Anatomy and Physiology of Neck Flashcards

1
Q

boundaries of the anterior triangle

A

Anterior: midline of the neck

Posterior: anterior border of sternocleidomastoid

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2
Q

boundaries of posterior triangle

A

-Anterior: posterior border of sternocleidomastoid

-Posterior: anterior border of trapezius

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3
Q

contents of anterior triangle arteries, veins, nerves, lymph

A

Common carotid (+ ext and int)
facial artery

IJV
Facial vein

9,10,11,12
Laryngeal branch of 10

Submandibular nodes
Submental nodes

(main artery and vein- carotid and IJV
last 4 nerves and main branch of X
anterior so lymph from front of face)

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4
Q

contents of posterior triangle arteries, veins, nerves, lymph

A

Occipital artery

External jugular vein

Accessory nerve
Cervical nerve plexus

Lymph nodes

**occipital as at the back
EJV as its left over from IJV in ant
accesory nerve as that supplies 2 muscles in back of neck

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5
Q

what level does the common carotid devide at

A

C4

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6
Q

what is the only artery with branches in the neck

A

external carotid

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7
Q

where do the lymph in the neck drain to
first then last

A

cisterna chyli- think a cold cistern of lymph

thoracic duct of left

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8
Q

what nodes drain the scalp

A

occipital

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9
Q

cause of lymphadenopathy x3

A

IIM

INFECTIVE
INFLAMMATORY
MALIGNANT

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10
Q

what other substance does the thyroid gland produce

and what does it do

A

calcitonin
lower calcium and raise phosphate

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11
Q

4 different types of thyroid cancer

A

Papillary

Follicular

Medullary

Anaplastic

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12
Q

causes of the different types of thyroid cancer: papillary

A

lymph metastasis

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13
Q

causes of the different types of thyroid cancer: follicular

A

haematogenous metastasis

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14
Q

causes of the different types of thyroid cancer: medullary

A

familial association
10% parafollicular C cells

“medulla- me motha”

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15
Q

causes of the different types of thyroid cancer: anaplastic

age type
prognosis

A

local spread

very old
poor prognosis

think hard, old plastic- would be very bad to have it in the thyroid so poor prognosis, and can’t move very easily so is only from local spread

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16
Q

causes of diffuse thyroid enlargment x6

A

Cats
Probably
Get
Thyroid
Problems
Internationally

Colloid goitre

Puberty

Grave’s disease

Thyroiditis

Pregnancy, lactation

Iodine deficiency

17
Q

cause of colloid goitre

A

hyperplasia

18
Q

what does graves disease cause

A

“PATH to the grave yard”

Pre-tibial myxoedema
Acropachy/clubbing
Thyroid eye disease
HYPERthyroidism

19
Q

treatment for graves x4

A

anti-thyroids
beta-blockade
radio-iodine
surgery

20
Q

indications for thryoidectomy x5

A

CRAM T

Cosmesis
Retrosternal
Airway obstruction
Malignancy or suspected malignancy

Thyrotoxicosis

21
Q

causes of multinodular goitre x2

A

Grave’s disease

toxic goitre

22
Q

3 things that commonly occur with toxic goitre

A

Older
no eye signs
atrial fibrillation

23
Q

amount of parathyroid glands
function
location

A

4 (usually)
Regulate calcium & phosphate levels
Located posterior to poles of thyroid

24
Q

symptoms of parathyroid diseases

A

PAPA

PAINFUL STONES
ACHING BONES
PSYCHIC MOANS
ABDOMINAL GROANS

25
Q

when is parathyroid disease operated on

A

when its HYPER

26
Q

symptoms of hyperparathyroidism

A

hyper - HAM

Hyperplasia
Adenoma
Malignancy (rare)

27
Q

4 fascia of neck

A

Pre-tracheal
Pre-vertebral
Deep cervical
Carotid sheath

28
Q

causes of the different types of stridor

A

 Inspiratory - upper: laryngeal
 Expiratory - tracheobronchial- asthma
 Biphasic – lower: glottic/subglottic

29
Q

treatment for stridor x4

A

O2
Nebulised Adrenaline
IV Dexamethasone
(Definitive) airway management

30
Q

treatment for branchial cyst

A

Excised to prevent further infection

31
Q

symptoms of pharyngeal pouch x5

A

Voice hoarseness
Regurgitation
Dysphagia
Weight loss
Aspiration pneumonia

basically what you would expect from an issue in the pharynx plus aspiration pneumonia

32
Q

diagnosis of pharyngeal pouch

treatment

A

Barium swallow

excision (endoscopic or open); dilate