME PAPER AUR MISS HO TAYEGA) AR UM SHORTS NOTES - 1) AXILLA JK 2) AXILLARY ARTERY 3) CUBITAL FOSSA 4) ROTATOR CUFF RA 5) FLEXOR RETINACULUM 6) SNUFF BOX 7) LUMBRICAL SU 8) THENAR MUSCLE 9) SUPINATION & PRONATION 10) FLEXOR RETINACULUM UPPER LIMB ANATOMY IS COMPLETED!! IT BESTWAY TO PREDICT FREE FUTURE IS TO CREATE ALL THE BEST FOR YOUR EXAMS DR.JOHARI THE COPYRIGHT ACT,1957 ALL MATERIAL INCLUDING THEORY, DIAGRAM IS COPYRIGHT REGISTERED. OWNER ANY SCAN AND PHOTOCOPY OF THIS MATERIAL IS NOT PERMITTED BY  MCQ UPPER LIMB 1 Brachial plexus is formed by 10) The most preffered vein forvenipuncture is a ventral ramii of C5 to T1 spinal nerves a cephalic vein b ventral root of C5to Tl spinal nerves b basilic vein c dorsal ramii of c5 to T1 spinal nerves c median cubital vein d dorsal roots of C5 to Tl spinal nerves d brachial vein 2All of the following are branches of posterior 11) Which structure lies in the deltopectoral cord of brachial plexus: groove: a axillary nerve a basilicvein b radial nerve b cephalic vein suprascapular nerve c axillary vein d thoracodorsal d medial pectoral nerve 3) The action of acromial fibres of deltoid are: 12)Which nerve passes between ulnar and humeral head of a adduction of armn pronator teres b abduction of arm a ulnar nerve c extension of armn b radial nerve d flexion of arm c median nerve 4) all of the following are innervated by d anterior interosseous nerve musculocutaneous nerve except: 13) Which nerve passes between ulnar and humeral head of AR a Coracobrachialis fkexor carpii ulnaris: b biceps brachii a ulnar nerve c brachialis b radial nerve UM d brachioradialis c median nerve 5) Which structure does nit lie in anatomical snuff box d anterior interosseous nerve a cephalic vein 14) All of the following structures pass superficial to flexor b radial artery retinaculum EXCEPT: JK c first metacarpal bone a median nerve d extensor pollicis longus b superficial cutaneous branch of median nerve 6) Following nerve may get injured in downward c ulnar nerve dislocation of head of humerus d superficial cutaneous branch of ulnar nerve RA a musculocutaneous 15) All of the following muscles supplied by median nerve b Axillary except c Radial a abductor pollicis brevis SU d median b flexor pollicis 7) Following nerve C opponens pollicis may get injured in fracture of surgical neck of humerus: d adductor pollicis a musculocutaneous 16) Which nerve is involved in carpal tunnel sydrome: b subscapular a ulnar nerve c axillary b median nerve d radial c radial nerve 8) Fracture of medial epicondyle of humerus may d anterior interosseous nerve injure: 17 Which lymphatic does not drain the breast: a median nerve a subscapular nodes b ulnar nerve b infraclavivular nodes culnar artery c parasternal nodes d brachial artery d pectoral nodes 9) The nerve supply a axillary nerve of serratus anterior is: 18 Wrist drop occurs