Palpation Mod 5 Flashcards
Mylohyoid O and I
Mandible to Mylohyoid Raphe and Hyoid (Body)
Mylohyoid Action, Innervation
Elevates Floor of mouth, Nerve to Mylohyoid CN V3
Mylohyoid Arterial
Sublingual, Submental, Suprahyoid branch of Lingual artery, Inferior alveolar artery
Sternohyoid O and I
Posterior surface of manubrium (Clavicle end) to Inf Boarder of Hyoid Bone
Sternohyoid Action, Innervation
Depresses Hyoid, Ansa Cervicalis (C1-3)
Sternohyoid Arterial (What is it a branch of?)
Superior thyroid artery (From ext Carotid)
Splenius Capitis O and I
Nuchal Lig, SP C3-T3 to Mastoid process and nuchal line of occipital bone
Splenius Capitis Action and Innervation
Bilateral- Extension at OA joint, Unilateral rotates head (same side)
Posterior Rami C2-3
Splenius Capitis Arterial
Occipital artery, Deep Cervical
Upper Traps O and I (Descending)
Occipital protub, Nuchal line and Lig and SP C7 - Lateral 1/3 of clavicle, and acromion
Upper Traps Action, Innervation (Descending)
Elevates, Retracts, Upwardly rotates Pec Girld
Accessory nerve and Ant Rami C3-4
SCM O and I
Sternal Head: From of Manubrium, Clavicular Head: Medial part to mastoid process and Superior nuchal line
Upper Traps Arterial (Descending)
Occipital Artery
SCM Action and Innervation
Flexes, Laterally flexes Neck, Contralateral rotation of head Accessory nerve (Proprioceptio fibres from (C2-4)
SCM Arterial
Occipital, Superior thyroid, Suprascapular
Levator Scapulae O and I
TVP C1-4 to the Superior angle of snap, and Medial boarder
Levator Scapulae Action and Innervation
Elevates, Downward rotation of pectoral girld, Extends, and Laterally flexes Neck… Anteriuor Rami of C3-4 and Dorsal Scapular (C5)
Levator Scapulae Arterial
Transverse and ascending cervical, Vetebral
Fascial Artery (Is a branch of?)
External Carotid
Fascial Artery (Branches?)
Ascending Palatine, Submental, Angular arteries.. Face Palatem Tonsiles and Submandibular gland
What arteries supply the Submandibular gland
Glandular branches of fascial artery
What is the innervation of the Submandibular gland
Chorda Tympani CNVII
The chorda tympani branches off of the ??? just superior to the ??
Off of the facial nerve, just superior to the stylomastoid foramen
Chorda tympani Pathway…
Runs through the middle ear between the Incus and Malleus; then turns back into temporal bone… to then exit petrotympanic fissure
Temporal Artery (Branch of?)
COME BACK TO
Temporal Artery (Branches)
COME BACK TO
External Jugular vein (Union of…)
Retromandibular and Posterior uricular Vein
External Jugular vein (Tribituaries)
Ant/ Post Jugular, Transverse cervical, Suprascapular Veins
Left Carotid Artery (Comes off?) Right ?
Left- Aorta
Right- Brachiocephalic
Carotid Artery (Branches)
External and Internal Carotid arteries
Main branches of the aorta?
Left common Carotid
Brachiocephalic Trunk
L Subclavian
Branches of the Internal Carotid
Sup/ Inf Hypophyseal, Ophthalmic, Post Communicating, Ant Choroidal, ANT AND MIDDLE CEREBRAL
Branches of the External Carotid
Superior Thyroid, Ascending pharyngeal, fascia, occipital, Superficial temporal, Maxillary
What are the suprahyoid Muscles?
Mylohyoid
Geniohyoid
Stylohyoid
Digastric
What are the infrahyoid muscles?
Thyrohyoid
Omohyoid
Sternothyroid
Sternohyoid
What arteries supply the Thyroid gland?
Inferior thyroid, Superior Thyroid
Where does the Inferior thyroid, and Superior Thyroid come from?
