Archive for January, 2023

Muscles of Shoulder – Origins, Insertions, Innervations | Anatomy Tutorial

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Muscles of Shoulder - Origins, Insertions, Innervations | Anatomy Tutorial

#shoulder #scapula #axilla
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The Subscapularis muscle originates from the subscapular fossa. Its fibers converge laterally to be inserted on the lesser tubercle of humerus. Subscapularis is supplied by the upper and lower subscapular nerves.
The teres major muscle originates from the posterior aspect of the inferior angle of the scapula. Its insertion is on the medial lip of the intertubercular suclus, and is supplied by the lower subscapular nerve.
The suprapinatus muscle originates from the supraspinous fossa and its slender tendon inserts on the greater tubercle of humerus.
The infraspinatus muscle originates from the infraspinous fossa. Its insertion is on the greater tubercle of humerus just inferior to the insertion of supraspinatus.
These two muscles are supplied by the suprascapular nerve.
The teres minor muscle originates from the lateral border of scapula. Its insertion is on the greater tubercle of humerus just inferior to the insertion of the infraspinatus.
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Men and women alike want to build an aesthetic set of shoulders. At the end of the day, if you want to build round delts, you need to keep your shoulders healthy and injury-free. Because the shoulder is crucial to so many movements, a shoulder injury is one of the worst you can encounter.

Knowing the anatomy of your muscles and bones, as well as the various functions of your shoulders, can help you train and grow your shoulders more effectively. It can also help you keep them healthy and mobile. I’m going to help you build a better, stronger, healthier set of shoulders.

t’s great to have aesthetic shoulders, but if you injure these guys, you’re in big trouble. You can’t train your chest, back, or arms—heck, even leg training can be a chore if your shoulders are hurt. It’s important to train your shoulders for strength, physique, and health.

Take the time to warm up before you go through the workouts. If your shoulder muscles are weak, go lighter and do the exercises correctly. You’ll get more out of the exercise that way.

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Palliative Care – Symptom Management: By Robin Love M.D.

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medskl.com is a global, free open access medical education (FOAMEd) project covering the fundamentals of clinical medicine with animations, lectures and concise summaries. medskl.com is working with over 170 award-winning medical school professors to provide content in 200+ clinical presentations for use in the classroom and for physician CME.

Palliative Care – Symptom Management
Whiteboard Animation Transcript
with Robin Love, MD
https://medskl.com/Module/Index/symptom-management

Many patients with advanced life-threatening diseases have difficult symptoms that reduce the quality of their life. It’s important that we do everything we can to treat the symptoms and relieve their distress.

Common symptoms include pain, nausea, dyspnea, fatigue, constipation, delirium and others. It is hard for patients to do the most important things with their remaining time if they have severe pain or are vomiting continuously.

A focused history, physical exam and investigations will help us understand the extent of their symptoms and possibly determine the underlying cause. Any investigations should be thoughtfully planned and only ordered if the result will influence our management.

The tool OPQRST can be helpful as an outline when taking a history of the symptom:

O – Onset: When did it start?
P – Provoking: What makes it better or worse?
Q – Quality: How does the patient describe the pain?
R – Region: Where is the pain?
S – Severity: From 0 to 10, with 0 being no symptom and 10 being the worst they can imagine.
T – Treatments: What have they tried and has it helped?

Most patients have more than one symptom and I find it helpful to create a problem list with a specific plan for each problem.

There are many non-pharmacological approaches that can be helpful for patients. These include physical measures such as positioning, pillows, splints, fans for airflow, heating pads, ice, massage and others. Counseling, relaxation exercises and music therapy may be helpful as well.

Pharmacological approaches are also necessary in most cases. Proper use of common medications like morphine, metoclopramide, haloperidol, lorazepam, senna, and a few others can effectively manage the symptoms in most patients. Primary care physicians should be able to manage the symptoms in the majority of their patients. Additional resources are available to assist with management of more complex patients.

What you need to know is that many patients in the last months of their life have symptoms that can be well managed. The solutions are often quite easy and straightforward. We all have a responsibility to provide this care.
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Tommy Page – A Shoulder To Cry On (Lyrics)

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#lovesongs #lovesong80s90s #romaticlovesongs
Tommy Page – A Shoulder To Cry On (Lyrics)
Tommy Page – A Shoulder To Cry On (Lyrics)
Tommy Page – A Shoulder To Cry On (Lyrics)

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Alan Walker & Ava Max - Alone, Pt. II (Lyrics)

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🎧 Alan Walker & Ava Max – Alone, Pt. II (Lyrics)
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………
🎤 Lyrics: Alan Walker & Ava Max – Alone, Pt. II

We were young
Posters on the wall
Praying we’re the ones
That the teacher wouldn’t call
We would stare at each other
‘Cause we were always in trouble

And all the cool kids
Did their own thing
I was on the outside
Always looking in
Yeah, I was there but I wasn’t
They never really cared if I wasn’t

We all need that someone
Who gets you like no one else
Right when you need it the most
We all need a soul to rely on
A shoulder to cry on
A friend through the highs and the lows

I’m not gonna make it a-la
La la la la la la
La la la la la –lone
I’m not gonna make it a-la
La la la la la la
La la la la la –lone