due to injury of: b C4 a axillary nerve b ulnar nerve cthoracodorsal nerve c median nerve d long thoracic nerve d radial nerve HA 2JC 3)B 4)D 5)D 6) B 7)C 8)B 9)D 10)C 11)B 12)C 13)A 14)A 15)D 16)B 17)C 18)D  LOWER LIMB ANATOMY GLUTEAL REGION LOWER LIMB MUSCLES MAJOR MUSCLES Gtluteus imaximus GluteUS mediuS POSTERIORCOMPARTMENT GluteuS minimus Tensor fasciae MINOR atae MUSCLES Bicep Femorishort longhead Piriform Semitendinosus Inferlor Gemelus Superior Gemellus SemimembranosuS Obturator internus Adductor magnus (isehial part) quadratus femoris THIGH MEDIAL COMPARTMENT ANTERIOR /FIRST LArER ANTERIOR COMPARTMENT Pectineus Quadriceps femoris Adductor longus ERectus femoris Graeiliss EVashusaeralis Gracie SECOND ATER MIDDLE brevic LAYER Yastus intermecivs vastus medialis Adducior POSTERIOR/THIRD LAYER AR Articularis Genu Adductor Magnus Sartorius Adduttor part Tensor fasclag Latae LHamstring part UM Inferlor Gluteal Nerve Superior Gluteal erve ID DIC S n tane Nerve Venhral rami SL$2. Obturator Nerve FemoiraI Nerve Nervetoto quadratus femoris JK Nerve obturatov lnternus MEDIALCOMPARTMENT auadratus femb7iS LATERAl coMPARTMENT Soripens of Peroneus (ongus LEG Craciis Semi tendinosus RA Peroneus brevis ANTERIOR COMPARTMENT POSTERIOR CoMPARTMEN Ttbialis anterior SU SUPERFICIAL Castrocnemius Extensbr hallvcis lonqus Soleus Extensv7 digitorvm longus PlanapEeP Pornneus ertius Saphenous Ngrve Nerve Tgblal Popliteus U ronsal 5UpTfleial peron@al Nerve Nerve Flexor digitorum longus Flexor hallvcis longus MUSCLES Of SoLE Tibialís posferior 1St Laye Hexor digltorum brevis Layey Abductor hallucis 3 h allucis brevis FOOT Flexor Abductor diqiki minini Flexor digiti minimi brevis 2nd Laye Adductor hallueis 4% Loye Flexor digitorum aessorius Tnte HosseiCdorsal.4 lumbrkals Tendons of 2 tendon - Tz,4 Flexor digiforvm longus tlbialis posterior Medialplantar Flxor hallvcis longus Lperoneus longus Lateral Plantor JOHARI MBBS LECTURES 30 YouTube  LOWER LIMB ANATOMY |Poaterior DMelon -From 12th Thorac Anterlor DMelon -lot Lumbar tliohypograotic.n6 lioinguinal -2nd Lumbar Genitofemoral1 0-3rd Lumbar Lateral femoral cutaneous n. -4th Lumbar o Paoas and Illacus AR -5th Lumbar Femoral Accessory obturator UM Obturator Lumbosecrel Trunk LUMBAR PLEXUS JK RA Superior gluteal nerve (DDs ofLA, L5; S1) SU S1 Inferiorgluteal nerve- 0s2 (ODs of L5; S1, $2) 53 Common peroneal nerve- (DDs of L4, LS; S1, S2) Tibial nerve- SsCoccygeal (VDs of L4, LS;S1, $2, $3) plenus C sCIATIC NERVE Nerve to quadratus femoris Perforating cutaneous nerve Nerve to obturator internus- (DDs of $2, $3) Pudendal nerve Posterior cutaneous nerve- VDs of $2,$3, S4) of the thigh (S1, $2, 53) SACRAL PLEXUS JOHARI MBBS LECTURES 31 YouTube  LOWER LIMB ANATOMY FEMORAL TRIANGLE TRIANGULAR DEPRESSION--INFRONT OF UPPER 1/3h THIGH BELOW INGUTNAL LTGAMENT BOUNDARTES MUSCLE. 