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40 Cards in this Set

  • Front
  • Back
Dimpling of the breast skin
Cancer has attached to the Cooper's ligaments
Retracted or inverted nipple?
Cancer has attached and shortened the lactiferous ducts
Contents of the carpal tunnel
median nerve
flexor pollicis longus tendon
flexor digitorum profundus tendon
Flexor digitorum superficialis tendon
Actions:
Dorsal interossei
Palmar interossei
Lumbricals
Abduct the fingers
Adduct fingers
Flex the MCP joints and extend the PIP and DIP
Brachial plexus:
Arise C5-T1
Passes between anterior/middle sclalene mm
Contained in the axillary sheath along with axillary artery and vein
x
What happens to the clavicle in a fracture, besides breaking in two smart ass.
Proximal portion displaced upward (SCM pull)
Distal portion downward (deltoid pull)
Fracture of the clavicle may lead to:
Lower trunk (total claw "Klumpke's") brachial plexus injury
Fatal hemorrhage of the subclavian vein
x
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
Fracture of the middle shaft of the humerus may result in..
Radial nerve injury leading to wrist drop
Fracture of the medial epicondyle results in...
Damage to the ulnar nerve, leading to claw hand
Supracondylar injury to the humerus results in..
damage to the median nerve causing "Ape hand" loss of use of thumb
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
Femoral artery = continuation of the external illiac artery distal to the inguinal ligament
x
Deep femoral aa arises from the femoral aa within the femoral triangle
x
Ankle jerk reflex - tap tendon on calcaneus
Tests S1
x
Knee jerk reflex tests L4
x
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
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
SCALP
skin
connective tissue
aponeurosis (galea aponeurotica of frontalis and occipitalis mm)
loose areolar connective tissue
periosteum
x
Periosteum connects to bone via Sharpey's fibers
x
Anterior 2/3 tongue = Facial nerve (Chorda tympani, CN VII)
Posterior 1/3 = Glossopharyngeal nerve (CN IX)
x
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)
x
EtOH injections and TCAs are used to tx tic douloureux
x
HSV-1 can involve ALL branches of CN V
x
Internal and common carotid aa are contained in the carotid sheath
Internal jugular vein and Vagus nerve adheres to the thyroid sheath
x
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
Carotid sinus:
Dilated area of the proximal internal carotid artery
Regulates arterial blood pressure
Innervated by vagus nerve
x
Carotid body:
at the bifurcation of the common carotid a
Chemoreception to CO2
Innervated by carotid sinus nerve, CN 9 and 10, sympathetics
x
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
Brachiocephalic trunk on the right side of thorax
x
Vertebral a is the first branch of the subclavian a
x
Damage to hypoglossal n:
tongue protrudes to the damaged side d/t lack of function of the geniglossus m
x
If food gets impacted in the LARYNGEAL INLET, the vagus n can be abruptly stimulated-->cardiac arrest
x
Swallowing opens the eusrachian tube via the salpingopharyngeus m and dilator tubae, which blends with the tensor veli palatini
x
Cisterna magna:
Site used to obtain CSF samples
Located between the cerebellum and medulla oblongata
x
Skull fracture = epidural hemorrhage
x
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
x
In subarachnoid hemorrhage, blood in the subarachnoid space acts as an irritant to the meninges. sxs are stiff next, HA, LOC
x
A single lesion to the internal capsule can cause complete unilateral sensory and motor loss
x
Arteriosclerotic intracranial aneurysms occur in the vertebral-basilar or internal carotid-cerebral systems
x