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Myology 200 > Palpatable > Flashcards

Palpatable Flashcards

0
Q

Levator palpebrae superioris

A

Palpate supine.

Anterior surface of lesser wing of sphenoid –> fascia and skin of upper eyelid.

Elevates eyelid.

OCCULOMOTOR nerve
Opthalmic artery.

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1
Q

Orbicularis occuli

A

Palpate supine. Contract by closing eye.

Three sections: orbital, palpebral and lacrimal.
Orbital encircles eye
Palpebral: through connective tissue of eyelid
Lacrimal: lacrimal bone –>. Deep

Actions: closes and squints eye
Facial nerve
Facial and superficial temporal artery. (Both branches of external carotid)

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2
Q

Corrugated supercilli

A

Palpate supine

Inferior frontal bone –> fascia of medial eyebrow.

Draws eyebrows inferiorly and medially

Facial nerve
Opthalmic artery.

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3
Q

Procerus

A

Palpate supine

Fascia and skin of nasal bone –> fascia and skin of medial eyebrow

Draws medial eyebrows inferiorly and wrinkles skin of nose upwards.

Facial nerve
Facial artery

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4
Q

Nasalis

A

Palpate supine

Two parts:
Transverse: maxilla, lateral to upper nose –> opposite nasalis, cartilage mid-nose
Alar: maxilla, lateral to nostril –> alar cartilage

Transverse: Constricts nostrils.
Alar: flares nostrils

Facial nerve
Facial artery

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5
Q

Depressor septi nasi

A

Supine.

Right underneath nostril.
Incisive fossa of maxilla –> cartilage and septum of nose

Constricts nostrils by pulling septum down

Facial nerve
Facial artery.

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6
Q

Levator Labii Superioris Aleque Nasi

A

Supine

Frontal process of maxilla –> lateral part of upper lip AND cartilage of nose. Flares nostril and elevates upper lip.

Facial nerve
INFRAORBITAL ARTERY

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7
Q

Levator labii superioris

A

Supine

Inferior orbital margin of maxilla –> lateral part of upper lip.

Elevates upper lip

Facial nerve
Facial artery

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8
Q

Zygomaticus major

A

Supine

Zygomatic bone, close to zygomatic-temporal suture –> modiolus.

Elevate angle of the mouth

Facial nerve
Facial artery

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9
Q

Zygomaticus minor

A

Supine

Zygomatic bone, close to zygomatic-maxilla suture –> upper lip

Elevates upper lip

Facial nerve
Facial artery

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10
Q

Levator anguli oris

A

Supine

Canine fossa of maxilla –> modiolus

Elevates angle of mouth

Facial nerve
Facial artery

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11
Q

Risorius

A

Supine

Fascia of mandible –> modiolus

Draws angle of mouth laterally

Facial nerve
Facial artery

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12
Q

Depressor anguli oris

A

Supine

Oblique line of mandible –> modiolus

Depresses angle of the mouth.

Facial nerve
Facial artery

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13
Q

Depressor labii inferiorus

A

Supine

Medial oblique line of mandible –> lower lip (midline)

Depresses lower lip

Facial nerve
Facial artery

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14
Q

Mentalis

A

Supine

Incisive fossa of mandible –> skin of chin

Elevates, everts and protracts lower lip

Facial nerve
Facial artery

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15
Q

Buccinator

A

Supine

Maxilla and mandible –> lips and modiolus
Deep to anguli oris

Compresses cheek against lips

Facial nerve
Facial AND MAXILLARY artery

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16
Q

Obicularis oris

A

Supine

Surrounds mouth

Closes mouth, protracts lips

Facial nerve
Facial artery

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17
Q

Occipitofrontalis

A

Supine

Two sections:

Occipital: occipital and temporal –> galea aponeurotica.
Draws scalp posteriorly

Frontal: galea aponeurotica –> fascia and skin of eyes and nose
Draws scalp anteriorly.