1.LATERAL MEDIAL BORDER SARTORIOUS 2.MEDIAL MEDIAL BORDER OF ADDUCTOR LONGUS. SCAN QR WITH QRBOTAPP 3.BASE INGUINAL LIGAMENT. TO DIRECTLY OPEN VIDEO UN 4.APEX LATERAL & MEDIAL BORDER CROSS. & DEEP FASICA. 5.ROOF- SKIN, SUPERFICIAL FASICA SUPERFICIAL FASICA---->CONTENT-- SUPERFICIAL INGUNAL L.N. FEMORAL BRANCH OF GENITOFEMORAL NERVE - ILIOINGUINAL NERVE AR -GREAT SAPHENOUS VEIN -SUPERFICIAL BRANCH OF FEMORAL ARTERY UM MEDIAL - ADDUCTOR LONGUS & PECTINEOUS MUSCLE 6.FLOOR - LATERAL -PSOAS MAJOR & ILIACUS JK cONTENT: & 3 DEEP BRANCHES 1.FEMORAL ARTERY-->IT GIVE 6 BRANCHES 3 SUPERFICIAL 2.FEMORAL VEIN--MEDIAL TO ARTERY -FEMORAL VEIN RECEIVE-->GREAT SAPHENOUS VEIN RA -CIRCUMFLEX VEIN CORRESPONDING TO BRANCH OF FEMORAL ARTERY -VEIN SU 3.FEMORAL SHEATH ENCLOSE UPPER 4CM OF FEMORAL VESSEL 4.DEEP INGUAL LN.---DEEP TO DEEP FASTCA ---MEDIAL TO UPPER PART OF FEMORAL VEIN RECETVED LYMPH FROM SUPERFICLAL INGUINAL L.N. DEEP LYMPHATIC OF LOWER LIMB -FROM GLANS PENIS & CLOTRIES 5.NERVE "FEMORAL NERVE LIE LATERAL TO FEMORAL ARTERY-0UTSIDE FEMORAL SHEATH NERVE TO PECTINOUS ARISE FROM FEMORAL NERVE -PASS BEHIND FEMORAL SHEATH FEMORAL BRANCH OF GENIOFEMORAL NERVE OCcCUUPY LATERAL -cOMPARTMENT TO FEMORAL SHEATH ALONG FEMORAL ARTERY LATERAL cUTANEOUs NERVE OF THIGH CROSS THE LATERAL ANGLE OF JOHARI MBBS LECTURES 32 Youube  LOWER UIMB ANATOMY TRIANGLE. *Boundaries Femoval A ) Inguinal ligamenk Floor of Medial border 4- 1) ) lliacus oF Sartorius Paoos 2) Haror )Pectineus 4) Adduchbr longuy 3 Medial Border o Adducor longu4 BOUNDARY OF FEMORAL AR UM TRIANGLE Femare Nerve Lalero Femoral Artery JK Culaneou nerve Femoral vein inquina RA Deep nedes Lateral lynph Cirum|ux o Fenora Arery Terminal part SU aphenous JTeat vein Femoral Arkry Femoral vein Addudor -Femoral and Saphenau longud neve J wi lymph Femoral node Sarrivs brondhve -Femorel ring Farda yreat tranvenlis laphnenuw vein Anterior ual emral Ahealh "Conkent of femoral A 'femoral Conal CONTENT OF FEMORAL TRIANGLE JOHARIMBBS LECTURES 33 YoTube  LOWER LIMBANATOMY FEMORAL SHEATH FEMORAL VESsEL EUNNEL SHAPE SLEEVE OF FASCIA - ENCLOSING UPPER 4CM OF ABDOMEN SHEATH IS FORM DOWNWARD EXTENSION OF 2 LAYER OF FASCTA OF ANTERIOR WALL ->FORM----->FASCIA TRANSVERSALIS POSTERRIOR WALL---->FORM --->FASCIA ILIACA INFERIORLY - SHEATH MERGE WITH CONNECTIVE TISSUE AROUND FEMORAL VESSEL SHEATH IS DIVIDED INTO 3 COMPARTMENT BY SEPTA: 1.LATERAL COMP.-->cONTENT->FEMORAL ARTERY --FEMORAL BRANCH OF GENITOFEMORAL NERVE 2.INTERMEDIATE COMP. -->FEMORAL VEIN 3.MEDIAL cOMP.--- ALSO KNOWN AS FEMORAL CANAL AR FEMORAL CANAL UM "MEDIAL COMP.OF FEMORAL SHEATH - CONICAL IN SHAPE WIDE IN ABOVE, NARROW BLOW "BASE OR UPPER END OF FEMORAL CANAL ALso KNOWN AS FEMORAL RING. JK CONTENT-LYMPH NODE & SMALL AMOUNT OF AREOLAR TISSUE CLINICAL ANATOMY RA FEMORAL HERNIA -FEMORAL CANAL IS A AREA OF POTENTIAL WEAKNES IN ABDOMINAL WALL-->THROUGH WHICH ABDOMINAL CONTENT MAY BULGE OUT FOR