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110 Cards in this Set
- Front
- Back
Vertebral compartment
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Cervical vertebrae
Postural muscles |
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Visceral compartment
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Glands:
Thyroid, parathyroids, thymus Pharynx, larynx, esophagus (parts of respiratory and digestive tracts) |
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Vascular comartment
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(2)
Major blood vessels Vagus nerve |
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C3-4
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Superior border of thyroid cartilage
Carotid bifurcation |
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C5-6
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Inferior limit of pharynx and larynx
Superior limit of trachea and esophagus indentation between cricoid cartilage and 1st tracheal ring |
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Vessel under sternocleidomastoid
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Jugular vein under muscle
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Can feel a pulse
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Facial artery
Temporal vessels |
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Target of internal carotid
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Brain
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laryngeal prominence laymen
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Adam's apple
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Suprahyoid action
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Elevate hyoid
Changes position of voice box, larynx |
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Infrahyoid action
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Depress hyoid
Changes position of voice box, larynx |
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Triangles in anterior cervical triangle
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Submandibular triangle
Submental triangle Muscular triangle Carotid triangle |
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Triangles in posterior cervical triangle
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Subclavian triangle
Occipital triangle |
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Posterior triangle borders
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Anterior sternocleidomastoid
Posterior Trapezius Inferior clavicle Roof Investing fascia Floor: Splenius capitis Levator scapulae Scalenes all covered with prevertebral fascia |
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Divides posterior triangle into danger and safe
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Accessory nerve CN XI divides
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Muscle in both anterior and posterior triangles
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Omohyoid muscle (superior and inferior bellies) triangle location
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Location of danger zone
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Posterior triangle
Below CN XI (accessory) |
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Location of safe zone
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Posterior triangle
Above CN XI (accessory) |
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Divides posterior triangle into upper and lower portions
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Inferior belly of omohyoid muscle
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2 triangles that make up posterior triangle
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Occipital triangle
Subclavian triangle |
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Structures, nerves, vessels, and lymph in occipital triangle.
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Accessory nerve CN XI
Supraclavicular nerves Brachial plexus trunks Transverse cervical artery External jugular vein Superficial cervical lymph nodes |
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Triangle with nerve point
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Occipital triangle
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Nerves coming out of nerve point
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Cranial nerve XI
Lesser occipital nerve Great auricular nerve Transverse cervical nerve Lateral supraclavicular nerve Intermediate supraclavicular nerve Medial supraclavicular nerve |
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Location of nerve point between structures
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1/2 of way between mastoid and clavicle, inferior to sternocleidomastoid
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Roof of the occipital triangle
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Investing fascia
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Structures, nerves, vessels, and lymph in subclavian triangle
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Subclavian artery (3rd part)
External jugular vein (terminal part) Subclavian vein Suprascapular artery Supraclavicular lymph nodes Some of brachial plexus |
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Borders of Occipital triangle
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Anterior SCM
Posterior Trapezius (ant border) Inferior Inferior belly of omohyoid muscle Roof Investing fascia Floor Splenius capitis Levator scapulae Scalenes |
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Borders of subclavian triangle
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Anteriorly SCM
Posterior/superiorly Inferior belly of omohyoid muscle Inferiorly Middle 1/3 of clavicle Roof Investing fascia Floor Anterior scalene muscle |
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Vessel that supraclavicular nerves run over in posterior triangle
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Transverse cervical vein
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Structures, nerves, vessles, and lymph in subclavian triangle
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Subclavian artery
External jugular vein (terminal part) Subclavian vein Suprascapular artery Supraclavicular lymph nodes Some of brachial plexus |
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Boundaries of anterior cervical triangle
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Anterior Anterior midline of neck
Posterior SCM Superior Mandible |
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Thyrocervical trunk triangle location
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Subclavian triangle
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Triangles of phrenic nerve
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Subclavian and occipital (posterior triangle)
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Subtriangles and # of anterior cervical triangle
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Submandibular (digastric) triangle (2X)
Submental triangle (1X) Carotid triangle (2X) Muscular triangle (2X) |
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Borders of submental triangle
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Lateral/superiorly Anterior belly of digastric muscle
Inferiorly Hyoid bone |
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Borders of submandibular triangle
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Medially Anterior belly of digastric muscle
Laterally Mandible Inferiorly Posterior belly of digastric muscle |
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Borders of Carotid triangle
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Medially Superior belly of omohyoid muscle
Inferiorly SCM Superiorly Posterior belly of digastric muscle |
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Borders of Muscular triangle
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Superiorly Hyoid bone
Laterally Omohyoid muscle (superior belly) and SCM Medially Midline |
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Boundaries of anterior cervical triangle
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Anterior midline of neck
Posterior SCM Superior Mandible (inferior border) |
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Floor of submental triangle
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Mylohyoid muscle
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Name for submental triangle
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Nodal triangle
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Contents of submental triangle
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Submental lymph nodes
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Floor of submandibular triangle
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Mylohyoid muscle
Hyoglossus muscle Middle pharyngeal constrictor muscle |
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Name for submandibular triangle
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Glandular triangle
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Contents of submandibular triangle
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Submandibular gland
Submandibular lymph nodes Mylohyoid nerve (CN VIII) Hypoglossal nerve (CN XII) Facial artery Facial Vein |
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Structure facial artery crosses inferior border of.
