Palpation Mod 5 Flashcards by Corey Thatcher

Mylohyoid O and I

Mandible to Mylohyoid Raphe and Hyoid (Body)

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Mylohyoid Action, Innervation

Elevates Floor of mouth, Nerve to Mylohyoid CN V3

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Mylohyoid Arterial

Sublingual, Submental, Suprahyoid branch of Lingual artery, Inferior alveolar artery

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Sternohyoid O and I

Posterior surface of manubrium (Clavicle end) to Inf Boarder of Hyoid Bone

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Sternohyoid Action, Innervation

Depresses Hyoid, Ansa Cervicalis (C1-3)

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Sternohyoid Arterial (What is it a branch of?)

Superior thyroid artery (From ext Carotid)

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Splenius Capitis O and I

Nuchal Lig, SP C3-T3 to Mastoid process and nuchal line of occipital bone

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Splenius Capitis Action and Innervation

Bilateral- Extension at OA joint, Unilateral rotates head (same side)

Posterior Rami C2-3

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Splenius Capitis Arterial

Occipital artery, Deep Cervical

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Upper Traps O and I (Descending)

Occipital protub, Nuchal line and Lig and SP C7 - Lateral 1/3 of clavicle, and acromion

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Upper Traps Action, Innervation (Descending)

Elevates, Retracts, Upwardly rotates Pec Girld

Accessory nerve and Ant Rami C3-4

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SCM O and I

Sternal Head: From of Manubrium, Clavicular Head: Medial part to mastoid process and Superior nuchal line

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Upper Traps Arterial (Descending)

Occipital Artery

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SCM Action and Innervation

Flexes, Laterally flexes Neck, Contralateral rotation of head Accessory nerve (Proprioceptio fibres from (C2-4)

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SCM Arterial

Occipital, Superior thyroid, Suprascapular

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Levator Scapulae O and I

TVP C1-4 to the Superior angle of snap, and Medial boarder

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Levator Scapulae Action and Innervation

Elevates, Downward rotation of pectoral girld, Extends, and Laterally flexes Neck… Anteriuor Rami of C3-4 and Dorsal Scapular (C5)

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Levator Scapulae Arterial

Transverse and ascending cervical, Vetebral

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Fascial Artery (Is a branch of?)

External Carotid

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Fascial Artery (Branches?)

Ascending Palatine, Submental, Angular arteries.. Face Palatem Tonsiles and Submandibular gland

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What arteries supply the Submandibular gland

Glandular branches of fascial artery

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What is the innervation of the Submandibular gland

Chorda Tympani CNVII

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The chorda tympani branches off of the ??? just superior to the ??

Off of the facial nerve, just superior to the stylomastoid foramen

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Chorda tympani Pathway…

Runs through the middle ear between the Incus and Malleus; then turns back into temporal bone… to then exit petrotympanic fissure

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Temporal Artery (Branch of?)

COME BACK TO

Temporal Artery (Branches)

COME BACK TO

External Jugular vein (Union of...)

Retromandibular and Posterior uricular Vein

External Jugular vein (Tribituaries)

Ant/ Post Jugular, Transverse cervical, Suprascapular Veins

Left Carotid Artery (Comes off?) Right ?

Left- Aorta Right- Brachiocephalic

Carotid Artery (Branches)

External and Internal Carotid arteries

Main branches of the aorta?

Left common Carotid Brachiocephalic Trunk L Subclavian

Branches of the Internal Carotid

Sup/ Inf Hypophyseal, Ophthalmic, Post Communicating, Ant Choroidal, ANT AND MIDDLE CEREBRAL

Branches of the External Carotid

Superior Thyroid, Ascending pharyngeal, fascia, occipital, Superficial temporal, Maxillary

What are the suprahyoid Muscles?

Mylohyoid Geniohyoid Stylohyoid Digastric

What are the infrahyoid muscles?

Thyrohyoid Omohyoid Sternothyroid Sternohyoid

What arteries supply the Thyroid gland?

