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00:04 | So are we all doing today? feels like spring yet it's spring in |
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00:09 | . It's manic depressive right? It's it's gonna be hot next week it's |
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00:13 | be down to be hot and after it's going to be heart. So |
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00:19 | springtime in Houston today. What we're do Is we're gonna go over the |
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00:24 | . Remember I said dem bones that's this is. 206 bones we're gonna |
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00:28 | through all 206 by the end of you're going all the bones in your |
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00:32 | , wow. Alright. And actually not really that hard. I mean |
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00:36 | think it's just scary saying 206 and going to see how quickly we go |
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00:41 | how it's not as horrible as you of when we look at the skeleton |
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00:46 | is how it breaks down. Remember talked about the axis of the appendices |
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00:49 | early on we started this class and where we're gonna start here is the |
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00:54 | the skeleton breaks down into two different . We have the axial skeleton with |
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00:59 | appendix color skeleton. The axial skeleton the one that's marks here in blue |
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01:04 | can see and then everything that's normal color is going to be a perpendicular |
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01:09 | you can kind of see how it down the axle is the skull. |
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01:13 | vertebrae and the ribs that are attached it. Alright so the job of |
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01:17 | axial skeleton is basically protecting supporting and the other body parts you can live |
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01:23 | with your access you or you can without your appendices. Alright? So |
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01:29 | you don't have if you lose parts your access it's it's kind of a |
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01:32 | deal basically these things are going to there to protect those things that you |
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01:37 | living. Now when it comes to appendix color skeleton, what we're talking |
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01:41 | are the arms and the legs and things that attach them to the |
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01:46 | right? So the things that are the limbs, so your upper |
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01:50 | right? Your lower limbs, That the hip and the shoulder. Because |
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01:54 | are the things that attach it to axis. It also includes the the |
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02:00 | and the hands and the feet. . And what we're going to see |
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02:03 | many of these bones are repeated over over again. Which is why the |
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02:06 | is not that big of a Alright. There's some big ones that |
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02:09 | got to know and then after that like this is bo number one, |
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02:12 | two, number three. Number And that's why it makes it |
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02:16 | The bones in the appendix other sculptures responsible for locomotion. Alright. Me |
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02:21 | my hands like this is locomotion. , so a perpendicular skeleton locomotion, |
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02:28 | skeleton primarily protection. So there is starting point and what we're gonna do |
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02:34 | we're going to dive in. Well should make sure this thing is actually |
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02:43 | and it is We're gonna dive in the skull when we start off at |
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02:46 | school, we start off with 222 , it's probably the most complex structure |
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02:51 | the skeleton. All right. When we say 22 bones, we're |
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02:56 | start in the cranium, there's eight there. The face is made up |
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02:59 | 14 bones. And so what we're to see is that most of these |
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03:03 | are going to be flat bones. we're talking about the appendix, we're |
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03:07 | primarily long bones. But when we're , the axis is primarily weird |
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03:13 | The flat bones for the most Now, what's interesting about the bones |
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03:17 | the skull is that these bones are be united by a unique type of |
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03:21 | called suture. We're gonna name the today, but when we come back |
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03:25 | thursday we're gonna describe the joints. right. And so when we look |
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03:30 | these, you gotta just think, , any type place where a bone |
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03:34 | with another bone comes into contact with bone. That's an articulation or |
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03:38 | These joints or sutures. And what have here basically to bones that are |
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03:42 | with each other, just like a puzzle. So, there's very little |
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03:47 | between those bones and you can test yourself, you can try to move |
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03:51 | bones in your skull, any movement feel is your skin. All |
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03:55 | The bones themselves don't actually move. there is one exception to this |
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04:01 | When it comes to the bones of skull and that is the man moving |
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04:07 | now on my body, right? that lower bone that makes up the |
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04:14 | . It's the only one that doesn't a suture. It has a unique |
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04:18 | of articulation which we'll get to on . Alright, so with that in |
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04:23 | , this is kind of the big . 22 bones. We're gonna start |
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04:26 | the cranium. We're going to start the cranium. It's gonna be one |
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04:35 | those days. Alright Crane. here's the good news for this |
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04:41 | And what's difficult about learning this stuff a lecture versus the lab in the |
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04:46 | , you get your hands on one these structures, you put it in |
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04:48 | hands, you turn it over, touch you feel you can see all |
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04:51 | different parts and so it's really easy identify these bones in a lecture. |
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04:56 | I got is the picture and I to point at it over and over |
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04:59 | . Alright, so on the what will happen is you will see |
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05:04 | that look exactly like what I'm showing here. They're even gonna be color |
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05:09 | . So you're not sitting there everything looks like beiges bone with some |
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05:13 | vague lines. Okay, so your is gonna be easy in that |
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05:18 | All right, But that's not how real world works, you know? |
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05:21 | you go look at a real It's not that easy to see the |
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05:25 | sometimes. Alright. but knowing where bones are kind of gives you a |
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05:30 | of structure. So our starting point the cranium, this is the structure |
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05:35 | encloses your brain. The attachments to to your neck, to your |
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05:41 | You know your head and neck are to be attached to the bones of |
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05:43 | skull. You got tons of muscles make up your face as well. |
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05:46 | we're focusing here on the crane. me being able to nod my head |
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05:50 | this is a function of muscle being to the bones of this cranium. |
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05:56 | here in the cranium we have a of bones that are called single |
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06:00 | In other words there's one of each then we have paired bones. This |
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06:03 | what speeds up the process. If didn't know you are a mirror image |
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06:07 | yourself, right? So if you a line or a mirror down the |
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06:11 | sagittal section or the mid sagittal plane looked at that mirror, you would |
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06:16 | a mirror image of you and it very much like what you look right |
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06:20 | we're slightly not a perfect mirror image that in and of itself. So |
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06:24 | that means is the bones on the , your left, my right are |
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06:28 | to the bones on the right, left, your right. Okay, |
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06:33 | when we see paired bones were really saying along that mid sagittal section, |
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06:38 | is a pairing. So when you see a pairing, that means there |
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06:42 | probably some place along the mid So the single bones include the |
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06:47 | the occipital ethnobotanist, annoyed. All now we're gonna go back a little |
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06:52 | later and we're gonna talk about the system, we're gonna talk about the |
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06:55 | and the and the lobes of the . And you're gonna see these names |
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06:58 | up again. So one of the you can remember for some of these |
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07:02 | is that the named bone lies over name part of the brain. So |
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07:07 | is your frontal bone and it lies your frontal lobes, right? That's |
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07:14 | of easy back here in the very back is your occipital bone. |
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07:19 | lies over the occipital lobes so So good. Alright then, Where |
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07:25 | put your hat? Alright, There two bones side by side. Those |
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07:29 | the parietal bones. Okay? And lie over the parietal lobes. You |
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07:35 | where I'm going here and then there's more set of love and they sit |
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07:40 | . Alright and there's this part. bone is what is called the temporal |
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07:46 | . Alright, so we got frontal the front occipital, in the back |
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07:50 | in the middle. That's where you your hat. I just rhymed |
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07:53 | I feel like dr Seuss today. right. And then over on the |
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07:57 | with the other pair temporal bones. here's the one paired, here's the |
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08:01 | paired. So one single, another . And then that means there's two |
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08:05 | that we didn't name up there. ? The uh sorry, the |
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08:12 | Alright. The spin oid, you see because it's on the surfaces on |
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08:16 | inside you can see right here. just annoyed. Alright. These different |
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08:20 | right here, which you don't need know but if you're in the |
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08:24 | they would say you need to know this thing right here is called the |
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08:27 | Wing. This down here is called greater Wing. What did they kind |
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08:30 | look like to you in the The purple thing. It looks like |
