The document provides an overview of the appendicular skeleton, which includes 126 bones organized into four major groups: the pectoral girdle, upper extremities, pelvic girdle, and lower extremities. Key bones of the pectoral girdle are the scapula and clavicle. The upper extremities include the humerus, radius, ulna, carpals, metacarpals, and phalanges of the fingers. The pelvic girdle consists of the three fused bones forming the hip: the ilium, ischium, and pubis. Bones of the lower extremities are the femur, patella, tibia, fibula, tarsals
Bones of upper limbs (Human Anatomy)
by DR RAI M. AMMAR
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Bones of upper limbs (Human Anatomy)
by DR RAI M. AMMAR
www.facebook.com/drraiammar
www.twitter.com/drraiammar
www.instagram.com/drraiammar
www.linkedin.com/in/drraiammar
www.themedicall.com/blog/auther/drraiammar/
For Any Book or Notes Visit Our Website:
www.allmedicaldata.wordpress.com
www.drraiammar.blogspot.com
YOUTUBE CHANNEL :
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Funky professor slideshow: Forearm Superficial Flexors
View The Funky Professor videos here: http://publishing.rcseng.ac.uk/journal/video?videoTaxonomy=FUNK
a mixed slide of limbs applied anatomy.Thanks to some slideshare gurus like Dr. Salman Khan and Muahammad Ramzan Ul Rehman .this is just a collection of information which I have made for the medical community.
Bones of lower limb (Human Anatomy)
by DR RAI M. AMMAR
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www.themedicall.com/blog/auther/drraiammar/
For Any Book or Notes Visit Our Website:
www.allmedicaldata.wordpress.com
www.drraiammar.blogspot.com
YOUTUBE CHANNEL :
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ANY QUESTION ??
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allmedicaldata@gmail.com
Funky professor slideshow: Forearm Superficial Flexors
View The Funky Professor videos here: http://publishing.rcseng.ac.uk/journal/video?videoTaxonomy=FUNK
a mixed slide of limbs applied anatomy.Thanks to some slideshare gurus like Dr. Salman Khan and Muahammad Ramzan Ul Rehman .this is just a collection of information which I have made for the medical community.
Bones of lower limb (Human Anatomy)
by DR RAI M. AMMAR
www.facebook.com/drraiammar
www.twitter.com/drraiammar
www.instagram.com/drraiammar
www.linkedin.com/in/drraiammar
www.themedicall.com/blog/auther/drraiammar/
For Any Book or Notes Visit Our Website:
www.allmedicaldata.wordpress.com
www.drraiammar.blogspot.com
YOUTUBE CHANNEL :
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osteology of lower limb with Dr. Ameera A. Al-Humidi.pptxAmeera Al-Humidi
This lecture describes bones and regions of lower limb.
Lower limb formed of thigh and leg and the bones are femur, tibia, and fibula.
there a lot of differences between upperlimb and lowerlimb inform of strength, number of bones, largest bone in hand and foot.
Femur Bone anatomy LL bone part 2
Details of femur Bone, attachments and clinical anatomy.
Femur thigh bone, longest bone
Like, share and comment.
Thank You!!
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. Appendicular Skeleton
Consist of 126 bones in 4 major
group
Pectoral girdle
Scapula and the clavicle
Upper extremity
Humerus, radius, ulna,
carpals, metaCarpals, and
phalanges of the fingers
Pelvic girdle
Three fused bones; ilium,
ischium and pubis
Lower extremity
Femur, patella, tibia,
fibula, tarsals, metaTarsals,
phalanges of the toes
3. Pectoral Girdle
“Shoulder Girdle”
Scapulae and Clavicles
Both right and left
Function is to provide moveable
yet stable support for the upper
extremities
5. Scapula Features
Subscapular Fossa
Hallow depression on the anterior
surface
Supraspinous Fossa
Superior depression on the posterior
surface
Scapular Spine
Division line on the posterior scapula
Runs from vertebral to lateral border
Extends to become the Acromion
Infraspinous Fossa
Inferior depression on the posterior
surface
Acromion
Superior most projection
Clavicle articulates
Coracoid Process
Projects anteriorly
6.