Facial nerve
Occipital, posterior auricular and opthalmic arteries.

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18
Q

Temporalis

A

Supine

Temporal fossa –> coronoid process and Ramus of mandible

Elevates and retracts jaw

Trigeminal nerve
Maxillary and superficial temporal artery

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19
Q

Masseter

A

Supine

Two layers:

Superficial: zygomatic bone and zygomatic arch –> angle and Ramus of mandible
Elevates and protracts

Deep: inferior margin and deep surface of zygomatic arch –> coronoid process and Ramus of mandible.
Elevates and retracts

Trigeminal nerve
Maxillary artery

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20
Q

Trapezius

A

Prone. Slight extension of head and neck will help it pop.

Upper: EOP and medial 1/2 of superior
Nuchal line, nuchal ligament and SP of C7 –> lateral clavicle and acromion process
Elevates, retracts, upwardly rotates scapula

Middle: SPs of T1-5 –> acromion process and spine of scapula
Retracts scapula

Lower: SPs of T6-12 –> root of scapular spine
Retracts and depresses scapula.

Spinal accessory nerves (CN XI)
Transverse cervical and dorsal scapula arteries

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21
Q

Levator scapula

A

Seated. Prone. Sidelying.

TVPs of C1-4 –> superior angle and superior aspect of medial border of scapula.

Elevates scapula. Lateral flexion and extension of neck.

Dorsal scapular nerve
Dorsal scapular artery.

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22
Q

Rectus capitis posterior minor

A

Supine

Posterior tubercle of C1 –> medial half of Inferior nuchal line.

Extension and protraction of head.

Suboccipital nerve
Occipital and vertebral arteries

23
Q

Rectus capitis posterior major

A

Prone or supine.

SP of C2 –> lateral 1/2 of inferior nuchal line

Extension of head

Suboccipital nerve
Occipital and vertebral arteries

24
Q

Obliquus capitis inferior

A

Supine

SP of C2 –> TVP of C1

Ipsilateral rotation of atlas

Suboccipital nerve
Occipital and vertebral arteries

26
Q

Obliques capitis superior

A

Prone

TVP of c1 –> in between nuchal lines

Prostration and contralateral rotation of head

Suboccipital nerve
Occipital and vertebral arteries

27
Q

Platysma

A

Seated or supine

Subcutaneous fascia of pectoralis and deltoid –> mandible and subcutaneous fascia of lower face

Draws up skin of superior chest and neck; creates ridges of neck; depresses mandible

Facial nerve
Facial artery

28
Q

Sternocleidomastoid

A

Supine. Rotate head contra laterally. Lift head and neck air.

Two head:
Sternal (manubrium) and clavicular (medial 1/3 clavicle). Inserts into mastoid process and lateral 1/2 of superior nuchal line.

Flexion of lower neck.
Extension of upper neck.
Lateral flexion and contralateral rotation.

Spinal accessory nerve (CN XI)
Occipital and auricular arteries.

29
Q

Sternohyoid

A

Supine.

Sternum (manubrium and part of clavicle) –> hyoid

Depresses the hyoid. Flexion of neck and head

Cervical plexus (ansa cervicalis) 
Superior thyroid artery.
30
Q

Sternothyroid

A

Supine.

Sternum (posterior manubrium and clavicle) –> thyroid

Depresses thyroid cartilage. Flexion of neck and head.

Cervical plexus (ansa cervicalis)
Superior thyroid artery,
31
Q

Thyrohyoid

A

Supine

Thyroid cartilage –> hyoid

Depresses hyoid. Flexion of neck and head

Cervical plexus (ansa cervicalis)
Superior thyroid artery
32
Q

Omohyoid

A

Supine. Start lateral to SCM. Feel for horizontal fibres

Two bellies:
Inferior: Superior border of scapula –> clavicle via central tendon
Superior: Clavicle via central tendon –> hyoid

Depresses hyoid. Flexion of head and neck

Cervical plexus (ansa cervicalis)
Superior thyroid artery  AND transverse cervical.
33
Q

Digastric

A

Supine. Start in between SCM and ramus of mandible. Depress mandible with resistance.

