Class Two Flashcards

(39 cards)

1
Q

External jugular vein
Beginning

A

Near mandible angle, below parotid, by union of post division post facial (retromandibular) v & post auricular v

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2
Q

Course

A

Descends obliquely on sternomastoid, then superficial to deep fascia of posterior triangle roof

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3
Q

End

A

1 inch above clavicle, it pierces deep fascia of roof & descends inside posterior triangle to end in subclavian vein

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4
Q

Tributaries

A

Post. auricular v
Post division post facial v
Suprascapular v
Transverse cervical v
Ant jugular v
Posterior external jugular v which drains scalp back and
upper part of neck back, joins middle of EJV

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5
Q

Anterior jugular vein
Beginning

A

Just above hyoid, by union of submental veins

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6
Q

Anterior jugular vein
Course & end

A

Descends in superficial fascia of neck near midline reaching supra-sternal notch, where it shifts lat. deep to sternomastoid & infront of scalenus ant. to reach post. triangle & ends in E.J.V. Both ant. jugular vv. are connected above sternum by jugular arch

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7
Q

Sternomastoid muscle origin

A

Sternal head; rounded & tendinous, from front of upper part manubrium sterni
Clavicular head; broad & fleshy, from upper surface of med 1\3 clavicle

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8
Q

Sternomastoid muscle origin

A

Sternal head; rounded & tendinous, from front of upper part manubrium sterni
Clavicular head; broad & fleshy, from upper surface of med 1\3 clavicle

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9
Q

Where does the muscle insert?

A

Lat. surface mastoid process & lat. half sup. nuchal line.

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10
Q

What is the motor nerve supply for the muscle?

A

Spinal root accessory n.

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11
Q

What is the sensory nerve supply for the muscle?

A

Ant. rami C2,3.

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12
Q

What is the action of one muscle?

A

Bends head to same side & rotates face to opposite side.

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13
Q

What is the action of two muscles?

A

Flexes neck by projecting head forwards & raising head from supine.

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14
Q

What is the formation of the cervical plexus?

A

Anterior rami of the upper 4 cervical nerves.

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15
Q

Where is the cervical plexus located?

A

Opposite the upper 4 cervical vertebrae, covered by sternomastoid and IJV.

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16
Q

What are the branches of the cervical plexus?

A

Communicating branches with the last 3 cranial nerves, cutaneous branches (great auricular, lesser occipital, transverse cutaneous nerve of the neck, supraclavicular), and muscular branches.

17
Q

What muscles does the lateral group of the cervical plexus supply?

A

Sternomastoid, trapezius, levator scapulae, scalenus medius.

18
Q

What muscles does the medial group of the cervical plexus supply?

A

Longus colli, longus capitis, rectus capitis anterior, and rectus capitis lateralis.

19
Q

What does the descendens cervicalis (inferior root of ansa cervicalis) supply?

A

Supplies infrahyoid muscles except thyrohyoid.

20
Q

What is the function of the phrenic nerve?

A

Descends on scalenus anterior, supplying the diaphragm.

21
Q

Which cervical nerves contribute to the phrenic nerve?

A

C3, C4, and C5.

22
Q

What is the largest and longest vertebral muscle?

A

Scalenus Medius

23
Q

Where does the Scalenus Medius originate?

A

All cervical transverse processes.

24
Q

What are the origins of the Scalenus Anterior?

A

Anterior tubercles of C3, C4, C5, & C6 transverse processes.

25
Where does the Scalenus Anterior insert?
Scalene tubercle & adjoining ridge on 1st rib upper surface.
26
Which nerves innervate the Scalenus Anterior?
C4, C5 & C6 nerves.
27
What is one function of the Scalenus Anterior?
Bends neck laterally & helps in 1st rib elevation in forced inspiration.
28
What are the anterior relations of the Scalenus Anterior?
3 muscles: Sternomastoid, subclavius & intermediate tendon omohyoid. ## Footnote 3 arteries: Transverse cervical, suprascapular & ascending cervical aa. 3 veins: I.J.V, ant. jugular v. (terminal part) & subclavian v. (near insertion). 3 structures: Phrenic n. (crosses muscle from lat. to med.), deep cervical L.N.'s & clavicle.
29
What is the smallest and deepest vertebral muscle?
Scalenus Posterior
30
Where does the Scalenus Posterior originate?
Posterior tubercles of C4, C5 & C6 transverse processes.
31
Where does the Scalenus Posterior insert?
Outer border & surface of 2nd rib, behind serratus anterior.
32
Which nerves innervate the Scalenus Posterior?
Lower 3 cervical nerves.
33
What is one function of the Scalenus Posterior?
Bends neck towards the same side.
34
Post relations
2ND part subclavian a., brachial plexus roots & scalenus medius
35
Lateral relations
3rd part subclavian a. & brachial plexus trunks SCALENUS middle
36
Med relations
Longus colli forms with scalenus ant. inverted V-shaped space (vertebral triangle) 1-1st part subclavian a.; with its branches (vertebral, thyrocervical & internal thoracic) 2-Common carotid a 3-Vertebral a.; ascends to enter C6 foramen transversarium 4-Inf. thyroid a.; crosses space from lat. to med. near its apex, over vertebral a 5-Sympathetic trunk & its inf. cervical ganglion; posteromed. to vertebral a. 6-7th & 8th cervical nn 8-Thoracic duct (on Lt. side only)
37
Subclavian A Origin
Right; from brachiocephalic a., behind Rt sternoclavicular joint Left; from arch of aorta, behind manubrium sterni
38
Course
Each a. enters neck behind sternoclavicular joint, running an arched course in neck root, behind scalenus ant. & infront of lung apex & cervical pleura And sprapleural membrane
39
Parts & end
Scalenus ant. divides it into 3 parts; 1st (med.), 2nd (deep) & 3rd (lat.) to muscle It ends at outer border of 1st rib by becoming axillary a