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Anatomy > Anterior and posterior triangles of the neck > Flashcards

Anterior and posterior triangles of the neck Flashcards

1
Q

What are some important structures around the anterior and posterior triangles?

A

Sternocleidmastoid muscle between the triangles
clavicle- bone under triangles
Trapezius Muscle -behind posterior triangle
Inferior border of mandible- jawline

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2
Q

What are the 3 boundaries of the posterior triangle?

A

Posterior border of the sternocleidomastoid muscle (SCM)

Middle third of the clavicle

Anterior border of trapezius muscle

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3
Q

What are the subdivisions of the posterior triangle?

A 
Occipital triangle (large)
subclavian triangle(small)
split by the OMOHYOID muscle
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4
Q

What is the roof and floor of the triangle made from?

A

The roof of the triangle is made of investing layer of cervical fascia that envelopes the sternocleidomastoid and trapezius muscles.

The floor of the triangle consists of the prevertebral layer of cervical fascia covering the splenius capitis, leavtor scapulae and scalene muscles.

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5
Q

What vein crosses the posterior triangle?

How is this vein clinically important?

A

EXTERNAL JUGULAR VEIN- crosses SCM into posterior triangle and empties into the subclavian vein

clinical importance- it may be visible if engorged

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6
Q

What are the contents of the posterior triangle?

A 
External Jugular vein
Subclavian artery
Accessory nerve
Cervical plexus of nerves
Trunks of the brachial plexus
Apex of the lung
lymph nodes
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7
Q

How can you examine the pulse of the subclavian artery?

A

press the artery against the first rib(as it crosses the first rib) in the SUPRACLAVICULAR FOSSA at the junction of the middle and medial thirds of the clavicle

This is important pressure point to stop/obstruct the artery when there is bleeding distally in the upper limb

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8
Q

What is the cervical plexus of nerves?

A

nerve point of neck made up by anterior primary rami of the C1-C4 cervical nerves

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9
Q

Where is the cervical plexus of nerves located?

A

branches emerge at the junction of the superior and middle thirds of the posterior border of the SCM

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10
Q

Where are the trunks of the brachial plexus?

What do they feel like?

A

at the anterior inferior angle of the posterior triangle just behind the SUBCLAVIAN pulse

feel like thick cords, when finger pressure is applied patient may feel slight pain

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11
Q

which lymph nodes should you examine on a patient?

A

occipital, posterior, cervicle, supraclavicuar

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12
Q

What are the 3 boundaries of the anterior triangles of the neck?

A

Midline of the neck

inferior border of the mandible

Anterior border of the sternocleidmastoid muscle

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13
Q

What is the anterior triangle divided up into?

A 
4 smaller triangles:
submental triangle
submandibular triangle
carotid triangle
muscular triangle
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14
Q

What covers the anterior triangle?

A

PLATYSMA MUSCLE in the superficial fascia

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15
Q

What lies beneath the deep cervical fascia?

A

SUPRAHYOID group of muscles and iINFRAHYOID group of muscles

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16
Q

What are the contents of the anterior triangle?

A 
Hyoid bone
Thyroid cartilage
Cricoid cartilage
Cricothyroid space
Trachea and tracheal rings
Suprasternal notch of manubrium
Thyroid gland
carotid arteries
Internal jugular vein
subclavain vein
Lymph nodes
Deep cervical lymph nodes
17
Q

How can you examine the hyoid bone?

A

hold the GREATER HORNS of the hyoid bone between your thumb and the rest of the fingers and move the bone side to side

18
Q

How can you examine the Cricoid cartilage?

A

Just below the lower border of the thyroid you can feel a soft tissue depression and then the anterior arch of the cricoid cartilage

19
Q

Where is the cricothyroid ligament?

What is the importance of this area?

A

The soft tissue depression or the space between the lower border of the thyroid cartilage and the upper border of the anterior arch of the cricoid cartilage

Important site for performing emergency CRICOTHYRIODOTOMY to establish and adequate airway

20
Q

Where can the trachea and tracheal rings be felt?

A

below the cricoid cartilage

21
Q

Where can you feel the suprasternal notch of the manubrium?

Why is it important to feel for this area?

A

further down the trachea

Important to feel the notch to detect if it had deviated from the midline-this may indicate lung pathology or pressure changes in the pleural cavities

22
Q

Where can you fell the thyroid gland?

A

The isthmus is felt over the 3rd and 2nd tracheal rings as a slight thickening

The lateral lobes is felt either side of the trachea

You can ask the patient to sip some water and watch the movement of the lobes of the glands upwards with the larynx

23
Q

Where can you detect the common pulse of the carotid artery?

A

beneath the anterior border of the sternocleidmastoid muscle at the level of the upper border of the thyroid

24
Q

Where in the anterior triangle is the internal jugular vein detected and easily accessible from?

A

midway down the anterior border of the SCM - it is easily accessible at the apex of the triangle between the sternal and clavicular heads of the SCM

25
Q

Where in the anterior triangle does the subclavain vein run?

A

behind the medial 3rd of the clavicle - can be approached from the upper border of the clavicle just lateral to the attatchment of the clavicular head of the SCM

26
Q

Where do the deep cervical lymph nodes run in the anterior triangle?

A

along the internal jugular vein under the cover of the SCM.

superior deep cervical nodes(jugulodigastic group)- can be felt anterior to the SCM

inferior deep cerival nodes(jugulomohyoid group)- can be felt posterior to the SCM

27
Q

What should you do when feeling the cervical lymph nodes?

A

feel in a circular motion without lifting your fingers off the patient to ensure no lymph nodes are missed

Use both hands to feel for lymph nodes on each side simultaneously

28
Q

Which 8 cervical lymph nodes to you have to feel for?

A

Submental nodes –inferior to the chin
Submandibular nodes –inferior to the angle of the mandible
Preauricular/parotid nodes –anterior to the ear (technically the preauricular and parotid nodes are two separate sets of nodes, but because of their close proximity, they are usually palpated at the same time.)
Postauricular nodes - posterior to the ear
Occipital nodes - base of the occipital
Superior deep cervical nodes - superior part of the sternocleidomastoid
Inferior deep cervical nodes - inferior part of the sternocleidomastoid
Supraclavicular nodes - superior to the clavicle

29
Q

How do you examine the nodes?

A

feel for them -watch video on coursera to see where to feel for each of the glands

Anatomy (12 decks)

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