Derm/EENT Anatomy Flashcards
junction of sphenoid, temportal, frontal and parietal bones
Pterion–lies over MIDDLE MENINGEAL ARTERY BRANCH (off maxilary artery)
Passes through Superior orbital vissure (5)
CN
III, IV, V1, VI
3, 4, 51, 6
passes throuh optic canal
CN II
Passes through inferior orbital fissure
CN V2 (connection btwn inferior ophthalmic vein and pterygoid plexus)
foramena of mandible
Mandibular foramen, mental foramen
scalp mneumonic (5) 1-3 fused
SCALP
- Skin
- Connective tissue
- Aponeurosis
- Loose areolar connective tissue (allows scalp to move in relation to skull)
- Periosteum
anastomosis
physical connection of BV that allows for collateral circulation
collateral circulation
alternate pathway for blood to reach a specific region of the body
Arteries of scalp (2)
External and internal carotid arteries
external carotid artery feeds
- occipital a.
- posterior auricular a.
- superficial temporal a.
internal carotid artery feeds
- supraorbital a.
2. supratrochlear a.
arteries to face (5)
- external carotid artery
- lingual a.
- facial a.
- superficial temporal a
- Maxillary a. (middle menigeal a., and inferior alveolar artery)
veins of face (6)
- supratrochlear v.
- supraorbital v.
- superficial temporal v.
- maxillary v.
- retromandibular v.
- internal jugular v.
infections from face spread to dural sinuses + venous routes (facial veins enter cavernous sinus–can spread infection to brain)
Danger triangle of face (superior ophthalmic v, inferior ophthalmic v., and pterygoid plexus)
CN VII think
muscles of facial expression and taste to ANTERIOR 2/3 of tongue
Branches of facial n VII
1-5 motor fibers of facial expression
- temporal (pinky)
- zygomatic (ring)
- buccal (middle)
- mandibular (pointer) *
- cervical (thumb)
- chorda tympani
facial n VII mneumonic
2 zebras bit my cockatu
bell’s palsy may be due to (4)
- CN VII inflammation
- virus
- sleeping w/ cold air on face
- stroke
Trigeminal nerve divisions OMM
- Ophthalmic division V1 – S
- Maxillary division V2 – S
- Mandibular division V3 – S + M (mastication) *
Trigeminal nerve think
chief sensory n of face + muscles of mastication
muscles of mastication (4)
All innervated by ________
- temporalis m (elevates mandible)
- masseter m. (elevates/grindes)
- medial pterygoid m. (elevates/grindes)
- lateral pterygoid m. (depresses/protrudes)
- -Mandibular division of Trigeminal n. V3
TMJ type
hinge synovial joint–loose synovial capsule
articulations of TMJ (3)
- mandibular fossa of temporal bone
- mandibular condyle
- articular tubercle of temporal bone
Parotid gland structures (3) superficial to deep
Exocrine gland –> parotid duct
- CN VII
- Retromandibular v.
- external carotid a.
Nerve, vein, artery
Oral region components (4)
- teeth
- palate
- tongue
- pharynx
Types of teeth (2)
deciduous and permanent
types of teeth and purpose (4)
- incisors (cutting)
- canines (tearing)
- premolars (grinding/ crushing)
- Molars (grinding/crushing)
Teeth types and numbers
Primary 20
secondary 12
Total = 32
Nerve supply to teeth
- Maxillary teeth – CN V2
2. Mandibular teeth–CN V3 (inferior alveolar nerve through mandibular foramen)
Hard palate formed by _______ and _________ bones
maxilla (palatine process) and palatine bones
Soft palate formed from
moveable fibromuscular tissue
muscles of soft palate innervated by _____, moves _______ against pharynx when _____
CN X,
posteriorly,
swallowing
muscles of tongue: types and innervation
extrinsic (origin and insertion in different organs) and intrinsic (origin and insertion in organ–change shape of tongue),
CN XII
Papillae posterior to anterior
- Vallate papillae
- filiform p.
