Anatomy HSF II Lecture 1 Flashcards

1
Q

Ribs that attach Vertabrae to Sternum

A

True Ribs 1-7

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2
Q

Cartilages that attach to cartilages of ribs superior

A

False Ribs 8-10

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3
Q

Ribs that have cartilages ending in posterior abdominal wall musculature

A

Floating Ribs

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4
Q

Cartilages of 7-10 combine for form ?

A

Infrasternal Angle

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5
Q

Boundaries of Superior thoracic Apperature

A

Ist thoracic vertabrae, Ist Pair of Ribs and Superior Border of Manubrium, 1st pair of ribs and 1st vertebrae

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6
Q

Levator Costae

A

O: Transverse Processes of Vertabrae
I: Inferior Rib
F: Weakly Elevate the rib at their angle

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7
Q

Serratus Posterior Superior

A

O: Spinous Processes under thoracic Vertabrae; I: Ribs 3-6. Raises the Ribs

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8
Q

Serratus Posterior Inferior

A

O: Lumbar Vertabrae to Lower ribs 9-10. Function Depresses the ribs

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9
Q

Scalene

A

O: Transverse Process Cervical Spine. I: Anterior and Middle : Rib 1. Posterior: Rib 2. Functio: Flex neck. Elevate Respiratory Organs. (insertion and origin reverse when needed for respiration such as asthma). Usually just holds neck stable

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10
Q

Intercostal Space

A

Located Between Innermost and Internal Innercostal. VAN (Vein : suprior) Nerve: inferior. Nerve: Ventral Ramus, Somatic motor to innercostal muscles and sensory to skin overlying costals

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11
Q

In terms of introducing a needle to interocostal space where does the nerve lie and where should the needle go

A

Nerve lies inferior to ribs and the needle should only go to superior border of the ribs

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12
Q

Hemiadaphram

A

Paralysis of one side of diaphragm, paradoxical movement. The side working goes down increases abdominal pressure and it pushes up on the side not working. Side not working elevated higher than it should be

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13
Q

Two Parts of Diaphragm

A

Muscular Part with fibers converging to Central Tendon

Central Tendon which is aponeurotic and fused with inferior surface of pericardium

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14
Q

3 muscular parts of the diaphgram

A

Sternal: Attaches diaphragm to posterior Sternum
Costal: Attaches Diaphgram to costal Cartilages
Lumbar: Attaches diaphgram to Crura

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15
Q

Originiations of Right and Left Crus of Lumbar portion of diaphgram

A

Right Crus: First 3 lumbar vertabrae

Left Crus: First 2 Lumbar Vertabrae

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16
Q

Ligament that passes over the aorta from Diaphgram

A

Median Arcuate LIgament

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17
Q

Ligaments that pass from diaphgram over psoas and quadratus lamborum

A

Medial and Lateral Arcuate Ligaments

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18
Q

Vena Cava foramen for Inferior Vena Cava inserts?

A

Central Tendon T8-T9 disc

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19
Q

Contents of Central Tendon

A

Inferior vena Cava, Right Phrenic Nerve, Lymphatic Vessels

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20
Q

Contents through Right Crus at T-10 Esophageal Hiatus

A

Esophagus, Vagal Trunks, Esophageal Branches of left gastric Vessels

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21
Q

Aortic Hiatus Location

A

Posterior to Diaphgram between Crura and T-12

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22
Q

Contents of Aortic Hiatus

A

Aorta, Thoracic Duct, Azygous Vein

23
Q

Impact of Contraction of Diaphgram on Vena Cava Aorta and Esophagus

A

Esophagus contract: prevents stomach contents from going into esophagus
Vena Cava: Dilates increases blood Flow
Aorta: No impact on it because it doesnt pass diaphgram

24
Q

Condition where esophagus isn’t able to keep stomach contents from going into thorax

A

Hiatal Hernia

25
Q

Pericardiophrenic Aretery

A

Comes from Internal Thoracic Artery, runs alongside Phrenic Nerve. Supplies Pericardium and Diaphgram

26
Q

Musculophrenic Artery

A

Branches of Internal Thoracic artery and gives some blood to diaphgram

27
Q

Superior Phrenic artery

A

Comes off the aorta and supply superior part of diaphgram

28
Q

Inferior Phrenic Artery

A

Once aorta goes behind diaphgram it gives off inferior phrenic. It supplies the inferior diaphgram

29
Q

Motor Innervation of Diaphgram

A

C3 C4 C5 keeps you alive

30
Q

Sensory of Diaphgram

A

Phrenic Nerve: Central Portion

Intertcostal Nerves T7-T 12: Peripheral parts

31
Q

Autonomic Innervation Overrides what?

A

Somatic Innervation

32
Q

Fusion of four structures that form the diaphgram

A

Septum transversum , Dorsal Esophgeal mesentry, peripheral rim of body wall, Pleruperitoneal membranes

33
Q

Septum Transversum origination

A

Mesoderm that originally develops from cervical myotomes and then migrates caudally. It is innervated by Cervical Spinal Cord Segments

34
Q

Herniea caused by congenital Abnormalities of diaphgram

A

Foramen of morgani, Foramen of Bochdalek, Central Tendon Deficiency and large esophgeal hiatus

35
Q

Acquired Herniae

A

Sliding: Upper stomach and lower esophagus slide upwards together when patient bends or lies down
Rolling: Cardia remains in normal position and fundus rolls upwards. (no regurgitation)

36
Q

What lies in the Fatty tissue of breast

A

15-20 lobes of grandular tissue

37
Q

Where are mammary glands drained?

A

At nipple by lactiferous ducts

38
Q

Pigment around nipple

A

Areola

39
Q

What happens to Lobules during lactation

A

Smaller

40
Q

What supports the lobules

A

Connective tissue suspensory ligaments

41
Q

Space between breast tissue and pectoral Fascia

A

Retromammary Space

42
Q

Scrinched Skin around lymphatic system infected. Builds up in dermis around hair follicle

A

Peau d’ Orange

43
Q

What fills up during cancer and causes assymetery as breast moves up and down pectoral wall

A

Retromammary Space

44
Q

What is important part of breast tissue, not normally thought of as part of breast

A

Axillary Tail

45
Q

Arterial supply to breast is via mammary branches of

A

Internal Thoracic, Lateral Thoracic, Thoracoacromial and posterior intercostal arteries (this branches from thoracic aorta)

46
Q

Venous drainage occurs via tributaries to

A

Axillary Vein and internal thoracic vein

47
Q

Why is lymphatic drainage important?

A

Due to its roll in breast cancer

48
Q

Apporximately 75% of lymphatic drainage occurs to

A

Lateral, subscapular, central, pectoral and apical Lymph nodes

49
Q

Axillary nodes not usually involved in breast ancer

A

Lateral and Subscapular

50
Q

Nodes involved in cancer

A

Apical Pectoral Central

51
Q

25% drainage goes to

A

infraclavicular, supraclavicular and parasternal Nodes

52
Q

Interpectoral Node

A

Between pec major and minor. Dangerous to drain here

53
Q

Positive cancer biopsy of this node indicated cancer probably spread to blood

A

Scalene Node Cancer in supraclavicular area

54
Q

Path of Lymph

A

Pectoral to central to apical