7. Scapula Features
Glenoid Cavity (Fossa)
Depression on the lateral aspect of the
scapula
Above is the Supraglenoid Tubercle
Biceps brachii muscle attaches
Below is the Infraglenoid Tubercle
Triceps brachii muscle attaches
Know right from left by the spine in the
posterior view
8. Clavicle
Small bine that serves as a strut between the
scapula and the sternum
Sternal end
Articulates with the sternum
Acromial end
Flattened end.
Articulates with the Acromion of the scapula
Conoid tubercle
Inferior surface of the clavicle
Most frequently fractured bone
Hockey, football, or lacrosse player injury
9.
10. Upper Extremity
Humerus
Long bone that articulates with the scapula at its
proximal end and with the radius and ulna at its distal
end
Head
Articulates with the Glenoid Cavity on the scapula
Anatomical Neck
Site of the epiphyseal line
Greater Tubercle
Largest and most lateral
Intertubercular (Bicipital) Sulcus
Elongated depression where the biceps brachii
tendons passes through
Lesser Tubercle
Smaller and medial
Surgical Neck
Below the tubercles
Frequent site of fractures
11. Humerus Features
Deltoid Tuberosity
Lateral surface where the deltoid muscle
attaches
Capitulum
Lateral side where the head of the radius
attaches
Trochlea
Medial side where the ulna attaches
Capitulum and trochlea make up the condyles
Epicondyles
Found on each side of the condyles
Medial and Lateral
12.
13. Medial vs Lateral Epicondyles
Medial Epicondyle
Medial to Trochlea
“Funny Bone”
Medial Supracondylar Ridge
Small wing of the bone
that extends from
epicondyle to the distal
shaft
Lateral Epicondyle
Lateral to Capitulum
Lateral Supracondylar Ridge
Small wing of the bone that
extends from epicondyle to
the distal shaft
14. Distal End of Humerus
2 Fossa’s or Depression of
the Humerus:
Coronoid Fossa
Anterior surface
Olecranon Fossa
Posterior surface
Both articulate with the
Ulna:
Olecranon of the Ulna
Coronoid process of the
ulna
15. Forearm
Radius
Lateral aspect of the forearm
(Thumb)
Proximal Head- Articulates
with the Capitulum of humerus
Tuberosity- Distal to the
head, biceps brachii muscle
insertion
Styloid Process- Most distal
and posterior end of the radius
Ulnar notch- Distal end of
radius. Where the ulna meets
the radius.
Ulna
U-Shaped depression at the
proximal end, Trochlear Notch
Olecranon- Most proximal
portion of the ulna
Coronoid Process- Distal to the
trochlear. Provides for a tight fit
with the humerus.
Styloid Process- Distal, posterior
end of ulna
Radial Notch- Proximal part of
ulna where the head of the radius
fits into the ulna
16.
17. Hand Bones
3 groups of bones:
Carpals
Wrist bones
Metacarpals
Long bones of the palm
Phalanges
Distal to metacarpals
Long bones of the hand
18. Hands: Carpals
8 carpal bones that can be
aligned into 2 rows:
Proximal row: Lateral to Medial
Scaphoid
Lunate
Triquetrum
Pisiform
Some Lovers Try Positions
Distal Row: Lateral to Medial
Trapezium
Trapezoid
Capitate
Hamate
That They Can’t Handle
19.
20. Hands:
Metacarpals
Long bones of the palm
Consist of:
Base
Body
Distal head
Labeled as 1-5 or I-V
Metacarpal I is proximal to the thumb
Metacarpal V is proximal to the little
finger
21. Hands: Phalanges
Long bones of the hand
Consist of:
Base
Body
Head
14 phalanges in each hand
Each finger expect for the thumb has 3
phalanges
Proximal Phalanx
Middle Phalanx
Distal Phalanx
Thumb or Pollex
Proximal and distal phalanx
Tip of thumb is called distal phalanx I
Base of the little finger is called proximal
phalanx V
22. Pelvic Girdle
Consist of two hip bones
Three fused bones
Ilium
Ischium
Pubis
Pubic symphysis
Anteriorly where the hip bones join
Fibrocartilage pad
Pubic arch
<90° in females
>90° in males
23.