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08:34 | bat or a butterfly or a bird can pick. Right? But so |
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08:39 | these things to think about. Has these wings to it. |
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08:43 | That's just paranoid. And then the that sits right above it. I |
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08:47 | I say above it. It's really interior too is the ETh Boyd. |
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08:54 | right. And so when you're looking into the cranium, that's where you're |
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08:58 | see the solenoid and the asteroid. up here on the top, that's |
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09:02 | be the frontal, the parietal, occipital and temporal bones. All |
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09:07 | And so those are the eight you can count them 123, 45678 |
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09:14 | of the cranium. So the top is referred to as the vault. |
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09:18 | bottom portion here is referred to as base. You can see in the |
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09:23 | of the occipital bone is this big gaping hole and it's named the big |
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09:27 | gaping hole, the frame and magnus . Whole magnus big putting gaping there |
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09:36 | I like that word. All So that's the cranium. Now if |
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09:44 | get kind of confused here and go well I'm not sure which makes a |
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09:48 | you know the the vaulter which makes the floor. We can look at |
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09:51 | are called the cranial fossa. these are depressions within the cranium that |
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09:59 | as the floor to hold your brain place and you can see there's basically |
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10:03 | levels. There's one 2, 3 your brain kind of sits on these |
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10:08 | levels and is supported in that Alright so all we gotta do is |
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10:13 | what bones make up these floors and shows you what makes up the floor |
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10:18 | then all the other ones make up vault. So the one in the |
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10:21 | is the anterior, the one in back is the post here. The |
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10:24 | in the middle is the middle kind easy, right? So the anterior |
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10:29 | the frontal bone you can see right . Plus there's the ethnic plus part |
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10:34 | that bird looking structure so you can here and compared to where the bones |
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10:38 | marked there. So the anterior has eth, annoyed and annoyed. Its |
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10:43 | is to support the front of the . The frontal lobes. The middle |
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10:47 | the spin oid and the temporal bones right. You can see there's a |
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10:52 | bit of the parietal is kind of there but we kind of say that's |
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10:56 | vault. Alright. So even though can see a little bit of |
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10:59 | you can see the primary portions are spin oid in the in the temporal |
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11:04 | and you're like well wait a my temporal bones are here. |
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11:07 | but they come down like so And then when you look at the |
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11:11 | superior, well, what do we there? Well we've got some of |
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11:14 | temporal bone that's really kind of what line is there. You can see |
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11:18 | of bound up and the occipital. it kind of shows you the floor |
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11:23 | made up of some very specific bones then the other bones, as you |
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11:28 | about the top. So this is the top that, you know, |
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11:30 | frontal bone plays a double role, it plays a role in the top |
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11:35 | it plays a role at the And this makes up the protective structures |
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11:41 | the brain. At least the first of protective structure. When we get |
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11:45 | the nervous system, we'll talk about other protective structures. All right now |
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11:52 | said these things are kind of held by these sutures and I'm just going |
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11:55 | name the sutures here. They're not . Again, it's just you know |
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12:00 | bones are being attached to which by future? All right. And so |
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12:04 | are immovable joints as I tried to , um We have the corona, |
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12:10 | corona, remember we said corona plane basically a crown. That's what corona |
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12:15 | for. And it's like the crown the statue of Liberty, not a |
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12:18 | , like on the Queen of And what it does is it basically |
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12:21 | the front from the back and that's the corona suture does. It separates |
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12:25 | frontal bone from the two parietal right? If you go to the |
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12:32 | , you can see here this structure kind of like a lambda. For |
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12:35 | of you who are doing greek Lambda is easy for those of you |
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12:38 | haven't been around greek letters. A looks kind of like an upside down |
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12:43 | , The capital form, All And that kind of looks like an |
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12:46 | down V. Grant. It looks a very wide upside down V. |
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12:50 | it's nevertheless, it looks like hence the term lambda. Oid. |
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12:55 | . It's kind of like a but not quite. And what it |
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12:57 | , it separates out the occipital from two parietal and you can also see |
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13:02 | a little bit of the temporal there well. Alright. But we're gonna |
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13:08 | there's a little bit of that Alright? We have the sagittal |
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13:12 | Remember the sagittal plane separates your left your right? This happens to be |
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13:17 | the midline. So it's really a sagittal joint and what it does is |
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13:20 | separates the two parietal. And you see here there's pride on the |
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13:24 | parietal, on the right, there's sagittal suture and then the last one |
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13:28 | squamous squamous. Remember means scale So I don't know why they came |
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13:32 | with this bad answer that could have up with something or a bad |
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13:35 | But in essence, what we have , here's the squamous suture and it |
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13:38 | out the parietal from the temporal. right. So those are the primary |
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13:45 | major sutures. And you can see are other ones and I want to |
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13:48 | kind of point these things see these green things that have been marked |
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13:52 | Those are examples of sigma r r bones. Alright. They have names |
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13:57 | them but we don't worry about All right. So those are sutures |
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14:03 | hold your skull together. At least cranial vault. And then what we're |
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14:10 | do is we go to the The fate seems more scary because there's |
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14:14 | lot more different names. All You can see there's two bones that |
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14:18 | gonna be single bones and then everything is paired. Alright. So if |
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14:22 | was eight we said there's 22 of skull. Eight were in the |
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14:26 | that means 14 are going to be the face. All right. |
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14:30 | one of the things you can do learn this is go find a friend |
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14:33 | doesn't mind you touching their face and just poke at them. All |
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14:40 | Hard to find people like that. what we do is we just kind |
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14:45 | walk through and look at the names see do the names make sense to |
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14:49 | . Alright, so I'm gonna start the paired bones here. The nasal |
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14:52 | . You can see there's two of . Where do you expect the nasal |
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14:55 | to be part of the nose? . And then when I cry, |
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14:59 | tear ducts are located here near that bone. That would be where the |
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15:04 | of bone is. Okay. And one on each side. Okay, |
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15:09 | that's two. That's easy. The bone. That's a hard one in |
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15:13 | of names. I don't really know zygomatic means. Okay, well feel |
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15:17 | bump right there your cheek. That part of the zygomatic arch, which |
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15:22 | a feature of the zygomatic bone. zygomatic bone makes up your cheek so |
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15:28 | far so good. Right next on list is we have the palantine. |
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15:33 | right, we're going to come down and look at the palantine. Have |
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15:35 | made yourself gag? Right? Get finger go back and find that special |
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15:41 | in the back of your throat. . What do we call this part |
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15:44 | the mouth? The hard palate and the trigger in the back of the |
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15:49 | . The soft palate. Alright that palate is made up of two |
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15:55 | One is going to be part of maxillary, the other is the Palin |
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16:03 | . Alright prepared palantine. That's a bit further back. We'll see a |
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16:08 | picture on the next slide. It's another angle to see that. But |
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16:12 | where the palantine are. Alright. then we have the paired maxillary which |
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16:16 | kind of fuses together and creates a structure but it's actually two bones fused |
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16:21 | and then we have the inferior nasal shell which is inside the nasal cavity |
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16:26 | it sits kind of on the side it's not easy to see in any |
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16:30 | . If you look right up That's the only picture we'll see and |
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16:33 | can see it's right inside. So means there's two bones we said that |
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16:38 | singles. One of them is the . Alright, so Bowmer, Bowmer |
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16:43 | what decides to defy or divides the cavity into left and the right |
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16:49 | All right. You can see here a large bone but it's very very |
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16:54 | so it just sits there and goes the way back and then the other |
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16:58 | is your mandible, your lower your mandible. So the maxillary, |
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17:03 | upper jaw mandibles, lower jaw and picture right here. Get a little |
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17:08 | better so you can see the two of the maxillary here, you can |
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17:11 | the two halves of the valentine's and can see the single bomer underneath that |
