MS Head - KISS Flashcards
Felty’s Syndrome is assoc w?
RA
What Dz is a collagen-vascular Dz and causes degeneration of joints?
RA
OA destroys what?
hyaline cartilage
- see subchondral cysts, osteophytes
- Herberden and Bouchard’s nodes
What three Arthritis are RF-, HLAB27+?
Psoriatic, Enteropathic, Reiter’s Syn
Arthritis of SI joints and Ulcerative Colitis, think…
Enteropathic Arthritis
Post Chlamydia infx, then arthritis think…
Reiter’s Sydrome
Triangular Space of the shoulder is located between what muscles?
teres minor and major and long head of triceps
Quadrangular Space of the shoulder is located where?
teres major/minor, long/lateral head of triceps
What is in Hunter’s Canal (aka Adductor or Subsartorial Canal)?
Femoral A. & V., Saphenous Branch of femoral N.
- located at medial aspect of thigh above the knee
What are Red muscles fibers? vs White?
Red = SLOW (for prolonged activity)
GTO or Muscle Spindle involved in KNEE JERK REFLEX?
MUSCLE SPINDLE
Remember, the Lateral Corticospinal Tract decussates at the _____ and carries ______ fibers.
Medulla - pyramidal decussation in caudal medulla and carries CONTRALATERAL fibers. - DESCENDING - MOTOR - if lesion is.... "above the decussation = opposite" "below = same"
Deltoid and Teres Minor and innervated by…
AXILLARY N.
3 muscles that attach to the coracoid process:
coracobrachialis, short head of biceps, teres minor
Levator Scapulae and Rhomboids are innervated by?
Dorsal Scapular N.
Serratus Anterior innervated by?
Action?
Long Thoracic N.
abduction
Biceps and Coracobrachialis innervated by?
Musculocutaneous
Extensors or posterior surface of arm and forearm are innervated by?
RADIAL N.
What is in the anatomical snuffbox?
SABOR
- Scaphoid, Abductor, Extensor Pollicis Longus, Radial A.
Flexors of Arm innervated by? all except?
Median N.
except Flexor Carpi Ulnaris - Ulnar N.
Palmar Interossi muscles do what? vs Dorsal?
PAD - adduct fingers
DAB - abduct fingers
Tunnel of Guyon entrapment leads to?
ulnar paresthesia, poor precision grip
Brachial Plexus Mnemonic
Most Alcoholics Must Really Urinate
- musculocutaneous, axillary, median, radial, ulnar
Musculocutaneous N. innervates what?
if lesion, can’t…
Lateral Arm - anterior flexors
if lesion, can’t flex elbow
Axillary N. innervates what?
Deltoid and Teres Minor
- sensory to shoulder
- abduction
- axillary nerve runs behind the surgical neck of the humerus - so if fracture can damage
Median N innervates what?
- it’s located anterior to the elbow
- lateral flexors of wrist (2 lateral lumbricals and thenar eminence)
Radial N. innervates what?
tricpes, brachioradialis, extensors of wrist
Ulnar N. Innervates what?
- located posterior to medial epicondyle
- hypothenar eminence, 3rd and 4th lumbricals, and all interossei
Femoral Triangle
NAVL
- from lateral to medial
MC Muscular Dystrophy in Children
Duchenne’s Muscular Dystrophy
Characteristic sign of Duchenne’s
Fatty Calves
positive Gower’s Sign
- remember from sitting position trying to get up
MC Muscular Dystrophy in adults?
Myotonic Dystrophy
- see facial dystrophy
Myasthenia Gravis
- Dx test
- Abs to?
- SSx
- Tensilon Test
- Abs to ACh
- fatigability, assoc. w Thymomas
Wrist drop dt damage to what N?
Radial N
Trendelenberg + when lesion to what nerve?
Superior Glut. N
- pt stands, lifts one leg, and ips pelvis falls
Psoas Sign + when?
think appendicitis
- extend leg while laying down, + if pain
What N. extends the Knee?
Femoral N.
Anterior Thigh
What N. flexes the Knee?
Sciatic
Posterior Thigh
Tear of the Achilles Tendon prevents…
plantar flexion of foot
Sciatic N. —> Tibial N. which innervates…
posterior lower leg - runs along w Tibial A.
Tibial N. –> Common Peroneal which innervates…
anterior and lateral leg
superficial fibular to lateral leg
If damage to fibular head, then injury to what N. and you will see what sign?
Common Peroneal
- see Foot drop
Obturator N. innervates?
Adductors of Thigh & sensory
- remember, if anterior hip dislocation, injures this N.
Medial wall of orbit?
Ethmoid bone
Inferior wall of orbit?
Maxillary bone
Superior Sagittal Sinus contains?
Arachnoid Granulations which take CSF return to blood stream
Sigmoid Sinus drains to?
Internal Jugular Vein
MC sinus to be infected?
Maxillary bc drains upward
What goes through the Foramen Spinosum?
MMA
The Foramen Lacerum –> Carotid Canal –> Cavernous Sinus … contains?
CN 3-7 (but not CN 5, V3) and Int. Carotid
- imp. bc infxs can spread to here –> cavernous sinus thrombosis
Internal Acoustic Meatus contains?
CN7, 8
Jugular Foramen Contains?
CN 9,10,11 and Jugular Vein
Saphenous V. drains into the?
Femoral V.
Fracture of the Distal Radius is called?
Colle’s Fracture
When the Radius is displaced from the annular ligament at the elbow this is called?
Nursemaid’s Elbow
Ulnar N. is located under the ?
hook of Hamate
Boxer’s Fracture is a fracture of?
4th and 5th metacarpals
What is Dupuytren’s Contracture?
thickening of Palmar Aponeurosis
—> flexion of 4th and 5th digits
The head of the femur has it’s own blood supply from?
Medial Circumflex A.
A branch of the Obturator Artery supplies blood to the _______.
Obturator to growth plate of femur - epiphysis
Anterior displacement of the femur can damage?
Femoral A. and V.
Avascular Necrosis of the Femoral Head seen in 3-10 yo is called?
Leg Calves Perthes Dz
A slipped Femoral Epiphysis puts you at risk to develop?
OA
Injury to the lateral meniscus means injury to?
ACL
and vice versa
MC injured meniscus?
Medial Meniscus
If hit laterally at the knee, damage to?
MAL “unhappy triad”
Medial Collateral, ACL, Lateral Meniscus
What is Arnold-Chiari Malformation?
Sign?
- Cerebellar/Medulla Herniation thru Foramen Magnum
- —> Cerebral Aqueduct Stenosis —> Hydrocephalus
Syringomyelia causes?
stretching of crossing fibers of STT leading to loss of pain and temp sensation to upper extremities
“CAPE-LIKE DISTRIBUTION”
What goes through the Optic Canal?
Optic N. Ophthalmic A.
Cornea is innervated by?
Trigem V1
Open Angle Glaucoma means?
the Canal of Schlemm is blocked
What muscles provide accommodation? innervated by?
Ciliary Muscles
CN3
Ext Ear is innervated by?
CN7, 9
Tympanic Membrane is innervated by?
Lateral: V3, 10
Med: 9
Stapedius M. does what? and is innervated by?
CN7
protects from loud noises
attached to Stapes
Inner Ear innervated by?
CN8
Hypoglossal N. injury of the Lower Motor Neurons causes?
“lick our wounds”
LICK LOWER
UVULA deviates _____ from lesion?
AWAY
