anatomy final LOs Flashcards

1
Q

anatomical snuffbox

A
  • boundaries
    • dorsal: extensor pollicis longus (EPL)
      • 3rd extensor compartment
    • volar: abductor pollicis longus (APL) and extensor pollicis brevis (EPB)
      • 1st extensor compartment
  • contens
    • scaphoid bone of wrist is floor of anatomical snuff box: most commonly fractured bone in wrist
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2
Q

cerebral arterial circle

A
  • vertebral arteries
    • anterior spinal artery
    • posterior inferior cerebellar arteries (PICA)
  • basilar artery
    • anterior inferior cerebellar arteries (AICA)
    • pontine arteries
  • superior cerebellar arteries

components of CAC

  • posterior cerebral arteries (PCA)
  • posterior communicating arteries
  • internal carotid arteries
  • middle cerebral arteries (MCA)
  • anterior cerebral arteries (ACA)
  • anterior communicating arteries
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3
Q

blood flow through chambers and valves of heart

A
  • SVC/IVC
  • right atrium
    • tricuspid/right atrioventricular valve
  • right ventricle
    • pulmonary semilunar valve
    • pulmonary trunk
    • pulmonary arteries
  • lungs
    • pulmonary veins
  • left atrium
    • left atrioventricular/mitral valve
  • left ventricle
    • ascending aorta/aortic arch
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4
Q

branching of coronary arteries on heart surface

A
  • right coronary artery
    • SA nodal
    • atrial rami
    • right marginal branch
    • posterior interventricular branch
  • left coronary artery
    • anterior interventricular branch
    • atrial rami
    • left marginal branch (left anterior descending)
    • circumflex branch
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5
Q

dural venous sinus drainage

A
  • superior and inferior sagittal sinuses connected by straight sinus
    • great cerebral vein
  • transverse sinus to sigmoid sinus through jugular foramen to internal jugular vein
    • pterygoid plexus through emmissaries to cavernous sinus
    • opthalmics to cavnerous sinus through jugular foramen through superior and inferior petrosal sinuses
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6
Q

clinically relevant sites on dermatome maps

A
  • C5: deltoid tuberosity
  • C6: thumb
  • C8: pinky
  • T1: median aspect forearm
  • T4: nipple
  • T6: skin over xiphoid
  • T10: umbilicus
  • L4: big toe
  • S1: pinky toe
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7
Q

lower extremity cutaneous nerve fields

A
  • perforating cutaenous: middle butt
  • lateral femoral cutaneous: lateral thigh
  • posterior cutaneous of thigh: posterior thigh
  • obturator: distal medial thigh
  • saphenous: medial leg
  • sural/klateral sural: lateral leg
  • sural/superficial fibular: lateral foot
  • deep fibular: flipflop area between big and second toes
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8
Q

cutaneous nerve fields of face

A
  • apex of skull to lower eyelid, top of nose: trigeminal, ophthalmic
    • supra-orbital, supratrochlear, infratrochlear, lacrimal, external nasal
  • temporal region, cheek bones, sides of nose, upper lip: trigeminal, maxillary
    • zygomatico-temporal, zygomaticofacial, infra-orbital
  • front of ear, sides of face, jaw line: trigeminal, mandibular
    • auriculotemporal, buccal, mental
  • sides of neck, psoterior ear: anterior rami great auricular (C2, C3)
  • back of head: greater occipital (C3)
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9
Q

meningeal coverings of the central nervous system

A
  • dura mater: infolding creates falx cerebri
    • periosteal: against the skull
    • meningeal: divides cerebellum
  • arachnoid mater
  • pia mater: bonded to CNS
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10
Q

genu valgum

A
  • “coxa vara”
  • knock-knee
  • decreased level angle of inclination (<125)
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11
Q

genu varum

A
  • coxa valga
  • increased angle of inclination (>125)
  • bow-legged
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12
Q

anteversion

A
  • increased angle of torsion
  • pigion toed
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13
Q

retroversion

A
  • decreased angle of torsion
  • duck feet
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14
Q

