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❤️💍 𝗔𝗫𝗜𝗟𝗟𝗔𝗥𝗬 𝗔𝗙𝗙𝗔𝗜𝗥𝗦! 🎬 𝗢𝗻𝗲 𝗔𝗿𝘁𝗲𝗿𝘆, 𝗙𝗼𝘂𝗿 𝗡𝗲𝗿𝘃𝗲𝘀 & 𝗮 𝗖𝗼𝗺𝗽𝗹𝗶𝗰𝗮𝘁𝗲𝗱 𝗟𝗼𝘃𝗲 𝗦𝘁𝗼𝗿𝘆! #INTERESTINGRA #RegionalAnaesthesia #Sonoanatomy #AxillaryBlock #BrachialPlexus #UGRA #MedicalEducation �� 𝗜𝗡𝗧𝗘𝗥𝗘𝗦𝗧𝗜𝗡𝗚 𝗥𝗔: #𝟬𝟭 Who said regional anaesthesia is only about nerves and needles? Even nerves have relationships! 😍 Let's explore the 𝗟𝗢𝗩𝗘 𝗦𝗧𝗢𝗥𝗬 hidden inside 𝗔𝗫𝗜𝗟𝗟𝗔𝗥𝗬 𝗕𝗥𝗔𝗖𝗛𝗜𝗔𝗟 𝗣𝗟𝗘𝗫𝗨𝗦 𝗦𝗢𝗡𝗢𝗔��𝗔𝗧𝗢𝗠𝗬! 💕 🅰️ 𝗠𝗘𝗗𝗜𝗔𝗡 𝗡𝗘𝗥𝗩𝗘 💍 𝗧𝗵𝗲 𝗟𝗼𝘆𝗮𝗹 𝗦𝗽𝗼𝘂𝘀𝗲! 🔹 Married to the axillary artery, continuing its companionship with the brachial artery. 🔹 Remains close throughout the arm, crossing from lateral to medial. 🔹 Their anatomical journeys diverge near the elbow. ❤️ Love Message: "I'll stay beside you throughout the arm!" 🅱️ 𝗨𝗟𝗡𝗔𝗥 𝗡𝗘𝗥𝗩𝗘 💔 𝗧𝗵𝗲 𝗚𝗶𝗿𝗹𝗳𝗿𝗶𝗲𝗻𝗱! 🔹 Initially accompanies the artery. 🔹 But this relationship has an expiry date! 🔹 Leaves the artery in the mid-arm, crossing the medial intermuscular septum into the posterior compartment. ❤️ Love Message: "Our journey was beautiful, but now we must separate!" 🅲️ 𝗠𝗨𝗦𝗖𝗨𝗟𝗢𝗖𝗨𝗧𝗔𝗡𝗘𝗢𝗨𝗦 𝗡𝗘𝗥𝗩𝗘 🏠 𝗧𝗵𝗲 𝗜𝗻𝗱𝗲𝗽𝗲𝗻𝗱𝗲𝗻𝘁 𝗖𝗵𝗶𝗹��! 🔹 The rebellious child of our imaginary axillary family! 🔹 Moves away from the artery. 🔹 Usually pierces the coracobrachialis, then travels between biceps and brachialis. 🔹 Its separate location often requires a separate injection during axillary block. ❤️ Love Message: "I love my family, but I prefer my own house!" 🅳️ 𝗥𝗔𝗗𝗜𝗔𝗟 𝗡𝗘𝗥𝗩𝗘 😎 𝗧𝗵𝗲 𝗦𝗲𝗰𝗿𝗲𝘁 𝗟𝗼𝘃𝗲𝗿! 🔹 Initially stays posterior to the axillary artery. 🔹 Quietly moves into the posterior compartment. 🔹 Finds its own arterial companion, the 𝗣𝗥𝗢𝗙𝗨𝗡𝗗𝗔 𝗕𝗥𝗔𝗖𝗛𝗜𝗜 𝗔𝗥𝗧𝗘𝗥𝗬. 🔹 Together, they travel along the radial groove. ❤️ Love Message: "Why follow the family when I have my own partner?" 🅴️ 𝗔𝗫𝗜𝗟𝗟𝗔𝗥𝗬 𝗩𝗘𝗜𝗡 👀 𝗧𝗵𝗲 𝗡𝗼𝘀𝘆 𝗡𝗲𝗶𝗴𝗵𝗯𝗼𝘂𝗿! 🔹 Usually lies medial to the artery. 🔹 Watches the entire relationship drama! 🔹 Highly compressible on ultrasound. 🔹 Excessive transducer pressure may make it disappear! ❤️ Love Message: "I know everyone's story, but please don't put pressure on me!" 🎯 𝗧𝗛𝗘 𝗕𝗜𝗚 𝗧𝗔𝗞𝗘-𝗛𝗢𝗠𝗘! 🔹 💍 Median: Married to the artery. 🔹 💔 Ulnar: Together initially, separated midway. 🔹 🏠 Musculocutaneous: Independent child living in coracobrachialis. 🔹 💕 Radial: Secret romance with profunda brachii artery. 🔹 👀 Axillary vein: The compressible, watchful neighbour. 🧠 𝗔𝗡𝗔𝗧𝗢𝗠𝗬 𝗙𝗜𝗥𝗦𝗧! 🔹 These relationships are teaching metaphors, not actual anatomical origins. 🔹 Nerve positions around the axillary artery are variable. 🔹 𝗡𝗲𝘃𝗲𝗿 𝗷𝘂𝘀𝘁 𝗺𝗲𝗺𝗼𝗿𝗶𝘀𝗲 𝗰𝗹𝗼𝗰𝗸 𝗽𝗼𝘀𝗶𝘁𝗶𝗼𝗻𝘀. 𝗜𝗱𝗲𝗻𝘁𝗶𝗳𝘆, 𝘁𝗿𝗮𝗰𝗲 𝗮𝗻𝗱 𝘂𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱! ❤️ 𝗧𝗛𝗘 𝗙𝗜𝗡𝗔𝗟 𝗟𝗢𝗩𝗘 𝗠𝗘𝗦𝗦𝗔𝗚𝗘! "Some nerves stay together, some separate, some live independently, and some find new partners!" 💡 𝗨𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱 𝘁𝗵𝗲𝗶𝗿 𝗿𝗲𝗹𝗮𝘁𝗶𝗼𝗻𝘀𝗵𝗶𝗽𝘀, 𝗮𝗻𝗱 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗻𝗲𝘃𝗲𝗿 𝗳𝗼𝗿𝗴𝗲𝘁 𝘁𝗵𝗲𝗶𝗿 𝗮𝗻𝗮𝘁𝗼𝗺𝘆! Because great regional anaesthesia begins with understanding relationships, not merely recognising structures! 💉❤️

