Day 2 Flashcards
Primary curvature of the spine
Concave centrally: thoracic and sacral
Secondary curvature of the spine
Convex ventrally: cervical and lumbar
Subclavian artery is divided into three parts by the
Scale nous anterior muscle
First part of the subclavian artery
Vertebral artery Thyrocervical artery: 1. Inferior thyroid 2. Suprascapular 3. Superficial cervical Internal thoracic artery
2nd part of the subclavian artery
Costa cervical branch
Costal facets on the thoracic vertebral body articulates with
Head of the ribs
Contains the lateral horn
Thoracic and lumbar
Where fasciculus cuneatus is present
Cervical and thoracic only
Carries fibers for touch and pressure
Anterior spinothalamic tract
Pain and temperature
Lateral spinothalamic tract
Lumbar puncture Layers to pass through
Skin Superficial fascia Super spinous ligament Inter spinous ligament Ligamentum flavum Epidural space Dura mater Arachnoid Subarachnoid space
Vertebral levels most frequently involved in spins bifida occulta
L5-S1
How many spinal nerves supply the skin and muscles of the back?
31 pairs of spinal nerves
Encircles the neck but splits to enclose the trapezius and the SCM
Investing layer or superficial cervical layer
3 layers of the cervical fascia
- Superficial cervical
- Pre tracheal
- Prevertebral
Thin layer attached to the laryngeal cartilages surrounding the thyroid (false capsule) and parathyroid glands, encloses infra hyoid muscles
Pre tracheal layer
Thick layer behind the pharynx and esophagus and in front of the Prevertebral muscles and vertebral colum
Prevertebral layer
Forms the fascia floor of the posterior triangle
Prevertebral layer
Extends laterally over the first rib into the axilla to form the Axillary sheath
Prevertebral layer
Carotid sheath components
Lateral: IJV
Medial: CCA, ICA
Posterior: VAgus nerve
Anatomical relationships of the retropharyngeal space
Lateral: carotid sheath
Anterior: pretracheal fascia
Posterior: Prevertebral fascia
Supra hyoid muscles
Digastric posterior and anterior bellies
Mylohyoid
Stylohyoid
Genie hyoid
Infrahyoid superficial group
Omohyoid
Sternohyoid
Deep group infra hyoid muscles
Sternothyroid
Thyrohyoid
All infra hyoid muscles are innervated by Anna cervical is except
Thyrohyoid (first cervical)
Divisions of the anterior neck triangle
Digastric
Sub mental
Carotid
Muscular
Boundaries of the sub mental triangle
Medially: midline
Laterally: anterior digastric
Inferior: hyoid bone
Base: milo hyoid
Contains sub mental LN
Boundaries of the carotid triangle
Superior: posterior digastric
Lateral: SCM
Inferior: superior belly of moo hyoid
Contents of the carotid traingle
CCA
IJV
Vagus nerves
Hypoglossal
Palpating of the carotid pulse is at?
Level of Superior border of the thyroid cartilage, beneath the border of the thyroid cartilage
BOundaries of the digastric/submandibular triangle
Superior oh: body of the mandible
Anterior: aNT digastric
Posterior: post digastric
Has submandibular gland, facial artery and vein pass through
Muscular triangle boundaries
Superiority hyoid bone
Medially midline of the neck
Superb lateral superior belly of Omohyoid, ate digastric
Inferno lateral SCM
Contents of the muscular triangle
No vessels
Larynx, thyroid, paraythyroid
Infrahyoid except omohyoid
Contents of the posterior triangle nerves
List
Contents of the posterior triangle arteries
Arteries:
- 3rd part subclavian
- Suprascapular
- Transverse cervical
- Occipital
Contents of the posterior triangle veins
Subclavian vein, external jugular vein
Nerve crossing the occipital triangle
Spinal accessory
`content of supraclavicular triangle
3rd part of the subclavian artery, crossed by EJV
Thyroid isthmus corresponds to which tracheal rings
2nd to 3rd
Pyramidal lobe usual location
Upward from the isthmus to the left of midline
Fibrous or muscular band connecting pyramidal lobe to hyoid
Lavatory glandular thyroid ERA
Blood supply of the thyroid
Superior from ECA
Inferior thyroid from tyrocervical trunk
Venous drainage of thyroid
Superior thyroid and middle thyroid from IJV
Inferior thyroid from brachii emphasis
Thyroidea I a artery is at midline to the isthmus and is from
Aortic arch
Brachiocephalis artery
Thyroid ND NASOPHARYNGEAL CA firs tmetastasize to this LN
C LN V