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17:18 | right there, if you're wondering wait a second, where am |
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17:21 | That's that spin oid that makes up floor of the cranial vault. So |
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17:26 | can see it from that angle and are just different angles. Again, |
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17:30 | can see there's my latino bone, my nasal bone right here. This |
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17:35 | part of the maxillary, there's a six. So it's just looking at |
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17:39 | from different angles. And again, would be easier if you had a |
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17:43 | in your hand and you could sit and wander around it. This is |
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17:46 | best we can do. I think textbook actually has a school that you |
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17:50 | wander around if you want to, know? But these are the pictures |
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17:55 | see on the exam, literally the same pictures color coded the exact same |
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18:01 | . Okay. Will there be a of labeling? Uh, no, |
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18:05 | it's all multiple choice, but it like which of the following is the |
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18:09 | , A B C or D. sort of thing. Yes. What's |
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18:16 | ? No. So the reason we do is to fill in the |
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18:19 | So are you confident in your No. And that's the problem is |
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18:24 | computers have to have every possible answer every possible misspelling and that's why we |
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18:32 | do that. So it's just easier to do the multiple choice. And |
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18:36 | truth is is that if you're planning a career in the health professions, |
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18:39 | your exams for the rest of your . Oh, and by the |
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18:42 | if you didn't know this, you're to be tested for the rest of |
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18:44 | life. All health professions have continuing to ensure your license ship. And |
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18:50 | you have to do a certain number continuing education hours for your entire |
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18:56 | Yeah. Tests. Mhm. it might as well teach you how |
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19:01 | do it now. Right? My , I think has to do 30 |
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19:06 | of continuing ed. And it's not 30 hours like, oh if I |
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19:10 | literally 30 hours, that's it's each kind of like college where it's like |
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19:15 | taking three credit hours, but I'm some odd hours. All right, |
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19:21 | . Let's see. Oh. So is the whole point of all these |
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19:24 | bones? Um Why do we care them? Well, they play a |
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19:30 | in creating the cavities for your special and your special senses. If you |
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19:35 | familiar, these are three of the of them. So it's sight, |
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19:39 | and taste balance and and hearing are other two. And that's going to |
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19:43 | found inside the temporal bone. Uh creates a terminate for the heirs. |
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19:48 | what that inferior nasal conscious a terminate when you breathe in instead the air |
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19:53 | laminar or straight. What happens is air begins to roll over itself alright |
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19:59 | purpose of which is to warm up air and humidified the air so that |
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20:02 | the air enters your lungs it's not cold and damaging um provides the openings |
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20:08 | the passage of air that would be your nasal passage as well as for |
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20:12 | . That'd be the oral cavity plays role in securing the teeth which we'll |
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20:16 | with regard to mexican a mandible and face muscles of which there are |
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20:20 | many many face muscles. All So I've mentioned cavities. Alright. |
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20:32 | I'm just gonna point them out, said that there's three at least for |
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20:35 | special senses. We'll look at But it's also the cranium. |
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20:39 | so this is the largest cavity. it is basically a big hollow space |
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20:42 | the skull. That's where your brain . So that'd be the cranial cavity |
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20:46 | we have the orbital cavities. And can kind of see which bones That |
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20:50 | be a question is like which bones up these? For which bone doesn't |
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20:54 | not a way to go because it's me. But it's like which bones |
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20:59 | up part of the orbit? Uh the cranial cavity or the orbital |
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21:04 | orbital cavity. Just think about All , well where am I? |
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21:07 | here's my orbit, right? So you can see on the front that |
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21:11 | be the frontal bone back there. a still annoyed. There's also the |
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21:15 | annoyed which you can't see in this um You have the zygomatic. There's |
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21:20 | cheek, your palantine which is inside behind the maxillary is the obvious one |
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21:28 | there As well as the lacquer mall , which is a little tiny green |
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21:31 | right there. All right. This why it's hard to do this stuff |
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21:35 | just the pictures with the bones. can actually see that, right? |
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21:39 | this is where your eyeball is going be and the blood vessels and the |
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21:42 | and the muscles that are responsible for . As well as the lachrymose glands |
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21:46 | coat the eye with your tears so your eyes don't dry out nasal |
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21:55 | Is this big giant space. I it's divided into by the bomber. |
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21:58 | this is where the passage of air . There's special sensory neurons there there |
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22:03 | for the sense of smell. Um also the first part of your respiratory |
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22:09 | . So when you get to MT learn about the respiration, that's the |
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22:12 | place you're going to be focusing It's where you're going to humidifier and |
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22:16 | the air so that septum that sits is the Volmer plus portions of the |
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22:24 | . You also have the spin You can see there's the spin |
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22:28 | there's the eth, Boyd right There's the other side of the ethnic |
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22:32 | . That's why it makes up the um the palantine. You said back |
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22:37 | . There's that green little bone sitting there. That's the palantine. We |
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22:41 | the nasal bones right? Which make the front portion there we have that |
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22:46 | which is the orange portion right in . And what you can't see in |
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22:50 | picture is the inferior nasal conch shell are those two little green things that |
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22:54 | off. All right. And there's off the side of the void |
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23:00 | They're attached to the asteroids. So is where I breathe in air. |
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23:05 | you can breathe in air through your . But that's what the nasal cavity |
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23:08 | designed for. Finally we have the cavity that's primarily formed by the mandible |
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23:14 | the maxilla palantine also forms portions of as well. This is where your |
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23:19 | are embedded within the maxilla and It also contains the tongue. This |
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23:24 | where food is traditionally passed through the although if you've ever laughed while drinking |
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23:31 | you know that food can pass also the nasal cavity And if you well |
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23:36 | no longer on. But David Letterman stupid human tricks and there is a |
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23:39 | who could actually drink it was gross he got on T. V. |
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23:47 | um also salivary glands. Lots and of celebrating glands are located within the |
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23:52 | cavity. So those are the cavities the skull. And you can just |
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23:56 | of see how do I bound What are the bones that make up |
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23:59 | structures? Now bones actually are heavy so heavy things we don't like to |
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24:06 | around? Have you noticed that that prefer not to carry heavy things |
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24:11 | You notice that when you're just sitting , your head kinda gets lazy. |
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24:16 | of you already sitting here in the like this, right? Because your |
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24:21 | is heavy. How do we make lighter? Well let's put big giant |
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24:24 | in the bones and that's what sinuses . There are pockets within the bones |
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24:30 | help reduce the weight of the skull also are useful in helping to humid |
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24:38 | and warm air. That's its primary functions. All right. So there's |
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24:43 | of them, they're named for the in which they're found. Alright, |
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24:48 | we have the frontal sinus that sits up here. Okay? You have |
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24:54 | paranoid which would be within that f bone further in you have the spin |
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25:00 | which you know, is that bird thing? There's holes there and then |
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25:04 | have the maxillary sinuses which sit out here. All right, So there's |
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25:10 | frontal look that would be kind of side you can see I've created these |
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25:14 | in spaces they are opened up to nasal cavity. So they are mucus |
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25:22 | . In other words, they are spaces that actually can enter into. |
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25:28 | there's a layer of epithelium that produce mucous cells and goblet cells in |
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25:34 | Um And so that's why you're able moisten that air. Alright? And |
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25:41 | blood vessels that are close to the that allows you to warm up the |
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25:44 | as well. All right. you know what happens when you get |
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25:48 | infection or you have an immune response get all clogged up and you get |
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25:52 | stuffy and everything sounds terrible and you don't feel good and you get that |
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25:58 | , the slightest pressure. You know I'm talking about? So, but |
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26:03 | small openings. The other thing that do is they help to resonate our |
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26:10 | . Have you noticed that everyone doesn't the same kind of sort of |
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26:15 | That's partly because of these these There's other reasons within the vocal |
