Venous Drainage Of The H And N Flashcards

1
Q

What is the main vein that drains the scalp, face and neck?

A

IJV

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2
Q

Where does the IJV run from to?

A

Arises at the jugular foramen, runs along carotid sheath, joins subclavian veins, runs into braciocephalic vein and drains into the R side of the heart

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3
Q

How do the scalp and face veins connect to intracranial veins?

A

By venous connections with IC veins/plexus

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4
Q

At which sinus does the IJV arise from?

A

Sigmoid sinus

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5
Q

Where does the cavernous sinus lie?

A

Either side of the sella turcia

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6
Q

How are the sigmoid sinus and cavernous sinus connected?

A

Via dural venous sinuses

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7
Q

Are the cavernous sinus and pterygoid venous plexus IC or EC?

A

Cavernous sinus- IC,

pterygoid venous plexus- EC in infratemporal fossa

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8
Q

The facial vein is the main venous drainage of the face. What is its course?

A

Medial aspect of orbit, descends down face posteroinferiorly to drain into IJV

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9
Q

What drains the orbit? Where do they drain into?

A

Sup and inf opthalmic veins, drain into the cavernous sinus. (Some into facial vein)

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10
Q

What drains into the pterygoid plexus? How does it connect to the cavernous sinus?

A

Orbit, maxilla, nasal cavity.

Through emissary veins

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11
Q

How can superficial blood and infection from face and orbit get IC? What are two example of ad complications?

A

Draining into pterygoid plexus via emissary veins into cavernous sinus. Risk of cavernous sinus thrombosis and meningitis

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12
Q

Where does the pterygoid venous plexus drain into?

A

IJV

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13
Q

What is the EJV comprised of?

A

Sup temporal and post auricular

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14
Q

What level of fascia does the EJV run in in the neck?

A

Superficial cervical fascia

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15
Q

How are veins in the dense CT layer of the scalp connected to deep dural venous sinuses? What is the relevance of this?

A

Via emissary veins. Infections can spread from EC to IC

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16
Q

What does the cavernous sinus contain?

A

ICA,

Occulomotor, trochlear, abducens, trigeminal (opthalmic and maxillary) nerves

17
Q

How do you feel for JVP?

A

Pt 45 degrees, measured from IJV, turn face left, height from sternal angle + 5cm