Neck region cont (nerves lymph and triangles Flashcards

(44 cards)

1
Q

Where is the cervical plexus?

A

deep to SCM

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2
Q

What forms the cervical plexus? (remember superficial and deep branches)

A

by anterior rami of C1-4
Superficial branches: cutaneous innervation
Deep Branches: C1-C3 motor innervation, ansa cervicalis

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3
Q

Where does the lesser occipital nerve come from? what does it innervate?

A

It comes from C2 and innervates the skin of the neck and scalp behind EAR

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4
Q

The great auricular nerve comes fro C2-3 but what does it innervate?

A

skin orver parotid gland
sheath of the parotid gland
skin of the auricle

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5
Q

The suprascapular nerve innervates the skin across clavicles and shoulder to the second rib, but where does it come from?

A

From C3-C4

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6
Q

What makes up ansa cervicalis? What do they supply?

A

C1-3 combine to form the superior and inferior roots of ansa cervicalis, they supply the infrahyoid muscles

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7
Q

The hypoglossal nerve has cell bodies in the _____ the nerve exits through the ______ canal from the skull. It passes between the _____ artery and _____ vessels

A

Cell bodies in medulla
hypoglossal canal
external carodit artery and jugular vessel

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8
Q

Where does the hypoglossal nerve convey nerve fibers from that go to the hyoid muscles?

A

from C1 and C2

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9
Q

Does the hypoglossal nerve innervate the tongue?

A

yes, all parts except the palatoglossus

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10
Q

The Spinal Accessory nerve CN XI has cell bodies in the _____ horn of the upper cervical segments of the spinal cord. Rootlets ascend into the cranial cavity via the _______ magnum. The two roots unite at the _____ foramen then separate. It descends alog the _____ and picks up sensory fibers from C2 and C3. It provides motor and sensory info to the ______ and ______ muscles

A
cell bodies in anteiror horn
rootlets ascend via foramen magnum
unite at the jugular foramen
descends along ICA
Provides motor/sensory info for sternocleidomastoid and trapezius
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11
Q

Lymphatic vessels merge as they get closer to the

A

heart

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12
Q

What do the right and thoracic lymphatic trunk/duct do?

A

Right: drains upper right quadrant
Thoracic duct: drains remander of body
BOTH enter into subclavian vein at t he junction of IJV

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13
Q

What do right and left JUGULAR trunks drain?

A

lymph from the head and neck

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14
Q

What do the right and left SUBCLAVIAN trunks drain?

A

drain lymph from upper extremities

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15
Q

What are the components of the lymphatic drainage of the head and neck?

A

Superficial nodes of head
Superficial cervical nodes along external jugular vein
Deep cervical nodes along internal jugular vein

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16
Q

What are the superficial lymph nodes around the head:

A
occipital
mastoid
pre auricular and parotid
submandibular
submental
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17
Q

What do occipital nodes drain?

A

drain posterior scalp and neck

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18
Q

what do Mastoid nodes drain?

A

drain posterolateral half of scalp

19
Q

what do pre auricular and parotid nodes drain?

A

anteriolateral scalp, upper half of face

20
Q

what do submandibular nodes drain?

A

follows facial vein drainage, anterior face, gingiva, teeth, tongue

21
Q

what do the submental nodes drain?

A

lower lip, chin, floor of mouth, tip of tongue, and lower incisor teeth

22
Q

Where are the superficial cervical lymph nodes and where do they send their lymph vessels?

A

They are found along the external jugular vein along surface of SCM they send lymph vessels towards deep cervical nodes

23
Q

What are the deep cervical nodes? Where are they?

A

Jugulodigatric node
Jugulo-omohyoid node
they are divided into superior and inferior groups that form a chain on IJV

24
Q

Where is the Jugulodigastric node?

A

superior at level of posterior digastric

25
Where is the jugulo-omohyoid node?
inferior to tendon of omohyoid muscle
26
Where do they lymph vessels of the pharynx drain to?
Retropharngeal nodes Paratracheal nodes Infrahyoid nodes which all drain to deep cervical nodes
27
Lymph from the root of the tonge drains where?
superior deep cervical nodes (jugulodigastric)
28
Lymph from the medial body of tongue drains where?
To deep cervical nodes, | juguloomohyoid
29
LYmp from the right and left lateral parts of the tongue body drain where?
submandibular nodes
30
Lymph from the tip of the tongue and frenulum drain where?
Submental nodes
31
Where does lymph from teeth and gingiva drain?
Mainly to submandibular submental and deep cervical nodes
32
What divides the neck into the anterior and posterior triangles?
the SCM
33
What are the boundaries of the posterior triangle?
Posterior border of SCM Anterior border of traps Middle third of clavicle
34
What are the contents of the posterior triangle?
``` Accessory Nerve Cervical Plexus Brachial Plexus External jugular vein Subclavian artery/vein Suprascapular artery Cervical lymph nodes ```
35
What are the borders of the Anterior triangle
Anterior border of SCM Inferior border of mandible Midline of neck
36
The anterior triangle is divided into four smaller triangles, what are they?
Muscular triangle Carotid triangle Submandibular triangle Submental Triangle
37
What are the boundaries of the muscular triangle?
Anterior border of SCM SUPERIOR belly of omohyoid Midline of neck (to hyoid)
38
What are the contents of the muscular triangle
Infrahyoid muscles thyroid gland parathyroid gland
39
What are the boundaries of the carotid triangle?
Anterior border of SCM SUPERIOR border of omohyoid Posterior Digastric
40
What are the contents of the Carotid Triangle?
``` Carotid sheath Hypoglossal nerve Accessary nerve Ansa cervicalis Deep cervical lymph nodes ```
41
What are teh boundaries of the submandibular triangle?
Anterior and posterior bellies of digastric | Inferior border of the mandible
42
What are the contents of the submandibular triangle?
``` Submandibular gland Hypoglossal Nerve Submandibular lymph nodes nerve to mylohyoid Facial artery and vein ```
43
What are the borders of the Submental triangle?
Right and left anterior belly of digastric | hyoid bone
44
What are the contents of the submental triangle?
Submental lymph nodes and veins