Axilla Flashcards

1
Q

What is the name for the passageway that the axilla provides

A

cervicoaxillary canal

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2
Q

What is the apex of the axilla

A

junction of clavicle, scapula and first rib forming the canal

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3
Q

What is the base of the axilla

A

axillary fascia

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4
Q

What is the posterior wall of the axilla

A

scapula with associated musculature: subscapularis, teres major, latissimus dorsi

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5
Q

What is the medial wall of the axilla

A

ribs 1-4 or 5 with associated intercostal musculature covered by the serratus anterior m

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6
Q

what is the lateral boundary of the axilla

A

junction of the anterior and posterior axillary walls at the intertubercular groove

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7
Q

What are the generalized contents of the axilla

A

axillary a and its branches, axillary vein and tributaries, cords and branches of brachial plexus
proximal portions of long and short heads of biceps brachia and coracobrachialis mm
axillary lymph nodes and fat

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8
Q

What forms the axillary sheath and what does in surround

A

extension of pre vertebral cervical fascia

axillary a vein and cords of brachial plexus

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9
Q

Where is the axillary artery

A

continuation of subclavian - lateral border of 1st rib, becomes brachial a distal to inferior border of the teres major

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10
Q

How many areas is the axillary divisible into

A

three because passage posterior to pectorals minor m

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11
Q

What are the branches of axillary a medial to pec minor

A

supreme or highest thoracic a- from the inferior surface of axillary a

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12
Q

What area does the supreme thoracic a supply

A

first and second anterior intercostal areas

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13
Q

What are the branches of axillary a posterior to pec minor

A

thoracoacromial a

lateral thoracic a

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14
Q

Where does thoracoacromial a arise from

A

posterior to pec minor, courses medially and pierces the costocoracoid membrane. Possesses short trunk and divides into 4 branches

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15
Q

What are the 4 branches of thoracoacromial trunk

A

acromial, clavicular, deltoid and pectoral

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16
Q

where does lateral thoracic a arise from

A

behind pectoralis minor and courses inferiorly parallel to its lateral border.

17
Q

What do the branches from lateral thoracic a supply

A

lateral intercostal spaces, serratus anterior, pectoralis major and minor and the mammary gland

18
Q

What branches from axillary a are found lateral to pec minor

A

subscapular a, anterior and posterior circumflex humeral a

19
Q

What is the largest and most variable branch of axillary a

A

subscapular

20
Q

what branches does subscapular a give off

A

circumflex scapular and thoracodorsal a

21
Q

where does the circumflex scapular a go

A

posterioly through triangular space of axilla to participate in scapular anastomosis

22
Q

Where does the thoracodorsal a go

A

parallels thoracodorsal nerve on surface of lat dorsi

23
Q

Which branch of the the trunk giving off circumflex humeral a is the smallest

A

anterior circumflex humeral a

24
Q

Where does the axillary vein lay in regards to axillary artery distally? proximally?

A

distally: medial to artery
proximally: anterior to artery

25
Q

What forms axillary vein

A

union of basilic vein with brachial vv

26
Q

Tributaries of axillary vein are named after what

A

the arteries they parallel

27
Q

What joins the axillary vein at the superior border of pec minor

A

cephalic vein

28
Q

Where does the axillary vein become subclavian

A

lateral border of first rib

29
Q

What to the superficial lymphatics drain

A

subcutaneous structures and drain from dorsum ventrally and from distal proximally

30
Q

What path do lymphatic collecting ducts take

A

course of superficial veins and end up in lateral axillary nodes

31
Q

do all lateral collecting ducts empty into axillary nodes

A

no- soem end in apical group via traveling along cephalic vein

32
Q

What do deep lymphatics drain

A

periosteum, joint capsules, tendons and some m

33
Q

where do the collecting ducts of deep lymphatics travel

A

parallel course of major aa and drain to lateral and central axillary lymph nodes

34
Q

How many axillary lymph nodes do we have

A

20-30

35
Q

what are the 5 groups of nodes in the axilla

A

pectoral, lateral, subscapular, central, apical

36
Q

which axillary lymph node groups are found interior to tendon of pec minor

A

pectoral, lateral, subscapular, and central

37
Q

All axillary nodes are infraclavicular T or F

A

True

38
Q

Why does the limb of a mastectomy look like if axillary lympoh nodes are taken out as well

A

edematous (swollen) because lymph drainage is impaired