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31 Cards in this Set
- Front
- Back
Accesory nerve innervates
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trapezius muscle, sternocladomastoid
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. Investing layer/superficial layer/cervical fascia which encloses
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trapezius and sternocladomastoid
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Prevertebral fascia as it descends past the C7 it continues as
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thoracolumbar fascia and both can be referred to as vertebral fascia
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Visceral fascia is related to
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upper part of the respiratory tract and upper digestive tract, thyroid gland
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Visceral fascia can be divided into 2
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one that is anteriorlateral to the trachea which is called pretrachial fascia. . Buckle pharyngeal fascia is the most posterior aspect of the visceral compartment
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Carotid sheath is formed by the close association of
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visceral, investing and prevertebral fascia
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Retropharyngeal space. Its boundaries are
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anteriorly: the posterior aspect of the buckle-pharyngeal fascia and posteriorly the prevertebral fascia
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The fucnction of the retropharyngeal fascia is to
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allow the movemetnt of visceral fascia during swallowing and fonating
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Alar fascia. The attachment of the investing fascia follows around the mandible jumps over to the mastoid process, and to the superior nuchal line so it deliniates
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the superior extend of the neck
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Anteriorly the prevertebral layer blends with anterior aspect of the periostium of vertebral column and anterior longitudinal ligament so it is a definitive sheath because
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it’s no longer present once it reaches its inferior part. Mostly due to the fact that there are no more prevertebral muscles down the neck
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. Pretracheal space is in between
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the infrahyoid fascia and pretracheal fascia. All these spaces are important because they can store abscess.
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Borders of the posterior triangle
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Apex: Occipital Bone
Anterior: posterior border Sternocleidomastoid Inferior: Middle third of clavicle Posterior: anterior border trapezius Superficial (roof): superficial layer of the deep cervical fascia Deep (floor): splenius capitis, levator scapulae, posterior scalene, middle scalene, omohyoid, and anterior scalene. covered by prevertebral fascia |
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in contact with the deep surface of the platysma muscle
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• Supraclavicular nerves, transverse cervical nerve, and external jugular vein
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Platysma muscle sits in which fascia>
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superficial fascia
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Platisma muscle inferiorly passes
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superior to the clavicle and it attaches to the superficial fascia of the deltoid and pectorial regions
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Plastima muscle superiorly attaches to
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Angle of the mouth, mandible, orbicularis oris muscle, and skin of the cheek,
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Platysma is innvervated by
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Facial Nerve
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Between the two heads (sternal head and clavicular head) of the sternocleidomastoid there is
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The space where a catheter can be inserted into the internal jugular vein
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External Jugular vein is found in between which fascia?
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Superficial fascia deep to the platisma muscle
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Which fascia is pierced by the external jugular vein
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superficial layer of the deep cervical fascia/investing fascia to then go and drain into the subclavian vein (around the middle of the clavicle)
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*stab wound to the external jugular vein causes lumen of the vein to be
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held open and you start to suck air into it causing patient to turn and hear churning noise so Dr. need to be finger over hole
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External Jugular vein is formed by
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posterior retromandibular vein and posterior auricular vein behind the angle of the mandible
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Cervical Plexus gives cutaneous innvervation to
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to the neck and posterior head
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Cervical Plexus can be anesthetized but one most be extremely careful because
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phrenic nerve so don’t want to give to someone who has pulmonary problems
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Located at
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: 2/3 up the SCM – nerve point of the neck
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Great auricular nerve (C2 and C3) innervates
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skin of the lower part of the ear and skin extending from angle of mandible to mastoid process (only part of face that has sensory innervation not from CN V)!!!
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Lesser occipital nerve (C2) innverates
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part of the scalp that is immediately behind the ear
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Transverse cervical nerve (C2, C3) innervates
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skin of the anterior triangle of the neck
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Supraclavicular nerve (C3, C4) innervates
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the skin of the shoulder
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Spinal Accessory Nerve (CN XI) location in relation to the investing fascia
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• Located deep to the investing layer of deep cervical fascia
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Spinal Accessory Nerve (CN XI) innervates
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sternocleidomastoid and trapezius.
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