.

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 I can see that you are too eager to know about the upper extremities

… for you seem not too eager to put down your hand any moment from
now.

.
 Let us look at a misnomer:

When you are told to raise your hand, you are actually not only raising your
hand but your forearm and arm, as well.

This just tells us that body parts can not act by their individual selves
without the support of others.

.
 And, you will also be exposed to questions about particular parts of the
upper extremities when discussion about the chest and its parts
commences come block VI.

.
 For this particular part of block IV, you will be forced to be familiar with
words and phrases that will come very handy when you go to the clinics.

But you also need to develop an imaginative mind to better recall concepts
and self-made illustrations and apply these in various scenarios which will
be presented to you during the evaluation.

.
 You may name various parts depending on your fancy at a particular
moment, but do recall the names given them in your references as this will
be the names the evaluators are familiar with.

My apologies for this limitation on the part of the evaluators.

.
 Be familiar with the bones, muscles, nerves, and vessels that you encounter
in your readings. When structures come together, specific impressions
acquire special monikers to document such engagement.

The spaces and areas may appear every now and then. Remember their
boundaries, the structures contained therein, and their significance.

The shapes and sizes of the structures, spaces, and areas may prove
interesting.

.
 Now, let us start working…

.
 What are the movements possible at the shoulder joint?

.
 What is the rotator cuff?

.
 Draw the brachial plexus, indicating the roots, trunks, divisions and cords.

.
 .

.
 .

.
 The muscles supplied are an interesting lot, too.

.
 Trace the flow of blood from the left ventricle to the tip of the finger.

.
 Can you locate the foramen omotricipitale?

.
 Please also locate the:

*quadrangular space
*triangular interval
*suprascapular foramen

.
 Where do you place the stethoscope when you take the blood pressure?

.
 Which pulse in the upper extremity is most accessible when checking for
the pulse rate?

.
 Do you feel a thrill in finding a bruit?

.
 What is Allen’s test?

.
 Know also the following tests:

*Phalen’s test
*Elvey test
*Winged scapula test

.
 If you were to start venous access, which vein will you most likely choose?

.
 What mnemonic suits you best in reciting the bones of the wrist?

.
 Where is the best place to prick a finger when doing a blood test?

.
 I know that you have a lot more questions.
Try to get as much answer while you are still in this module for the next set
of questions will be taken cared for in the next modules.

.
 Before we call it a day, can you name the muscles involved when you raise
your hand?

.
 Now, I will be more understanding when you are unable to raise your hand
when the speaker asks for questions, whether it be virtually or during face
to face encounter.

.
 May the road rise to meet you.
May the wind always be at your back.
May the sun shine warm upon your face, the rains fall soft upon your fields
and, until we meet again, may God hold you in the palm of his hand.

Irish Blessing

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.