Review of the nerves and vessels of the lower limb Flashcards

1
Q

How many sacral nerves are there?

A

5

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2
Q

How many coccygeal nerves are there?

A

1

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3
Q
Which spinal nerves supply each of the following:
Neck 
Upper Limb
Trunk
Lower Limb
Perineum
A
Neck 
C1-C4
Upper Limb
C5-T1
Trunk
T2-L1
Lower Limb
L2-S3
Perineum
S2-C1
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4
Q

Which muscles does the superior gluteal nerve innervate?

A

Gluteus medius
Gluteus minimus
Tensor fasciae latae

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5
Q

The femoral nerve innervates all the muscles in the anterior compartment of the thigh. Which extra spinal root contributes to the innervation of iliopsoas?

A

L1

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6
Q
Which nerve roots are responsible for:
Inversion
Eversion
Toe Extension
Toe Flexion
A
Inversion
L4
Eversion
L5S1
Toe Extension
L5S1
Toe Flexion 
S12
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7
Q

What nerve supplies sensory innervation to most of the posterior of the thigh?

A

Posterior cutaneous nerve of the thigh

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8
Q

Which two spinal nerve roots are responsible for sensory innervation of most of the posterior side of the lower limb?

A

S1 and S2

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9
Q

What are autonomous sensory zones?

A

Regions where you can be confident of the spinal root affected if there is any abnormal sensation in those regions

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10
Q

Which part of the lower limb does the obturator nerve supply sensory innervation to?

A

Inner part of the thigh

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11
Q

Which part of the leg does the saphenous nerve provide sensory innervation to?

A

Medial part of the leg

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12
Q

Which nerve provides sensory innervation to most of the dorsum of the foot?

A

Superficial peroneal nerve

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13
Q

Where can the common peroneal nerve be damaged easily?

A

At the neck of the fibula

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14
Q

What are the consequences of damage to the common peroneal nerve?

A

Foot drop
Loss of sensation to the dorsum of the foot at least
No change in reflexes or autonomic function

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15
Q

Describe the position of the posterior tibial artery relative to the medial malleolus.

A

It is posterior to the medial malleolus

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16
Q

Where can the dorsalis pedis pulse be felt?

A

Just lateral to the extensor hallucis longus tendon

17
Q

Where can the posterior tibial artery pulse be felt?

A

Just posterior to the medial malleolus

18
Q

What is cut-down and when it is performed?

A

It is an emergency procedure to gain access to the veins of a patient in shock

19
Q

Where is the incision made in cut-down?

A

2 cm lateral and proximal to the medial malleolus

20
Q

What is intermittent claudication?

A

Muscle pain induced by exercise and relieved by rest, that is caused by inadequate blood supply to the affected muscles (associated with arterial disease)

21
Q

What is compartment syndrome?

A

Ischaemia caused by trauma-induced increased in pressure in a confined limb compartment

22
Q

What is the normal pressure in muscle compartments?

A

25 mm Hg

23
Q

What pressure is required to collapse vessels?

A

50-60 mm Hg

24
Q

What are the causes of acute and chronic compartment syndrome?

A

Acute – trauma-associated

Chronic – exercise-induced

25
Q

What is the treatment of acute compartment syndrome?

A

Emergency fasciotomy

26
Q

How do varicose veins form?

A

Valve dysfunction in the superficial, deep and perforating veins
Saphenofemoral junction valve is the most important
NOTE: can cause lipodermatosclerosis and ulcers