Then I saw your face
Your forgiving eyes
Looking back at me
From the other side
Like you understood me
And I’m never letting you go, oh

We all need that someone
Who gets you like no one else
Right when you need it the most
We all need a soul to rely on
A shoulder to cry on
A friend through the highs and the lows

I’m not gonna make it a-la
La la la la la la
La la la la la –lone
I’m not gonna make it a-la
La la la la la la
La la la la la –lone

I’m not gonna make it a-la
La la la la la la
La la la la la –lone
I’m not gonna make it a-la
La la la la la la
La la la la la –lone

I’m not gonna make it alone
La la la la la la –lone
I’m not gonna make it a-la
La la la la la la
La la la la la –lone

‘Cause you are that someone
That gets me like no one else
Right when I need it the most
And I’ll be the one you rely on
A shoulder to cry on
A friend through the highs and the lows

I’m not gonna make it a-la
La la la la la la
La la la la la la –lone
I’m not gonna make it a-la
La la la la la la
La la la la la la –lone (No, whoa)

I’m not gonna make it a-la
La la la la la la
La la la la la la –lone (It alone, ‘lone, ‘lone)
I’m not gonna make it a-la
La la la la la la
La la la la la la –lone (No, no, no, no)
I’m not gonna make it alone

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#AlanWalker #AvaMax #AlonePtII #Lyrics

Nicki Minaj – Plain Jane (Lyrics & Audio) ft. A$AP Ferg

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Nicki Minaj – Plain Jane (Lyrics & Audio) ft. A$ AP Ferg
“Plain Jane REMIX” by A$ AP Ferg feat. Nicki Minaj
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#NICKIMINAJ #ASAPFERG #PLAINJANE

Lyrics:

“Plain Jane (Remix)”
(feat. Nicki Minaj)

[Nicki Minaj:]
Young Money
Ayo Ferg
[A$ AP Ferg:]
Yeah

Ride with the mob, Alhamdulillah
Check in with me and do your job
Ferg is the name, Ben Baller did the chain
Tourneau for the watch, presi Plain Jane

Yamborghini chain, rest in peace to my superior
Hermès link could feed a village in Liberia
TMZ taking pictures, causin’ mad hysteria
Momma see me on BET and started tearin’ up
I’mma start killin’ niggas, how you get that trife?
I attended Harlem picnics where you risked your life
Uncle used to skim work, sellin’ nicks at night
I was only 8 years old, watching Nick at Nite
Uncle Psycho was in that bathroom buggin’!
Knife to his guts hope Daddy don’t cut him
Suicidal thoughts brought to me with no advisory
He was pitchin’ dummy, sellin’ fiends mad ivory
Grandma had the arthritis in her hands, bad!
She was poppin’ pills like rappers in society
I fuck yo bitch for the irony
I’ll send Meechy at yo hoe if yo bitch keep eyein’ me

Ride with the mob, Alhamdulillah
Check in with me and do your job
Ferg is the name, Ben Baller did the chain
Tourneau for the watch, presi Plain Jane
Ride with the mob, Alhamdulillah
Check in with me and do your job
Ferg is the name, Ben Baller did the chain
Tourneau for the watch, presi Plain Jane

Suck a nigga dick or somethin’ (Yeah)
Suck a nigga dick or somethin’ (You already know, Harlem)
Suck a nigga dick or somethin’ (Queens)
Suck a nigga dick or somethin’ (Queens for the Kings of the Queens)

[Nicki Minaj:]
Ayo, I’mma explain why you probably never see me
I push a Lamborghini, chocha magic like Houdini
My body shaped like Jeannie, booty dreamy, waist is teeny
Yes, I told him to get TIDAL so he stream me when he leave me
I go hard in the booth, Biggie vibes, gimme the loot
I’m a classy millionaire, bitches ain’t got the couth
C-O-U-T-H ’cause you can’t spell it either
If I call him then he coming home running, Derek Jeter
Bitches must be eating ass because I swear they’re bottom feeders
Hoe, you know that you my son, I shoulda scrapped you as a fetus
All these bitches rockin’ inches cause they followin’ the leader
I should switch it up on hoes and rock a Afro like Lupitas
I don’t keep up with the Jones’s but I do know Catherine Zeta
I’m with Candice, TT, Thembi, and Viola, mi amiga
Rap bitches they gotta check in with the Queen
I’m the Alpha, the Omega, everything in between, uh

Ride with Minaj, mmh Mashallah
Check in with me, then do your job
Queen is the name, Rafaello did the chain
This is Monse, patty Plain Jane
Ride with Minaj, mmh Mashallah
Check in with me, then do your job
Queen is the name, Rafaello did the chain
This is Monse, patty Plain Jane

Eat a Barbie ass or somethin’
Eat a Barbie ass or somethin’
Eat a Barbie ass or somethin’
Eat a Barbie ass or somethin’

[Nicki Minaj:] Brrt
[A$ AP Ferg:] Kirk Kneezy on the beat
[Kirk Knight:]
Yo, you know this here for the city, nigga
Gold chains, Plain Janes, and all that good stuff