Know Your Dermatomes For The USMLE
I won't attempt to cover them all, but I can give you a few pearls here.
It's something random that over the years have gotten me a bunch questions right without trying much.
- C6 includes your thumb and index finger (medial half)
- to remember this, make the number 6 with your left hand by touching your index finger to your thumb now look at your hand and say to yourself "C6"
- knowing this I can deduce C7 and C8 which I give C8 the lateral digit and half of the 4th while C7 just gets whats inbetween C6 and C8
- L5 vs S1 = very HY
- intervetebral discs commonly herniate at this level
- L5 affects the big toe
- I remember it by saying "L5 = Largest of the 5"
- L5 root is compressed by a herniated disc at the L4-L5 level
- S1 affects the smallest toe
- "S1 = the smallest one"
- S1 root is compressed at the L5-S1 level
- (If your toes don't follow this order you may need a different memory tool, sorry buddy.)
- L1 = Skin overlying the inguinal ligament
- L for ligament, 1 for 1nguinal
- S5 = Anus
- "S5 is the doodie hive"
- Other ones everyone probably knows but listed here just in case
- T10 = Umbilicus
- BellybuT-TEN
- L4 = Knee
- "L4 hits the floor" (when standing on your knees)
Remember that the above list isn't meant to be complete, and some dermatomes include more, but I hope this helps you to think of it in a way where you won't forget it! For exams knowing this usually gets me the point and when it comes to the USMLE, that is all I care about.
3 comments:
I think my favorite is the Doodie Hive. I laughed about that for days and will NEVER forget it!!! Thanks man.
Nice post on USMLE!
USMLE step 1 tutoring
Here's a much easier way to remember the entire dermatomal distribution. Check it out.
http://medicowesome.blogspot.in/2016/02/mnemonics-dermatomal-distribution.html
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