Neck Angiology & Lymphatics Flashcards

1
Q

On the Left side of the body, the Common Carotid Artery arises off the ___ ___

A

Aortic Arch

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2
Q

On the Right side of the body, the Common Carotid Artery arises off the ____ ____

A

Brachiocephalic Trunk

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3
Q

Order of Branching off of the Subclavian Artery

A

“VIT C D”
(1) Vertebral
(2) Internal Thoracic
(3) Thyrocervical Trunk
(4) Costocervical Trunk
(4) Dorsal Scapular

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4
Q

What 3 Arteries branch off of Region 1 of the Subclavian Artery?

A

(1) Vertebral
(2) Internal Thoracic
(3) Thyrocervical Trunk

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5
Q

Vertebral Artery

A
  • Travels superiorly in the Transverse Foramina of C2-6
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6
Q

Internal Thoracic Artery

A
  • Travels inferiorly to posterior aspect of the chest wall
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7
Q

What are the 3 Branches off of the Thyrocervical Trunk?

A

(1) Inferior Thyroid
(2) Suprascapular
(3) Transverse Cervical

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8
Q

What does the Inferior Thyroid A supply?

A

Thyroid Gland

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9
Q

What branches off of the Inferior Thyroid A?

A

Ascending Cervical A

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10
Q

What supplies the lateral muscles of the superior neck?

A

Ascending Cervical A

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11
Q

Suprascapular Artery

A
  • travels through superior scapular notch over the transverse scapular L to posterior aspect of scapula
    “ARMY”
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12
Q

Transverse Cervical Artery

A
  • travels to the deep surface of the Trapezius
  • has a Deep and Superficial branch
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13
Q

What nerve does the Superficial branch of the Transverse Cervical A travel with?

A

Spinal Accessory N
(travels along deep surface of Trapezius)

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14
Q

Which branch off the Transverse Cervical Artery is not present if there is a Dorsal Scapular Artery?

A

Deep Branch

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15
Q

Deep Branch of Transverse Cervical Artery

A
  • Sometimes replaces dorsal scapular artery
  • Travels along medial border of scapula to supply levator scapulae and rhomboid muscles
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16
Q

What muscle divides Region 1 from Region 2 of the Subclavian Artery?

A

Anterior Scalene

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17
Q

Where is Region 2 of the Subclavian Artery found?

A

Deep to the Anterior Scalene

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18
Q

What branch is located in Region 2 of the Subclavian Artery?

A

Costocervical Trunk

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19
Q

What are the two branches of the Costocervical Trunk?

A

(1) Supreme Intercostal (goes to 1st intercostal space)
(2) Deep Cervical (goes to posterior deep cervical muscles)

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20
Q

Where is Region 3 of the Subclavian Artery located?

A

Distal to the Anterior Scalene muscle and proximal to the 1st rib

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21
Q

What artery branches off of Region 3 of the Subclavian A?

A

Dorsal Scapular A

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22
Q

Dorsal Scapular Artery

A
  • Variably arises from this location
  • Travels superior to scapula then along medial border of scapula, supplying the Levator Scapula and Rhomboid muscles
  • If this artery arises from Transverse Cervical A instead, then it is known as Deep Branch of the Transverse Cervical A
23
Q

What is contained in the Carotid Sheath?

A
  • Common Carotid A
  • Internal Jugular V
  • Vagus N
24
Q

Carotid Sinus

A
  • Slight dilation in the diameter of the Common Carotid A
  • Branch point into Internal and External Carotid A
  • Has receptors that sense BP
25
Q

Carotid Body has receptors that sense:

A

Oxygen content

26
Q

Internal Carotid Artery

A
  • No cervical branches
  • Does not branch until it reaches the head
27
Q

External Carotid Artery

A
  • Travels superiorly between the Mandible and the external ear
  • Embedded in the Parotid Gland
  • Terminates as the Maxillary A and Superficial Temporal A
28
Q

What are the 8 Arteries that branch off of the External Carotid Artery?