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26:20 | But basically, you have these areas create unique resonances. And so it |
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26:25 | unique sounds for our voices. that's 22 bones ready to speed |
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26:35 | You're like, no, that's These are the hard ones. That's |
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26:38 | we do them first. All the are just kind of like easy |
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26:41 | All right. In our neck. have a lone bone. It doesn't |
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26:48 | any other than articulate with any other . It's called the hyoid bone. |
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26:52 | can see it's associated with our All right. And it has this |
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26:56 | weird funky shape to it. All . It has two features to it |
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27:02 | the lesser and the greater horns. are attached to ligaments and muscles so |
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27:07 | it helps aid in the process of . If you want to feel it |
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27:10 | can just put your hand on there you go and you can feel it |
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27:15 | moves when you swallow. All basically the muscles are pulling. The |
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27:21 | of a bone in some cases is attach to a muscle so that the |
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27:25 | have something to grab onto and hold create that local motion. That's 23 |
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27:31 | of 206. Yes. No, completely separate. Um If we were |
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27:41 | a lot of the developmental stuff, see its origins. It has to |
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27:46 | with I'm not going to go down . One of the things that we |
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27:52 | very early on in what are called slits which all vertebrates have differential slits |
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27:56 | into the mandible as well as the . So it's a unique bone specifically |
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28:01 | to help us swallow in organisms that not quite as developed as we |
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28:07 | It helps in terms of buckle So think of a more, have |
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28:11 | ever seen a moray eel? No. Okay, basically it's an |
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28:16 | that sits in the ocean. And it does is it pulls in water |
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28:19 | breathe. And so the highway would there and allow it to have something |
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28:24 | tug on to pull air in and breathing is that's how you refer to |
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28:29 | . If you've ever seen a frog , it's using the same sort of |
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28:35 | . So that's what that bonus for its source is one of those. |
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28:40 | of those structures are just happens to us with swallowing um Along with some |
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28:46 | organisms. All right. So it's part of the Vertebral column. That's |
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28:52 | . Let's get to the next group color. Alright, let's just add |
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28:58 | up real quick. Just because I to do the numbers. So we |
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29:01 | seven plus 12. That's 19 plus 10, plus another 3, |
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29:07 | That gets us up to 46. how quickly they go. Just like |
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29:12 | . All right now you can see when you look at a vertebral column |
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29:15 | has a unique shape. Notice that these con cavities and these convex curvature |
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29:21 | them right from behind. It looks a straight column. But you can |
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29:25 | it has all the unique shape. unique shapes allow you to distribute the |
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29:30 | in different directions so that all that is not being carried directly down the |
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29:34 | . It's being dispersed along the All right now we have different |
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29:41 | The upper regions referred to as a followed by the thoracic, followed by |
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29:45 | lumbar followed by the sacral. And we have these four of vestigial cox |
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29:51 | vertebrae that we just kind of say , yeah. There there you can |
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29:55 | number wise how many there are. seven cervical followed by 12, followed |
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30:00 | five, followed by five. And four. How do I remember how |
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30:03 | each of these do have or Well, it's real simple or at |
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30:08 | I come up with different clues. this will help you. What time |
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30:13 | normal people eat breakfast in the seven a.m. What time do normal |
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30:19 | So you notice I'm not saying college because students eat breakfast at 11, |
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30:23 | have lunch whenever they feel like it then they'll make eat dinner at six |
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30:27 | something. So we we can't use students. It doesn't work. All |
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30:30 | . So seven is what normal people breakfast? What time normal people eat |
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30:35 | ? 12 noon. All right. then when do normal people have |
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30:39 | 5? And then when does when dr Wayne have seconds? Five oclock |
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30:46 | ? Right. And then some people to get up in the middle of |
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30:49 | morning and have a midnight stack at a.m. That's how you remember it. |
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30:55 | 12 55 and then four is Okay, that's how I remember. |
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31:01 | , I started the top seven cervical , thoracic five lumbar five sacral and |
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31:08 | that weird four cocks Egil. that's the numbers. Now, if |
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31:13 | want to remember curvature tres we start life with a single curvature as one |
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31:20 | . We refer to it as the curvature because basically you look at a |
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31:24 | being born and their basically their whole column is like a letter C. |
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31:30 | right. But what happens is is only retain a little bit of |
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31:34 | And so what you end up with these the cervical curvature which is going |
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31:39 | be concave and then you can see it's convex and concave again and |
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31:45 | And then the regulars just fused vertebrae , cycles also fused. All right |
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31:53 | , the purpose of this is that provides uh wait being distributed along that |
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32:00 | . So you can see here this is pushing the weight out this |
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32:03 | This one is a little bit a little bit less. And then |
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32:05 | start moving the weight this way and it comes back down this way. |
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32:09 | that's why I'm saying it's distributing the . The other thing it serves as |
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32:13 | spring for your movement. You don't see it because we're upright. It's |
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32:18 | to see, especially with the weight pulled down by gravity. But if |
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32:21 | ever watched a video of like a running, have you ever watched any |
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32:26 | those nature shows? And basically they like spread out like a spring |
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32:30 | then they squish together getting spring And it's because of the way the |
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32:34 | cord works. All right now, that in mind, those 23 |
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32:44 | let's look and see what vertebral bone like. What does the vertebrae actually |
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32:50 | like? It has parts to It has a body. So right |
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32:56 | over here, the thing that's stacked itself is the body so you can |
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33:01 | bodies are stacked on top of And then what you have is this |
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33:07 | that's formed by this outer bone Alright. That hole is called the |
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33:13 | foramen. That's where the spinal cord . So the body is a solid |
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33:18 | and then you have this little tiny or a hole through which the spinal |
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33:22 | goes through. And then you have protective bone portion that is there to |
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33:27 | the spinal cord in that hole. protective portion is called the vertebral |
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33:33 | And so you can think that this arches made up of three parts. |
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33:37 | right. We have the lamb in Which is this outer portion here, |
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33:41 | then the two sides are called the . All right. So, it's |
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33:45 | a pentacle, pentacle, and then arch over the top which would be |
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33:49 | laminar and then extending from the lamb a are going to be these processes |
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33:55 | each have a name. Now, can go and palpate these. That's |
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33:59 | fancy word for saying touch them, get a friend again. The same |
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34:03 | is comfortable with you touching their face I want to play with your spinal |
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34:06 | now and you can go and touch middle of their back and you can |
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34:10 | these little tiny spines sticking up. right. That would be one of |
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34:15 | processes. Alright. That would be spinal process. All right. And |
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34:20 | what we're kind of looking at in pictures, these things sticking out are |
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34:24 | processes. And so there's actually a of different ones. All right. |
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34:29 | , the one that's sticking straight out back and and in the post their |
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34:34 | . That's the spinal process. Only of those. For each of these |
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34:41 | , the ones that stick out to side, which is what you're kind |
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34:44 | looking at here sticking out like. those are the transverse processes, so |
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34:50 | stick outward to the side. These overt in the cartoon over here. |
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34:55 | not quite so overt. But if you go and look at the |
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34:58 | , you can go and say, yeah, I can see how it |
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35:00 | of looks like a star going to out this way, one out of |
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35:03 | back, and then we have the ones. These are called the articular |
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35:08 | . The articular process says in the that they are involved in a |
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|
35:14 | right? Articular, Whenever you see word, I think there's a joint |
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35:17 | . It's bone against bone. And , what we have is on either |
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35:22 | . So, if you can imagine a transverse process sticking upward on either |
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35:27 | and sticking downward. On either side the articular processes. Alright, so |
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35:33 | here, what we're doing is we're down on top of a vertebrae. |
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35:38 | this would be the articular process of superior articular process on the other side |