Two bellies.
Posterior: mastoid notch of temporal bone
Anterior: Digastric fossa of mandible
Insert into hyoid bone via central tendon

Elevates hyoid
Depresses mandible
Flexion of head and neck

Posterior: Facial nerve (CN VII)
Anterior: trigeminal nerve

Occipital, posterior auricular and facial arteries

34
Q

Stylohyoid

A

Supine. Fingers between SCM and posterior ramus of mandible. Swallow.

Styloid process of temporal bone –> hyoid

Elevates hyoid

Facial nerve (CN VII)
Occipital, posterior auricular and facial arteries.
35
Q

Mylohyoid

A

Supine. Fingers under chin. Depress mandible with resistance.

Inner surface of mandible (mylohyoid line) –> hyoid

Elevates hyoid
Depresses mandible
Flexion of head and neck

Trigeminal nerve (CN V)
Inferior alveolar artery
36
Q

Geniohyoid

A

Supine. Depress mandible. Deep to mylohyoid

Inner surface of mandible (inferior mental spine) –> hyoid

elevates the hyoid
Depresses mandible
Flexion of head and neck

Hypoglossal nerve (CN 12)
Lingual artery
37
Q

Anterior Scalenes

A

Seated or supine. Palpate superior to clavicle and lateral to clavicular head of SCM. Sniff.

Anterior tubercles C3-6 –> R1

flexion, lateral flexion
elevation of R1

Cervical spinal nerves (ventral rami)
Ascending cervical artery

38
Q

Middle Scalenes

A

Seated or supine. Palpate superior to clavicle, in middle of posterior triangle (in between SCM and upper traps). Sniff

Posterior tubercles C2-7 –> R1

flexion, lateral flexion
elevation of R1

Cervical spinal nerves (ventral rami)
Transverse cervical artery

39
Q

Posterior Scalenes

A

Seated. Palpate superior to clavicle, medial to clavicular attachment of trapezius. sniff

Posterior tubercles c5-7 –> R2

Lateral flexion of neck
Elevation of R2

Cervical spinal nervers (ventral rami)
Transverse cervical artery.

40
Q

Latissimus Dorsi

A

Standing. Client’s hand on examiner’s shoulder. Extend and adduct.

SPs of T7-L5. Posterior Iliac crest. Sacrum. Lower four ribs. Maybe inferior angle of scapula.
–> medial lip of bicipital groove

Adducts, extends, medially rotates, APT

Thoraco dorsal nerve
Thoraco dorsal and posterior intercostal arteries.

41
Q

Rhomboid Major

A

Seated or prone

SPs T2-5 –> medial border of scapula (inferior portion)

Elevates and retracts scapula.

Dorsal scapular nerve
Dorsal scapular artery

42
Q

Rhomboid Minor

A

Seated or prone

SPs C7-T1 –> medial border of scapula (superior portion)

Elevates and retracts scapula

Dorsal scapular nerve
Dorsal scapular artery.

43
Q

Quadratus Lumborum

A

Prone. Palpate superior to iliac crest, lateral to erector spinae. Hike hip

Posterior portion of the iliac crest –> R12 and TVPs of L1-4

Extension, lateral flexion, hip hike. APT

Lumbar plexus
Subcostal intercostal and Iliolumbar

44
Q

Iliocostalis

A

Prone. Most lateral erector spinae. Palpate from pelvis to ribs

Medial sacral and iliac crests and angles of ribs 3-12 –> Angles of ribs plus TVPs of C4-7

Extension, lateral flexion, ipsilateral rotation, APT

Spinal nerves
Posterior intercostal and lumbar arteries

45
Q

Longissimus

A

Prone.

