Dr. Ousley Breast

Question 1

what are the land marks of the breast

Answer 1

2nd- 6th ribs

Question 2

what mucscle does breast tissue overly

Answer 2

pec major and serratus anterior

Question 3

what are the nerve roots of long thorracic

Answer 3

c5-c7

Question 4

what innervates serratus anterior

Answer 4

long thorracic

Question 5

during axillary dissection what nerve can get damaged? what will happen

Answer 5

during axillary dissection long thorracic can get damanged which cauases winging of the scapula

Question 6

a person person pushes against a wall and thier scapula wings out. Which nerve has been damanged

Answer 6

serratus anterior which is from c5-c7

Question 7

a person has loss of adduction and forward rotation of the arm.which nerve has been damaged

Answer 7

thorracodorsal

Question 8

what nerve innervates both pec major and pec minor

Answer 8

medial pectoral nerve

Question 9

what is one of the main arteries that supplies blood supply to the breast

Answer 9

internal thorracic artery is the main one. There is also lateral thoracic and thoracoacromial which are axillary and posterior intercostal arteries

Question 10

what holds breast in place and supports lobules of mammory gland and attaches glands to dermis

Answer 10

sensory ligament of cooper

Question 11

where is breast milk stored

Answer 11

lactiferous sinus

Question 12

what are the first nodes drained by the breast

Answer 12

axillary nodes

Question 13

medial quadrants of the breast drain into which node

Answer 13

parasternal nodes

Question 14

what veins allows drainage to the spinal column. So potentially spreading cancer

Answer 14

intercostal veins

Question 15

clavipectoral fascia is penetrated by what vessel

Answer 15

thorracoacromial

Question 16

the majority of lymphatic drainage goes into which node

Answer 16

central axillary

Question 17

which artery supplies medial side of the breast

Answer 17

internal thorracic

Question 18

which aretry supplies lateral side of breast

Answer 18

thoracoaccromial

Question 19

what supplies blood to medial side of breast

Answer 19

internal thorracic (this is a branch of the subclavian)

Question 20

what is the blood supply to the lateral side of the breast

Answer 20

thorrocoaccromial artery and lateral thorracic.

Question 21

how does spread of cancer to the spine occur

Answer 21

intercostal veins draining into the aorta

Question 22

what are level 1,2 and 3 lymph nodes

Answer 22

axillary node
interpectinal node
subclavicular node

Question 23

why can lymphadema occur in breast surgery

Answer 23

because there is a disruption of the lymphatics