anatomy slides 5a
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| ***Fontanels in the skull | are the unossified remnants of the membranes in newborns.
Major fontanels are: anterior (ossified within 18-36 months), posterior,
mastoid and sphenoid which are ossified within 6 month or more
🗑
|
||||
| The sphenoid bone is called the keystone of the cranial floor because? | it articulates with all other cranial bones, holding them together
🗑
|
||||
| Mandible | the largest and strongest facial bone
🗑
|
||||
| Contents of Foramina in cribiform plate | axons of olfactory cells in olfactory epithelium that form olfactory nerves
🗑
|
||||
| contents of anterior and posterior ethmoidal foramina | vessels and nerves with same names
🗑
|
||||
| contents of foramen magnum | medulla and meninges, vertebral arteries, spinal roots of CN 11, dural veins, anterior and posterior spinal arteries
🗑
|
||||
| contents of jugular formamen | CN 9, 10, 11, superior bulb of internal jugular vein, inferior petrosal and sigmoid sinuses, and meningeal branches of ascending pharyngeal and occipital arteries
🗑
|
||||
| contents of hypoglossal canal | hypoglossal nerve CN 13
🗑
|
||||
| contents of Condylar canal | emissary vein that passes from sigmoid sinus to vertebral veins in neck
🗑
|
||||
| contents of Mastoid Foramen | Mastoid emissary vein from sigmoid sinus and meningeal branch of occipital artery
🗑
|
||||
| mimetic muscles radiate into? | the skin
of the face and the head, and their contraction
causes displacement of the skin.
🗑
|
||||
| 4 groups of mimetic muscles: | A- Muscles of the Scalp
B- Muscles in the region of eyelid
C- Muscles in the Nasal region
D- Muscle of the Mouth region
🗑
|
||||
| Muscles of the Scalp: Epicranius Muscle: (Occipitofrontalis) | produces wrinkles in forehead and gives facial
expression of Astonishment.
Innervation: All mimetic muscles by Facial
nerve (cranial nerve CNVII)
🗑
|
||||
| Muscles in the region of eyelid or palpebral fissure: Orbicularis Oculi muscle: | produces folds in lateral angle of the
eye, expression of Worry and concern
🗑
|
||||
| Muscles in the region of eyelid or palpebral fissure: Corrugator supercilli | Pulls the skin and eyebrow down and medially.
Produces vertical folds. Protects against light.
Pathetic pain muscle.
Thinker’s brow expression
🗑
|
||||
| ****All mimetic muscles innervated by? | Facial (CN 7) N
🗑
|
||||
| Mimetic muscles in the region of the mouth: Orbicularis Oris M | Function: its contraction closes the mouth.
Strong contraction gives a sucking shape.
Expression of reserve
🗑
|
||||
| Mimetic muscles in the region of the mouth: Buccinator M | Function: enables air to be blown out of the
mouth. Pulls angle of the mouth laterally.
Keeps the mucous membrane of the cheek
free of folds.
Contraction gives expression of satisfaction
🗑
|
||||
| Muscles in the region of eyelid or palpebral fissure: Orbicularis Oculi muscle: | Function: produces folds in lateral angle of the
eye, expression of Worry and concern
🗑
|
||||
| Muscles in the region of eyelid or palpebral fissure: Corrugator supercilli | Pulls the skin and eyebrow down and medially.
Produces vertical folds. Protects against light.
Pathetic pain muscle.
🗑
|
||||
| Mimetic muscles in the region of the mouth Zygomaticus Major | Function: lifts the corner of the mouth upward,
giving expression of laughter or pleasure
🗑
|
||||
| Mimetic muscles in the region of the mouth Risorius: (laughing muscle) | Function: together woth zygomatic major it
produces the nasolabial folds.
Its contraction gives expression of Action
🗑
|
||||
| Mimetic muscles in the region of the mouth Lavator anguli oris: | It lifts the angle of the mouth,
Giving expression of self confidence
🗑
|
||||
| Mimetic muscles in the region of the mouth Depressor anguli oris | Function: pulls the angle of the mouth
downwards and produces expression of
sadness
🗑
|
||||
| Mimetic muscles in the region of the mouth Depressor labii inferioris | pulls the lower lid down, giving expression
of perseverance
🗑
|
||||
| Mimetic muscles in the region of the mouth Mentalis | Produces: chin-lip furrow, giving expression of
doubt and indecision
🗑
|
||||
| Muscles of Mastication: | Masseter (1), temporalis (2),
Lateral (3) and medial pterygoid
🗑
|
||||
| Muscles of Mastication ***All Innervated by ? | Mandibular nerve (CN 5 branch 3).
***Develop from 1st branchial arch
🗑
|
||||
| CN V | cranial nerve 5 (trigeminal nerve).
It has 3 branches: ophthalmic, maxillary
and mandibular
🗑
|
||||
| Masseter M | Function: powerfully closes the jaw by elevating
the mandible. NN: Masseteric N CNV/3
🗑
|
||||
| Temporalis M | Function: strongest elevator of lower jaw.
NN: deep temporal N CNV/3
🗑
|
||||
| Lateral pterygoid M | Function: mandibular movements (guiding muscle).
