cervical triangle Flashcards

1
Q

what are the 3 regions of the post cervical triangle

A

lat + ant cervical triangle seperated by the SCM region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Ant, Post and Inf borders of ccervical tri

A

Ant- post border of SCM
post- ant border of trapezius
inf-middle 1/3 of clavical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

where is the nerve point

A

post 1/3 and middle 1/3 of SCM

-a bunch of cut. nerves of the cervical plexus emerge here and innervate the skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what travels thru the occipital triangle

A

cervical n.
spinal accessory n.
Occipital A+V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what travels thru the omoclavicular tr

A

Brachial n plexus

Subclavian A + V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

the brachial plexus travels between what 2 scalenes

A

Ant and middle scalene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the deepest fascia in the neck and what does it envelop

A

Deep fascia prevertebral- all deep muscles (ant + middle scalene and brachial plexus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what lvls give you the cervical n plexus

A

C1-4 APR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the cutaneous n of the cervical n plexus (4)

A
lesser occipital (c2,3)- behind ear
great auricular (c2,3)= under ear and back half of it
Transverse cervical (c2,3)- front of neck
supraclavicular (c3-5)- shoulder region
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the motor nerves of cervical plexus (1)

A

phrenic n c3,4 from cervcal and c5 from brachial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the first nerve to appear at the nervepoint and parth of it

A

deep to SCM

Spinal Accessory N

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

the external jugular vein is a continuation of what vein

A

post auricular v

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

path of external jugular

A

joins retromandibular v and travels along roof of post cert triangle across subclavian vein and drain into brachiocephalic v the vena cava

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

muscular floor of post cervical triangle

A

ant scalene, middle scalene, post scalene, lev snap, splenius cap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what does the subclavian a come from on L and R

A

left- from aortic arch directly

right- from brachiocephalic trunk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

where do you palpate the subclavian a

A

supracalvicular foss (oomoclavicular triangle)

17
Q

on what side of the ant scalene muscle will you find the phrenic nerve

A

laterally (crosses lat to med when entering thoracic cavity)

18
Q

dorsal scap nerve is deep to what scalene

A

middle

19
Q

path of long thoracic nerve (lvls)

A

c5-8

-deep to mid scalene

20
Q

location of spinal accessory, dorsal scap, long thorcic, suprasca and phrenic n in relation to scalenes/lev

A

spinal access- behind levator
dorsal scap, long snap- behind middle
suprascap- ant to middle
phrenic- ant to ant

21
Q

lesion of the spinal accessory nerve by the surgical procedures in post cer triangle leads to

A

unilat paralysis of traps and SCM

22
Q

how do u do a phrenic nerve block

A

anesthetic is injected around where the nerve lies on ant scalene

23
Q

for anesthesia where is the main injection site

A

sup to midpoint of the clavical

24
Q

what does a injury to upper trunk of the brachial plexus + suprascap nerve result in and how does it happen

A
  • fracture of middle 1/3 of clav

- leads to waiters tip pos (upper limb extended and medially rotated)

25
Q

what does prominence of external jugular vein idication of

A

obstruction of venous blood flow in SVN, heart failure or enlarged supraclacular lymph nodes