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130 Cards in this Set
- Front
- Back
3 structural types of joint
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fibrous
cartilaginous synovial |
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space that exists between the 2 bones of a synovial joint instead of fibrous CT or cartilage
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the joint cavity
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loosely envelopes synovial joints so the articulating surfaces don't actually touch
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joint capsule
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contained in the TMJ (a synovial joint) that acts as a shock absorber and makes the joint surface more congruent
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articular disc
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difference between tendons and ligaments
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tendons: muscle to bone
ligament: bone to bone |
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bones of the cranial vault
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sphenoid
occipital frontal temporal (2) parietal (2) SOFTP |
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bones of the cranial base
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ethmoid, sphenoid, temporal (2), occipital
TOES |
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bones of the face
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maxillary (2)
lacrimal (2) nasal (2) interior nasal concha (2) zygomatic (2) palatine (2) ethmoid vomer mandible MNP LIZ VEM |
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major subdivisions of the skull
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facial (splanchnocranium)
neurocranium- comprised of cranial vault and cranial base |
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bones containing sinuses
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frontal
ethmoid maxillary sphenoid FEMS |
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premature fusion of one or more cranial sutures
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craniosynostosis
- typically associated with craniofacial deformities/syndrome |
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ceph landmark at midline point on the anterior margin of the foramen magnum
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Basion
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ceph landmark at piont where the coronal and sagittal sutures join
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Bregma
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ceph landmark at the most anterior region of the cranial vault (forehead). Located in the midline at the level of the supraorbital ridges
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glabella
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ceph landmark at the most inferior point of the mandible in the midline
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gnathion
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ceph landmark at the most posterior, inferior and lateral point at the angle of the mandible
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gnonion
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ceph landmark at the junction of the midline and the superior nucal line
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inion
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ceph landmark at the point corresponding to the middle of the frontonasal suture
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nasion
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ceph landmark at the most lateral and superior point on the external auditory meatus
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porion
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ceph landmark region corresponding to the junction of the sphenoid, temporal, frontal, and parietal bones
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pterion
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formed when several peripheral nerves join together and separates into new nerves more organized
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nerve plexus
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the 12 cranial nerves
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I- olfactory
II- optic III- oculomotor IV- trochlear V- trigeminal VI- abducens VII- Facial VIII- vestibulochochlear IX- glossopharyngeal X- vagus XI- accessory XII- Hypoglossal |
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what autonomic efferent nerves innervate
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1. smooth muscle
2. cardiac muscle 3. glands |
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can be referred to as secretomotor
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general visceral efferent
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where sympathetic autonomic preganglionic cell bodies lie
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lateral horn of T1-L2
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where sympathetic postganglionic cell bodies lie (and the exception)
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sympathetic trunk (except for splanchnic nerves)
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where preganglionic cell bodies of the parasympathetics come from
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nuclei of cranial nerves III, VII, IX, X
3,7, 9, 10 sacral 2, 3, 4 |
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NT released from sympathetic preganglionic neuron
Post ganglionic? |
Acetylcholine
Norepinephrine |
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NT released from parasympathetic preganglionic neuron
post ganglionic? |
Acetylcholine
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number of each type of vertebrae
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7 Cervical
12 Thoracic 5 Lumbar 5 Sacral 4 Coccygeal |
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sway back
humpback lateral curvature |
lumbar lordosis
thoracic kyphosis scoliosis |
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makes up the vertebral arch of a vertebrae
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lamina and pedicle
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makes the vertebral canal
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arch and body
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2 types of vertebral ligaments and what they connect
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longitudinal (connects bodies)
flavum (connect laminae) |
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what makes up the intervertebral foramen
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superior and inferior vertebral notch
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nods the head up and down
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Atlas (C1)
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rotates the head to shake "no"
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Axis (C2)
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vertebral arteries go through this
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transverse processi of the cervical vertebrae up to the brain
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what makes up the vertebral canal
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multiple vertebral foramina
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two parts of the intervertebral disc
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nucleus pulposus (gelatenous inner substance)
annulus fibrosis (outer) |
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muscles innervated by the dorsal primary ramus
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the deep, true muscles of the back--> extensors and rotators of neck and back
splenus capitis semispinalus capitis Erector spinae (intercostal/longissimus/spinalis) transversospinalis (multifidi/rotators) |
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set of small muscles that helps rotate the head that is deep to the splenious capitis
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suboccipital triangle