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35:46 | we can't see would be the inferior process. And on the ends of |
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35:50 | processes, this is where you're going see the facets. So when you |
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35:54 | the word facet, that's where the actually takes place. So the process |
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36:00 | the extension on the end is the . So looking at this, you |
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36:06 | see here right there, that little . That would be the inferior articular |
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36:11 | that right there underneath it, That be the superior articular process of the |
|
|
36:18 | underneath it. So an inferior process with the superior articular process and they're |
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|
36:25 | at the facet. That kind of sense. So for each vertebrae you |
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|
36:31 | a spinal to transverse to superior articular inferior articular. Okay, you can |
|
|
36:47 | a little bit better. The here's this uh the spinal process and |
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36:53 | you can see there would be the there, right there would be the |
|
|
36:57 | in there, working their way up each body. You don't have bone |
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|
37:04 | up against bone. You have an vertebral disc. The inter vertebral disc |
|
|
37:10 | a fibrous structure that allows you to force between each of the bones. |
|
|
37:18 | there's two parts to it. The is kind of like a gel structure |
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|
37:25 | kind of liquidy or spongy. All , it's like a doctor shoals |
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37:31 | you can step on it and it pushes the fluid where there is |
|
|
37:37 | Alright, so the bone is not could be out towards the sides to |
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37:41 | it from tearing and ripping apart, have an outer uh portion. This |
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|
37:45 | called the annual list fibrosis. It's up of cartilage and fiber fiber |
|
|
37:50 | And so as that force presses you basically you squish and it kind |
|
|
37:54 | expands outwards. That kinda makes Just like stepping on something squishy. |
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38:00 | kind of expands outward. So the of everything above is being dispersed out |
|
|
38:08 | these inter vertebral discs. This textbook we're using is the only one that |
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|
38:15 | an inter vertebral disc that's not So this would be what a normal |
|
|
38:20 | vertebral disc is. So you can there's the annual fibrosis, there's that |
|
|
38:25 | propulsion sis every other textbook, They focus on the one picture of a |
|
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38:30 | disk where it's like torn because they to show you, oh look, |
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38:33 | is what a herniated disc looks but they never show you what a |
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|
38:37 | one. So this would be the . You can see there's a tear |
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38:40 | the Angeles fibrosis. And so the of that nucleus propulsive gets pushed out |
|
|
38:46 | gets applied up against the spinal And that's that pain that you would |
|
|
38:50 | all right, But this is what normal one would look like from the |
|
|
38:54 | view. Red beans damaged. So looking at these, you can see |
|
|
39:06 | doesn't matter where you are. If cervical thoracic lumbar that you're going to |
|
|
39:11 | this same sort of structure. Here's body right? There's the the foramen |
|
|
39:19 | ? The vertebral foramen, this is vertebral arch, right? Here's the |
|
|
39:24 | process. There's a transverse process. can see here and here or there |
|
|
39:28 | there or there and there. That be one of the articular processes whichever |
|
|
39:34 | we're facing now in saying that there unique features that some of these different |
|
|
39:41 | have and I'm not gonna ask you do that. That's more important when |
|
|
39:44 | can actually physically see these. But for example, C one cervical one |
|
|
39:50 | also called the atlas. Alright. called the atlas because it's the bone |
|
|
39:56 | which the skull sits. Atlas was demigods or titans. Thank you. |
|
|
40:02 | could not remember the titan that put world on his shoulders actually was punished |
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40:06 | do that. It was I think Zeus yeah, but he basically said |
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|
40:11 | you've got to carry the world on shoulders. And so that's what atlas |
|
|
40:16 | . Alright. So that's what that is the one that sits underneath |
|
|
40:20 | C two is called the axis and the one that lets you say no |
|
|
40:24 | , no, I'm not gonna do . Okay. So but they have |
|
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40:29 | unique features which you kind of listed there. Again, I'm not asking |
|
|
40:32 | know this. All right, I'm telling you because someone's going to ask |
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40:37 | some point in the future And you're , oh yeah, dr when he |
|
|
40:39 | something about that. All right, going to see the thoracic here in |
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40:44 | a moment. Has a place for ribs to articulate. All right. |
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|
40:49 | then fast. The lumbar, you , has other features that are |
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|
40:53 | When we get down to the we're going to see that this is |
|
|
40:56 | fusion. So, some of the that we just described there there, |
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|
40:59 | they've been fused away and we can't them any longer. So, when |
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|
41:05 | look at the thoracic, here's that process that has a facet for a |
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|
41:11 | . Now, how many thoracic did have? 12? So how many |
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|
41:14 | do you have? 12 pair? . Isn't that easy? I mean |
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41:18 | of a sudden now it just kind drops everything into place. So, |
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41:21 | like if you ever get the question how many ribs are there, you |
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|
41:24 | that that trivial pursuit question how many in the body? It's like, |
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|
41:27 | , I can connect the dots and , okay, well, I know |
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41:30 | 12 thoracic. I know that the have a place for an attachment for |
|
|
41:34 | rib. That means there's got to 12 ribs or 12 pairs of |
|
|
41:38 | All right. And that's what this . Just trying to show you there |
|
|
41:40 | the transverse. That would be the right there. And this is going |
|
|
41:44 | be the rib going off it. refer to that as the costal facet |
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|
41:49 | the river called the costal bone. down to the sacrum and you can |
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|
41:58 | everything was there. But what happens these vertebrae fused together. So you |
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42:02 | this larger structure. This would be anterior view. This is the posterior |
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|
42:08 | . All right. So, you see what we have is we have |
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|
42:11 | little tiny for mina, right? just plentiful framing and what they |
|
|
42:16 | This is where blood vessels and nerves through to get down to the lower |
|
|
42:22 | . All right. The coccyx Is the four cocks Egil vertebrae fused |
|
|
42:30 | All right. This is an attachment for several ligaments. If you ever |
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|
42:35 | that bone moving hurts terribly because of ligaments. But if you look at |
|
|
42:42 | structure, it's only about this All right. And you're getting to |
|
|
42:49 | point where it's almost fused Refuses around age of 25. Right? There's |
|
|
42:58 | a little bit of cartilage in between . Alright, so 46 bones so |
|
|
43:10 | , the thoracic cage is made up the costal bones which are your ribs |
|
|
43:14 | well as the structures that make the . There's three bones that make up |
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|
43:19 | sternum we have the manu bri um is the upper region. It's gonna |
|
|
43:25 | with your clavicle, which we'll get in just a second as well as |
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|
43:28 | ribs. We have what is called body. In other historically it's referred |
|
|
43:34 | as the gladiolas. If you don't what Gladiolas says, that's the sword |
|
|
43:38 | a gladiator uses too pokey pokey. right. It's also a flower. |
|
|
43:44 | reason it's called the gladiolas has a is because it looks like a |
|
|
43:48 | Alright. So that's going to articulate ribs. You can see here that's |
|
|
43:51 | body and then finally at the very . That's the zip void process. |
|
|
43:56 | is again a portion that is primarily up of highland cartilage. But as |
|
|
44:00 | get older it Aasif eyes and becomes . Alright, this is where many |
|
|
44:06 | the abdominal muscles are going to be . So it's really simple. If |
|
|
44:10 | look at it kind of looks like tie. You have the knot of |
|
|
44:12 | tie, the manu brie. Um have the body of the tie which |
|
|
44:15 | the Gladiolas or the body and then the very bottom you have that tip |
|
|
44:18 | is the maneuver or sorry, which a different process. £49. When |
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|
44:27 | get down to the ribs. How ribs are there? 12 pair? |
|
|
44:33 | pair. Alright, so just adding 24 on top of our 49, |
|
|
44:38 | out 73, you see how quickly goes all right? The first seven |
|
|
44:44 | are going to be the true All of these ribs are gonna be |
|
|
44:47 | to the thoracic vertebrae just be clear that. The true ribs come back |
|
|
44:52 | and are attached directly to the Really, they're attached via um uh |
|
|
45:00 | directly to the sternum. The ladder are what I referred to as the |
|
|
45:07 | ribs. So you can see I'm just gonna use number one as |
|
|
45:10 | example here. So you come there's the cartilage, it's attached attached |
|
|
45:14 | to the sternum. Alright, come and making sure number seven right |
|
|
45:19 | here's the cartilage. That cartilage goes to numbers, goes directly to the |
|
|
45:26 | . When you get to number notice it's connecting to the cartilage which |
|
|
45:31 | to the sternum. So the cartilage the cartilage to the sternum. |
|
|
45:34 | that's why it's a false robe. , It's not directly to its connecting |
|
|
45:40 | the thing above it. When we down to the last two, these |
|
|
45:44 | ribs don't even have cartilage they're referred as the floating ribs. Alright. |
|
|
45:50 | 89 and 10. Let's make sure doing that. 89, 10. |
|
|
45:55 | are going to be the false ribs by the two floating ribs. All |
|
|
46:02 | now, structurally, the rib is flat bone. Alright, It has |
|
|
46:10 | features to it that you should be of. All right. And so |
|
|
46:14 | way I want you to think about is over here is where we're attached |
|
|
46:18 | the vertebrae. Okay, over here where the cartilage would be that's attached |
|
|
46:23 | the sternum. So we're kind of from the posterior side, towards the |
|
|
46:28 | side. So we can see So this portion right here is that |
|
|
46:33 | right there. And what you can is that long portion is called the |
|
|
46:37 | . Very flat. So that portion comes around here, alright. Where |
|
|
46:41 | turns on itself, that's referred to the angle. So as it comes |
|
|
46:46 | , that would be the angle and on the other side of the |
|
|
46:50 | That's when you're gonna get to all other names structures. The first thing |
|
|
46:54 | gonna see is the to brickell. to brickell is what is articulating with |
|
|
46:58 | transverse process. So you can see my angle. This would be where |
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|
47:02 | shaft is. That we don't The first thing we see is the |
|
|
47:06 | brickell. It's where the joint is between that transverse process. Then the |
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47:13 | that precedes that comes next is the . All right. And then the |
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47:19 | is going to articulate with the body the thoracic vertebrae. So there's two |
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47:25 | of contact, the head and the and the place in between is the |
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47:31 | coming around the edge. That's the . And then you get the shaft |
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47:35 | shaft, then there's going to be that connects to the sternum. This |
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47:53 | us into the axial skeleton. Or , in the appendix color skeleton. |
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48:00 | all those things that we just looked from up to this point is the |
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48:06 | and everything moving onward. Now is to be looking at the appendices, |
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48:13 | going to start in the pectoral So this would be the pectoral girl |
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48:19 | here. That extends for the That's how the arms attached through the |
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48:24 | . And then when we get down the hip girl or the hip |
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|
48:28 | that would be the the girdle. blanking right now because my brain has |
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48:35 | up. Bush, I'm getting kind excited here because we're gonna go |
