Nervous System - Segmental Innervation of Skin Flashcards

1
Q

What is a dermatome?

A

Area of skin supplied by a single spinal nerve.

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2
Q

What happens with dermatomes over the trunk?

A

They’d ignificantly overlap each other.

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3
Q

What is an axial line?

A

The line of the junction of two dermatomes supplied from discontinuous spinal levels.

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4
Q

Where do axial lines extend from?

A

Trunk to limbs.

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5
Q

Where does the anterior axial line run in upper limbs?

A

Shernal angle across the 2nd costal cartilage, down the front of the limb to the wrist.

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6
Q

Where does the posterior axial line run in the upper limbs?

A

Vertebra prominent across the back and down the back of the arm, as far as the insertion of deltoid muscle.

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7
Q

Where does C7 supply (dermatome)?

A

Peripheral extremity of the limn.

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8
Q

Where do cranial disposed segments go to in terms of dermatomes?

A

Pre-axial border of the limb.

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9
Q

Where do caudally disposed segments go to in terms of dermatomes?

A

Post-axial border.

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10
Q

Is there overlap between adjacent dermatomes?

A

Yes.

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11
Q

Is there overlap across axial lines?

A

No.

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12
Q

How do the dermatomes lie when traced dismally down the front and proximally up the back?

A

Numerically.

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13
Q

What dermatomes belong to the brachial plexus?

A

C5-8 and T1.

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14
Q

Is there distortion of the lower limb in terms of dermatome pattern?

A

Yes.

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15
Q

Where does the anterior axial line run in the lower limb?

A
  1. Spirals from the root of the penis/clitoris.
  2. Goes across the front of the scrotum/labium majus.
  3. Goes around to the back of the thigh and calf in the midline almost to the heel.
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16
Q

Where does the posterior axial line run in the lower limb?

A

Fourth lumbar interspace to the back of the thigh down to the head of the fibula (halfway down the calf).

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17
Q

Describe C1 - dermatome?

A

No skin supply.

18
Q

Describe C1 - dermatome?

A

Occipital region and posterior neck.

19
Q

Describe C3 - dermatome?

A

Posterior neck and spurs clavicle region.

20
Q

Describe C4 - dermatome?

A

Infraclavicular region (over first thoracic interspace) to tip of shoulder above scapular spine.

21
Q

Describe C5 - dermatome?

A

Lateral arm (deltoid and below).

22
Q

Describe C6 - dermatome?

A

Lateral forearm, thumb, probably index finger.

23
Q

Describe C7 - dermatome?

A

Middle finger.

24
Q

Describe C8 - dermatome?

A

Ring and little fingers, distal medial forearm.

25
Q

Describe T1 - dermatome?

A

Medial elbow (not the axilla).

26
Q

Describe T2 - dermatome?

A

Medial arm, axilla, thorax (adjoining C3 + 4).

27
Q

Describe T3 - dermatome?

A

Thorax and small extension to the axilla.

28
Q

Describe T4 - dermatome?

A

Nipple.

29
Q

Describe T8 dermatome

A

Rib margin.

30
Q

Describe T10 dermatome?

A

Umbilicus.

31
Q

Describe T12 dermatome?

A

Supra-pubic and upper buttock.

32
Q

Describe L1 dermatome?

A

Inguinal region, anterior scrotum (labia), upper buttock.

33
Q

Describe L2 dermatome?

A

Anterior thigh, upper buttock.

34
Q

Describe L3 dermatome?

A

Anterior and medial knee, upper buttock.

35
Q

Describe L4 dermatome?

A

Medial leg, medial malleolus, side of foot.

36
Q

Describe L5 dermatome?

A

Lateral leg, dorsum, medial side of foot, medial sole, great toe.

37
Q

Describe S1 dermatome?

A

Lateral malleolus, lateral side of dorsum and sole. S1 supplies some of the dorsum and sole.

38
Q

Describe S2 dermatome?

A

Posterior leg, posterior thigh, buttock, penis.

39
Q

Describe S3 dermatome?

A

Sitting area of buttock, posterior scrotum (labia).

40
Q

Describe S4 dermatome?

A

Perinatal.

41
Q

Describe S5 dermatome?

A

Behind anus and over coccyx.