Runs from pelvis (medial iliac crest, sacrum), following Ribs 3-12, TVPS and APs of C4-7, to mastoid process,

Extension, lateral flexion, ipsilateral rotation, APT

Spinal nerves
Posterior intercostal and lumbar arteries

46
Q

Spinalis

A

Really two discrete sections. Palpate prone. Difficult to distinguish.

Thoracis: Connecting the SP of inferior Thoracic spine to mid Thoracic spine. (T11-L2 –> T4-8)

Cervicis: Runs from inferior Nuchal ligament and SP of C7 –> SP of C2

Extension, lateral flexion.
APT

Spinal nerves (thoracic and cervical)
Posterior intercostal and lumbar arteries.
47
Q

Serratus Anterior

A

Supine, arm flexed to 90 at GHjt, hand toward ceiling. Palpate lateral rib cage. Push hand toward ceiling.

Anterio-lateral portion of R1-9 –> medial scapula

Protraction and upward rotation of scapula

Long thoracic nerve
Dorsal scapular (subclavian) and lateral thoracic (axillary) arteries.
48
Q

Pectoralis Major

A

Supine, arm abducted to 90.

Two heads:
Clavicular: medial 1/3 of clavicle
Sternal: sternum and costal cartilage 1-7
Inserts into lateral lip of bicipital groove.

Flexion, adduction and medial rotation. Horizontal adduction.

Medial and lateral pectoral nerves.
Thoraco-acromial artery (branch of axillary)

49
Q

Pectoralis Minor

A

Seated, hand behind back. Palpate inferior to coracoid process. elevate hand.

Ribs 3-5 –> coracoid process

Protraction and depression of scapula. Elevates R3-5.

Medial and lateral pectoral nerves
Thoraco-acomial artery (branch of axillary)

50
Q

Subclavius

A

Supine, arm medially rotated. Palpate inferior to middle third of clavicle. Depress scapula.

R1 –> middle of inferior surface of clavicle

Depresses clavicle. Elevates R1

Brachial plexus
Suprascapular and axillary arteries.

51
Q

Rectus abdominus

A

Supine, pillow beneath knees. Palpate xiphoid process and ribs, and pubis. Flex trunk just a wee bit.

Pubis (symphysis and crest) –> xiphoid process and costal cartilage 5-7

Flexion, PPT

Intercostal nerves
Superior and inferior epigastric, and posterior intercostal arteries

52
Q

Transversus abdominus

A

Supine, pillow under knees. Palpate abdomen between iliac crest and lower ribs. Exhale forcefully.

Inguinal ligament, iliac crest, thoracolumbar fascia, costal cartilage –> abdominal aponeurosis.

Intercostal nerves
Posterior intercostal, subcostal, inferior epigastric and deep circumflex arteries.

53
Q

External abdominal obliques

A

Supine, pillow under knees. Palpate anterolateral abdomen between iliac crest and lower ribs. flex obliquely

Pubic bone (crest and tubercle), anterior iliac crest and abdominal aponeurosis –> inferior border of lowest 8 ribs (5-12)

Flexion, lateral flexion, contralateral rotation, PPT

Intercostal nerves
Posterior intercostal, subcostal, inferior epigastric, deep circumflex arteries.

54
Q

Internal abdominal obliques

A

Supine, pillow under knees. Palpate anterolateral abdomen between iliac crest and ribs. Flex to same side.

Inguinal ligament, pelvic crest, thoracolumbar fascia –> abdominal aponeurosis and R10-12

Flexion, lateral flexion, ipsilateral rotation.

Intercostal nerves
Posterior intercostal, subcostal, deep circumflex and inferior epigastric arteries.

55
Q

Diaphram

A

Supine with pillow under knees. Palpate inferior margin of anterior ribs. Breathe. On exhalation, curl fingers under.

Lumbar spine (L1-3), Internal surfaces of R7-12 and their costal cartilages, and Xiphoid process.
--> central tendon of diaphragm

Increases volume of thoracic cavity

Phrenic nerve
Branches of aorta and internal thoracic arteries.

Myology 200 (5 decks)

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