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48:40 | All right, so this bone right , you can feel it. That's |
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48:44 | clavicle. Alright. Its job is articulate with the scapula which sits in |
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48:50 | back over here and it holds your out away from the axis. |
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48:56 | basically it's a brace and it connects the sternum and it connects to that |
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49:00 | which is going to get on the . Alright now there's specific places where |
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49:05 | going to attach. So here you see the scapula. Alright, so |
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49:09 | the clavicle, it's that nice long , it attaches to the manubrium and |
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49:14 | to that clavicle. It attaches to manubrium which is part of the |
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49:21 | So we have the sternal end of clavicle on the scapula attaches to the |
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49:27 | Ian process. So we refer to other side as the chrome ian |
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49:32 | So the chromium is lateral, The end is medial. Alright. So |
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49:38 | here, that would be the sternal and then as I moved outward, |
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49:43 | would be the lateral end. When get to the scapula, it gets |
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49:52 | a lot of stuff on there that don't have to learn. Okay, |
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49:56 | one of the things that publishers like do is they like to overload your |
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50:01 | with information, you don't need to because they don't know who's going to |
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50:04 | what is right? And there are professors like you need to know everything |
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50:07 | and you're like, I'm getting So try to ignore these things out |
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50:15 | and just focus on what I'm saying there. All right? So when |
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50:19 | look at a scapula, it's kind like a shovel. It's actually one |
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50:22 | the first tools humans kind of figured how to use and take a scalpel |
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50:26 | they use it to dig because it of looks like that shovel. |
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50:31 | And when you wanted to beat people stuff. Got a humorous now, |
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50:36 | not talking human. Maybe they I don't know, but it's |
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50:39 | you know, kill a moose. the scapula. Alright. Killer, |
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50:45 | mammoth. Got a club. Really club. Probably wouldn't use that |
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50:49 | All right, So, this is shoulder blade. All right. And |
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50:53 | can see why do we call a blade? It has kind of a |
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50:55 | . Like look to it. All . So this is the side that |
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51:00 | your body. This is the posterior , right? So that would be |
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51:04 | out through the back. Alright. if you look on the back, |
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51:08 | can see it has this raised processes which is called the spine, that |
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51:15 | there's a region above the spine. a region below the spine. The |
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51:19 | above the spine is called super The region below is called the infra |
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51:25 | . Because these are indentations where muscles attached. We refer to it as |
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51:29 | super spinals fossa and the intra or , the infra spina fossa. So |
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51:36 | are attached in those two locations. right. On the other side, |
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51:41 | gonna be muscle attachments. You can of even see kind of the raised |
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51:44 | . But there's this region where it of dips down. That's also a |
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51:49 | . That would be the sub scapular because it's below the scapula. All |
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51:55 | now. And mention the acro me because that's where the clavicle connects. |
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52:02 | can see at the end of the that is the chromium process. I'm |
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|
52:07 | just pointed out now because we'll see a little bit later. There's the |
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52:10 | coid process when we talk about the , the shoulder joint that's gonna come |
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|
52:14 | play. But you can just kind see it kind of is a region |
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52:19 | is a portion of the bone that of sticks up and outward. All |
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52:22 | . But you're not gonna need to it. Just know that it's there |
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52:26 | you when we get back to The thing that's most important for us |
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|
52:30 | understand is this right here? The oid cavity. All right. The |
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52:36 | oid cavity is the point of The articulation with the humerus and the |
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|
52:43 | . Alright, so that's the pectoral , pelvic girdle was the other one |
|
|
52:50 | was trying to think of my brain off. All right. The humerus |
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52:55 | the bone that isn't All right. you ever banged your humerus? |
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53:02 | they were just kind of done something this. Is it funny when that |
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53:08 | yet? We still call it the mom. Yeah. Has nothing to |
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53:15 | with funny notice it's spelled differently. right now we start off with the |
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53:22 | that's approximately end. All right here can see we have these bumps where |
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53:28 | attach. Those are the two There's two of them. There's the |
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53:31 | and the lesser to brickell underlying The first thing we're going to go |
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53:37 | to is a bump that sits in middle of the humerus. Alright, |
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|
53:40 | again it's an attachment point for the muscle. It's the deltoid tuba ross |
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|
53:45 | . So you see this head, two little lumps that are kind of |
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53:48 | to it and then down the middle where you're going to see that too |
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53:53 | when you get down to the distal . This is where we're going to |
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53:58 | with two bones. The radius and ulna. Alright. So the capitulate |
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54:04 | is going to be on the lateral . Alright so just think about your |
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54:09 | . Where's media, where's lateral? the media? Right? This is |
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54:15 | . So the lateral side is where radius is. That's going to be |
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54:23 | articulation. There's going to be the on the medial side. That's the |
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54:28 | clia. Alright so capitulate um Now this will be easier when we |
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54:34 | at the owner of the radius. you can feel out here these extensions |
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54:44 | bumps, right? That is the con dial. All right. The |
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54:50 | that's really easy to notice is going be the one on the inside. |
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54:55 | the medial epic on dial. So kind of shows you that's above where |
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55:00 | trophy is located, right? You find if you want to dig around |
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55:04 | little bit you're like okay there it . That's the lateral epic con |
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55:08 | It sits right above the capitulation. right. So there's a humorous, |
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55:18 | we start off with the clavicle to scapula, scapula, to the |
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55:23 | down to the two bones, the and the ulna. Now how do |
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55:26 | remember which one goes where? All . Yeah. The owner nerve. |
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55:30 | one that we hit. Yes. it's actually it's really easy to find |
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55:35 | you want to you can go and that epic conned. I'll come down |
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55:38 | into that trope clear notch and you kind of just play with it. |
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55:41 | can feel it. Yeah you're going start doing it. You're like, |
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55:46 | , That's the fun one. That's funny bone. No, this is |
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55:50 | a funny bone at all. It's nerve. Alright, so y'all took |
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55:56 | way back in the dawn of Remember that? And you learned about |
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55:59 | radius. What is the radius? a point from the center to the |
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56:05 | in a circle, right? And you go around the edge. So |
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56:07 | do I remember where my radius Well, my radius is on the |
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56:12 | . It's basically from the point in middle, all the way to the |
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56:15 | . So, I always remember radius on the outside now, if you |
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56:19 | to come with something different, that's . That's how I remember it. |
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56:22 | , ulna radius. Now, remember position of the body should be like |
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56:28 | , This is not correct. This correct, right? Because when I |
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56:32 | this, my radius is straight, ulna is straight. When I do |
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56:37 | , my radius goes there, but connects over here, right? Because |
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56:40 | I've done is I've I'm sorry, my race. I've turned so my |
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56:45 | is crossing my illness crossing. All , So radius is on the |
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56:51 | ona is on the inside. The interesting things are all on the |
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56:59 | now. So, I'm just gonna out on the radius that you have |
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57:01 | style. Oid process again. You feel it right here, you go |
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57:05 | to your wrist. It's like, , there's a bumpy part that sticks |
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57:08 | out to the side, That would the lateral style oid process? All |
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57:13 | . Or the style of the Now with regard to the ulna and |
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57:17 | just gonna come up here. You see this is the ulna. If |
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57:21 | been turned on the side, you see here this is what really forms |
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57:25 | hinge portion of the joint of the and you can think what is the |
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57:29 | do. It basically is a hinge goes up and down like. So |
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57:32 | other things that it can do but right there is the reason it's a |
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57:36 | . You can see it has this , so that is what is referred |
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57:40 | as the trow clear notch. That's easy way to remember the trocadero and |
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57:44 | troll clear notch. Because those two are connected to each other ulna connected |
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57:48 | the humerus via the trow clia and troll clear notch. That's that |
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57:53 | that articulation. All right at this right here, that is your lecrone |
