Thursday, February 23, 2012

Head & Neck Mnemonics






Head Mnemonics


NERVES


¨ 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)

Motor and Sensory nerves

Some Say Marry Money, But My Brother Says Big Bras Matter More

¨ Innervation of Extraocularmotor Muscles

LR6 (SO4) 3
LR6--Lateral rectus--> VI abductens
SO4--Superior Oblique--> IV Trochlear
3--The remaining 4 eyeball movers = III

¨ Branches of Facial Nerve after Stylomastoid foramen

From superior to inferior:
Ten Zebras Bought My Car
To Zanzibar By Motor Car
Temporal, Zygomatic, Buccal, Masseteric, Cervical

PAssing Through Zanzibar By Motor Car (PA for Posterior Auricular).
Ten Zulus Buggered My Cat (PAinfully)
Temporal branch

Zygomatic branch
Buccal branch
Mandibular branch
Cervical branch
(Posterior auricular nerve)

¨ Cervical Spinal Nerves

C3-4-5 keeps the phrenic alive (innervation of phrenic nerve)
C3-4-5 keep the diaphragm alive (innervation of diaphragm)
C5-6-7 raise your arms to heaven (nerve roots of long thoracic nerve innervate serratus anterior)

¨ V3 innervated muscles
My A$$ Meets The Toilet
Mylohyoid                 Anterior digastric       Muscles of Mastication
Tensor veli palatini     Tensor tympani

¨V3: sensory branches

"Buccaneers Are Inferior Linguists"
Buccal                        Auriculotemporal      
Inferior alveolar                     Lingual

¨ Lacrimal nerve course

Lacrimal's story of 8 L's
Lacrimal nerve runs on Lateral wall of orbit above Lateral rectus, then Lets communicating branch join in, then supplies Lacrimal gland, then Leaves it and supplies Lateral upper eye Lid!

¨ CN VII innervated muscles (branchial arch 2 derivatives)

"Imagine someone making the facial expression to say 'PSS...'
Facial expression muscles:

Posterior belly of digastric
Stapedius
Stylohyoid

¨ Scalp: nerve supply

GLASS
Greater occipital/ Greater auricular
Lesser occipital
Auriculotemporal
Supratrochlear
Supraorbital


Bones/Spaces

¨ Cranial bones

PEST OF 6
Parietal            Ethmoid          Sphenoid        Temporal         Occipital         Frontal
The 6 just reminds that there's 6 of them to remember.

Old Pygmies From Thailand Eat Skulls
Old People From Texas Eat Spiders
Occipital         Parietal            Frontal                        Temporal         Ethmoid          Sphenoid
Prostitutes Offer Free Sex To Everyone
Parietal            Occipital         Frontal                        Sphenoid        Temporal         Ethmoid         

¨ Orbit: bones of medial wall

My Little Eye Sits in the orbit
Maxilla (frontal process)

Lacrimal
Ethmoid
Sphenoid (body)

¨ Foramen spinosum

 location on base of skull Foramen spinosum is adjacent to the spine of sphenoid.

¨ Cavernous sinus contents

O TOM CAT
O TOM are lateral wall components, in order from superior to inferior. CA are the components within the sinus, from medial to lateral. CA ends at the level of T from O TOM. · See diagram.  Occulomotor nerve (III) Trochlear nerve (IV) Ophthalmic nerve (V1) Maxillary nerve (V2) Carotid artery Abducent nerve (VI) T: When written, connects to the T of OTOM.

¨ Cartilage derivatives of 1st pharyngeal arch (mandibular)

I'M A Super Sexy Guy       (or Girl)
Incus

Malleus
Anterior ligament of malleus
Spine of sphenoid
Sphenomandibular ligament
Genial tubercle of mandible

Muscles

¨ Face muscles groups cranial innervation

Mandibular nerve: Mastication.
Facial nerve: Facial expression.

¨ Pterygoid muscles

Function of lateral vs. medial
"Look at how your jaw ends up when saying first syllable of 'Lateral' or 'Medial' ":
"La": your jaw is now open, so Lateral pterygoid opens mouth.
"Me": your jaw is still closed, so Medial pterygoid closes the mandible.

¨ Eye rotation by oblique muscles

I Love S&M
Inferior oblique: Lateral eye rotation

Superior oblique: Medial eye rotation

Extrinsic muscles of tongue [for pro soccer fans] "Paris St. Germain's Hour":
Palatoglossus
Styloglossus
Genioglossus
Hyoglossus
· PSG is a French soccer team (foreign), hence extrinsic comes to mind.

Vessels

Maxillary artery branches

"DAM I AM Piss Drunk But Stupid Drunk I Prefer, Must Phone Alcoholics Anonymous":
Deep auricular

Anterior tympanic
Middle meningeal
Inferior alveolar
Accessory meningeal
Masseteric
Pterygoid
Deep temporal
Buccal
Sphenopalatine
Descending palatine
Infraorbital
Posterior superior alveolar
Middle superior alveolar
Pharyngeal
Anterior superior alveolar
Artery of the pterygoid canal

Neck Mnemonics

Vessels

¨ Subclavian artery branches

Very Tired Individuals Sip Strong Coffee Served Daily
Vertebral artery
Thyrocervical trunk
---Inferior thyroid
---Superficial cervical
---Suprascapular
Costocervical
---Superior intercostal
---Deep cervical

¨ External carotid artery branches

Some Aggressive Lovers Find Odd Positions More Stimulating
Superior thyroid
Ascending pharyngeal
Lingual
Facial
Occiptal
Posterior auricular
Maxillary
Superficial temporal
Sister Lucy's Powdered Face Often Attracts Silly Medicos
So Long For Acting Old Parenting Means Stability
Sally Ate Lots Of Fresh Produce March Through September

 

Nerves

¨ Cervical plexus

arrangement of the important nerves "GLAST"
4 compass points: clockwise from north on the right side of neck:
Great auricular (North)  à  Lesser occipital  (East) à Accessory nerve (pops out between L and S) à Supraclavicular (South) à Transverse cervical (West)

Other

¨ Thoracic Duct Location

The duck is between two gooses (duck = thoracic duct)
2 gooses = azyGOUS and esophaGOUS

¨ Carotid sheath contents               "I See 10 CC's in the IV":
I See (I.C.) = Internal Carotid artery

10 = CN 10 (Vagus nerve)
CC = Common Carotid artery
IV = Internal Jugular Vein

Muscles

Hyoid bone: muscle attachments

Christ, He Didn't Screw Girls Much. That's Obvious, Stupid
The first sentence is for 6 muscles attaching superiorly, the second sentence is for 3 muscles attaching inferiorly.   Both sentences are in order from lateral to medial:

Constricter (middle)
Hyoglossus
Digastric
Stylohyoid
Geniohyoid
Myloyoid
Thyrohyoid
Omohyoid
Sternohyoid















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