Upper limb Flashcards

1
Q

What is the axilla

A

the armpit

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2
Q

What does the axilla contain

A
  • Lymph nodes
  • The axillary artery + vein
  • The cords and branches of the brachial plexus
  • Fat
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3
Q

How many groups of lymph nodes are there in the axilla

A

5

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4
Q

Which nodes of the axilla are most likely to be involved in metastasis

A

The apical node - recieves lymph from all other axillary lymph nodes

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5
Q

Where does the axillary artery come from

A

It is the continuation of the subclavian artery

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6
Q

How many branches does the axillary artery have

A

6

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7
Q

What does the axillary artery become

A

the brachial artery

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8
Q

What forms the axillary vein

A

the union of the deep veins of the arm with the basilic vein

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9
Q

What spinal nerves form the brachial plexus

A

C5, C6, C7, C8, T1

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10
Q

What is the brachial plexus

A

Network of nerves that provide motor and sensory innervation to the upper limb

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11
Q

What are the 5 segments of the brachial plexus

A

Roots, trunks, divisions, cords, branches

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12
Q

Draw the brachial plexus

A
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13
Q

What spinal nerves form the different trunks of the brachial plexus

A

Superior trunk = C5 + C6
Middle trunk = C7
Inferior trunk = C8 + T1

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14
Q

What are the branches of the brachial plexus

A

Musculocutaneous, axillary, median, radical, ulnar nerve
men are mediocre racist umpires

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15
Q

What are the two other nerves stemming from the brachial plexus that aren’t terminal branches

A

Long thoracic nerve, thoracodorsal nerve

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16
Q

What does the musculocutaneous nerve innervate

A

The 3 main muscles of the anterior arm
= biceps brachii, brachialis muscle, coracobrachialis, BBC

17
Q

What does the axillary nerve innervate

A

The deltoid, teres minor, and region of skin in upper lateral arm

18
Q

What does the median + ulnar (5) nerve innervate

A

No muscles in arm. Muscles in anterior forearm and thumb

19
Q

What does the radial nerve innervate

A

triceps and forearm extensors

20
Q

Are the muscles of the anterior arm flexors or extensors

A

Flexors

21
Q

What movements do the biceps allow

A

flexion and supination

22
Q

What are the attachment points of the biceps

A
  • Radial tuberosity and scapula
    Long head = supraglenoid tubercle
    Short head = coracoid process
23
Q

What does the long head of the bicep also do

A

Stabilises the elbow joint

24
Q

What does brachialis attach to

A

lower half of the humerus and ulna tuberosity

25
Q

What does the coracobrachialis attach to

A

the middle part of the humerus and coracoid process

26
Q

What is the cubital fossa

A

triangle region on the anterior elbow

27
Q

What are the contents of the cubital fossa

A
  • tendon of biceps brachii
  • brachial artery + vein
  • median nerve
  • radial nerve
28
Q

What is the clinical importance of the cubital fossa

A

accessed for venepuncture and intravenous access

29
Q

What does the long thoracic nerve do

A

innervates serratus anterior

30
Q

what does the thoracodorsal nerve do

A

innervates latissimus dorsi

31
Q

What causes the funny bone feeling

A

the ulnar nerve pressing against the medial epicondyle

32
Q

Why can an injury to the brachial plexus impact the face (Horners syndrome)

A

injury impacting the T1 nerve may interupt sympathetic innervation to the face as T1 is the first part of the sympathetic nerves (T1-l2/3) = constricted pupil, lack of sweating

33
Q

what does tubercle mean

A

a small projection

34
Q

what does fossa mean

A

a shallow projection/hole