- fungiform
general sensory and taste innervation for posterior 1/3 of tonue
CN IX – glosopharyngeal
Anterior 2/3 of tongue general sense vs. taste innervation
- CN V3
2. CN VII (spec. Chorda tympeni)
motor innervation of entire tongue
CN XII hypoglossal
Roles of nose (4)
- olfaction
- respiration
- filtration of dust
- humidify air
opening into nasopharynx
posterior nares or choanae
sides of nose
ala
bones of nose
nasal, frontal, maxillary
bones of nasal septum
- perpendicular plate of ethmoid
2. vomer
mucosa of nose
- respiratory mucosa
2. olfactory mucosa
new name for turbinates (turbulence)
conchae
conchae and bone
- superior–ethmoid bone
- middle–ethmoid bone
- inferior–separate bone
Meatus purpose (3)
- superior ( post ethmoid sinus drainage
- middle (frontal, maxillary, ant and middle ethmoid sinus drainage)
- inferior (nasolacrimal duct drainage)
most commonly infected sinus + aperture location + proximal to ______ _______
Maxillary,
aperture superior to floor of sinus,
proximal to maxillary teeth (root may grow into sinus)
raises upper eyelid
levator palpebrae superioris m
tarsal glands aka/ purpose
Meibomian glands–secrete lipid that lubricates eyelids
Conjunctiva types:
Palpebral:inner surface of eyelids
Bulbar: attached loosely to anterior eyeball surface
lacrimal puncta(drainage) –>lacrimal canaliculi –>
lacrimal sacs –> nasolacrimal duct–>inferior nasal meatus
role of tears (3)
- clean
- protect
- lubricate eyes
extrinsic aka extraocular eye muscles
intrinsic eye muscles
- move eyeballs
- change shape of pupil etc (CN III parasympathetic innervation)
Eyeball anatomy:
Fibrous layer:
Vascular layer:
Inner layer:
- sclera and cornea
- aka uvea–choroid, ciliary body, iris
- retina
Sclera (4)
- white of eye
- posterior 5/6 of eyball (slide 17)
- protects and shapes eyeball
- attachment for extrinsic and intrinsic mm
Cornea characteristics (5)
- transparent
- anterior 1/6 of eyeball
- allows light entry
- avascular
- innervated by CN V1
Vascular layer –> Choroid characteristics (3)
- highly vascular
- btwn sclera and retina
- absorbs light so it isn’t scattered w/in eye
Ciliary body characteristics (2)
- ring of tissue surrounding lens–providing attachment of lens
- connects choroid w/ lens
ciliary processes are folds that produce _______ _____ which fills anterior segment of eye
aqueous fluid
Iris characteristics (2)
- lies on anterior surface of lens
- thin, contractile diphragm
- has circular and radial smooth mm fibers that vary pupil size
Inner layer–> retina layers (2) and characteristics
- Pigmented layer–single cell thick, adjacent to choroid, absorbes light
- Neural layer–neurons, optic disc, macula lutea
Neural layer components (3)
- photoreceptors (rods/cones)
- Bipolar cells–intermediate layer
- Ganglion cells (axons from optic nerve)
optic disc aka ____ _____ is where…
blind spot,
optic nerve exits eye–no photoreceptors
area of enhanced visual acuity; mostly cones
macula lutea
center of macula; only cones; most acute vision
fovea centralis
blood to rods and cones supplied by
capillaries of choroid
Remaining retina blood supplied by
central artery; from ophthalmic artery
Anterior segment–aqueous humor (produced by ciliary PROCESSES)
- anterior chamber btwn
- posterior chamber btwn
- cornea and iris
- iris and lens
posterior segment is…
filled w/…
behind lens; filled w/ vitreous humor
blocked aqueous humor drainage leads to
glaucoma
Visual pathway: Retina–>
CN II–> optic chiasm –> optic TRACT(after chiasm) –> thalamus –> optic radiations –> Primary visual cortex in occipital lobe
secrete ear wax in external acoustic meatus
ceruminous glands
optic TRACTS carry
information from the CONTRALATERAL visual FIELD
TM covered w/
skin externally; mucous membrane internally
TM components (3) characteristics
- Flaccid part–superior, thin
- Tense part–most of membrane, has fibers to support TM
- Umbo–end of malleus in contact
Muscles of middle ear (2) + purpose
