W1: S2 - Scalp Flashcards

1
Q

Where does the scalp extend to anteriorly?

A

Supraorbital margin

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2
Q

Where is the superior nunchal line?

A

Occipital Bone beside external occipital proturbance

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3
Q

Where does the scalp extend to posteriorly?

A

Superior nuchal lines

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4
Q

Where does the scalp extend to laterally?

A

Zygomatic arch

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5
Q

Which bone is the superior nuchal line a part of?

A

Occipital

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6
Q

What are the 5 layers of the scalp? SCALP mnemonic

A
  1. Skin
  2. Cutaneous tissue (dense connective tissue)
  3. Aponeurosis of Occipitofrontalis
  4. Loose connective tissue
  5. Periosteum (pericranium)
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7
Q

What is the action of contraction of the frontal belly and posterior belly of the occipitofrontalis?

A
  • Anterior belly - Raising eyebrows and wrinkling forehead
  • Posterior belly - Pulls scalp back posteriorly
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8
Q

What is the anterior source of cutaneous innervation of the scalp?

A

CN V - Trigeminal

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9
Q

What supplies the posterior half of the scalp with cutaneous innervation?

A
  • Anterior and posterior rami of cervical spinal nerves
    • C2 and C3
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10
Q

What is the cutaneous innervation of the scalp?

A
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11
Q

Does C1 have any dermatomal innervation?

A

Almost none

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12
Q

How does herpes zoster present?

A

The virus travels down nerves in a dermatomal fashion and presents as skin lesions in the dermatome

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13
Q

In which layer of the scalp do blood vessels that supply it run?

A

Cutaneous tissue

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14
Q

Why do wounds to the scalp bleed profusely?

A

No vasoconstriction can occur due to the dense connective tissue retracting

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15
Q

What are the branches of the External Carotid Artery?

Some American Ladies Find Our Pyramids So Magnificent

A
  • S - Superior Thyroid
  • A - Ascending Pharyngeal
  • L - Lingual
  • F - Facial
  • O - Occipital
  • P - Posterior Auricular
  • S - Maxillary
  • M - Superficial Temporal
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16
Q

Try learn a few of these

A
17
Q

What veins do most of the drainage of the head and neck drain into?

A
  • IJV
  • EJV
18
Q

What vein does the IJV and EJV drain into?

A

Subclavian

19
Q

What is a diploe?

A

The spongy bone in the skull

20
Q

What veins pass through diploe?

A

Emissary veins

21
Q

What can happen from scalp infections due to the valveless emissary veins?

A

Blood can backtrack and cause meningitis

22
Q

What forms SCALP PROPER?

A
  • Skin
  • Connective Tissue
  • Aponeurosis of Occipitofrontalis
23
Q

What structure forms from the ventral rami of C5 to T1? What does the formation innervate?

A
  • Brachial Plexus
    • Innervates upper limb
24
Q

Explain the arterial supply of the scalp and whether they branch from the ICA or ECA.

A
  • Internal
    • Supretrochlear
    • Supra-orbital
  • External
    • Superficial Temporal
    • Posterior Auricular
    • Occipital