Hi @malte@forum.fedi.dk
Please reply if you get this

A

Anconeus

L

Extensor Carpi Radius Longus

B

Extensor Carpi Radius Brevis

U

Extensor Carpi Ulnaris

D

Extensor Digitorum

M

Extensor Digiti Minimi

P

Abductor Pollicis Longus

What passes through

C

Optic nerve and opthalmic artery

D

Maxillary nerve

E

Mandibular nerve, lesser petrosal nerve, emissary veins

F

Jugular vein, Cranial Nerves IX, X, XI

Identify C-F

C

Optic canal

D

Foramen rotundum

E

Formamen ovale

F

Jugular foramen

Identify 1-5

1

Inguinal ligament

2

Obturator membrane

3

Anterior longitudinal ligament

4

Iliolumbar ligament

5

Lacunar ligament

Identify 5-8

5

Acetabular notch

6

Ischial tuberosity

7

Ischial Spine

8

Pubic tubercle

identify 1-4

1

Ilium

2

ASIS

3

AIIS

4

Acetabulum

The Femoral Triangle

A

Inguinal Ligament

B,C,D

Femoral Nerve, Artery, Vein

.

Identify 1 - 5 in this Left leg

1

Adductor longus

2

Sartorius

3,4,5

Vastus medialis, intermedius, lateralis

.

Lumbar puncture at L4/5 passes through

Skin
Subcutaneous tissue
Supraspinous ligament
Interspinous ligament
Ligamentum flavum
Epidural space
Dura matter
Arachnoid matter
Then CSF in subarachnoid space

"Some Say Some Interesting Lovers Enjoy Dating A Sexy Stranger"
(Skin, Subcut, Supraspinous, Interspinous, Ligamentum flavum, Epidural, Dura, Arachnoid, Subarachnoid)

@eeeee@community.nodebb.org
@isurg@lemm.ee

a) L hypoglossal

Management
CCRISP protocol
Normal Saline with potassium

causes

Benign Pyloric stenosis secondary to peptic ulceration
Malignant - Gastric Carcinoma - Pancreatic Carcinoma

ABG

HypoNatremic HypoKalemic Metabolic Alkolosis

46yr presented with vomiting and epigastric fullness. HypoNatremia and pH=7.5

Differential Diagnosis

Acute Pancreatitis
Pancreatic collection
Pancreatic pseudocyst
Acute Cholecystitis
Ascending cholangitis

Cause of tachypnea

ARDS
Abdominal pain
Pressure from Pseudocyst
Sign of sepsis
Respiratory complication such as pleural effusion

Functions of Pancreas

Endocrine
-Alpha - glucagon
-Beta - Insulin
-Delta - Somatostatin
Exocrine
-Proteases
-Lipolytic
-Starch digestion

Definition of acute pancreatitis

Acute pancreatitis is a condition where the pancreas becomes inflamed (swollen) over a short period of time

46 year old man was diagnosed with acute pancreatitis 2 weeks ago. He represents with tachycardia and SOB

Sartorius
Adductus longus
Inguinal ligament

internal (deep) inguinal ring lies in transversalis fascia, just lateral to the inferior epigastric vessels
external (superficial) ring is a triangular opening in the external oblique aponeurosis that lies just lateral to the pubic tubercle

Inguinal canal boundaries
anterior wall - formed by the aponeuroses of external oblique and internal oblique muscles
posterior wall - formed by the aponeurosis of transversus abdominis muscle and transversalis fascia
superior wall- roof - formed by the arching fibers of the internal oblique and transversus abdominis muscles
inferior wall- floor- formed by the inguinal ligament and lacunar ligament

contents
male
inguinal canal transmits spermatic cord
spermatic cord contents = "FANO x 3"
Fascia
internal spermatic fascia
cremasteric fascia
contains cremaster muscle
external spermatic fascia
Arteries
testicular artery
artery to vas deferens
artery to cremaster
Nerves
ilioinguinal nerve
genital branch of genitofemoral nerve
innervates cremaster muscle
autonomics
Other
vas deferens
pampiniform plexus of veins
testicular lymphatics
female
inguinal canal transmits
round ligament of uterus
ilioinguinal nerve
does not pass through deep inguinal ring - only travels through part of the inguinal canal

@isurg@lemm.ee
@eeeee@community.nodebb.org

Monteggia fracture
@eeeee@community.nodebb.org

cat bites is Pasteurella Multocida
@isurg@lemm.ee @eeeee@community.nodebb.org