Inferior thyroid, Superior Thyroid

Where does the Inferior thyroid, and Superior Thyroid come from?

Inferior thyroid- Thyrocervical Trunk, Subclavian Superior- external carotid artery

Nuchae Ligament continues down the spine as?

Supraspinous Ligament from C7 Down

The Nuchal Lig is connected to the ?

Posterior Dura Mater at the OA Junction

What are the muscles of the oral diaphragm

CHECK?? Myolohyoid Geniohyoid Digastric Muscle Stylohyoid

From above the mouth floor is reinforced by the _____ muscles and from below by the ______

Geniohyoid Anterior bellies of the digastric muscles

What is the dominant muscle of the oral diaphragm?

Mylohyoid

Where should your fingers be if you are testing the Mylohyoid?

Inferior boarder of Mandible, Press Tongue across the top of mouth

To find the Sternohyoid (Infrahyoid Muscle) what structure should you look for in the neck?

Tracheal rings (Slide laterally) Tighten muscles on front of neck

Splenius capitus is deep to? (Prone)

Traps and Rhomboids

Anterior Scalene Origin and Insertion

Ant Tub TVPC3-6- 1st rib

Anterior Scalene Action, Innervation, Arterial

Elevates 1st Rib, Flexes, Laterally bends neck C5-7 Ascending Cervical Artery

Middle Scalene Action, Innervation, Arterial

Elevates 1st Rib, Flexes, Laterally bends neck C3-8 Ascending Cervical Artery

Middle Scalene Origin and Insertion

Post Tub TVPC2-7- 1st rib

Posterior Scalene Origin and Insertion

Post tubercle TVP C5-7--> 2nd Rib

Posterior Scalene Action, Innervation, Arterial

Elevates 2nd Rib, Flexes, laterally bends neck C7-8 Ascending Cervical Artery

Posterior Scalene is sandwiched between?

Levator scapula and Middle scalene

How can the patient help find posterior scalene?

Inhale, because its an accessory muscle of breathing

Anterior scalene is protected by?

SCM

Which tendon size is larger for the SCM? Clavicle - Kardashian Sternal- Sedi

Sternal Edge skinny Clavicle - Wide

Where does the brachial plexus exit?

Anterior and Middle Scalene

How to get parotid?

Angle of mandible and Zyogomatic arch for gelly

Fascial artery palpation landmarks?

Ant edge of masseter, base of mandible, and

Superficial temporal artery is a branch of? runs over, and superficial to?

Ext Carotid, over zygomatic arch, superficial to temporalis Muscle

Zygomatic arch and ear, can be landmarks to find?

Temporal artery

External jugular, how to get here?

Angle of mandible and slide inferior lateral... travling towards midclavicular region

Birfucation of the Carotid artery into ? Occurs ???

Internal and external (C3-5) C4...

Thyroid gland ... we can use ___ and ___ to find.. it where?

Cricoid cartilage, and Thyroid cartilage C5-T1

Vertebral level of Hyoid bone?

C3-4

When swallowing the hyoid moves from? to?

Inferior to Superior (Pulled up towards mandible)

Masseter Muscle O.I

Zygomatic Arch to lateral surface of angle of mandible

Masseter Muscle Action, Innervation, Arterial

Elevates Mandible Nerve to Masseter CNV3

Occipitofrontalis (Frontalis) and (Occipitalis)

Front: Galea Apon to Eye Brow Occ: Sup Nuchal Line to Galea Apon

Occipitofrontalis (Frontalis) and (occipitalis) action

Elevates eyebrows, and wrinkles forehead

Occipitofrontalis (Frontalis) and (occipitalis) action Innervation

Front: Temp Branch of CNVII Occ: Post Branch of CNVII

Occipitofrontalis (Frontalis) and (occipitalis) action Arterial

Front: Supraorbital A Occ: Occipital A

Temporalis O.I

Temporal fossa to Coronoid process of Mandible

Temporalis Action, Innervation, Arterial

Elevates Mandible, Retracts mandible Trigeminal Nerve A and P Deep Temporal