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Mandible
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Floor of carotid triangle
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Inferior pharyngeal constrictor muscle
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Contents of carotid triangle
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Common carotid artery
Internal carotid artery External carotid artery (with branches) Carotid body and sinus Internal jugular vein and tributaries Deep cervical lymph nodes Vagus nerve (CN X) Hypoglossal nerve (CN VII) Accessory nerve (CN XI) Branches of cervical plexus (ansa cervicalis, superior root of plexus) Larynx Pharynx Thyroid Parathyroid glands |
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Name for carotid triangle
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Vascular triangle
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Name for muscular triangle
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Muscular and glandular triangle
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Contents of muscular triangle
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Infrahyoid muscles (strap muscles)
Thyroid gland Parathyroid gland |
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Name for infrahyoid muscles
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Strap muscles
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Contents and position of the contents in carotid sheath
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Internal jugular vein (anterior/lateral)
Common carotid artery, internal carotid artery (medial/posterior) Vagus nerve (CN X), posteriorly Sympathetic fibers Deep cervical lymph nodes |
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Muscles investing fascia surrounds.
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Trapezius, SCM
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Attachment and action of platysma muscle
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Attaches to skin, fascial expression
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4 types of deep fascia in the neck
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Investing
Pretrachial Prevertebral Carotid sheath |
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Specific vessel not found in carotid sheath but near it
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External carotid artery
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Parts of pretrachial fascia
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Visceral part
Muscular part |
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Classification of buccopharyngeal fascia
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Pretrachial, visceral fascia
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Location of buccopharyngeal fascia
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Posterior side of visceral part of pretrachial fascia
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What muscular part of pretrachial fascia surrounds
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Strap/infrahyoid muscles
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What visceral part of pretrachial fascia surrounds
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Larynx/pharynx
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What prevertebral fascia surrounds
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Vertebral column and muscles
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Muscles located within anterior/lateral border of prevertebral fascia
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Longus colli muscles
Anterior scalene Middle scalene Posterior Scalene |
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Muscles the brachial plexus lies between at C4-5
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Anterior scalene
Middle scalene |
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Nerve just anterior to anterior scalene muscle
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Phrenic nerve
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Location of CN XI at C4-5
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Just inside SCM muscle (NOT in investing fascia!)
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Clinical significance and location of retropharyngeal space
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Posterior to Buccopharyngeal fascia and anterior to prevertebral fascia
Infections and cancer from posterior wall can spread into superior mediastinum |
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Layers separating the vertebral column from pharyx going towards column
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Pharyngeal muscle, Buccopharyngeal fascia
Retropharyngeal space Prevertebral fascia Longus coli muscle Anterior longitudinal ligament Vertebral column |
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Symptoms of retropharyngeal infection
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Dysphagia (difficulty swallowing)
Dysarthria (difficulty speaking) |
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Inferior extent of pretracheal fascia
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Blends with fibrous pericardium
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Structure encased in pretracheal fascia
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Thyroid isthmus
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Inferior extent of the space between the investing fascia and pretracheal fascia
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Opens into thorax anterior to pericardium
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Space contained completely within investing fascia
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suprasternal space
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Level of hyoid bone
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C3
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Level of carotid bifurcation
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C4
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Level of thyroid cartilage
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C4-5
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Level of Cricoid cartilage
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C6
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Level of thyroid gland
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C6-T1
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Contents of superficial fascia
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Platysma muscle
Anterior and external jugular veins Cutaneous branches of cervical plexus Cervical branch of facial nerve (CN VII) |
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Investing fascia encloses:
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Forms roof of cervical triangles
Surrounds entire neck deep to skin and subcutaneous fascia Encloses trapezius SCM CN XI |
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Superior, inferior, and posterior extent of investing fascia
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Superior: Blends with fascia of skull (including mandible) and hyoid
Inferior: Extends to manubrium, clavicle and scapula Posterior: Continuous with nuchal ligament to C7 spinous process |
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Location of pretracheal fascia (in general)
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in anterior part of neck
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Structures enclosed by visceral part of pretracheal fascia.
