Quiz 4 Flashcards
Functions of Mammary Gland
- Provides nourishment to infant
2. Protection against disease in infants
Axillary tail
Portion of mammary gland that projects into axillary region
Lactiferous Sinus
Small drop of milk accumulates in nursing females
Lactiferous ducts
Passageway for milk to nipple
Single lactiferous duct for each lobe
Nipple is composed of
Smooth muscle
Nipple is a ___ ___ organ
Tactile sense
Sebaceous glands
Secrete oily substance that provides protective lubricant for areola and nipple
Suspensory Ligament
CT that separates each lobe
Lobes are subdivided into _____ which consist of ____
Lobules
Alveoli
Alveoli
Secretory portion of glands
Estrogen secreted by
Ovaries
Placenta
Estrogen promotes
Growth of duct system of the glands
Progesterone secreted by
Ovaries and placenta
Progesterone promotes
Growth of secretory cells
Prolactin secreted by
Anterior pituitary
Prolactin promotes
Production of milk AFTER birth
Oxytocin secreted by
Posterior pituitary
Oxytocin promotes
Release of milk
Together, progesterone and estrogen ______ milk production during pregnancy
Suppress
Colostrum is
Fist secretion from functional mammary gland
Colostrum is rich in
Immunoglobulins and lactoferrin Growth factors (affect GI tract)
Lactoferrin binds
Iron
Causes bacteria to die
Mature milk composition
88% Water
7 % lactose
4% fat
1% protein
Inverted Nipple
Retracted nipple
Supernumerary Nipple
Extra nipple
Breast cancer tumors are usually of the ________ variety
Adenocarcinoma
Chronic cystic mastitis
Benign tumor (more common)
Galactorrhea
Nipple discharge not associated with pregnancy or lactation
Humerus is the ____ and ____ bone in the upper extremity
Largest and longest
Ossification of the humerus develops from
8 ossification centers (1 primary and 7 secondary)
Primary ossification center for humerus is
Shaft
Develops early in fetal development
Secondary Ossification center occurs in
Head Greater tuberosity Lesser tuberosity Medial epicondyle Lateral epicondyle Capitulum Trochlea
Fractures of humerus occur in
Anatomical neck Surgical neck Greater tubercle Lesser tubercle Shaft Distal end
Fractures at the ___ ____ may damage the ____ ___ and numeral circumflex blood vessels
Surgical neck
Axillary Nerve
Fractures at the shaft of the humerus may damage the
Radial nerve
Fractures at the distal end of the humerus may damage the….
Median nerve
Ulnar nerve
Brachial blood vessels
Pectoralis Major
Largest and most superficial muscle of pectoral region
Origin of Pectoralis Major
Clavicle
Sternum and upper ribs
External oblique muscle
Pectoralis Major
Insertion
Lateral aspect of intertubercular groove
Pectoralis Major
Actions
Entire Muscle: Adduction and medial rotation of humerus Forced inspiration when humerus fixed Clavicular Portion: Flexes humerus at shoulder joint Sternocostal Portion: Extend humerus at shoulder joint
Pectoralis Major
Nerve
Medial Pectoral (C8-T1) Lateral Pectoral (C5-C7)
Pectoralis Minor
Origin
Ribs 3-5
Pectoralis Minor
Insertion
Coracoid process/ scapula
Pectoralis Minor
Action
- Involved with protraction/abduction of scapula
2. Forced Inspiration
Pectoralis Minor
Nerve
Medial Pectoral (C8-T1)
Poland Syndrome
Unilateral condition when both pectoralis major and minor muscles are missing
Absence of several ribs
Syndactylism
Subclavius
Origin
First rib
Subclavius
Insertion
Subclavian groove/ clavicle
Subclavius
Actions
- Pulls clavicle medially (stabilizes SC joint)
2. Protective cushion between fractured clavicle and blood vessels
Subclavius
Nerve
Nerve to the subclavius (C5, C6)
Axilla
Apex bound by
Clavicle, scapula, fist rib
Axilla
Base made of
Skin and fascia
Axilla
Anterior wall formed by
Pectoralis Major
Axilla
Posterior wall formed by
Latissimus Dorsi
Teres major
Axilla
Medial wall formed by
Serratus Anterior
Upper ribs
Axilla
Lateral wall formed by
Proximal medial aspect of arm (bicipital furrow)
Contents of Axilla
Brachial plexus
Axillary artery and vein
Lymph nodes
Adipose tissue
Axillary sheath
Deep Fascia that encloses brachial plexus and blood vessels
Brachial plexus
In axilla
Nerves that are about to enter the upper extremity come together to from a nerve plexus
Spinal Nerve Roots
C5 C6 C7 C8 T1
Upper trunk
C5
C6
Middle trunk
C7
Lower trunk
C8
T1
Divisions
Anterior
Posterior
Lateral cord forms from
Anterior Division
Upper and middle trunks
Lateral cord contains fibers from
C5
C6
C7
Medial cord from
Anterior division of lower trunk
Medial cord contains fibers from
C8
T1
Posterior Cord formed from
Posterior division of all 3 cords
Posterior cord contains fibers from
C5 C6 C7 C8 T1
Cords of brachial plexus names in relationships to ___ ___
Axillary artery
Supraclavicular portion of brachial plexus
Nerves coming off spinal nerve roots and upper trunk above clavicle
Infraclavicular Portion of brachial plexus
Nerves coming off the cords (below clavicle)
Segmental innervation of dorsal scapular nerve
C5
Motor supply of dorsal scapular nerve
Rhomboid major
Rhomboid minor
Levator scapula
Articular supply of dorsal scapular nerve
Acromioclavicular joint
Feature of dorsal scapular nerve
Deep to rhomboid and levator scapula
Long thoracic nerve
Segmental innervation
C5
C6
C7
Long thoracic nerve
Motor supply
Serratus anterior
Suprascapular Nerve
Segmental innervation
C5
C6
Suprascapular Nerve
Motor supply
Supraspinatus
Infraspinatus
Suprascapular Nerve
Articular supply
Shoulder joint
AC joint
Nerve that passes from supraspinatus fossa to infraspinatus fossa via opening in spine of scapula is ____
Suprascapular Nerve