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46 Cards in this Set
- Front
- Back
Skin Over Acromion Dermatome
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C4
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Skin over lower deltoid muscle Dermatome
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C5
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Tip of Thumb Dermatome
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C6
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Tip of Index finger or middle finger Dermatome
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C7
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Tip of little finger Dermatome
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C8
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Skin over medial side of elbow dermatome
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T1
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Skin in axilla dermatome
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T2
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C4: Supraclavicular or Infraclavicular?
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Supraclavicular
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Describe cutaneous nerves
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nerves which supply certain areas of skin
contain sensory fibers from one or more spinal cord segments, and can also contain sympathetic motor fibers from the autonomic nervous system to smooth muscle and glands within the skin. |
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Describe the Apex of the Axilla
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(cervico-axillary canal):
Clavicle, scapula, and rib 1 |
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Describe the Base of the Axilla
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(axillary fossa):
Skin, subcutaneous tissue, axillary fascia |
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4 Walls of the Axilla
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Anterior
Posterior Medial Lateral |
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What is the Cervicoaxillary Canal?
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superior opening to axilla at apex
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Describe the Posterior Wall of the Axilla:
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Scapula and subscapularis m.
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Describe the Lateral Wall of the Axilla:
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Bicipital groove of the humerus
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Describe the Medial Wall of the Axilla:
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Ribs 1-4, intercostal mm, and serratus anterior m.
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Describe the Anterior Wall of the Axilla:
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Pectoralis major and minor mm.
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What is the Axillary Sheath?
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Continuation of prevertebral fascia that surrounds contents in proximal axilla.
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What are the contents of the Axillary Sheath?
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Axillary Artery and Vein, Median Nerve, Medial Cord, Posterior Cord, Lateral Cord
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What are the contents of the Axilla?
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Axillary fat
Axillary artery and branches Axillary vein and tributaries Lymph nodes and lymphatic vessels Brachial plexus cords and branches |
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Describe the Axillary Artery
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Continuation of subclavian artery from lateral border of rib 1 to inferior border of teres major m.
Divided into 3 parts relative to the pectoralis minor m. |
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Part 1 of the Axillary Artery?
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(1 branch medial to pectoralis minor m.)
Superior thoracic artery |
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Part 2 of the Axillary Artery?
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(2 branches posterior to pectoralis minor m.)
1. Thoracoacromial artery (clavicular, acromial, deltoid, pectoral branches) 2. Lateral thoracic artery |
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Part 3 of the Axillary Artery?
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(3 branches lateral to pectoralis minor m.)
1. Subscapular artery a. Circumflex scapular artery b. Thoracodorsal artery 2. Anterior circumflex humeral artery 3. Posterior circumflex humeral artery |
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Superior thoracic artery route?
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to 1st and 2nd intercostal space and serratus anterior muscle
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Thoracoacromial artery route?
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pierces costocoracoid membrane; clavicular, acromial, deltoir, and pectoral branches. (can be very variable)
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Lateral thoracic artery route?
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to pectoralis major and minor muscles, breast
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Subscapular artery route?
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scapular circumflex artery thru triangular space
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Anterior humeral circumflex artery route?
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ascending branch to shoulder
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Posterior humeral circumflex artery route?
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thru quadrangular space (larger of the two)
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Describe the Axillary Vein
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Formed by union of brachial veins (vena comitantes) and basilic vein at inferior border of teres major muscle
Becomes subclavian vein at lateral border of rib 1. |
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Describe the Brachial Plexus Formation
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Formed by ventral rami of C5-T1 spinal nerves.
Mixed nerves containing somatic motor and sensory fibers plus post-synaptic sympathetic fibers from cervical ganglia. |
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What are the Divisions of the Brachial Plexus?
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Subdivided into:
Roots (5) Trunks (3) Divisions (3) Cords (3) Terminal branches (6) |
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Nerves Branching off the Posterior Cord?
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USS: Upper Subscapular (C5, C6)
TD: Thoracodorsal (C6, C7, C8) LSS: Lower Subscapular (C5, C6) |
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Nerves Branching off the Medial Cord?
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MP: Medial Pectoral (C8, T1)
MBC: Medial Brachial Cutaneous (C8, T1) MAC: Medial Antebrachial Cutaneous (C8, T1) |
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Nerves Branching off the Lateral Cord?
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LP: Lateral Pectoral Nerve (C5, C6, C7)
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The only cutaneous branches coming off the Brachial Plexus:
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MBC: Medial Brachial Cutaneous (C8, T1)
MAC: Medial Antebrachial Cutaneous (C8, T1) |
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MAC supplies?
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skin on medial side of the forearm
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Part of Brachial Plexus in the PCT:
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Roots, Trunks, and Divisions ( and nerves that branch off them)
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Part of Brachial Plexus in the Axilla:
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Cords, and Terminal Branches ( and nerves that branch off them)
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Name the Terminal Branches of the Brachial Plexus
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Musculocutaneous Nerve, Median Nerve (2), Ulnar Nerve, Axillary Nerve, Radial Nerve
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Briefly Describe Musculocutaneous Nerve Function
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(C5,6,7) Innervates anterior arm muscles.
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Briefly Describe Median Nerve Function
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(C6,7,8,T1) Innervates anterior forearm muscles (except 1½) and intrinsic thumb muscles.
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Briefly Describe Ulnar Nerve Function
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[(C7) C8,T1] Innervates 1½ anterior forearm muscles and intrinsic finger muscles.
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Describe Axillary Nerve Function
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(C5,6) Innervates deltoid and teres minor muscles.
plus upper lateral brachial cutaneous nerve |
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Briefly Describe Radial Nerve Function
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(C5,6,7,8,T1) Innervates posterior arm and forearm muscles.
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