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Thyroid
Parathyroids Trachea Pharynx Esophagus |
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Structures enclosed by muscular part of pretracheal fascea
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Infrahyoid muscles
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Superior, inferior and lateral extent of pretracheal fascia
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Superior: Attaches to hyoid bone
Inferiorly: Blends with fibrous pericardium Laterally: Blends with carotid sheath |
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Boundary buccopharyngeal fascia is a part of
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Anterior boundary of retropharyngeal space
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Location of retropharyngeal space
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Between buccopharyngeal fascia and prevertebral fascia
Extends from base of skull into thorax |
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Function of retropharyngeal space
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Facilitates movement of cervical viscera against vertebral column
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Infection from nasopharyngeal tonsils will spread into what space?
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Retropharyngeal space
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Structures surrounded by prevertebral fascia
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Vertebral column and muscles
Sympathetic chain in/on anterior aspect of the fascia |
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Location of sympathetic chain in neck
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ON/in prevertebral fascia in neck
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Prevertebral fascia forms the floor of _____________
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Posterior triangle
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Lateral, superior, inferior extents of prevertebral fascia
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Lateral: forms axillary sheath
Superior: Attaches to base of skull Inferior: blends with anterior longitudinal ligament at T3 |
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Boundary prevertebral fascia is a part of
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Posterior boundary of retropharyngeal space
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Location of carotid sheath with respect to retropharyngeal space
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At lateral edge of retropharyngeal space
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Contents of carotid sheath
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CCA
ICA Vagus Nerve (CN X) Carotid sinus and body Sympathetic fibers Deep cervical lymph nodes NOT!!! ECA!!! |
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Omohyoid muscle superior belly
O I A N |
O: Hyoid
I: Intermediate tendon A: depress hyoid N: Ansa cervicalis nerves (Ventral rami C1-C3) |
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Omohyoid muscle inferior belly
O I A N |
O: Intermediate tendon
I: Clavicle A: Depress hyoid N: Ansa cervicalis nerves (Ventral rami C1-C3) |
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Superficial infrahyoid muscles
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Omohyoid muscles
Sternohyoid muscle |
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Deep infrahyoid muscles
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Thyrohyoid muscle
Sternothyroid muscle |
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Sternothyroid muscle
O I A N |
O: Manubrium (sternum)
I: Thyroid cartilage A: Depress hyoid N: Ansa cervicalis nerves (ventral rami C1-C3) |
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Thyrohyoid muscle
O I A N |
O: Hyoid bone
I: Thyroid cartilage A: Raise thyroid cartilage (important in swallowing) N: C1 filaus (nerve to thyrohyoid) |
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The brachial plexus is located between what two muscles in the neck?
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Scalenus anterior m.
Scalenus medius m. |
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Location/action of fascial bud
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Surrounds intermediate tendon of omohyoid muscles
Acts to depress hyoid |
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Sternohyoid m.
O I A N |
O: Manubrium (sternum)
I: Hyoid bone A: Depress hyoid N: Ansa cervicalis nerves (ventral rami C1-C3) |
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Longus coli muscle
O I A N |
O: body and transverse processes of cervical vertebrae
I: body and transverse processes of inferior cervical vertebrae A: Bilaterally- flex the neck Unilaterally- rotate the neck to the OPPOSITE side N: Cervical ventral rami |
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Scalene anterior m.
O I A N |
O: Transverse processes
I: Rib 1 A: Lateral flexion of the neck or raise thoracic cage N: C3-C8 (separate from brachial plexus) |
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Scalene middle m.
O I A N |
O: Transverse processes
I: Rib 1 A: Lateral flexion of the neck or raise thoracic cage N: C3-C8 (separate from brachial plexus) |
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Scalene posterior m.
O I A N |
O: Transverse processes
I: Rib 2 A: Lateral flexion of the neck or raise thoracic cage N: C3-C8 (separate from brachial plexus) |