Anatomy W2 - Anterior Triangle of the Neck Flashcards

1
Q

What structure divides the neck into anterior and posterior triangles?

A

The sternocleidomastoid

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2
Q

List the attachment sits of the sternocleidomastoid

A

The mastoid process of temporal bone
The medial part of the clavicle - clavicular head
The sternum - sternal head

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3
Q

What nerve supplies the sternocleidomastoid (and the trapezius)?

A

the accessory nerve (11)

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4
Q

List the infrahyoid muscles/strap muscles.

A

Omohyoid
Thyrohyoid
Sternothyroid
Sternohyoid

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5
Q

What branch of the common carotid branches again in the neck?

A

The external

The internal goes straight into the base of the skull then branches when in the skull

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6
Q

At what level does the common carotid bifurcate into the internal and external?

A

At the level of the upper border of the thyroid cartilage - where Adams apple is

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7
Q

How do you test the accessory nerve?

A

Ask patient to turn head to the side with resistance against it.

Ask patient to shrug shoulders with resistance against them

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8
Q

How do you test for the hypoglossal nerve?

A

Ask patient to stick tongue out and lick both corners of the mouth.

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9
Q

What is the brachiocephalic trunk? What side is it on?

A

ONLY ON THE RIGHT

A trunk that branches off the aortic arch and gives rise to the common carotid artery and the subclavian artery.

The left side branches directly from the aortic arch - no trunk

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10
Q

What is the laryngeal prominence part of?

A

The thyroid cartilage

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11
Q

Where would a planned airway be placed?

A

Through the 2,3 or 4th tracheal rings

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12
Q

Where would an emergency airway be placed?

A

Through the cricothyroid membrane/ligament

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13
Q

What is the depression between the two clavicle called?

A

The jugular notch

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14
Q

What is proptosis? What is this caused by?

A

Thickening of the fat behind the eyes.

HYPERthyroidism

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15
Q

How do you detect proptosis?

A

Ability to see the sclera/the white around the whole iris.

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16
Q

What is goitre?

A

When they whole thyroid gland is enlarged

17
Q

How do you test that the whole thyroid gland is enlarged and that it isn’t another pathology?

A

Provide the patient with water and ask them to swallow.

The thyroid is attached by the pre-tracheal fascia to the trachea and larynx so when the patient swallows the thyroid should rise with the other structures.

18
Q

What are the symptoms of HYPOthyroidism?

A

Puffy face

Hair loss/dry hair

19
Q

At what level in the neck is the cricoid cartilage situated at?

A

C6