Anterior Triangle: Carotid Triangle and Neurovascular Structures Flashcards

1
Q

what does the carotid triangle contain

A

thyroid gland, larynx, carotid sheath, branches of cervical plexus, superior root of ansa cervicalis, deep cervical lymph nodes

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2
Q

what are the main contents of the carotid sheath

A

common carotid artery (internal and external too), internal jugular vein, vagus nerve

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3
Q

where does the carotid sheath run from

A

the carotid foramen to the aortic arch

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4
Q

what is the pathway of the common carotid artery on the right side of the heart

A

right side of aorta - brachiocephalic trunk - common carotid

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5
Q

what is the pathway of the common carotid artery on the left side of the heart

A

left side of aorta - common carotid

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6
Q

where does the common carotid artery bifurcate?

A

C4

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7
Q

where does the internal carotid artery go and supply

A

into the cranium and supplies interior circulation of brain

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8
Q

where does the external carotid artery go and supply

A

external cranium and has a lot of branches in the neck

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9
Q

what is the carotid sinus and where is it

A

enlargement at the bifurcation of common carotid artery

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10
Q

what does the carotid sinus contain and what do these do

A

baroreceptors and they monitor blood pressure to keep homeostatic values

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11
Q

what is the carotid sinus innervated by

A

glossopharyngeal nerve and vagus nerve

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12
Q

what is the carotid body and what does it contain

A

small organ which contains chemoreceptors

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13
Q

where is the carotid body

A

at the bifurcation of common carotid artery near carotid sinus

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14
Q

what do the chemoreceptors in the carotid body do

A

monitor blood gases, pH and temperature

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15
Q

what is the carotid body innervated by

A

glossopharyngeal and vagus nerve

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16
Q

what are the branches of the external carotid artery

A

ascending pharyngeal, superior thyroid, lingual, facial, occipital, posterior auricular, superficial temporal, maxillary

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17
Q

what does the external carotid artery supply

A

the majority of the scalp and facial blood supply

18
Q

what does the internal jugular vein do?

A

drain blood from the brain, skull, face and parts of the neck

19
Q

where does the internal jugular vein run

A

exits through skull through jugular foramen and enters carotid sheath (lateral to CCA)

20
Q

what veins drain into the IJV

A

inferior petrosal sinus, pharyngeal, occipital, facial, lingual, superior thyroid, middle thyroid

21
Q

what does the internal jugular vein join

A

the subclavian vein to become the brachiocephalic vein

22
Q

what is distributed along the internal jugular vein

A

lymph nodes

23
Q

what is the inferior bulb and valve

A

a valve in the internal jugular vein which prevents backflow when there is an increase in thoracic pressure

24
Q

what muscle runs across the internal jugular vein

A

omohyoid

25
Q

where does the external jugular vein begin and what does it join

A

at the angle of the mandible and joins posterior auricular and retromandibular veins

26
Q

what veins drain into the ejv

A

posterior external jugular, transverse cervical, suprascapular, anterior jugular

27
Q

what does the external jugular vein cross over and where does it go

A

the SCM to pierce investing fascia and drain to subclavian vein

28
Q

what are the 5 branches of the facial nerve

A

temporal, zygomatic, buccal, mandibular, cervical

29
Q

what branch of the facial nerve innervates the platysma

A

cervical

30
Q

where does the glossopharyngeal nerve travel

A

exits the jugular foramen and travels downward between the IJV and ICA. Forwards to the oral cavity (tongue) but also downwards the pharynx

31
Q

where does the vagus nerve travel

A

exits the jugular foramen and travels downward within carotid sheath with IJV and CCA (ICA)

32
Q

where do the branches of the vagus nerve go in the neck

A

towards the pharynx, the carotid body

33
Q

what nerve does the recurrent laryngeal nerve come from

A

vagus nerve

34
Q

where does the recurrent laryngeal nerve arise on either side of the heart

A

inferiorly near to subclavian artery (on right), on arch of aorta (on left)

35
Q

where does the spinal nerve travel

A

exits the jugular foramen and travels downward between the IJV and ICA. Then crosses IJV to go to SCM and trapezius

36
Q

where does the hypoglossal nerve travel

A

exits the hypoglossal canal and is between IJV and ICA, then crosses the ICA and ECA on its way to the oral cavity

37
Q

what is the cervical plexus formed by

A

rami of cranial spinal nerves

38
Q

where is the ansa cervicalis

A

second level loop of the cranial plexus

39
Q

what does the ansa cervicalis innervate

A

infrahyoid muscles

40
Q

what does the transverse cervical nerve innervate

A

SCM and anterior triangle

41
Q

where is the brachial plexus

A

between neck and shoulder underneath the cervical plexus