KartikBSonawane's tweet photo. ❤️💍 𝗔𝗫𝗜𝗟𝗟𝗔𝗥𝗬 𝗔𝗙𝗙𝗔𝗜𝗥𝗦!

🎬 𝗢𝗻𝗲 𝗔𝗿𝘁𝗲𝗿𝘆, 𝗙𝗼𝘂𝗿 𝗡𝗲𝗿𝘃𝗲𝘀 & 𝗮 𝗖𝗼𝗺𝗽𝗹𝗶𝗰𝗮𝘁𝗲𝗱 𝗟𝗼𝘃𝗲 𝗦𝘁𝗼𝗿𝘆!

#INTERESTINGRA #RegionalAnaesthesia #Sonoanatomy #AxillaryBlock #BrachialPlexus #UGRA #MedicalEducation

💡 𝗜𝗡𝗧𝗘𝗥𝗘𝗦𝗧𝗜𝗡𝗚 𝗥𝗔: #𝟬𝟭

Who said regional anaesthesia is only about nerves and needles? Even nerves have relationships! 😍

Let's explore the 𝗟𝗢𝗩𝗘 𝗦𝗧𝗢𝗥𝗬 hidden inside 𝗔𝗫𝗜𝗟𝗟𝗔𝗥𝗬 𝗕𝗥𝗔𝗖𝗛𝗜𝗔𝗟 𝗣𝗟𝗘𝗫𝗨𝗦 𝗦𝗢𝗡𝗢𝗔��𝗔𝗧𝗢𝗠𝗬! 💕

🅰️ 𝗠𝗘𝗗𝗜𝗔𝗡 𝗡𝗘𝗥𝗩𝗘 💍

𝗧𝗵𝗲 𝗟𝗼𝘆𝗮𝗹 𝗦𝗽𝗼𝘂𝘀𝗲!

🔹 Married to the axillary artery, continuing its companionship with the brachial artery.
🔹 Remains close throughout the arm, crossing from lateral to medial.
🔹 Their anatomical journeys diverge near the elbow.
❤️ Love Message: "I'll stay beside you throughout the arm!"

🅱️ 𝗨𝗟𝗡𝗔𝗥 𝗡𝗘𝗥𝗩𝗘 💔

𝗧𝗵𝗲 𝗚𝗶𝗿𝗹𝗳𝗿𝗶𝗲𝗻𝗱!

🔹 Initially accompanies the artery.
🔹 But this relationship has an expiry date!
🔹 Leaves the artery in the mid-arm, crossing the medial intermuscular septum into the posterior compartment.
❤️ Love Message: "Our journey was beautiful, but now we must separate!"

🅲️ 𝗠𝗨𝗦𝗖𝗨𝗟𝗢𝗖𝗨𝗧𝗔𝗡𝗘𝗢𝗨𝗦 𝗡𝗘𝗥𝗩𝗘 🏠

𝗧𝗵𝗲 𝗜𝗻𝗱𝗲𝗽𝗲𝗻𝗱𝗲𝗻𝘁 𝗖𝗵𝗶𝗹��!