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where the vertebral artery is found in neck
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suboccipital triangle
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where adult spinal cord stops
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between L1 and L2
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where newborn spinal cord stops
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between L2 and L3
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where the cervical and lumbosacral enlargements of the spinal cord are
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C4-T1
L2-S3 |
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how many pairs of spinal nerves and how're they broken up
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8 Cervical
12 thoracic 5 lumbar 5 sacral 1 Coccygeal |
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where do spinal nerve pairs lie in relation to their vertebrae
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most lie inferior except all the cranial nerves lie superior (nerve 8 lies inferior to C7)
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belly button dermatome
middle finger dermatome |
T10
C7 |
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where the end of the spinal cord begins to narrow
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conus medullaris
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connective tissue ligament at the tip of the conus medullaris
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filum terminale
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nerves + filum terminale at the end of the spinal cord
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Cauda Equina
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3 layers of the menenges
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Dura Mater
Arachnoid Mater Pia Mater |
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all 3 menenges come together at this vertebrae to form this structure
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S2 Coccygeal Ligament
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lateral off the spinal cord that acts like a staple for all 3 layers of menenges
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denticulate ligaments
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where cerebrospinal fluid and aa. is located
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subarachnoid space
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found in the epidural space
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fat and veins
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artery supply to the spinal cord
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1 anterior spinal artery/ 2 posterior spinal arteries (branching from vertebral arteries)
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assisted in blood supply and drainage to the spinal cord
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radicular arteries
venous vertebral plexus drains |
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potential space between dura and arachnoid mater
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subdural space
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Median N. affects
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flexors and the wrist, pronation
thumb opposition flexion of digits 1,2 &3 cutaneous sensation of 1, 2, 3, and lateral 1/4 of 4 |
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lower end of the arachnoid sac surrounding the cauda equina
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lumbar cistern
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Radial N. innervates
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extensors and posterior cutaneous sensation of arm/forearm/hand
supinator |
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bursa that cushions the tendon of supraspinatus muscle from the acromion
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subacromial bursa
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Ulnar N. affects
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flexion of digits 4 and 5
cutaneous sensation of 5 and medial 1/2 of 4 intrinsic hand muscles |
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bursa that cushions the subscapularis muscle tendon from the humerus and the scapula
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subscapular bursa
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Axillary N. innervates
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deltoid and teres minor
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2 components of the shoulder joint capsule
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fibrous capsule (thin, from glenoid cavity to neck of the humerus
synovial capsule- lines interior of the fibrous capsule |
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musculocutaneous N. innervates
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flexors of the arm and antebrachium
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where the greatest risk of dislocation of shoulder is
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inferiorly- little strength is present
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commonly occurs when there is a backward pull on the arm that catches the muscles unprepared to resist or overwhelms the muscles
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shoulder dislocation
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occurs where the clavicle meets the scapula. when ligaments that hold the joint together are partially or completely torn, outer end of clavicle may slip out of place
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shoulder separation
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can cause pain over the deltoid muscle, shoulder may feel weak
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torn rotator cuff
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inflammation of the rotator cuff and/or biceps tendon usually as a result of being pinched by surrounding structures
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tendonitis of the shoulder
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only joint where upper limb articulates with axial skeleton
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sternoclavicular
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nerves and vessels of the anterior shoulder
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1. cephalic vein
2. thoracoacromial artery and vein 3. medial and lateral pectoral nerves 4. long thoracic nerve |
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what makes up the boundary of the deltopectoral triangle?
what goes into it? |
pec major, deltoid, and clavicle
cephalic vein |
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blood supply to the breast
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internal thoracic artery
intercostal arteries lateral thoracic branch of axillary artery |
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lymphatic drainage of the breast
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75% to axillary nodes
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boundaries of the axilla
medial lateral anterior posterior base apex |
medial: serratus anterior
lateral wall: intertubercular groove of the humerus anterior wall: pec major, pec minor posterior wall: subscapularis, teres major, latissimus dorsi base: fascia/skin covering axillary fossa (armpit) apex: aperture opening into base of neck: bounded by first rib, clavicle and scapula |
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4 contents of axilla
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axillary artery
axillary vein brachial plexus lymph nodes |
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where axillary artery begins and ends
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subclavian-->axillary begins after first rib
end after teres major-> brachial artery |
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branches of the 1st part of the axillary artery
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superior thoracic artery (proximal to pectoralis minor m.)
