lower block

Question 1

Sciatic anatomy

Answer 1

Lumbosacral plexus L4-S3
splits to tibial and peroneal(deep and sup)
runs under piriformis

Question 2

Sciatic innervates

Answer 2

posterior thigh, lower extre distal to knee
tibial-post compartment
deep P-anterior compart
sup P-lateral compar

Question 3

sciatic landmarks

Answer 3

greater trochanter, post sup iliac spine, sacral hiatus

Question 4

femoral anatomy

Answer 4

NAVEL, nerve most lateral runs next to femoral sheath, lumbar plexus T12-L5, passes in btwn psoas and iliacus under inguinal ligament

Question 5

femoral innervation

Answer 5

anterior thigh, knee, web of big toes, inability to and leg and extend lower leg

Question 6

femoral block

Answer 6

lateral to artery, inferior to inguinal ligament, 22g needle perpendicular to skin the cephalad, 25-35ml
ns: knee thigh moving

Question 7

popliteal anatomy/block

Answer 7

foot ankle surg
popliteal fossa crews up 7cm slightly lateral
bicep femoris tendon (lateral)
semi’s(medial)
tibial nerve
common peroneal nerve-splits to deep and sup

Question 8

ankle anatomy

Answer 8

starting medially: Post Tibial(heel, bottom foot), Saphenous (medial side), deep P(toes), Sup P(dorsal foot), Sural (lateral).
Sural has L so Lateral

Question 9

3 sticks for ankle

Answer 9

5ml each nerve
inferior to Medial malleolus and infer to PT pulse: tibial
intereior to lateral malleolus : sural
in bwten EHL, and ED and lateral side of DP: covers sap, deep and sup P