anat Flashcards
where does spinal cord terminate
L1/2
vertebra primary centres of ossification
1 on body
one on each arch
vertebra secondary centres of ossification
5:
- top and bottom of body around perimeter - annular epiphyses
- tip of spinous
- tips of transverse
where does disc have neurovascular supply
outer third of annulus
nerve supply of IVD
recurrent meningeal nerves
where do you do a lumbar puncture
L3/4
draw superficial back muscles
trapezius
lat dorsi
rhomboids minor and major
levator scapulae
what are the intermediate back muscles
serratus anterior and post sup and post inf
what are deep back muscles (parts of one of them)
errector spinae (med to lat: spinalis, longissimus, iliocostalis) trasnversospinalis
are there lymph nodes in the back
nup, lymph goes to axillary nodes
spondylosis
degeneration of spine
alkylosing spondylitis
fusion of vertebra
where in breast has highest bulk of glandular tissue
upper outer quadrant
where does breast sit, what ribs
2-6
where does breast lymph drain
axillary and parasternal nodes
ligaments stabilising costovertebral and costotransverse joints
radiate ligament
costotransverse lig
what part of diaphragm does IVC go through
central tendon
where does L and R phrenic nerves go through diaphram
R - tendon
L - muscular
where are internal and external intercostal muscles replaced
external replaced anteriorly, internal replaced posteriorly
accessory muscles of resp
sternomastoid, scalenes, abdo
which vertebra does heart sit against
T5-8
smooth part of R atria
sinus venarum
ridge on inside demarcating musculi pectinati and sinus venarum in R a
crista terminalis
smooth part just before pulmonary trunk
conus arteriosus
name of fibrous parts of skeleton connecting rings
trigones
what are 3 cusps of tricuspid valve called
ant post and septal
what meets behind sternoclavicular 1st 2nd and 3rd costal cartilages
sternoclavicular - IJV and subclavian
1st - brachiocephalic veins meet
2nd - azygous vein enters
3rd - IVC enters RA
what problem do you get with retrooesophageal right subclavian
causes difficulties swallowing
what muscle dows phrenic run on
scalenus anterior
where does thoracic duct empty into
junction btw L jugular and subclavian v
branches of thoracic aorta
intercostal
bronchial
pericardial
oesophageal
pathway of phrenic nerve
on scalenus anterior, between subclavian artery and vein, ant to lung root, pieces diaphragm
pathway of R vagus nerve
beside trachea - post to lung root, ant to oesophagus
pathway of L vagus
lateral to arch - post to phrenic - crosssed by superior intercostal vein - gives of recurrent laryngeal - post to lung root - ant to oesophagus
parts of parietal pleura
cervical, mediastinal, costal, diaphragmatic
what is name for pleural cavity filled with pus
pyothorax/empyema
where does trachea begin
C6
where will aspirated fluid go in supine patient
apical segment of lower lobe
two divisions of right bronchus
right upper lobe bronchus bronchus intermedius (continuation of RMB)
two divisions of R pulmonary artery
right upper lobe branch of pulmonary artery pulmonary artery (continuation of RMPA)
lymph drainage of lung
hilar lymph nodes - tracheo-bronchial nodes - bronchiomediastinal trunks
insertion of external obliques
iliac crest, ASIS, pubic crest and tubercle
insertion of internal obliques
anterior iliac crest, lat 2/3 of inguinal ligament, pubic crest
insertion of transversus abdominus
anterior iliac crest, lat 1/3 of inguinal lig, pubic crest
3 tendinous insertions of rectus abdominus
xiphisternum, costal margin, umbilicus
where are portosystemic anastomoses
lower oesophagus bare area of liver umbilicus retroperitoneal structures (asc and dec colon) upper anal canal
two divisions of internal thoracic a
musculophrenic
superior epigastric
arteries of ant abdominal wall
- superior epigastric from internal thoracic
- inferior epigastric from external iliac
- superficial epigastric
where do testes develop
extraperitoneal fat
where is deep inguinal ring
breach in transversalis fascia, half way between ASIS and pubic tubercle, fingers breadth above the inguinal ligament
where are layers of spermatic fascia from:
external spermatic
cremasteric
internal spermatic
external - EO
cremasteric - IO
internal - fascia transversalis
indirect inguinal hernia from incomplete closure of…
processus vaginalis
origin of psoas major
T12 to L5
3 layers of thoracolumbar fascia and where they attach
post - to tip of spinous
middle - to tip of transverse
ant - to ant surface of transverse
size of kidney
10x5x2.5
where does right renal artery travel in relation to IVC
behind it
cervical oesophagus: narrowing artery vein lymph
upper oesophageal sphincter
artery - inferior thyroid
vein - brachiocephalic
lymph - deep cervical nodes
thoracic oesophagus
narrowing, artery, vein, lymph
LMB, aortic arch
a - oesophageal branches from aorta
v - azygous
lymph - mediastinal
abdominal oesophagus
narrowing, a, v, lymph
diaphragmatic orifice
a - left gastric
v - L gastric
lymph - preaortic
pylorus consists of
antrum, canal, sphincter
duodenal cap =
1st 2 inches of duo
what does second part of kidney overly
hilar structures of R kidnye
where does 3rd part of duo pass from to
from R psoas to L psoas
first __% jejunum, second __% ileum
40
60
mcbernies point
1/3rd way along line between umbilicus and ASIS
functional left half of liver =
left, caudate, quadrate
what structures are secondarily retroperitoneal
duo, pancreas, bile duct, asc and dec colon
branches of coeliac trunk
- L gastric
- splenic - L gastroepiploic
- common hepatic
- proper hepatic
- gastroduodenal - R gastric, R gastroepiploic, superior pancreaticoduodenal
where does tail of pancreas and splenic artery go through to get to spleen
lienorenal lig
branches of SMA
inferior pancreaticoduodenal jejunal ileal iliocolic R colic middle colic
branches of IMA
left colic
