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172 Cards in this Set
- Front
- Back
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innerv of rhomboid
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dorsal scap (off lateral)
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innerv of infrascap
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supra scap (off lateral)
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innerv of lats
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thoracodorsal off posterior
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innerv of teres major
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subscap off posterior
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innerv of deltoid (off of)
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axillary off posterior
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muscle innerv by long thoracic
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serratus anterior
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innerv of bicep
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musculo
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innerv of teres minor
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axillary off posterior
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branches off lateral branch of brachial plexus
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dorsal scap, suprascap, long thoracic, lat pec, musculo
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branches off medial branch of brachial plexus
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med pec, ulna
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branches off posterior
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thoracodorsal, subscap, axillary, radial
STAR |
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cord levels in long thoracic
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C3,4,5 (3,4,5 keep diaphragm alive)
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axillary innerv
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deltoid, teres minor
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climbing muscles
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pec major, lat dorsi, teres major (all inset into bicipital groove) (lady bw 2 majors)
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rotator cuff muscles
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supra, infra, teres minor, subscap (SITS)
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course of radial n
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wrap around, under lat tricep lying on bone, (radial n and deep brachial a run together), at antecubital fossa medial to bicep tendon, deep branch innerv motor, supf innerv cutaneous
antecubital fossa: radial, TAN (bicep tendon, brachial a, median n) |
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radial n runs w
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deep brachial a
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path of musculo
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thru corocho, becomes cut n.
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what 2 mscls att at corocoid
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pec minor, short head of bicep
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name branches off of axillary/brachial a
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"transv sport long skirts to cover hairy penises"
transcervical, suprascapular, lateral thoracic, subscap with branches thoracodorsal and circum scap, P humeral circum, profunda brachi |
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describe upper arm dermatomes
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c4 cap of shoulder, C5 upper arm, C6 lower arm, C7 middle finger, C8 to wrist, T1 lower inner arm, T2 upper arm
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describe veins of upper limb
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cephalic runs on the bicep, medial cubital where they take blood, then up above bascilic
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triangle
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long head bicep, teres major, teres minor/subscap with circum scapular running through
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square
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humerus, teres major, teres minor/subscap, long head bicep, with P humeral circum and axillary nerve running through
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what supplies the deep palmar arch
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radial a
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if radial artery injured, how is hand perfused?
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via ulnar a, part goes to deep and supf to supf palmar arch, these communicate via princeps pollicis
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role of median n (5)
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movement thumb (FPB, AbPB, OP)
2 radial lumbricals ventral 3.5 digits and claws pronate flexors (exc FCU, 1/2FDP are ulnar) |
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role radial n
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BEST
brachioradialis (flexor) extensors supinator tricep also: dorsal 3.5 hand |
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role ulnar n
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1/2 FDP, FCU
all interossei AddPol ulnar 2 lumbricals |
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fxn of lumbricals and interossei in flex/ext fingers
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flex MP ext both IP joints
(waving goodbye) |
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FDS and FDP attachment on fingers
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FDS forks att side of middle phal, FDP reaches distal
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FDS, FDP in flexing fingers
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FDS flexes PIP only, FDP flexes PIP and DIP
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contraction interossei causes
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dorsal Abduct (DAB)
palmar Adduct (PAD) |
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name extrinsic thumb mscls and innerv
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FPL (median)
AbPL (radial) EPL/B (radial) |
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name intrinsic thumb mscls and innerv
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FPB, AbPB, OP (all median)
AddP (ulnar) |
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wrist drop
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radial
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clawhand
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ulna
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ulnar deviation
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median
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thenar atrophy
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median
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bones of hand
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"some lawyers try propositions that they can't handle"
scaffoid, lunate, triquietrium, pisiform, trapzoid, trapezium, capitate, hamate |
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what articulates with radius at elbow
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capitulum
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what articulates with trochlear
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olecranon
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FCU sesamoid "bone"
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pisiform
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name flxors of lower arm
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wrist: FCR, FCU, PL
finger: FDP, FDS thumb: FPL, FPB |
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name extensors of lower arm
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wrist: ECU, ECRB, ECRL
finger: EDC, EDM, EIP thumb: EPL, EPB, AbdPL |
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lumbricals branch off of?
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FDP
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contents carpal tunnel
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median nerve, FDP, FDS, FPL
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anatomic snuffbox
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EPL, EPB, AbdPL with scaffoid lying at bottom (most freq fxd)
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dupuytren contracture, correlation?
