HY_Anatomy Flashcards
Erb palsy include what muscles?
Erb palsy include: the deltoid, rotator cuff, elbow flexors, as well as the extensors of the wrist and hand.
Erb palsy most commonly occurs during a difficult delivery in which there is abduction of the head away from the shoulder. This stretching can injure which cervical nerves?
cervical nerves C5-C6; moro reflex will be absent
Complications associated with shoulder dystocia include injury to what?
Upper brachial plexus, Root C5 and C6, which affects the musculocutaneous (C5-C7), axillary (C5-C6), median (C5-T1), and radial (C5-T1) nerves.
This injury to roots C5 and C6 is known as Erb’s palsy (Waiter’s trip)
During a mastectomy, what two nerves are within the surgical plane and are therefore at risk of being injured?
Thoracodorsal nerve: latissimus dorsi, pulling movt. duh…
Long thoracic nerve: serratus anterior, scapular stabilizer.
What is the attachment and function of the teres minor?
Attaches at the inferior facet of the greater tubercle and externally rotates the humerus.
The right phrenic nerve enters the mediastinum ____1____ to the vagus nerve and ____2____ to the right brachiocephalic vein.
- lateral
2. posterolateral
Symptoms of acute ischemic colitis include: ?
abdominal cramping, bloody diarrhea, nausea, vomiting, urgency to move bowels, and low-grade fever
Purpose of intercostal muscles?
The intercostal muscles contract to pull adjacent ribs together and assist in active respiration. All intercostal muscles are innervated by intercostal nerves.
What is chalazion?
a granulomatous inflammatory disorder caused by obstruction of the meibomian gland (a type of sebaceous gland) of the eyelids.
Chalazia can be painful or painless, what is the Tx?
initial treatment for a chalazion includes nonpharmacological interventions such as warm compresses and gentle eyelid scrubs with baby shampoo and warm water, which help promote normal function and drainage of meibomian glands.
Injury to C8-T1 = ?
Klumpke’s palsy; caused by a forceful combination of arm traction and abduction during delivery.
Klumpke’s palsy (C8-T1) may also involve what structures, leading to what syndrome?
Injury of C8-T1 may also involve the sympathetic trunk/ganglia and is called Horner’s syndrome
Medial winging of the scapula is caused by a lesion of what nerve?
Medial winging of the scapula is caused by a lesion of the long thoracic nerve.
Function of what muscle can be evaluated with the empty/full can test?
supraspinatus m.
Baseball pitchers are classically at risk for tearing what muscle.
infraspinatus m.
What muscle is NOT affected in Erb’s palsy?
latissimus dorsi is innervated by the thoracodorsal (middle subscapular) nerve, which is primarily derived from C7
What is the proximal-to-distal organization of the brachial plexus?
Roots → Trunks → Divisions → Cords → Branches.
“Real Texans Drink Cold Beer”
The cords of the brachial plexus is named according to their relationship to which vessel?
Axillary a.
What is scalenus antics syndrome?
Thoracic outlet syndrome (scalenus anticus syndrome) is a neurologic and/or vascular impairment of the upper limb due to narrowing of the interscalene triangle and consequent compression of the brachial plexus and subclavian artery.
“Claw hand” == ?
Klumpke’s palsy
The oculomotor nerve (CN III) also gives off the preganglionic oculomotor root of what ganglion?
ciliary ganglion, which synapses with the ciliary ganglion.
Superior tarsal muscle: action and innervation?
Action: Elevation of the eyelid.
Innervation: Sympathetic nerves (superior cervical ganglion).
What muscle inserts onto the undersurface of teh clavicle, protecting the subclavian vessels and teh brachial plexus during a clavicle fructure?
Subclavius m.
Roots of the Brachial Plexus?
C5, C6, C7, C8, T1
3 Trunks:
Superior (upper) trunk (C5, C6)
Middle trunk (C7)
Inferior (lower) trunk (C8,T1)
What type of rotation do the Lats do?
MEDIAL rotation of the humerus; and extension and adduction.
What bursa is located between the acromion of the scapula and the fibrous capsule of the glenohumeral joint?
Subacromial bursa
What is the most commonly torn rotator cuff muscle?
Supraspinatus
Posterior cord → what nerves?
Posterior cord → Axillary nerve, radial nerve
Lateral cord → what nerves?
Lateral cord → Musculocutaneous nerve, part of median nerve
Medial cord → what nerves?
Medial cord → Ulnar nerve, part of median nerve
Remember the innervation of the muscles of EOM:
“SO4 LR6, and all the rest by 3”
What are the contents of the anterior mediastinum?
- parasternal lymph nodes
- sternopericardial ligaments
- remnants of the thymus gland
- internal thoracic vessels
What are the contents of the POSTERIOR mediastinum?
esophagus/thoracic aorta/thoracic duct