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40 Cards in this Set
- Front
- Back
Dimpling of the breast skin
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Cancer has attached to the Cooper's ligaments
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Retracted or inverted nipple?
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Cancer has attached and shortened the lactiferous ducts
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Contents of the carpal tunnel
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median nerve
flexor pollicis longus tendon flexor digitorum profundus tendon Flexor digitorum superficialis tendon |
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Actions:
Dorsal interossei Palmar interossei Lumbricals |
Abduct the fingers
Adduct fingers Flex the MCP joints and extend the PIP and DIP |
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Brachial plexus:
Arise C5-T1 Passes between anterior/middle sclalene mm Contained in the axillary sheath along with axillary artery and vein |
x
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What happens to the clavicle in a fracture, besides breaking in two smart ass.
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Proximal portion displaced upward (SCM pull)
Distal portion downward (deltoid pull) |
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Fracture of the clavicle may lead to:
Lower trunk (total claw "Klumpke's") brachial plexus injury Fatal hemorrhage of the subclavian vein |
x
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Colle's fracture
vs Colle's-like fracture (Smith's fracture) |
Radius fracture where distal fragment is displaced posteriorly
Samsies but the distal part goes anterior |
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Fracture of the middle shaft of the humerus may result in..
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Radial nerve injury leading to wrist drop
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Fracture of the medial epicondyle results in...
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Damage to the ulnar nerve, leading to claw hand
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Supracondylar injury to the humerus results in..
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damage to the median nerve causing "Ape hand" loss of use of thumb
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Nerves of the leg:
Obturator - lumbar plexus L3-L4 Lumbar plexus - T12-L4 Femoral nerve - lumbar plexus L2-L4 Sacral plexus - L4-S3 Superior gluteal nerve - sacral plexus L4-S1 Inferior gluteal nerve - L5-S2 Sciatic nerve (tibial and common peronieal) - sacral plexus L4-S3 |
x
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Femoral artery = continuation of the external illiac artery distal to the inguinal ligament
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x
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Deep femoral aa arises from the femoral aa within the femoral triangle
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x
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Ankle jerk reflex - tap tendon on calcaneus
Tests S1 |
x
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Knee jerk reflex tests L4
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x
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Gluteal gait - waddling gait - falling of the pelvis to the unaffected side
d/t damage of the superior gluteal n which innervates the gluteus medius mm |
x
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Bleeding from the ear is a common finding in basilar skull fractures
+ Battle's sign - discoloration of the skin along the posterior auricular aa (mastoid area) |
x
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SCALP
skin connective tissue aponeurosis (galea aponeurotica of frontalis and occipitalis mm) loose areolar connective tissue periosteum |
x
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Periosteum connects to bone via Sharpey's fibers
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x
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Anterior 2/3 tongue = Facial nerve (Chorda tympani, CN VII)
Posterior 1/3 = Glossopharyngeal nerve (CN IX) |
x
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Infections in the loose subaponneurotic layer spread widely via emissary veins (through the bones directly to the dura) and via siploic veins (between the skulls bony tables)
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x
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EtOH injections and TCAs are used to tx tic douloureux
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x
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HSV-1 can involve ALL branches of CN V
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x
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Internal and common carotid aa are contained in the carotid sheath
Internal jugular vein and Vagus nerve adheres to the thyroid sheath |
x
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Retropharyngeal space:
Lies between buccopharyngeal and pre-vertebral fascia Ends superiorly at the skull Ends inferiorly into the medistinum Ends laterally at the carotid sheath |
x
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Carotid sinus:
Dilated area of the proximal internal carotid artery Regulates arterial blood pressure Innervated by vagus nerve |
x
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Carotid body:
at the bifurcation of the common carotid a Chemoreception to CO2 Innervated by carotid sinus nerve, CN 9 and 10, sympathetics |
x
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Subvlavian steal syndrome:
Narrowing of subclavian near origin Compensation to ↓ flow to arm = blood flows from the right vertebral a to the left vertebral a into the left subclavian a -->less BF to the brain-->giddiness, syncope, left arm ischemia |
x
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Brachiocephalic trunk on the right side of thorax
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x
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Vertebral a is the first branch of the subclavian a
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x
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Damage to hypoglossal n:
tongue protrudes to the damaged side d/t lack of function of the geniglossus m |
x
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If food gets impacted in the LARYNGEAL INLET, the vagus n can be abruptly stimulated-->cardiac arrest
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x
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Swallowing opens the eusrachian tube via the salpingopharyngeus m and dilator tubae, which blends with the tensor veli palatini
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x
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Cisterna magna:
Site used to obtain CSF samples Located between the cerebellum and medulla oblongata |
x
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Skull fracture = epidural hemorrhage
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x
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An epidural hemorrhage often causes third nerve palsy (as it runs through the superior orbital fissure) resulting in ipsilateral, dilated, fixed pupil d/t pressure on the nerve
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x
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In subarachnoid hemorrhage, blood in the subarachnoid space acts as an irritant to the meninges. sxs are stiff next, HA, LOC
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x
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A single lesion to the internal capsule can cause complete unilateral sensory and motor loss
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x
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Arteriosclerotic intracranial aneurysms occur in the vertebral-basilar or internal carotid-cerebral systems
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x
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