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cxn palmar aponeurosis causing flexion, esp 4,5 finger. hi correlation with CAD
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name gluteal grp mscls
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piriformis, pectineus, obturator, glut max, min, med, and quad femoris
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name flexors of hip
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rectus femoris, iliopsoas, sartorius
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what att at pes anserina
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gracilus, sartorius, semitend
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abd upper leg
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glut med, min, and tensor fascialata
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n of pectineus
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femoral and A obturator
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n glut max
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i gluteal
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n glut min
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s gluteal
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n glut med
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s gluteal
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n obturator intern
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n of OI
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n pirifomis
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n to piriformis
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n quad femoris
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n to qf
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n rectus femoris
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femoral
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n iliopsoas
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femoral and lumbar plexus
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n sartorius
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femoral
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n bicep femoris
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sciatic
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n semitend
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sciatic
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n semimem
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sciatis
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what n necessary to abd upper leg
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s gluteal (innerv glut med, min, and tensor fascialata)
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name add upper leg
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gracilus, add breves, add magnus, add longus
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name innerv Add magnus
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P obturator and sciatic
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innerv gracilis
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A. obturator
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n Add longus
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A. obturator
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if sciatic n injured, what unable to do
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ext hip and flex knee
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name flexors lower leg
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supfcl: gastroc, soleus, plantaris
deep: FDL, FHL, TP |
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nerve and artery for flexors lower leg
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tibial n, P tibial a
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name extensors of lower leg
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tibialis ant, EHL, EDL
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n and artery for extensors lower leg
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deep peroneal n, ant tibial a
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name evertors lower leg
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Peroneus L, PB, fib tertius
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n and artery of evertors lower leg
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supfcl peroneal n, peroneal a
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describe branching sciatic n
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at add hiatus it becomes the common peroneal, this branches into tibia (flex), s peroneal (evert) and d peroneal (ext)
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name borders femoral triangle
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inguinal lig, sartorius, add L (with ASIS and pubic tuber at points)
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describe branching of femoral a and v
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at add hiatus becomes popliteal, branches into A tibial (ext), P tibial (flex), and peroneus (evert)
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name deep flexors of lower leg
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popliteus, tibialis posterior, FDL, FHL
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name nerve and artery of deep flexors of LL
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tibial n and P tibial a (also for more supfcl flexors)
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name role vagus n
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1) motor larynx
2) parasympt to lungs, eso, and heart |
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rectal blood supply
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IMA-s rectal-IMV-splenic-portal
int iliac-m rectal pudendal-i rectal both i and m rectal to iliac v-IVC |
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sections of colon
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cecum, ascending, transverse, descending, sigmoid, rectum
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how tell diff bw jejunum and ileum
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jejunum has valves kerckring (plicae circularis), thicker wall, more folds, less arcades. ileum has thinner walls, more arcades, and vasa recta
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name 4 parts duo
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1=duo cap L1
2=ampulla of vater/access=Stenson L3 3=crossed by SMA 4=lig of trietz attaches R cruz diaphragm L2 |
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branches of celiac
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1. L gastric
2. splenic -> (short gastric, L gastriepiploica) 3. C hepatic -> (P hepatic, R gastric, gastroduo) RULE 1-2-3 |
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branches gastroduo
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R gastricepiploica, S pancreatoduo
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where i pancreatoduo come off
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SMA
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branches of SMA
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m colic, r colic, ileocecal, jej and ileal with arcades
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SMA compression by?
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SMA goes over duo, behind aorta, also presses on renal v
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how find femoral artery
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on top of iliopsoas
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name branches of abd aorta
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celiac, SMA, renal a, testic/ovarian a, IMA, common iliac, internal iliac, external iliac
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branches of ext iliac
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l circumflex femoral, profunda femoral, spfcl femoral
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which thenar mscls superficial
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FPB, AbPB (OP is under AbPB, AddP is under FPB)
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dermatome of palmar pinkie finger is?
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ulnar
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dermatome of hand radial provides?
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dorsal: thumb, 2, 3, and 1/2 of ring
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spfcl ring formed by
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ext oblique
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deep ring formed by
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transverse
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floor of inguinal canal
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transversalis
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what is inguinal lig
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where ext oblique loops back
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arcuate lig made from,
becomes |
internal oblique which becomes cremaster
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elements of hesselbach triangle
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lateral edge of rectus abdomin, inguinal lig, i epigastric
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alcock's canal-where does it run? what does it contain?
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contains pudendal a,v,n, and runs thru lesser sciatic foramen w tendon of i obturator
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indirect hernia
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thru canal (lateral to i epigastric and fem vessels)
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direct hernia
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thru hesselbach (medial to i epigastric and femoral)
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pudendal a comes off
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internal iliac (and goes thru alcock's canal)
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layers of abd
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campers, scarpa, (ext oblique, int oblique, trans abd) all in rectus abd with an anterior and posterior rectus sheath
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what sig about arcuate line of douglas
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no more posterior rectus sheath
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layers of testes
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dartos, colles, ext sperm, cremaster, int sperm
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layers of scrotum
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dartos, colles, buck, albuginea
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contents sperm cord
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testic a, genital n of genitofemoral n, pampniform veins, vas deferens
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ext oblique becomes
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ext sperm
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transvers fascia becomes
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i sperm
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path of sperm
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epidid, vas deferens/ductus deferens, ampulla, seminal vesicle, ejac duct, prostatic urethra, prostate
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what runs with P interventric artery
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middle v
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what runs with RCA
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lesser v
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what runs with LAD
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great v (goes to coro sinus)
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aortic vestibule is where
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LV
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how does coronary blood return to circulation
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mostly coronary sinus, but 40% drains back via venae chordae minimae
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Bachman's bundle
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connects SA node and AV node
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cristae terminale
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in RA, on outside sulcus terminales
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supraventricular crest
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in RV
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conus arteriosus aka? location?