- stapedius–pulls STAPES preventing ^ movement
2. tensor tympani–pulls MALLEUS–tensing TM
middle ear in
petrous portion of temporal bone
auditory canal aka aka
eustachian tube, pharyngotympanic tube
chorda tympani nerve through middle ear for (3)
- taste (SPECIAL SENSE) to anterior 2/3 of tongue–CN VII
- travels btwn incus and malleus
- joins lingual branch of CN V3
Fluid portion:
Bony labyrinth:
Membranous labyrinth:
- perilymph (plasma-like)
- endolymph
Bony labyrinth character (3)
- fluid-filled spaces w/in petrous portion of temp bone
- surrounded by OTIC CAPSULE
- contains (cochlea, vestibule, semicircular canals)
Vestibule contains _______ and ______ for ______ – continuous w/ ________ and ________ ________
utrilcle and saccule (maculae) for balance,
cochlea and semicircular canals
sacs and ducts suspended in bony labyrinth
membranous labyrinth–cochlear and vestibular labyrinth
filled w/ endolymph–intracellular fluid
organ of corti aka
Spiral Organ
________ is the enlarge swelling in the semicircular canals, location of ______ ______, equilibrium receptors that respond to rotational movement of head
Ampulla,
crista ampullaris
subQ aka
hypodermis
Skin types (2)
- thick skin–palms and soles–5 layers
- thin skin–everywhere else–4 layers
Epidermal cells (4)
- Keratinocytes–surface cells dead, produce keratin–waterproof
- Melanocytes–produce melanin–UV protection
- Langerhans’ cells–macrophages; immune cells
- Merkel cells–associated w/ sensory nerve endings
Epidermis layers mneumonic–deep to superficial
Bad Skin Gets Little Calluses Basale (deep) Spinosum Granulosum Lucidum (only in thick skins) Corneum (superficial)
stratum basale characteristics (4)
- deepest
- single cell layer
- stem cells become keratinocytes which undergo mitosis
- also contains melanocytes
Straum Spinosum characteristics (3)
- several layers thick
- keratinocytes of processes that look like spines
- contains langerhans’ cells
Stratum Granulosum (3)
- keratinocytes FLATTEN
- 1-5 cell layers
- contain granules
Stratum lucidum (2)
- only found in thick skin
2. keratinocytes are dead and flattened
Stratum corneum (3)
- outermost layer
- keratinocytes are dead and filled w/ keratin
- protective/ waterproof
Dermous is _____ _____ layer; binds body together. It is ______ and contains _____, _______, _____ ______, and _____
fibrous CT,
VASCULAR,
fibroblasts, macrophages, mast cells, WBCs
Dermal layers (2)
- papillary (nipple) layer–20% of dermis, contains DERMAL PAPILLAE, Areolar CT, Collagen, elastic fibers
- reticular layer–Deeper, 80% of dermis, DENSE, IRREGULAR CT
dermal blood vessels nourish
dermis and epidermis–body temperature regulation by constricting/dilating. Holds 5% of blood vollume
Hypodermis aka aka
superficial fascia or sucutaneous tissue
Superficial fascia (4)
- areolar and adipose tissue
- stores fat –> insulation
- anchors skin to muscles underneath
- allows skin to slide freely
Integument functions (6)
- protection
- regulation of body tem[
- cutaneous sensation
- metabolic functions
- blood reservoir
- excretion
Skin protection (3)
- chemical barrier–acidic secretions
- physical barrier–keratin, continuity
- biological barrier– Langerhan’s cells, macrophages
Skin Regulation (3)
- body temp
- sweat
- Dermal BV constriction
Skin touch sensation
Meissner’s corpuscels
Pressure/ bumps
pacinian receptors
light skin touch sensation
root hair plexus
skin pain and temp sensation
free nerve ending
Metabolic functions of skin (2)
- Vitamin D synthesis
2. Used for dietary Ca++ uptake
Skin excretion (4)
- lose H2O
- NaCl
- Ammonia
- Urea/ Uric acid
follicle runs from
surface into DERMIS
Hair components (4)
- Protein–keratin
- Hair follicle
- root hair plexus
- arrector pili m.
sweat gland aka
sudoriferous gland
modified sweat glands (2)
- ceruminous glands
2. mammary glands
secrete sebum–everywhere except palms and soles
sebaceous glands–lubricates hair and skin
sudoriferous glands everywhere except (2)
- nipples
2. external genitals