Surface Anatomy of the Neck Flashcards

1
Q

what is the neck?

A

Transitional area between the base of the cranium and the clavicles

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2
Q

Name the 5 columns within the neck

A
  • Neuromusculoskeletal
  • Visceral
  • Carotid neurovascular bundle
  • Investing fascia
  • Potential sapces
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3
Q

Fascia

A

Thin sheath of CT that encloses a muscle or an organ

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4
Q

What does the Visceral/Pre-Tracheal Column contain?

A
  • Trachea
  • Thyroid gland
  • Oesophagus
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5
Q

What lies within the investing fascia?

A
  • Platysma muscle sits inside (anterior)
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6
Q

What lies just outside the investing fascia?

A

Trapexius muscle (posterior)

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7
Q

What lies within the carotid sheath?

A
  • vagus nerve
  • carotid artery
  • internal jugular vein
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8
Q

What is in the pre-vertebral column?

A
  • Spinal cord
  • Muscles
  • vertebral body
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9
Q

Where is the retropharyngeal space?

A

Extends from the base of the skull to the diaphragm via the mediastinum (superior then posterior)

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10
Q

What is the retrophayngeal space?

A

Potential space that consist of loose CT

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11
Q

What splits the retropharyngeal space?

A

Alar fascia

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12
Q

What is the DANGER space within the neck?

A

Posterior to the alar fascia within the retropharyngeal space

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13
Q

Why is the retropharyngeal space dangerous?

A

infection can spread

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14
Q

What is the anterior border of the posterior triangle?

A

posterior border of sternocleidomastoid

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15
Q

What is the posterior border of the posterior triangle?

A

anterior border of trapezius

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16
Q

What is the inferior border of the posterior triangle?

A

middle third of clavicle

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17
Q

What is the superior border of the anterior triangle?

A

inferior border of the mandible

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18
Q

What is the lateral border of the anterior triangle?

A

anterior border of sternocleidomastoid

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19
Q

What is the medial border of the anterior triangle?

A

sagittal line down the midline of the neck

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20
Q

What muscle divides the traingles of the neck?

A

sternocleidomastoid

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21
Q

Styloid process

A

Anchor point for several muscles associated with the tongue and larynx

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22
Q

Stylomastoid foramen

A

transmits facial nerve and an artery

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23
Q

Mastoid process

A

found behind the ear

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24
Q

Where is the parotid galnd found?

A

In between the mastoid process and angle of the mandible

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25
Q

Describe the hyoid bone

A
  • U-shaped bone
  • 2 greater and 2 lesser horns
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26
Q

What muscles suspend the hyoid bone?

A

suprahyoid and infrahyoid muscles

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27
Q

What is the hyoid bone attached to?

A

thyroid cartilage

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28
Q

What happens to the hyoid cartilage when you swallow?

A

It moves

29
Q

Describe the thyroid cartilage

A
  • Largest cartilage of the laryngeal skeleton
  • 2 lamina, 4 horns
30
Q

What is the laryngeal prominance?

A
  • Fusion of inferior 2/3 of 2 lamina
  • Adam’s apple - prominant in males
31
Q

What does articulation between the thyroid cartilage and cricoid cartilage allow?

A
  • Rotation and gliding of thyroid cartilage
  • Change length/sound of vocal cords (posterior to cartilage)
32
Q

Give the branches of the aortic arch from right to left

A
  • Brachiocephalic
    • right subclavian
    • right common carotid
  • left common carotid
  • left subclavian
33
Q

Where does the braciocephalic trunk bifurcate

A

behind the right sternoclavicular joint

34
Q

What does the right common carotid artery supply?

A

right side of the head and neck, intracranial structures

35
Q

What does the right subclavian artery supply?

A

right upper limb and intracranial structures

36
Q

What is the brachipcephalic trunk covered by anteriorly?

A

sternohyoid and sternothyroid muscles

37
Q

Where does the subclavian artery pass?

A

under the first rib on its way to the upper limb

38
Q

What are the 3 parts of the subclavian artery?

A
  • Vertebral artery, thyrocervical trunk and internal throacic (medial to anterior scalene)
  • Costo-cervical trunk (posterior to anterior scalene
  • Dorsal scapula → axillary artery (lateral border of anterior scalene and travels under clavicle)
39
Q

Where does the common carotid artery bifurcate?

A

superior border of the thyroid cartilage

40
Q

What does the common carotid artery birfurcate in to?

A

internal and external common carotid arteries

41
Q

What is the common carotid deep to?

A

anterior border of sternocleidomastoid lateral to the hyoid cartilage

42
Q

Give another name for the carotid body

A

glomus coroticus

43
Q

Where is the carotid body located?

A

At the posterior wall of the birfucation of the common carotid artery

44
Q

What is the function of the carotid body?

A

Chemoreceptor that is sensitive to pCO2

45
Q

What is the function of the carotid sinus?

A

baroreceptor - reacts to changes in arterial blood pressure

46
Q

What is the nerve innervation of the carotid body and carotid sinus?

A

glossopharyngeal and vagus nerve

47
Q

What does the internal carotid artery supply?

A

intracranial structures

48
Q

Does the internal carotid artery give off any branches in the neck?

A

NO

49
Q

name the 8 branches of the external carotid artery that supply areas of the head and neck on the external cranium

A
  • Superifical temporal
  • Maxillary
  • Posterior auricular
  • Occipital
  • Facial
  • Ascending laryngeal
  • Lingual
  • Superior thyroid
50
Q

MNEMOMIC for branches of the external carotid artery

A

Some Anatomists Like Freaking Out Poor Medical Students

  • Superifical temporal
  • Ascending pharyngeal
  • Lingual
  • Facial
  • Occipital
  • Posterior Auricular
  • Maxillary
  • Superior thyroid
51
Q

What drains the venous blood of the intracranial structures?

A

Dural venous sinuses

52
Q

Name the dural venous sinuses

A
  • Superior sagittal sinus
  • Inferior sagittal sinus
  • Sinus rectus
53
Q

What is the sigmoid sinus?

A

internal jugular vein upon exiting the cranial cavity through the jugular foramen

54
Q

What does the IJV drain?

A

intracranial structures and superifical parts of the face and neck

55
Q

Where does the IJV travel?

A

In the carotid sheath

56
Q

What is the IJV in close proximity to?

A

brachial plexus, ohrenic and vagus nerves

57
Q

What can IJP be used for?

A

To assess CVP

58
Q

What does the external jugular vein drain?

A

venous blood from the outer cranium and deep parts of the face into the subclavian vein

59
Q

What join to form the retromandibular vein?

A

Superifical temporal and maxillary veins merge within the parotid gland

60
Q

What does the retromandibular vein join with to form the external jugular vein?

A

posterior auricaular

61
Q

What does the external jugular vein descend over?

A

sternocleidomastoid

62
Q

where is the anterior jugular vein?

A

Inferior to hyoid bone

63
Q

Where does the anterior jugular vein drain into?

A

externa; jugular and subclavian veins

64
Q

What do the sides of the anterior jugular vein merge to form?

A

jugular arch

65
Q

What 4 cutaneous branches of the cervical plexus become superifial at Erb’s Point?

A
  • Lesser occiptal
  • Great auricular
  • transverse cervical
  • Supraclavicular
66
Q

What muscles does the accessory nerve provide motor control to?

A

trapezius and SCM

67
Q

Where does the accessory nerve pass?

A

Across the posterior triangle

68
Q

Where are there no lymph nodes?

A

In the scalp or face

69
Q

What lymph nodes accompany the external and internal jugular veins?

A

deep and superifcial cervical lymph nodes