A

“Some Anatomists Like Freaking Out Poor Medical STudents”
(1) Superior thyroid
(2) Ascending pharyngeal
(3) Lingual
(4) Facial
(5) Occipital
(6) Posterior auricular
(7) Maxillary
(8) Superficial Temporal

29
Q

Superior Thyroid Artery

A
  • Travels inferiorly to the thyroid gland, deep to the infrahyoid muscles
  • Gives off Superior Laryngeal A
30
Q

Superior Laryngeal Artery

A
  • Pierces the Thyrohyoid Membrane
  • Supplies the Larynx
31
Q

Ascending Pharyngeal Artery

A
  • Travels superiorly, deep to the Internal Carotid A
  • Gives off branches to the Pharynx, Anterior Vertebral muscles, middle ear, and cranial meninges
32
Q

Lingual Artery

A
  • Travels superiorly, deep to the Hypoglossal N, Stylohyloid M, and Posterior belly of the Digastric M
  • Has 3 branches: Dorsal Lingual A, Deep Lingual A, Sublingual A
33
Q

Occipital Artery

A
  • Travels posteriorly to the posterior aspect of the scalp (via the Occipital Groove), superficial to the Internal Carotid A
34
Q

Posterior Auricular Artery

A
  • Travels posteriorly between the External Auditory Meatus and the Mastoid Process, supplying nearby musculature (Parotid Gland, Facial N, Temporal bone, Auricle, Scalp)
35
Q

What artery supplies the back of the tongue?

A

Dorsal Lingual Artery

36
Q

Where does the Lingual Artery bifurcate into the Deep Lingual A and the Sublingual A?

A

Anterior border of the tongue

37
Q

Facial Artery

A

Supplies blood to the lower region of the face, mouth and nose

38
Q

Maxillary Artery

A
  • Terminal branch of External Carotid Artery
  • Gives off several branches in the deep face
39
Q

Superficial Temporal Artery

A
  • Terminal branch of External Carotid Artery
  • Gives off Transverse Facial Artery
40
Q

Which 2 cranial nerves are involved in the adjustment of HR, RR, and BP based on oxygen content in the carotid sinus?

A
  • Glossopharyngeal Nerve
  • Vagus Nerve
41
Q

Carotid Bodies contain ____ and are located at the ___ ___, and monitor the ___ content of blood before it reaches the brain

A
  • Chemoreceptors
  • Carotid Sinus
  • Oxygen
42
Q

Location of External Jugular Vein

A

Superficial Fascia

43
Q

What are the two main tributaries to the External Jugular V (several more exist)?

A
  • Retromandibular V
  • Posterior Auricular V
44
Q

Location of Internal Jugular Vein

A

Carotid Sheath

45
Q

What are the 3 main tributaries to the Internal Jugular Vein (several more exist)?

A
  • Common Facial V
  • Superior Thyroid V
  • Middle Thyroid V
46
Q

Location of the Anterior Jugular Vein

A

Passes deep to the SCM to join the External Jugular V in the root of the neck

47
Q

What are the 3 main veins of the neck?

A
  • External Jugular V
  • Internal Jugular V
  • Anterior Jugular V
48
Q

What does the Right Lymphatic Duct drain?

A

The RUE, right thorax, right head and right neck

49
Q

Thoracic Duct

A

Drains everything except the RUE, right thorax, right head, and right neck into the left subclavian vein

50
Q

What lymph nodes drain into the Deep Inferior Cervical Lymph Nodes?

A

Superficial Cervical Lymph Nodes

51
Q

What are the 5 Superficial Cervical Lymph Nodes?

A

“Some Men Like Anal Often”
- Superficial Parotid
- Mastoid
- Lateral Superficial
- Anterior Superficial
- Occipital

52
Q

What lymph nodes drain into the Jugular Lymphatic Trunk?

A

Deep Cervical Lymph Nodes

53
Q

What are the 10 Deep Cervical Lymph Nodes?

A
  • Submental
  • Pretracheal
  • Infrahyoid
  • Paratracheal
  • Thyroid
  • Deep Parotid
  • Superior Deep
  • Submandibular
  • Retropharyngeal
  • Inferior Deep
54
Q

What lymph nodes receive the majority of lymph from the Superficial Cervical Lymph Nodes?

A

Inferior Deep Lymph Nodes