autonomic ganglion

A
  • oculomotor: ciliary ganglion
  • facial: pterygopalatine, submandibular
  • glossopharyngeal: otic
  • vagus: neurons in/near viscera
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15
Q

oculomotor autonomic innervation

A
  • ciliary ganglion
  • ciliary bodies/muscle (lens accomodation)
  • sphincter pupillae of iris (constriction)
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16
Q

facial autonomic innervation

A
  • pterygopalatine, submandibular (cry, snot, spit)
  • lacrimal mucosa glands of nasal cavity, paranasal sinuses
  • roof of mouth, soft palate, nasopharynx
  • submandibular and sublingual glands
17
Q

glossopharyngeal autonomic innervation

A
  • otic
  • parotid gland
18
Q

vagus autonomic innervation

A
  • neurons in/near viscera
  • smooth muscle viscera up to splenic flexure
19
Q

thoracolumbar fascia

A
  • psoas major, iliacus, transverse abdominus, internal/external oblique, latissimus dorsi
  • anterior layer
    • quadratus lumborum
  • middle layer
    • erector spinae
  • posterior layer
20
Q

glenohumeral joint dislocation

A
  • anterior (95%)
  • inferior joint capsule not reinforced by rotator cuff or ligaments
    • vulnerable when arm is in abduction
21
Q

radial head dislocation

A
  • Nurse Maid’s Elbow
    • pediatric
  • radial head subluxation from annular ligament
22
Q

hip and femoral head dislocation

A
  • posterior dislocation outnumbers anterior dislocation 9:1
  • most often in motor vehicle accidents from pressure on distal femur
  • injures posterior acetabulum/labrum and (most critically) sciatic nerves
23
Q

intervertebral disc herniation

A
  • nucleus pulposus leaks from anulus fibrosus posterolaterally
    • generally affects nerve below the herniation
  • can cause Trendelenburg gait if affecting superior gluteal nerve (L4, L5, S1)
24
Q

surface anatomy of right lung

A
  • 3 lobes
    • superior, middle, inferior
  • 2 fissures
    • horizontal, oblique
  • pulmonary arteries anterior to primary bronchus
25
Q

surface anatomy of left lung

A
  • 2 lobes
    • superior, inferior
  • 1 fissure
    • oblique
  • lingula
  • pulmonary arteries superior to primary bronchus
26
Q

layers of the heart

A
  • fibrous pericardium, parietal pericardium, visceral pericardium (epicardium), myocardium, endocardium
    • parietal + visceral = serous pericardium
    • epicardium + myocardium + endocardium = heart
27
Q

surface features of heart

A
  • right auricle on right atrium
    • coronary sulcus running under right atrium
  • right ventricle
  • left auricle on left atrium
    • coronary sinus in coronary sulcus under left atrium
  • left ventricle
  • anterior interventricular sulcus
  • cardiac apex
  • pulmonary arteries (2) and veins (4) on posterior inferior to aortic arch
28
Q

right atrium internal features

A
  • interatrial septum
  • fossa ovalis
  • valved orifice of IVC and coronary sinus (drains heart surface)
  • crista terminalis (wherepectinate meets interatrial septum)
  • pectinate muscle (rough)
29
Q

right ventricle internal features

A
  • right AV valve/tricuspid
  • chordae tendineae
  • anterior papillary muscles
    • 3: anterior, posterior, septal
  • septomarginal trabeculae
  • trabeculae carneae (rugated)
  • supraventricular crest
  • conus arteriosus
  • pulmonary trunk
30
Q

left atrium and ventricle internal features

A
  • left atrium
    • valve of foramen ovale
    • interatrial septum
    • pectinate septum
  • left ventricle
    • mitral valve (left AV)
    • papillary muscles
      • 2: anterior, posterior
    • trabeculae carneae
31
Q

remnants of fetal circulation

A
  • ligamentum arteriosum: ductus arteriosus in fetal circulation
    • shunts blood from pulmonary trunk to arch of aorta
  • fossa ovalis: foramen ovale in fetal circulation
    • blood from right to left atrium
32
Q
A