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58:01 | . Alright, so the pointy part the elbow is the L acronym, |
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58:05 | al acronym process serves as a portion form that trow clear notch. |
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58:19 | no, no, no no. it's really the key thing here is |
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58:24 | what is the L. A. on its that pointy part. How |
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58:28 | I connect my elbow? How do connect the ulna to the humerus |
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58:32 | Clear watch what does the truck have its notch? The tropicalia of the |
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58:38 | . All right. When we look the joint, you're gonna see why |
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58:42 | radius is there as well. But for right now, we're not |
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58:45 | to deal with that. All Carpal bones. All right, Everyone |
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58:52 | this. Right? So, you're to move your wrist because of these |
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58:58 | bones notice your wrist where it's located you do that movement, It's |
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59:03 | All right. This is not your . Your wrist is in here. |
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59:08 | there's eight bones that make up Now you can go and look up |
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59:15 | new monitor you want to? I'm trying to do the one that |
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59:19 | stick to your brain and I've tried keep it clean. All right. |
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59:23 | times out of 10. Any pneumonic do to memorize anything is going to |
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59:26 | dirty and filthy because that's what our like. All right. So, |
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59:30 | figure out what you like. I'm gonna tell you. And I took |
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59:34 | one. This is the most common . And it's cleaned up for |
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59:37 | Alright, because there's other horrible Now again, what is this? |
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59:43 | lunatics try positions that they can't I found a picture of an |
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59:47 | I love this artist. He takes and he puts people in positions that |
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59:53 | people can't bend into. So, guys remember watching cartoons like tom and |
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59:57 | and they show like the cat and mouse and the dog fighting. It |
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60:01 | be like a cloud and their arms legs and stuff. He has a |
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60:05 | like that with three people who are pretzel together. So that was the |
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60:10 | one. And then this is one came up as well and you can |
|
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60:13 | these two people are bent in wage cannot be bent. You'll never forget |
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60:23 | lunatics try position that they can't So what's the pneumonic basically it's the |
|
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60:27 | letter reminds you of what you're doing so if you look what you're doing |
|
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60:30 | you're starting at your thumb. So remember and then what you're gonna |
|
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60:34 | you're gonna move in and you're gonna back the other direction. All |
|
|
60:38 | So what are they scaphoid lunatic trigonometry pistol form, trapeze iem trapezoid capitated |
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|
60:47 | . All right. Now, having that again, I want you to |
|
|
60:54 | . I'm not going to be abusive you when it comes to the exam |
|
|
60:57 | terms of learning these things. probably do is ask you in which |
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61:02 | are these? Is this particular bone ? It's not going to be like |
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|
61:07 | mean all the names of the bones you know that's that's just mean I'm |
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61:10 | gonna say identify which bone again without wrist and being able to play with |
|
|
61:15 | see it. It's hard to do . All right. But you should |
|
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61:19 | the names of the bones that go your wrist, right? So if |
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61:23 | can remember scaphoid lunatic equestrian pissy trapezius, trapezoid capitated hamate. Then |
|
|
61:30 | probably going to be okay. And if you can't remember just remember |
|
|
61:35 | and you'll be good to go. right, There's eight bones in the |
|
|
61:46 | . Those are the carpal. The next to the carpal bones are the |
|
|
61:50 | . Look at your hand, you look at your hand and go, |
|
|
61:53 | that's not where my wrist bones what I have here are the |
|
|
61:58 | They're long bones. All right. when you look at a skeleton, |
|
|
62:03 | you're looking at the palm, you're at a series of long bones. |
|
|
62:09 | . Starting at the thumb. That's one, that's metacarpal number one then |
|
|
62:15 | , Alright, So 12345. And on the ends those are your |
|
|
62:23 | How can you identify the difference between finger or the phalanx bones or the |
|
|
62:30 | is really what they are The phalanges the metacarpals. Will you make a |
|
|
62:35 | ? All right. The top of metacarpals are your knuckles? Okay, |
|
|
62:43 | that's those long bones And then here your phalanges. When you look at |
|
|
62:49 | phalanges, The one that's nearest is . The one that's furthest away is |
|
|
62:54 | one that sits in between the proximal is the middle. So what you |
|
|
62:57 | for example here is you'd say this proximal number two. Middle. Number |
|
|
63:03 | . Distal. Number two, that's that's nomenclature. The only one |
|
|
63:09 | weird, is going to be your and there's an easy on the |
|
|
63:14 | Remember your cheat sheet is your A lot of people forget that. |
|
|
63:19 | right, you can look at your and go, oh, how many |
|
|
63:23 | do I have? Right, That's a hard thing to do. That's |
|
|
63:28 | legal when you're doing the joint. you could look around and the and |
|
|
63:32 | proctors weren't like accusing you of cheating the time, you will see people |
|
|
63:36 | stuff all the time, like, , mm hmm. You know, |
|
|
63:43 | I mean it's it's it's hilarious, know, But that's it's okay. |
|
|
63:47 | that's your official cheat sheet. You remember the so when you look at |
|
|
63:51 | fingers and you're going, I can't . Oh, my thumb. How |
|
|
63:55 | bones do I have in my Look and see where your knuckles |
|
|
64:00 | Right? So there's one, there's . So the thumb has two |
|
|
64:05 | your fingers have 123, Even your 1, 2, 3. All |
|
|
64:12 | , so proximal middle distal, this approximately since there's no middle, it |
|
|
64:17 | to be distilled, right? And thumb has a special name, we |
|
|
64:22 | it the Pollocks, I have it here, Right? Here's some, |
|
|
64:33 | . Bullocks, the big toe is the Alex, which we'll get to |
|
|
64:37 | just a second. Now, remember trying to get up to 206. |
|
|
64:43 | we had to right clavicle scapula one too. Alright then we had eight |
|
|
64:51 | then now you can see there's five another 12-plus 2. I'm not going |
|
|
64:57 | do the math for you. And how many arms do you have to |
|
|
65:01 | as? Multiplying numbers by 2? of a sudden the number is just |
|
|
65:04 | went by really quick. Right, that means we now get to move |
|
|
65:16 | the lower limbs. Alright, We with the pelvic girdle. The pelvic |
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|
65:21 | is incredibly complex but we're going to through most of the complexity and just |
|
|
65:25 | down to the nuts and bowls. , there's actually three bones here and |
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65:30 | they fuse together very early on in and they form a pair of bones |
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|
65:36 | the Oscar hoxha. That's your hip and you have two of them and |
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65:40 | fuse together and they form that pelvic . All right, So they fused |
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|
65:46 | age 13-15. Alright, so the bones were interested in that form each |
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|
65:53 | include the ilium. Easy to remember the the end of the ilium is |
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|
65:59 | iliac crest. All right. When think of a hip, the top |
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66:03 | the hip, that's your iliac that's your ilium. The thing you |
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|
66:08 | on is called the skim All will usually say issue. Um You'll |
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66:15 | hear people say issue the way I my issue is my tushy. Okay |
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|
66:21 | then the one in the front, your pubic bone. Alright, that's |
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66:25 | pubis. So those are the three that are joined together where the tibia |
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|
66:33 | in and connects where the articulation That structure is right here. |
|
|
66:40 | It's I said it's the femur. me. Um Is the asi |
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|
66:47 | Alright. Asi tabula mom is a for a structure that's called a vinegar |
|
|
66:54 | . That's literally what it means. so you can think what is the |
|
|
66:57 | cup, vinegar cup is one of things in reference to here. |
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|
67:02 | between the multiple courses of a meal clean your fingers, they passed around |
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|
67:07 | little cup of vinegar to wash your , right? Because you'd be tearing |
|
|
67:12 | off of food, you can imagine the ancient days. That's how you |
|
|
67:16 | yourself up with a little bit of acid. Alright. The other reference |
|
|
67:20 | is in reference to the cup that served at the crucifixion. All |
|
|
67:25 | So, it's one of those two . Again, you remember who's doing |
|
|
67:28 | the dissecting people who probably shouldn't but they're like monks and stuff. |
|
|
67:34 | right. So, that's the asi . Um And you can see here |
|
|
67:38 | reason I pointed out not only because an articulation for the femur, but |
|
|
67:42 | the point where all three of these come together. All right. |
|
|
67:47 | when they fuse together, part of fusion forms, the acetate. All |
|
|
67:53 | . So, we're looking here at side, right. This would be |
|
|
67:57 | a lateral view. This is the side. If you cut away and |
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|
68:01 | a medial view towards the this big gaping hole is not the asi |
|
|
68:08 | That's your um op trader for And this is where the blood vessels |
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|
68:14 | the nerves travel down into the That's what that big old hole is |
|
|
68:20 | his spinal cord. Oh, So, um if you look |
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|
68:25 | the spinal cord would end right about . So, you can imagine either |
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|
68:28 | the spinal nerves that are traveling They would travel through these holes and |
|
|
68:33 | out through those holes down into the . Alright, so the operator for |
|
|
68:41 | are those and those little for for our individual spinal nerves and they're going |
|
|
68:46 | form a couple of nerves. You're familiar with. The sciatic nerve is |
|
|
68:51 | of the big ones that's formed along way. So, one of the |
|
|
68:57 | I mentioned very early on in this is that humans are sexually diamorphine, |
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|
69:02 | we have a male and a female . And really this bone is one |
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|
69:07 | the one of the easy ones you use to actually see the difference differences |
|
|
69:12 | the sexes at the skeletal level. other things in the skeletal level that |
|
|
69:16 | can look at it. This one's the real obvious one. And and |
|
|
69:19 | of that is because of the way the male body and the female body |
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69:21 | designed. Male bodies are not designed give birth to Children. Female bodies |
|
|
69:27 | designed that way. And so one the things you can look at, |
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|
69:30 | can look at the pelvic inlet in female and you can see it's |
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|
69:33 | very wide that purpose. Whereas in male, not so much. If |
|
|
69:37 | look at the pubic arch and here can see this would be one ox |
|
|
69:41 | . So there's the other ox they're attached by a joint called the |
|
|
69:45 | synthesis which actually breaks down during It actually kind of softens up so |
|
|
69:51 | the hip can actually have a little more space to allow for that |
|
|
69:56 | But look at that pubic arch how it is relative to the mail. |
|
|
70:01 | these are some of the other I mean, just going through the |
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|
70:03 | big giant list, you don't have know that. I'm just pointing out |
|
|
70:06 | sexual dim or fizz um that actually structures in the skull and other things |
|
|
70:11 | well that you can see. But turn with regard, this is the |
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|
70:15 | one moving down the leg. We're to look at the last couple of |
|
|
70:25 | here, wow, I'm actually going lot slower. Usually I get through |
