Week 5 Flashcards
What is the most common white cell in the blood?
Is it a granulocyte or an agranulocyte?
- neutrophil
- granulocyte
What forms platelets?
How long do platelets live for?
- megakaryocyte fragments
- 7 to 10 days
What is the lifespan of a neutrophil?
7 hours in the blood, and then a few days in the tissue
What is the lifespan of a lymphocyte?
it can live for years
If your reticulocyte count is LOW, what type of problem is it likely?
production problem
If your reticulocyte count is HIGH, what type of problem is it likely?
destruction problem
What are some common reasons for an increased WBC count?
infection, reactive conditions, inflammation, drug effects (prednisone), and malignancies
What lives in the intertubercular groove of the humerus?
the tendon of the long head of the biceps brachii
What are the function of glenohumoral ligaments?
they give strength and stability to the shoulder joint
In the posterior compartment of the arm, what is the major nerve for innervation of those muscles?
What is the common action of those muscles?
- radial nerve
- elbow extension
In the anterior compartment of the arm, what is the major nerve for innervation of those muscles?
What is the common action of those muscles?
- musculocutaneous nerve
- elbow flexion
Where do the heads of the biceps insert?
What joint or joints does this act on?
Short: goes to the coracoid process
Long: tendon runs through the intertubercular groove and into the glenoid fossa
-acts on both the shoulder and elbow
What does the brachialis muscle do?
it crosses the elbow and is a strong flexor of the elbow
Triceps:
Where do they attach at the top?
Where do they attach at the bottom?
What joint or joints does it act on?
- long head crosses the shoulder to attach, lateral and medial attach on the humerus below the shoulder
- all attach to the ulna at the elbow
- acts mildly on the shoulder, but strongly on the elbow
What is the action of the supraspinatus?
What is its innervation?
- initiates abduction of the shoulder
- suprascapular nerve
What are the actions of the infraspinatus and teres minor?
lateral rotation of the humerus at the shoulder
What is the action of the subscapularis?
medial rotation of the humerus at the shoulder and some abduction of the shoulder
What is the action of the coracobrachialis?
flexion and adduction of the shoulder joint
What compartment in the arm does the musculocutaneous nerve innervate?
What muscles are these?
- the anterior compartment of the arm
- the biceps, coracobrachialis, and brachialis
What compartment does the radial nerve innervate in the arm?
What muscles are there?
- posterior compartment of the arm
- triceps and anconeus
What spinal nerves give rise to the brachial plexus?
What is the order of the divisions?
- C5-8 and T1
- roots, trunks, divisions, cords, branches (Robert Taylor Drinks Cold Beer)
What are the names of the cords?
Why are they named this way?
- lateral, medial, and posterior
- they are named in regards to their position around the axillary artery
Which cord is not part of the “M”?
the posterior cord
What does the axillary nerve innervate?
the teres minor and deltoid
What innervates the deltoid?
What is the function of the deltoid?
- the axillary nerve
- abduction of the shoulder; medial rotation and flexion of the shoulder (anterior fibers), and lateral rotation and extension of the shoulder (posterior fibers)
What innervates the teres minor?
the axillary nerve
What borders the Quadrangular Space?
What runs through there?
- teres major, teres minor, long head of the triceps, and the humerus
- axillary nerve and posterior circumflex humeral artery
What borders the Triangular Space?
What runs through there?
- teres major, humerus, and long head of the triceps
- radial nerve and profunda brachii artery
What nerve does the brachial artery follow?
the median nerve
What nerves do NOT innervate anything in the arm?
median and ulnar nerves
In which compartment of the arm are the flexor muscles?
the anterior compartment
What muscles cause retraction of the scapula?
trapezius, rhomboid major, and rhomboid minor
What muscle causes external rotation of the scapula?
What nerve innervates this muscle?
- the serratus anterior
- the long thoracic nerve
What is opposition of the thumb?
Damage to what will impair opposition of the thumb?
- touching the thumb to the other fingers
- damage to the thenar compartment
What are the name changes of the subclavian artery as it travels through the upper extremity? What are the borders where it changes names?
Subclavian, past the 1st rib anteriorly becomes the axillary, past the teres major becomes the brachial, at cubital space splits into radial and ulnar
Where is the autonomous testing area for the ulnar nerve?
the distal part of the 5th digit on the palmar side
Where is the autonomous testing area for the radial nerve?
on the back of the hand near the webbing between the thumb and index finger
Where is the autonomous testing area for the median nerve?
the distal part of the 2nd digit on the palmar side
What are the nerves that go to the hand?
median, radial, and ulnar nerves
What nerve runs along the posterior side of the humerus in the upper arm?
the radial nerve
What nerves travel through the upper arm but do not innervate anything there?
the median and ulnar nerves
What does the superficial branch of the radial nerve do?
