.

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