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70:28 | stuff in like an hour. So just having fun taking my sweet |
|
|
70:32 | strolling, sniff, sniff sniffing the , I guess femur is the |
|
|
70:39 | baddest bone in the body. Um actually the largest and strongest and |
|
|
70:43 | It actually it makes up roughly a of the size of heights. So |
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|
70:48 | they dig up bones, one of ways that they can determine the height |
|
|
70:51 | a person that they have the they can say basically I can measure |
|
|
70:55 | length here and then multiply it by . That's the height of the |
|
|
71:01 | It's kind of cool. Alright. whole bunch of bulky muscles. Um |
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|
71:05 | head is where articulating with the head with the hip at the A. |
|
|
71:10 | . Tabula. Um You can see the long portion is the shaft. |
|
|
71:14 | um the different attachment points. Uh we have the greater uh sorry the |
|
|
71:19 | to ferocity which I'm not seeing indicated the picture but basically it's attachment point |
|
|
71:24 | the gluteus maximus muscle. So that's big butt muscle. There's three muscles |
|
|
71:29 | their gluteus maximus. Minimus and medias is the big one that is going |
|
|
71:34 | be attached here. Um We have aisles all over the place so we |
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71:40 | a lateral and the medial condos and epic condos above them. So when |
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71:44 | say all over the place what we here are two structures at the distal |
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71:49 | of the bone that kind of sits that. Alright. And these services |
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71:53 | articulation and we're going to learn a bit about con dials and then like |
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71:57 | lecture but two of them together create force a hinge function in the |
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72:03 | So think about your knee. I hint action right? But my knee |
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72:08 | kind of go in different directions. con dials are the same things that |
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72:13 | also find other joints that allow you do rotations, slight rotations. All |
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72:21 | . Trow cantor's So we have a trow cancer. We have a lesser |
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72:25 | cantor. These are again attachment sites muscles um which are very overt on |
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72:32 | the bone. And then we throw in here because it's usually I mean |
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72:37 | associated with the femur but it's not of the femur. Is that sesamoid |
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72:42 | or flat bone that sits to the of the patella. And so it's |
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72:46 | to show you here, there's the right there. It sits on the |
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72:50 | surface and protects the knee joint. down into the lower leg. The |
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73:00 | sits and articulate specifically with the All right. But in the lower |
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73:07 | we have two bones. We have tibia and the fibula. So the |
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73:10 | you can think about it is that have the femur and the tibia and |
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73:14 | fibula. That's that would be the to do it. So the fibula |
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73:18 | articulating with the tibia. The tibia both with the femur above it and |
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73:23 | tibia fibula beside it and that's what is trying to show you. So |
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73:28 | is the femur, there's the There's the fibula sitting to the side |
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73:33 | it's not directly associated with the Alright, so this bears the weight |
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73:40 | your body. The tibia. It's the medial bone. Alright. |
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73:45 | where's my weight? It goes towards center of my body. So that's |
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73:49 | the tibia is going to be. femur tibia fibula fibula is on the |
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73:54 | . Uh The key feature I want show you here are you can go |
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73:57 | and look at your ankles when you of an ankle. The little bone |
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74:01 | . That is what is referred to the malleability and on the inside. |
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74:04 | the middle of the of your The inner ankle, That would be |
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74:07 | medial molly ellis. On the That's the lateral Malala's, lateral Malala's |
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74:13 | associated with the fibula. All right , what's unique about the fibula and |
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74:19 | tibia is if you look at where malleable er are located, they kind |
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74:24 | create this structure like. So, you'd have the medial Mallia list and |
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74:29 | have the coming down here. This be the portion of the tibia and |
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74:33 | you've now done is you've created an . And that insert is where you're |
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74:38 | to insert the bones of the Alright. So what we call the |
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74:45 | are portions of our tibia and tibia and fibula. Right? The bones |
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74:52 | actually make up the ankles are called tarsus bones. So on our wrist |
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74:57 | have the car pulls our ankles are tar SOLs. All right. And |
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75:04 | are tar sailboats. There's seven of . Now, the one that is |
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75:10 | with the And you can see down . All right, The one that |
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75:14 | with the fibula and the tibia is is called the tallis. Your heel |
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75:22 | the calculation ius So you can go calista Calcavecchia's and then you start moving |
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75:30 | right? And what you're gonna do the next one. So tallis Calacanis |
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75:36 | and then you go bump, bump, bump bump. The three |
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75:39 | the first three that you're gonna go , bump, bump bump are each |
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75:43 | kuna forms. You start with the cuneiform through the intermediate uniform to the |
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75:47 | cuneiform, and then the last one called the cue. Boyd. So |
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75:52 | Calacanis, navicular, medial, intermediate lateral uniform. And then finally, |
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75:58 | Boyd, Here's the pneumonic, there's picture tall Californian. Navy medical |
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76:04 | love cuties, There's probably better ones there. Alright again, Try to |
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76:11 | a clean one plenty of dirty ones there. So you have the first |
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76:18 | , you have the middle one and you have your last group of five |
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76:33 | to the foot from the tar You go to the metatarsals, that's |
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76:38 | length of your foot. The metatarsals 12345. You're moving medial to |
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76:44 | Again, you can think just go they were. The big structure |
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76:47 | So when you're looking at your number one starts over here underneath the |
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76:52 | , Number one starts underneath the All right. And then when you |
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76:57 | to the phalanges again, you just at the number of joints you |
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77:01 | Um Again, it's kind of hard do that in the test, but |
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77:04 | like, oh my big toe has same as my thumb. There's two |
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77:08 | there that's approximately distal phalanx, and the other toes, they have three |
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77:14 | approximate medial and distal failings. As mentioned, the name of the big |
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77:20 | , we don't call it the thumb ? When we called the big |
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77:23 | thumb, but the big toe is the Alex. So the thumb is |
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77:26 | pollocks. The big toe is that last slide, one of the ways |
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77:38 | our body deals with the weight that have to carry. And remember, |
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77:42 | one of the only organisms that have upright structure, right? All the |
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77:47 | primates, their weights are are born than the way that we do, |
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77:52 | stand upright. And what allows us bear all that weight downward is the |
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77:58 | of the bones, and how they're to each other. And what they |
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78:01 | is they create three arches in the . All right. Now, I |
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78:06 | I know every year I have maybe architecture student, maybe one. |
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78:12 | And they understand that because one of things they're taught is about how in |
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78:17 | the arches, a structure that disperses away from the arch and so they're |
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78:23 | very valuable structure when building buildings, you want to bear lots of weight |
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78:28 | still have open areas, you create alright. And so the bones here |
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78:32 | kind of do the same thing. we have three arch, I'm using |
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78:35 | hand as my foot, right? if this is my foot, I |
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78:38 | an arch on the outside, I an arch on the inside and then |
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78:41 | have an arch that crosses across the like so all right, so it's |
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78:46 | of like more like a dome and gonna exaggerate it. Right? So |
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78:51 | about when you create a footprint in sand, you put that foot |
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78:55 | you can see, oh there is slight arch on the outside, that |
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78:58 | be the lateral arch. And then on the inside that's much, much |
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79:03 | , that's the medial arch, And then if you look at |
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79:07 | why is their depth? You Well if I have more arch here |
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79:10 | less arch there, then that means an arch that goes across this way |
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79:14 | well. So when I put force on my foot, what that's gonna |
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79:19 | is it's going to create a The force goes down through the Calcavecchia's |
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79:24 | through the front, through the metatarsals down to the toes, the ligaments |
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79:30 | are allowing for the degree of stretch the tendons as well. Excuse |
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79:35 | And then what happens is it creates spring. So then when I take |
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79:38 | step it helps propel me forward so forces dispersed outward through the edges as |
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79:44 | as allowing me to create force to me to move forward. So medial |
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79:51 | on the inside laterals on the outside versus across the tube. And that's |
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79:56 | allowing for that movement or that disbursement force. 206 bones? Not |
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80:07 | Was it As hard as I thought you thought it was gonna be. |
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80:11 | , it really is pretty easy. you get past a couple of them |
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80:18 | . Yeah. The wrist and the and the ankles. Yeah. |
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80:22 | y'all? I will see you on then we're gonna do again. Some |
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80:25 | simple, straightforward stuff, joints are . They're really easy, so. |
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