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55 Cards in this Set
- Front
- Back
Fascia arises from spinous processes and ligamentum nuchae
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investing layer
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Blends with fascia of head, Parotid gland and masseter
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Investing layer
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Envelopes the stylohyoid and digastric
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Investing layer
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Fascia that surround trachea, esopahgus, thyroid gland and parathyroid
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Pretracheal Layer
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Pretracheal layer is attached to
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Thyroid cartilage and hyoid bone
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Anterior layer of prevertrebal - blends with esophagus fascia (winglike)
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Alar
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Poster prevertebral - extends into
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thorax
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Lies outside of carotid sheath
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SYM trunk
Ansa Cervicalis |
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Space on both sides of alar
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retropharyngeal space
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Retropharyngeal space is between esophagus, pharynx and
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prevertebral fascia
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Buccopharyngeal fascia covers the
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pharyngeal wall
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Right Subclavian joins to
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medial border of anterior scalene
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Left Subclavian joins to
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arch of aorta to medial border of anterior scalene
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First branch of subclavian
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Vertebral a.
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2nd branch of subclavian
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Thyrocervical a
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Thyrocervical a.
3 branches |
1 Inferior thyroid
ascending cervical 2 Tranverse cervical 3 Suprascapular |
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3rd branch od subclavian
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Internal thoracic
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Second part of subclavian behind anterior scalene
4th branch |
Costocervical trunk
highest intercostal - post spaces 1 and 2 Deep cervical a. |
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Third part of subclavian - lateral margin of
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ant. scalene to 1st rib
manubrium |
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Axillary vein - becomes the
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subclavian vein
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Subclavian vein - joins the
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I Jugular v.
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IJV + EJV - join the
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brachiocephalic v.
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Left side lymphatics - thoracic duct enters junction of
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LEFT internal jugular and subclavian veins
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Right side lymphatics
right lymphatic trunk enters junction of |
RIGHT internal jugular and subclavian veins
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Thoracic duct - drain for
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Left and right EXCEPT Upper right head and limb
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Sympathetic trunk is located posterior to
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SYMP trunk
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Sympathetic trunk contains ascending ______fibers from _______
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PREganglionic from T1-4
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Cervical Ganglia - sends _______ to spinal nerves and _______
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gray rami communicans
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Super cervical ganglion - largest - is located
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in front of upper two cervical vertebrae
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Sympathetic innervation of the head
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Supeior cervical ganglion
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Pressur on ganglion from aneurism of INTERNAL carotid artery - causes
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Horner's Syndrome
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3 symptoms of Horner's
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Miosis - contstricted pupil (occulomotor is intact an unopposed)
Ptosis - subtle (Tarsis) Facial hemi - anhydrosis |
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Anydrosis -
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dry - No sweat (no SYMP)
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Middle cervical ganglion usually located -
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at level of cricoid cartilage
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Inferior cervical ganglion (ICG) located
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posterior to vertebral artery
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ICG may fuse with 1st thoracic ganglion to form
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stellate ganglion
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ICG ____ the loop of SYMP nerves around subclavian artery
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Ansa cervicalis
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RIGHT vagus nerve lies anterior to _________ and behind_____
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1st part of subclavian
behind Subclavian vein |
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LEFT vagus nerve lies between
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common carotid and subclavian arteries
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Recurrent Laryngeal Nerve:
Both lie between _____ and name change ________ |
between thyroid gland and trachea
name change:inferior laryngeal nerve at cricoid cartilage |
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Right Recurrent Laryngeal Nerve loops -
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around right subclavian artery
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Left Recurrent Laryngeal Nerve loops -
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around ligamentum arteriosum
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Internal Carotid Artery enters through the
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Carotid canal
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Anastomoses of thyroid gland
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Superior thyroid (external carotid) and
Inferior thyroid (thyrocervical of subclavian) |
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Anastomoses of Face
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Right Facial to Left Facial
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Anastomoses of tongue
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R lingual to L lingual
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Anastomoses of scalp
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Occipital (ext carotid)
superior temporal (ext carotid) Opthalmic |
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Lymphatics of heand and neck mostly empty into deep cervial nodes located along the
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carotid sheath
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Superficial nodes located along
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external jugular vein
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On the right - deep cervical nodes empty into
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right jugular trunk - joins the subclavian trunk - to form right lymphatic duct
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Right lymphatic duct empties into venous at
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junction of right internal jugular and subclavian veins
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Left side - left jugular and subclavian trunks either join ____ or empty directly into
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thoracic duct
junction of left internal jugular and subclavian veins |
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The thoracic duct empties into venous at junction of
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left internal jugular and
subclavian veins |
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The major lymph nodes in deep areas of neck
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retropharyngeal
paratracheal |
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External carotid branches
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"Some Angry Lady Figured Out PMS":
Superior thyroid Ascending pharyngeal Lingual Facial Occipital Posterior auricular Maxillary Superificial temporal |