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pulmon infundibulum, in RV
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trabeculae carnae
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in RV
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location SA node
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SVC and fossa ovale
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location AV node
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interventricular wall near coro sinus
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source of intercostals
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A intercostal from i mammary, P from aorta
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course of intercostal, venous drainage
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at midclav line anastomose and split, 1 above rib, 1 below,
A intercostal drain into i thoracic, P into azygous |
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thoracic splanchnic
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T5-11, syn on celiac ganglion
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rami comunicantes
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intercostal/spinal n communicate w symp trunk via rami comunicantes
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stellate ganglion
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thoracic ganglion fuses with cervical ganglion
(lowest of 3 ganglia for cervical symp trunk-cover to UE--ie hand sx) |
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thoracic duct crosses at what level
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T5
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azygous/hemiazygous cross over
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T5-T8, loop over root of lung
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looking at root of lung, where do find veins v artery v bronchus
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A and I=veins
S=artery central=bronchus per First Aid relation pulmon A to bronchus RALS=R anterior L superior |
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pass thru the diaphragm at what levels
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12 aorta, thoracic duct, azygous v
10 eso, vagus 8 IVC |
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level of carina (also rib#)
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sternal angle, rib 2, T4
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anterior to posterior structures leading to the kidney
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vein, artery, renal pelvis
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parts of Kidney
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pyramids w medullary rays, column of Bertini in betwee. papilla sticks into calyx. gerota's fascia=fat surrounding kidney
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parts of cystic triangle of calot
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liver, c hepatic duct, cystic duct
contains cystic artery |
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names of ducts
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Wirsung/Santorini=pancreas (main/acces)
sphincter of Odi=cystic (entering duo)=ampulla of vater |
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which lobe quadate in
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L lobe liver (although towards right)
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lumbar splanchnics
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SNS, come from lumbar symp ganglion
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s hypogastric n
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SNS, found at bifurcation of aorta
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name somatic nerve plexus of pelvis
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sacral plexus (named nerves S1-5 incl sciatic, pudendal, s gluteal)
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pelvic splanchnic, which levels, what supply, part of?
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PNS, pregang, come off of S2-S4, supply prostate and bladder, part os i hypogastric pelvic plexus SNS/PNS
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sacral splanchnic
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off symp ganglion, SNS, part of i hypogastric pelvic plexus
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T/F splanchnic are symp
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T, all except the pelvic
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white rami, pre or post gang
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pregang
(bc white gets dirty, postgang are grey) |
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gray rami, pre or post gang
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post
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branches off of pudendal n
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dorsal n penis (skin and erectile)
perineal (scrotum) i rectal (anus up to pectinate, ext sphincter, symp via T10, para via sacral) |
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characteristics internal hemorrhoids, cxns
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above pectinate, not painful, adenocarcinoma
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blood and nerve supply above pectinate
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S rectal a (off IMA), visceral innerv so not painful, venous drainage S rectal v to IMV to portal
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characteristics external hemorrhoids
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below pectinate, painful, SCC
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blood supply below pectinate
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I rectal a (off of internal pudendal), venous drainage via i rectal v to i pudendal to i iliac to IVC
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gross anatomy rectum
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3 rectal valves of Houston
-circular mscl thickens to be i anal sphincter, -ext sphincter has deep, subQ, and supfcl -longitudinal cont with levator ani -anal columns of Mortgagni -anal valves and sinuses |
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general comparison histol and drainage above v below pectinate
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above strat squa with somatic innerv and portal drainage, below columnar with auto innerv and systemic drainage
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course of ureter
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under uterine artery and under ductus deferens (retroperitoneal)
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injury to c. peroneal causes
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foot drop
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injury to tibial n
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loss plantar flexion (can't point foot, stand on toes)
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injury femoral n, lose what DTR
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loss knee jerk
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injury obdurator
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loss hip abd
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common knee injury side tackle
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MCL, medial meniscus, ACL
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thoracic outlet syndrome
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-loss radial pulse when turn head
- sensory deficit medial forearm and hand -atrophy thenar, hypothenar, interosseous |
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drainage left ovary/testis
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to left renal vein, then IVC (on R goes directly to IVC)
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1
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1
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transverse cervical (cardinal) lig
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contains uterine vessels
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round lig of uterus
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contains no impt structures
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broad ligament
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contains round lig of uterus and ovaries, uterine tubules and vessels
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drainage L adrenal
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via L renal then IVC
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