24.
25. Ilium
Most superior hip bone
Iliac crest
Top of the hip bone
2 Processes Anteriorly:
Anterior Superior Iliac Spine
Anterior Inferior Iliac Spine
Attachment point for thigh muscles
2 Processes Posteriorly:
Posterior Superior Iliac Spine
Posterior Inferior Iliac Spine
Greater Sciatic (Ischiadic) Notch
Large depression posteriorly
Iliac Fossa
Interior shallow depression of the ilium
26. Ischium
Inferior to the ilium
Ischial Spine
Sharp projection of the ischium
Ischial Tuberosity
Roughened area where the
hamstring muscle attach
Obturator Foramen
Large hole under a cup like
depression known as the Acetabulum
Acetabulum
All 3 hip bones join & femur
articulates
Ischial Ramus
Elongated bone connecting to the
pubis
27.
28. Pubis
Pubis bone is a U-Shaped bone that connects
inferiorly to the ischium and superiorly to the
ilium
False (Greater) Pelvis
Upper basin of the pelvis
Medial to the iliac fossa
Pelvic Brim
Separates the false from true pelvis
True Pelvis
Deeper, smaller basin
Medial to the obturator
29.
30. Lower Extremity: Femur
Longest heaviest bone in the
body
Articulate with the hip and
inferior tibia
Head
Proximal, Medial, spherical
Articulates with the
acetabulum
Fovea capitis
Depression of head where
the ligament attaches
Neck, just inferior to the head
2 Trochanters
Greater Trochanter
Proximal & larger
Lesser Trochanter
Distal & smaller
Intertrochanteric Crest
Posterior ridge between the
two trochanters and the
intertrochanteric line
Linea Aspera (rough line)
Posterior shaft marking
Gluteal Tuberosity
Attachment site for gluteus
maximus
31.
32. Femur
Medial & Lateral Condyles
Distal portion & articulate with the tibia
Medial & Lateral Epicondyles
to the side of the condyles bulges
Adductor Tubercle
Small, triangle process proximal to the
medial epicondyle
Attachment for the adductor muscles
33. Patella (Will NOT Test on)
“Kneecap”
Formed in the tendon of the quadriceps
femoris muscle on the anterior thigh
Sesamoid Bone
Develop in tendons
Ossifies between ages 3 and 6
Protection of knee joint and ligments
34. Leg: Tibia &
Fibula
Tibia- Largest bone in the leg.
Weight-bearing bone
Tibial Condyles- Articulate with
the condyles of the femur
Intercondylar eminence-
Sperate the condyles
Tibial Tuberosity- Proximal,
anterior surface of tibia.
Attachment point for the patellar
ligament.
Medial Malleolus- Distal end of
tibia and is an extension of the
bone. Articulates with the talus
Anterior Crest- “Shin”. Runs
superior to inferior anteriorly.
Fibula- Smaller or fit bone
Lateral to the Tibia & is a non-
weight-bearing bone
Head- Proximal end of fibula
Lateral Malleolus- Distal
process. Other half of the ankle
that forms a joint with the talus
35.
36. Foot
The feet have 26 bone each
Tarsal bones (7):
Talus
Articulates with the tibia and
fibula
Calcaneus (Heel bone)
Inferior to talus
Navicular
Anterior to both Talus and
Calcaneus
Cuneiform
Medial (First) Cuneiform
Intermediate (Second)
Cuneiform
Lateral (Third) Cuneiform
Children That Never March In Line Cry
37. Foot
Metatarsals
Similar to metacarpals of the hand
Found in dorsum (top) of foot
Phalanges
Two to five each
Proximal, Middle, and Distal Phalanx
Hallux (Big Toe)
Only have a proximal and distal phalanx
First (I) metatarsal is under the Hallux
Fifth (V) metatarsal is under the little toe
38. Know For The Lab Exam
Locate and Name all the bones in the Appendicular skeleton
Name significant surface features found on these bones
Name & ID the carpal and tarsal bones in the hands and feet
Right from left on specific bones
Scapula
Femur
Four groups of the appendicular skeleton
Pectoral girdle
Upper extremities
Pelvic girdle
Lower extremities