Upper Limb Facts Flashcards

1
Q

Anterior (Pectoral) Axillary Nodes

A

Drains lateral Breasts

Receive 75% of lymph from breasts

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2
Q

Parasternal Nodes

A

Adjacent to internal thoracic vessels
Drains medial breasts
Receives 25% of lymph from breasts
Goes into apical axillary nodes

The cancer

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3
Q

What pierces clavipectoral fascia

A

Cephalic Vein
Thoracromial Artery
Lateral Pectoral nerve

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4
Q

What are the borders of the deltopectoral triangle

A

Superior: clavicle
Lateral: Deltoid
Medial: Pec Major

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5
Q

What are the contents of deltopectoral triangle

A

Superficial: Cephalic Vein
Deep: Tip of Coracoid process and you can palpate

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6
Q

What are the walls of the axilla

A

Posterior: Subscapularis, scapula, teres major, insertion of lattismus dorsi

Medial: Ribs4-5, intercostal muscles, serratus anterior

Lateral: Intetbuercular groove of humerous

Anterior: Pec major and Pec Minor

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7
Q

Humeral Nodes

A

Drains upper limb

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8
Q

Subscapular (posterior) nodes

A

Drains posterior wall of the axilla

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9
Q

Pectoral (anterior) nodes

A

Drain anterior wall of axilla, including lateral breast

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10
Q

Central Nodes

A

Receive lymph from humeral, subscapular and pectoral nodes

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11
Q

Apical Nodes

A

receive lymph from central nodes

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12
Q

Anatomical Snuff box?

A

Extensor Pollicis Longus
Abductor Pollicis Longus
Extensor Pollicis Brevis

Content:
Scaphoid & trapezium makes the floor of the snuff box
Radial artery is present

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13
Q

What structures passes through the carpal tunnel?

A

Flexor digitorum superficilais

Flexor Digitorum Profundus

Flexor Pollicis Longus

Median Nerve

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14
Q

What is the connective tissue that covers the digits?

What do they do?

A

Fibrous Digital Sheath

It covers synovial sheath, covered tendons.

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15
Q

What do the digital snyovial sheath cover?

A

They cover the tendons of flexor digitorum superficialis and flexor digitorum profundus.

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16
Q

What is the extensor retinaculum

A

Transverse thickening of deep fascia

Holds extensor tendons in place

Prevent bowstring into of tendons upon hyperextension of wrist

Covers snyovial sheaths

17
Q

Triangle of Ausculation

A

Inferior border: Lattissimus Dorsi

Superior Border: Trapezius

Lateral Border: Rhomboid major

overlies 6th intercostal space,
Floor has no large muscles

Can hear sounds w/ stethoscope

18
Q

What does the thoracolumbar fascia cover

A

Covers deep back muscles, which are responsible for extension of back or bilateral extensnon.

Support body weight b/c orientation of collagen fibers

19
Q

Which vein do you put an IV needle or venipuncture

A

Medial Cubital vein at the cubital fossa.

20
Q

What are branches of deep brachial artery

A

Middle collateral artery

Radial Collateral Artery

21
Q

Subacromial bursa

A

Located b/w acromian and supraspinatus tendon & deltoid

22
Q

Painful arc syndrome

A

Inflammation of subacromial bursa

Painful zone is 15-130 degrees of abduction

Put needle to aspirate inflammation and reduce pain!!

23
Q

What initiates abduction of the arm?

A

Supraspinatous promotes initial 15 degrees

24
Q

How much degrees do the deltoids allow abduction?

A

15-120 degrees

25
Q

What allows abduction all the way above the head that scapula rotates?!!(above 120 degrees)

A

Trapezius (it rotate that glenoid fossa superolaterally above 120 degrees) and serratus anterior

26
Q

What is the most common rotator cuff to be injured

A

Supraspinatous muscle

27
Q

Quadrangular Space borders

A
Posterior view:
Teres Minor: Superior
Surgical neck of humerous: lateral
Long head of triceps: medial
Teres Major: Inferior
28
Q

Contents of quadrangular space

A

Posterior Circumflex Humeral Artery

Axillary Nerve

29
Q

What is the triangular interval

A

Passage way for radial nerve and deep artery of the arm to radial groove in posterior arm

Teres Major
Triceps Brachii long head
Triceps brachii lateral head are the borders

30
Q

What is the thyrocervical trunk

A

allows anastomoses of the shoulder joint
Branches from the thyrocervical trunk (part of the subclavian artery) unites w/ subscapular artery (3rd part of axillary artery)

Creates bypass when there is a kink in the axillary artery( can happen w/ prolonged arm flexion)