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branches of the 2nd part of the axillary artery
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thoracoacromial artery
lateral thoracic artery |
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branches of the 3rd part of the axillary artery
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subscapular artery (circumflex scapular artery/ thoracodorsal artery)
anterior circumflex humeral artery posterior circumflex humeral artery |
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where long thoracic nerve lies
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superficial to serratus anterior (which it innervates)
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vein that receives the cephalic vein and 2 parallel companion veins of the deep brachial vv
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axillary vein
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removal of the entire breast, but leaves nipple and areola in place
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subcutaneous mastectomy
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removal of the whole breast but not lymph nodes under the arm
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total (or simple) mastectomy
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removal of the whole breast and most of the lymph nodes under the arm
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modified radical mastectomy
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removal of the chest wall muscles in addition to breast and axillary lymph nodes
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radical mastectomy
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removal of the breast cancer tumor and a surrounding margin of normal breast tissue
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lumpectomy
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3 trunks of brachial plexus are comprised of what roots
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upper: C5 C6
middle: C7 lower trunk (C8 and T1) |
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how the 3 cords of brachial plexus are formed
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posterior formed by 3 posterior divisions
lateral formed by anterior divisions of the upper and middle trunk (2) medial cord formed by one anterior division of the lower trunk |
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major nerves of posterior cord
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axillary
radial |
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major nerves of lateral cord
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musculocutaneous
lateral root of median nerve |
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major nerves of medial terminal branches
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medial root of median nerve
ulnar nerve |
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supraclavicular aspecets of the brachial plexus and associated roots/trunk
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dorsal scapular nerve (C5 root)
long thoracic nerve (C5, 6, 7 roots) suprascapular nerve (upper trunk) nerve to subclavius (upper trunk) |
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infaclavicular branches of brachial plexus and associated cord
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lateral cord- lateral pectoral nerve
medial cord- medial pectoral nerve, medial brachial cutaneous nerve, medial antebrachial cutaneous nerve posterior cord- upper and lower subscapular nerves, thoracodorsal nerve |
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the 5 roots of the brachial plexus lie
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between the anterior and middle scalene muscles
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the 3 trunks of the brachial plexus cross
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the posterior triangle of the neck
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location of the 6 divisions of the brachial plexus
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pass under the clavicle
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the 3 cords of the brachial plexus surround ______ and lie ______ to this muscle
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the axillary artery and lie deep to the pectoralis minor
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the radial nerve innervates
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Innervates the posterior (extensor) compartment of the brachium, antebrachium, and hand.
Innervates triceps in the brachium supinator |
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4 parts of the breast
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nipple/areola
glandular tissue (15-20 lobules) lactiferous ducts and sinuses suspensory ligaments |
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25% of breast lymph drainage goes to
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supraclavicular, contralateral breast, parasternal, abdominal lymph nodes
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names of the axillary vein
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basilica vein from lower border of teres major, subclavian vein superior to 1st rib
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muscles that attach axial skeleton to shoulder girdle
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posterior: levator scapulae, trapezius, rhomboids
anterior: pectoralis minor, serratus anterior, subclavius (3 each, 6 total) |
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muscles that attach axial skeleton to humerus
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latissimus dorsi
pectoralis major |
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muscles that attach shoulder girdle to humerus
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posterior: supraspinatus, infraspinatus, teres minor
anterior: subscapular extensors: teres major, deltoid, tricep long head flexors: coracobrachialis, biceps brachii |
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nerves from lateral cord only
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Lower Subscapular
Upper Subscapular |
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nerves from lateral and posterior cord origins
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lateral pectoral
musculocutaneous |
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nerves from lateral, posterior, and medial cord origins
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Thoracodorsal
Median Radial Axillary |
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nerves from medial cord origins
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medial pectoral
medial brachial cutaneous medial antebrachial cutaneous ulnar |
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Sympathetic Vs Parasympathetic
Duration: Salivation: vaso_____ in the head |
Sympathetic
long, diffuse duration thick, viscous secretions vasoconstriction parasympathetic localized, short duration watery secretions vasodilation in the head |
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purpose of longitudinal ligaments in vertebral column
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prevent hyperextention/ hyperflexion of column
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innervates the suboccipital region
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DPR of C1
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strengthens shoulder joint along with rotator cuff
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glenohumeral ligaments
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muscles, blood supplies, and nerves of flexor compartment of brachium
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biceps brachii, coracobrachialis, brachialis
brachial artery,brachial vein musculocutaneous nerve median and ulnar nerve pass through |
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muscles, artery, nerve of extensory compartment of brachium
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triceps brachii
profunda brachii artery (first branch of brachial artery) radial nerve |
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superficial veins to know in the brachium
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cephalic vein (lateral)
median cubital vein basilic vein (medial) |
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primary contents of the cubital fossa
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biceps tendon, brachial artery, median and radial nerves
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2 joints of the elbow
what joint is continuous with it? |
humeroradial joint, humeroulnar joint
proximal radioulnar joint (pivot joint) |
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strengthens the elbow joint
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collateral ligaments
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movements of the radioulnar joint
the elbow? |
supination and pronation
flexion and extension of forearm |
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cause of tennis elbow
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wrist extensors that all attach to lateral epicondyle (lateral epicondylitis) become swollen, painful due to strain, overuse, etc.
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most common dislocation in children
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elbow (shoulders for adults)
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injury to the ulnar nerve can cause what syndrome
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cubital tunnel syndrome
ulnar nerve entrapment (inflamed nerve will swell, becomes trapped in cubital tunnel) |
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examples of fibrous joints
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cranial suture, syndesmosis, gomphosis
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examples of cartilaginous joints
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synchondroses, symphysis
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