🔹 The rebellious child of our imaginary axillary family!
🔹 Moves away from the artery.
🔹 Usually pierces the coracobrachialis, then travels between biceps and brachialis.
🔹 Its separate location often requires a separate injection during axillary block.
❤️ Love Message: "I love my family, but I prefer my own house!"

🅳️ 𝗥𝗔𝗗𝗜𝗔𝗟 𝗡𝗘𝗥𝗩𝗘 😎

𝗧𝗵𝗲 𝗦𝗲𝗰𝗿𝗲𝘁 𝗟𝗼𝘃𝗲𝗿!

🔹 Initially stays posterior to the axillary artery.
🔹 Quietly moves into the posterior compartment.
🔹 Finds its own arterial companion, the 𝗣𝗥𝗢𝗙𝗨𝗡𝗗𝗔 𝗕𝗥𝗔𝗖𝗛𝗜𝗜 𝗔𝗥𝗧𝗘𝗥𝗬.
🔹 Together, they travel along the radial groove.
❤️ Love Message: "Why follow the family when I have my own partner?"

🅴️ 𝗔𝗫𝗜𝗟𝗟𝗔𝗥𝗬 𝗩𝗘𝗜𝗡 👀

𝗧𝗵𝗲 𝗡𝗼𝘀𝘆 𝗡𝗲𝗶𝗴𝗵𝗯𝗼𝘂𝗿!

🔹 Usually lies medial to the artery.
🔹 Watches the entire relationship drama!
🔹 Highly compressible on ultrasound.
🔹 Excessive transducer pressure may make it disappear!
❤️ Love Message: "I know everyone's story, but please don't put pressure on me!"

🎯 𝗧𝗛𝗘 𝗕𝗜𝗚 𝗧𝗔𝗞𝗘-𝗛𝗢𝗠𝗘!

🔹 💍 Median: Married to the artery.

🔹 💔 Ulnar: Together initially, separated midway.

🔹 🏠 Musculocutaneous: Independent child living in coracobrachialis.

🔹 💕 Radial: Secret romance with profunda brachii artery.

🔹 👀 Axillary vein: The compressible, watchful neighbour.

🧠 𝗔𝗡𝗔𝗧𝗢𝗠𝗬 𝗙𝗜𝗥𝗦𝗧!

🔹 These relationships are teaching metaphors, not actual anatomical origins.

🔹 Nerve positions around the axillary artery are variable.

🔹 𝗡𝗲𝘃𝗲𝗿 𝗷𝘂𝘀𝘁 𝗺𝗲𝗺𝗼𝗿𝗶𝘀𝗲 𝗰𝗹𝗼𝗰𝗸 𝗽𝗼𝘀𝗶𝘁𝗶𝗼𝗻𝘀. 𝗜𝗱𝗲𝗻𝘁𝗶𝗳𝘆, 𝘁𝗿𝗮𝗰𝗲 𝗮𝗻𝗱 𝘂𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱!

❤️ 𝗧𝗛𝗘 𝗙𝗜𝗡𝗔𝗟 𝗟𝗢𝗩𝗘 𝗠𝗘𝗦𝗦𝗔𝗚𝗘!

"Some nerves stay together, some separate, some live independently, and some find new partners!"

💡 𝗨𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱 𝘁𝗵𝗲𝗶𝗿 𝗿𝗲𝗹𝗮𝘁𝗶𝗼𝗻𝘀𝗵𝗶𝗽𝘀, 𝗮𝗻𝗱 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗻𝗲𝘃𝗲𝗿 𝗳𝗼𝗿𝗴𝗲𝘁 𝘁𝗵𝗲𝗶𝗿 𝗮𝗻𝗮𝘁𝗼𝗺𝘆!

Because great regional anaesthesia begins with understanding relationships, not merely recognising structures! 💉❤️

Dr.Kartik Sonawane

@KartikBSonawane

almost 2 years ago

"The Three Musketeers of Strength" #SolveMyRiddle #RARiddle #SolveMyPuzzle #RARiddles #InterestingRA #InterestingAnatomy Identify RA Relevant Structures? In a land where layers run DEEP, 3 brave warriors silently CREEP. First, the outer, bold and WIDE, From cage to crest, it strides with PRIDE. Second, hidden beneath the SKIN, From ridge to frame, it weaves WITHIN. Moving side by side in steady COURSE, It offers strength and vital FORCE. Third, the quiet, firm and STRAIGHT, Guarding strength, controlling FATE. Second and Third, Side by SIDE, Harboring Beauties Safe INSIDE. They twist, bend, flex with GRACE, Shielding the core, holding PLACE. The 3 musketeers, strong and TRUE, Can you guess who protects YOU? By Dr.Kartik Sonawane

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