Inferior thyroid- Thyrocervical Trunk, Subclavian
Superior- external carotid artery
Nuchae Ligament continues down the spine as?
Supraspinous Ligament from C7 Down
The Nuchal Lig is connected to the ?
Posterior Dura Mater at the OA Junction
What are the muscles of the oral diaphragm
CHECK??
Myolohyoid
Geniohyoid
Digastric Muscle
Stylohyoid
From above the mouth floor is reinforced by the _____ muscles and from below by the ______
Geniohyoid
Anterior bellies of the digastric muscles
What is the dominant muscle of the oral diaphragm?
Mylohyoid
Where should your fingers be if you are testing the Mylohyoid?
Inferior boarder of Mandible, Press Tongue across the top of mouth
To find the Sternohyoid (Infrahyoid Muscle) what structure should you look for in the neck?
Tracheal rings (Slide laterally) Tighten muscles on front of neck
Splenius capitus is deep to? (Prone)
Traps and Rhomboids
Anterior Scalene Origin and Insertion
Ant Tub TVPC3-6- 1st rib
Anterior Scalene Action, Innervation, Arterial
Elevates 1st Rib, Flexes, Laterally bends neck
C5-7
Ascending Cervical Artery
Middle Scalene Action, Innervation, Arterial
Elevates 1st Rib, Flexes, Laterally bends neck
C3-8
Ascending Cervical Artery
Middle Scalene Origin and Insertion
Post Tub TVPC2-7- 1st rib
Posterior Scalene Origin and Insertion
Post tubercle TVP C5-7–> 2nd Rib
Posterior Scalene Action, Innervation, Arterial
Elevates 2nd Rib, Flexes, laterally bends neck
C7-8
Ascending Cervical Artery
Posterior Scalene is sandwiched between?
Levator scapula and Middle scalene
How can the patient help find posterior scalene?
Inhale, because its an accessory muscle of breathing
Anterior scalene is protected by?
SCM
Which tendon size is larger for the SCM?
Clavicle - Kardashian
Sternal- Sedi
Sternal Edge skinny
Clavicle - Wide
Where does the brachial plexus exit?
Anterior and Middle Scalene
How to get parotid?
Angle of mandible and Zyogomatic arch for gelly
Fascial artery palpation landmarks?
Ant edge of masseter, base of mandible, and
Superficial temporal artery is a branch of? runs over, and superficial to?
Ext Carotid, over zygomatic arch, superficial to temporalis Muscle
Zygomatic arch and ear, can be landmarks to find?
Temporal artery
External jugular, how to get here?
Angle of mandible and slide inferior lateral… travling towards midclavicular region
Birfucation of the Carotid artery into ? Occurs ???
Internal and external (C3-5) C4…
Thyroid gland … we can use ___ and ___ to find.. it where?
Cricoid cartilage, and Thyroid cartilage
C5-T1
Vertebral level of Hyoid bone?
C3-4
When swallowing the hyoid moves from? to?
Inferior to Superior (Pulled up towards mandible)
Masseter Muscle O.I
Zygomatic Arch to lateral surface of angle of mandible
Masseter Muscle Action, Innervation, Arterial
Elevates Mandible
Nerve to Masseter CNV3
Occipitofrontalis (Frontalis) and (Occipitalis)
Front: Galea Apon to Eye Brow
Occ: Sup Nuchal Line to Galea Apon
Occipitofrontalis (Frontalis) and (occipitalis) action
Elevates eyebrows, and wrinkles forehead
Occipitofrontalis (Frontalis) and (occipitalis) action Innervation
Front: Temp Branch of CNVII
Occ: Post Branch of CNVII
Occipitofrontalis (Frontalis) and (occipitalis) action Arterial
Front: Supraorbital A
Occ: Occipital A
Temporalis O.I
Temporal fossa to Coronoid process of Mandible
Temporalis Action, Innervation, Arterial
Elevates Mandible, Retracts mandible
Trigeminal Nerve
A and P Deep Temporal