What does the deep branch do?
Superficial: innervates skin for sensation
Deep: innervates muscles in the posterior compartment of the forearm and some things in the hand
What nerve passes through the supinator?
Where is it going?
- the deep branch of the radial nerve
- to the posterior compartment of the forearm
In the posterior compartment of the forearm, what is the common nerve?
Any exceptions?
What are the common actions of the muscles there?
- radial nerve
- no
- wrist and digit extension
In the anterior compartment of the forearm, what is the common nerve?
Any exceptions?
What are the common actions of the muscles there?
- median nerve
- yes, ulnar nerve innervates half of the flexor digitorum profundus and the flexor carpii ulnaris
- flexion of the wrist and fingers, with some elbow flexion
What nerve runs through the carpal tunnel?
What tendons run through it?
- the median nerve
- tendons of the superficial and deep flexors
What nerve controls most of the actions of the thumb?
the median nerve
What do the annular ligaments of the fingers do?
they hold the flexor digitorum superficialis and profundus tendons to the bones to allow flexion of the fingers
What do interosseous and lumbrical muscles do in the hand?
Where do they attach?
- cause flexion of the MP joint (the 1st knuckle) and extension of the IP joints (keeping the fingers straight)
- they attach to the extensor hood
Where are most of the muscles located that the ulnar nerve innervates?
What are the exceptions?
- in the hand
- ulnar nerve innervates half of the flexor digitorum profundus and the flexor carpii ulnaris in the anterior compartment of the forearm
What ligaments provide stability during flexion and extension of the elbow?
the ulnar and radial collateral ligaments
What ligament allows the radius to rotate for pronation and supination of the hand?
the annular ligament of the radius
When the hand is pronated, what muscle causes it to supinate?
the biceps
What muscle’s tendons run all the way to the distal bones of fingers 2-5 to cause flexion?
What joint does this act on?
- the flexor digitorum profundus
- the distal IP joint
What muscle’s tendons run all the way to the distal bones of fingers 2-5 to cause extension?
What joint does this act on?
- the extensor digitorum
- the distal IP joint
What muscle’s tendon only runs to the 2nd finger in the posterior compartment?
What is its action?
- the extensor indicis
- extension of the 2nd finger
What are the superficial muscles in the forearm that all originate off of the common flexor tendon of the medial epicondyle of the humerus?
- pronator teres
- flexor carpii radialis
- palmaris longus
- flexor carpii ulnaris
- > > > > > > > >
What major veins drain the forearm and hands?
What connects them?
- cephalic vein, on the lateral side
- basilic vein, on the medial side
- connected by the median cubital vein
What muscle does the median nerve travel between near the median aspect of the cubital space?
the humeral and ulnar heads of the pronator teres
Which carpal has the strongest articulation with the radius?
the scaphoid
What makes the “roof” of the carpal tunnel?
the transverse carpal ligament
Where does the hypothenar compartment act on?
only the 5th digit
Where is the anatomic snuff box?
What lives here?
- the space between the extensor pollicus longus and the extensor pollicus brevis/abductor pollicis longus
- the radial artery and the superficial branch of the radial nerve
How many trunks are in the brachial plexus?
What are they called?
-3
How many divisions are in the brachial plexus?
What are they called?
How many of each?
- 3 anterior divisions
- 3 posterior divisions
What are the terminal branches of the brachial plexus from lateral to medial?
- musculocutaneous
- axillary
- radial
- median
- ulnar
What are the branches of the brachial plexus that give off sensory innervation to the arm and forearm?
Arm: medial brachial cutaneous nerve
Forearm: medial antebrachial cutaneous nerve
What are the ways that CO2 can be transported in the blood stream?
Which one is the most used method?*
- can combine with a Hb molecule
- can combine with water to make bicarbonate and a hydrogen ion**
- in its dissolved state
What is the chloride shift?
bicarbonate ions can be exchanged for chloride ions by the bicarbonate/chloride exchanger
What is the Haldane effect?
The hydrogen ion released by the bicarb system binds Hb and decreases its affinity for O2. This releases O2 into the tissues and increases the ability of CO2 to bind Hb.