sigmoid colic
superior rectal
symp for abdo viscera come from what segments
T6-L2
parasymp for abdo viscera
foregut and mid gut - vagus
hindgut - pelvic splanchnics
conoid tubercle
of cavicle for coracoclavicular ligament
ligs of sternoclavicular joint
ant and post sternoclavicular ligs
costoclavicular lig - main stabiliser
main stabiliser of acromioclavicular joint
coracoclavicular lig
glenohumeral ligs - how many, which is thickest
line posterior capsule - sup, mid, inferior - thickest and loops under head
what is endangered in inferior dislocation of shoulder
axillary
process of ulnar on front
coranoid process
what is displaced carrying angle of arms called
cubitus valgus
what causes volkmann’s ischaemia of forearm
supracondylar fracture causing stretch and spasm of brachial artery causing ischaemia
names of carpal bones
scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate, hamate
two joints of wrist complex, what type of joints are they
radiocarpal - ellipsoid
intercarpal - condylar
ligs reinforcing wrist joint
ventral ulnocarpal and radiocarpal
dorsal radiocarpal
radio-scapho-lunate lig
what is most common fracture in upper limb
distal radius fracture - colles fracture
what are metacarpals linked by
deep transverse metacarpal lig
what expands surface area on phalanges in metacarpophalangeal joints
volar plate (fibrocartilagenous)
heads of pec majoir
clavicular
stenocostal
where does serratus ant attach
anterolateral chest wall ribs 1-8, underlaps scapula to medial border
actions of serratus ant
protractor, scapula stabiliser when pushing forwards
name of fascia surrounding subclavian and pec minor
clavipectoral fascia
what does clavipectoral fascia attach to
axillary fascia
3 parts of deltoid
ant - from lat clavicle
lat - from acromium
post - from spine of scapula
which muscles adduct and medially rotate shoulder
subscapularis
teres major
where does long head of biceps come from
supraglenoid tubercle, intracapsular, extrasynovial
origin and insertion of brachialis
ant distal humerus to coranoid process of ulnar
origin and insertion of FDS
humeroulnar head, radial head to either side of middle phalanges (doesnt cross last joint)
origin and insertion of FDP
ulnar and interosseous membrane to base of distal phalanges
origin and insertion of flexor pollicis longus
radius and interosseous membrane
origin and insertion of brachioradialis
supracondylar ridge to distal radius
muscles of posterior forearm
brachioradialis extensor carpi radialis longus extensor carpi radialis brevis extensor digitorum and extensor digiti minimi extensor carpi ulnaris
deep muscles of post forearm
anconeus
supinator
extensor incidis
down a line along the ulnar what are the muscles of post forearm
anconeus
adductor pollicis longus
extensor pollicis longus
extensor pollicis brevis
layers of palm
- skin and palmaris brevis
- palmar aponeurosis
- intrinsic muscles of hand
- neurovascular plane - superficial palmar arch
- long flexor tendons + lumbricals
- adductor pollicis and neurovascular plane
- interossei and metacarpals
what are intrinsic muscles of hand
thenar and hypothenar: abductor and flexor pollicis brevis/digiti minimi and opponens
what forms the superficial neurovascular plane
ulnar artery , median and ulnar nerves
what forms the deep neurovascular plane
deep palmar arch from radial artery
where do lumbricals go to from
from radial side of each FDP tendon to dorsal extensor expansion
what adducts fingers
palmar interossei
what abducts fingers
dorsal interossei (bipennate)
what is order in brachial plexus
roots - trunks - divisions - cords - nerves
where does musculocutaneous nerve run
between biceps and brachialis
where does lat cut nerve of forearm come from
musculocutaneous
ulnar nerve med or lat to axillary artery
medial
what muscles does ulnar nerve supply
FCU and medial FDP, hand muscles except thenar
roots of musc nerve
C567
roots of axillary nerve
C56
roots of ulnar nerve
C8 T1
roots of median and radial nerves
C5-T1
median nerve lat or med to brachial artery
medial
motor of median n
rest of ant forearm, thenar muscles and lat 2 lumbriclas
before goes under flexor retinaculum, median n
gives of palmar cutaneous branch to lat 3 1/2 fingres and nail beds
axillary above or below teres major
above
muscles of axillary n
deltoid and teres minor
radial above or below teres major
below
where does superficial branch of radial n go
under brachioradialis, over anatomical snuff box to dorsum of hand
what does superficial radial n supply
lat arm and forearm, back of fingers
where does deep radial n go
through supinator to post compartment = post interosseous nerve
what does deep radial n supply
forearm extensors
what does medial arm and forearm extension
medial cutaneous nerve from medial cord
when does subclavian a become axillary
at lower border of 1st rib
where does it become brachial a
lower border of teres major
axillary artery runs deep to…
pec minor
where does profunda brachi artery go
spirals around humerus med to lat with radial nerve to post arm
where does radial artery go under, with what
under brachioradialis with superficial radial n
where does ulnar artery go, with what
under FCU with ulnar n
where does common interosseous artery come from
ulnar artery
divisions of common interosseous artery
ant and post interosseous arteries
what forms the superficial palmar arch
ulnar artery and sup branch of radial (gives off before goes under flexor retinaculum)
where do you get common digitial arteries from
superficial palmar arch
what forms deep palmar arch
radial artery and deep branch of ulnar
which is more proximal superficial or deep palmar arches
deep
what do deep veins form in arm
paired vena comitantes instead of radial and ulnar
in upper limb, deep lymphatics follow___ and superficial lymphatics follow ___
deep - arteries
superficial - veins