Type Dominant pedicle Minor pedicle Example I 1 – Tensor Fascia Lata (TFL) II 1 1 Gracilis III 2 – Gluteus maximus IV – Multiple Sartorius V 1 Multiple Lattisimus dorsi Mnemonic: Ten Graceful Glutes Sat on Latrines Type I: TFL Type II: Gracilis Type III: Gluteus maximus Type IV:…
Tag: Musculoskeletal system
Emergency Medicine 
Log Rolling Maneuver : Steps
Step 1: Rescuer 1 stabilizes head and neck in neutral position without applying traction. He/she should grasp the patient’s shoulders at the neck and gently position the patient’s head betweeen the forearms. Another rescuer should apply a semirigid extrication collar. Even with the collar in place, Rescuer 1 must maintain…
Emergency Medicine 
Open fractures : Mnemonics
Gustilo Anderson Classification Mnemonics:1. Parameters: ABCD’S (Area, Bone, Circulation, Dirt, Soft tissue)2. Classification: I, II, III then A, B, C Progression for grade I to III C implies a higher degree of energy involved in the injury, higher soft tissue and bone damage, and higher potential for complications. Type I:…
Clinical Skills and Approaches 
Gower’s sign
Synonyms: Gower’s maneuver, Myopathic walking, Butt-first maneuver Identifying Gower’s sign To check for Gower’s sign, place the patient in the supine position and ask him to rise. A positive Gower’s sign – an inability to lift the trunk without using the hands and arms to brace and push – indicates…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Brachial Plexus Block Made Easy
Brachial plexus is sub-divided from proximal to distal into: Roots, Trunks, Divisions, Cords, Branches. This can be easily remembered with a mnemonic: Randy Travis Drinks Cold Beer. Approaches for Brachial Plexus Block Basically, there are 4 approaches to the brachial plexus block at different levels as described in the mnemonic…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Priming, Precurarization and Self taming
Priming Administration of a small sub-paralyzing dose of non-depolarizing muscular blocking agent (usually 10% of the intubating dose) is given 2-4 minutes before administering a 2nd large dose for tracheal intubation to accelerate the onset of non-depolarizing NM blockade by 30-60 seconds. Mechanism and Concept of Priming 2 theories have…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Brachial Plexus Simplified with Mnemonics
Components of Brachial Plexus Mnemonic: Randy Travis Drinks Cold Beer From proximal to distal, brachial plexus consists of: How are the roots formed? From the Ventral Rami of C5 to T1 spinal nerves. Extent and course: Intervertebral foramina to Transverse process to Interscalene triangle (bounded by anterior scalene and middle…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Lumbosacral Plexus Simplified
While everyone is busy talking about the brachial plexus – lumbosacral plexus (the origin of nerves that supplies everything below the umbilicus) seems to be bit under-rated. Formation of Lumbosacral Plexus Ventral rami of L1-S4; has 2 components – Lumbar plexus (L1-L4) – forms within psoas major anterior to lumbar…