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34 Cards in this Set
- Front
- Back
Thyroid Gland
-Located at |
vertebral levels C5-T1
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Laterally the thyroid gland is in contact with
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the carotid sheath
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Right and Left lobes connected by
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the isthmus
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Thyroid Gland Vasculature
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Superior Thyroid Artery
-Inferior Thryroid Artery Thyroidea ima artery The superior and middle thyroid veins |
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Superior Thyroid Artery: It is a branch of the
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external carotid artery. It pierces the superior end of the thyroid gland
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Inferior Thryroid Artery: It’s a branch of the
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thyrocervical trunk
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When present, the thyroidea ima artery enters the thyroid gland from
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inferiorly, near the midline
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The superior and middle thyroid veins are tributary to the
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internal jugular vein.
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The right and left inferior thyroid veins drain into
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the right and left brachiocephalic veins, respectively
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Posterior to the thyroid lobe, in the groove between the trachea and esophagus, we find the recurrent
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the recurrent laryngeal nerves
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what to do To maintain proper serum calcium levels after thyrodectomy?
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at least one parathyroid gland must be retained during surgery
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Root of the neck is the junction between
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the thorax and the neck, just superior to the superior thoracic aperture.
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The only tributary to subclavian vein.
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External jugular vein
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Subclavian vein- begins at lateral margin of rib 1 as continuation of
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axillary veins
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Thoracic duct – joins the venous system at
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junction of left subclavian vein and left internal jugular vein (Left venous angle)
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Right lymphatic duct – joins venous system at
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Right venous angle
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Right recurrent laryngeal nerve branches off right vagus nerve as it passes anterior to the
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subclavian artery
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right recurrent laryngeal nerve travels along
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along lateral surface of trachea and esophagus up to larynx
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Left recurrent laryngeal nerve – branches off left vagus nerve as it passes
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the left side of the aortic arch. Travels along lateral surface of trachea and esophagus up to larynx
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phrenic nerve passes anterior to
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anterior scalene muscle
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inferior cervical sympathetic ganglion is located at
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at root of the neck
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Cervical sympathetic trunk is continuous with
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thoracic sympathetic trunk. Will be studied in depth later!
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Upper trunk
Middle trunk Lower trunk composed of |
C5-C6.
C7-C8 C8-T1 |
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Interscalene triangle - Formed by
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borders of rib 1, anterior scalene and middle scalene (which both attach to rib 1).
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- Subclavian vein, suprascapular artery, transverse cervical artery pass anterior to
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anterior scalene m.
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Axillary a. 1st part
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from origin to medial border of anterior scalene muscle. Has 3 branches:
Vertebral artery Internal thoracic artery Thyrocervical trunk Suprascapular artery Transverse cervical artery |
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Internal thoracic artery – supplies
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ant. thoracic wall, arises from anteroinferior surface of subclavian a.
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Suprascapular artery - passes laterally and posteriorly, supplies
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supraspinatus/infraspinatus mm. Lowest branch of these 3
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Transverse cervical artery – passes laterally, crosses deep to the omohyoid m and superior to the clavicle,
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supplies trapezius
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Inferior thyroid artery – passes medially toward thyroid glands posterior to the cervical sympathetic trunk. Supplies
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thyroid gland. Has 1 branch:
Ascending cervical artery – supplies prevertebral mm. and gives branches to supply spinal cord |
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2 part of axillar aa
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Costocervical trunk
1-Deep cervical artery 2 |
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deep cervical l artery
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ascends in back of neck, anastomoses with descending branch of occipital artery, gives branches to supply spinal cord
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Supreme intercostal artery – gives rise to
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posterior intercostal aa. 1 and 2
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3 part of axillary
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: lateral border of anterior scalene muscle to lateral border of the rib 1. Has 1 branch.
Dorsal scapular artery – passes between superior and middle trunks of brachial plexus, supplies muscles of scapular region. (note: may arise from transverse cervical 30% of the time, but not in our body) |