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

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
What does the coracobrachialis attach to
the middle part of the humerus and coracoid process
26
What is the cubital fossa
triangle region on the anterior elbow
27
What are the contents of the cubital fossa
- tendon of biceps brachii - brachial artery + vein - median nerve - radial nerve
28
What is the clinical importance of the cubital fossa
accessed for venepuncture and intravenous access
29
What does the long thoracic nerve do
innervates serratus anterior
30
what does the thoracodorsal nerve do
innervates latissimus dorsi
31
What causes the funny bone feeling
the ulnar nerve pressing against the medial epicondyle
32
Why can an injury to the brachial plexus impact the face (Horners syndrome)
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
what does tubercle mean
a small projection
34
what does fossa mean
a shallow projection/hole