NN: lateral pterygoid N CNV/3
🗑
|
||||
| Medial Pterygoid M | Function: elevates mandible and
pushes it forward. Rotational movement.
NN; Medial pterygoid N. CNV/3.
🗑
|
||||
| Anterior Facial Regions: blood supply of the face is mostly by? | by ext. carotid and partly by int. carotid.
Facial artery (2) from ext. carotid passes
it anastomose with dorsal nasal A. (4) coming
from Ophthalmic A.
🗑
|
||||
| Forehead's blood is supplied by ? | supratrochlear A. (8)
and supraorbital (9) A., both from ophthalmic A supratrochlear A. (8)
and supraorbital (9) A., both from ophthalmic A
🗑
|
||||
| Facial vein anastomoses via ? | Angular
vein (11) With dorsal nasal vein
🗑
|
||||
| ***WHY IS THIS EXTREMELY IMPORTANT: Facial vein (10) anastomoses via Angular vein (11) With dorsal nasal vein | ***This anastomoses is extremely important
since this allows a direct connection to
Cavernous sinus, through which, infections
eg: from a furuncle on the lip, may get into skull.
🗑
|
||||
| Sensory innervation to the face: | Is derived from branches of
Trigeminal (V) nerve
🗑
|
||||
| Trigeminal (V) nerve | Ophthalmic (V/1),
Maxillary (V/2) and mandibular (V/3) nerves.
Ophthalmic nerve: supplies the forehead:
Supratrochlear N (17) and supraorbital
🗑
|
||||
| Maxillary nerve | supplies lower eyelid,
Cheek, lateral nasal, upper lip and anterior
Temporal regions by Infraorbital N.
🗑
|
||||
| Mandibular N | lower lip over mandible
(not angle) and chin by mental N (23).
Auriculotemporal N (24) supplies skin on
Mandible ramus, concha of auricle and
Most part of ext. layer of tympanic memb
🗑
|
||||
| Sensitivity of the 3 branches of trigeminal N can be tested by? | pressing nerves 18, 22 and 23.
This is a vertical line, 2-3 cm lateral to midline
🗑
|
||||
| ****Trigeminal Neuralgia | NERVE disorder that causes a stabbing or electric shock like pain in parts of face
may be caused by MS or pressure on trigeminal nerve from a swollen blood vessel or tumor
🗑
|
||||
| ****Trigeminal Neuralgia SLIDES INFO (Tic Douloureux) | disorder of unknown etiology (cause) associated with intractable pain along the 3
branches of trigeminal nerve but especially along maxillary and mandibular
nerves. A simple trigger such as touch, cold or hot can start the pain
🗑
|
||||
| ****Trigeminal Neuralgia THERAPY | Carbamazepine, radiofrequency destruction of the
branches involved.
Alcohol or Glycerin injection around the trigeminal ganglion.
Transection of the sensory root.
Vascular decompression of the trigeminal ganglion
🗑
|
||||
| Hyoid bone | in the neck, but, may be
included with the bony
skeleton of the skull
🗑
|
||||
| Stylohyoid ligament | attached to the tip of the styloid process of the temporal bone and the lesser cornu of the hyoid bone
🗑
|
||||
| Muscles of the neck: ****Platysma: | *Action: brings down corners of the
mouth, expressing sadness.
*Innervation: Facial N. (VII)
(cervical branch)
🗑
|
||||
| ***Injury to this nerve leads to paralysis of platysma (skin falls away from the neck by folds | Facial N. (VII)
(cervical branch)
🗑
|
||||
| wHAT Is the only cutaneous muscle in human body (under the skin) ? | Platysma:
🗑
|
||||
| *Careful sutures of the skin should be made in surgery of the neck region BECAUSE OF? | Platysma AND FACIAL NERVE 7
🗑
|
||||
| Cranial muscle inserted on the Shoulder girdle: ***Trapezius M: | *Function: elevation, retraction and
rotation of scapula.
Helps in adduction and slight elevation of arm
*Innervation: spinal root of Accessory nerve
(CNXI) and C3-C4 (propioception)
🗑
|
||||
| Sternocleidomastoid M | Function: unilateral contraction turns the head
to opposite side and bends it ipsilaterally.
Bilateral contraction: lifts the head.
Also functions in respiration.
Innervation: Accessory nerve (CNXI) and C2-C3
🗑
|
||||
| ***Accessory nerve 11 Examination Sternomastoid: | ask patient to rotate head against resistance to compare power and muscle bulk on each side. Then compare each side with the patient pulling head forward against resistance. The left sternomastoid turns the head right and vice versa
🗑
|
||||
| ***Accessory nerve 11 Examination Trapezius | Ask patient to "shrug" shoulders and to hold them in this position against resistance. Compare power on each side. Patient should manage to resist any effort to depress shoulders.
🗑
|
||||
| ***Congenital and Spasmodic Torticollis (Wry neck) Congenital Torticollis: | Most common type of Torticollis.
Fibromatosis (fibrous tissue tumor)
of Sternocleidomastoid M.
Therapy: division of the muscle below XI nerve
or from its distal attachment.
🗑
|
||||
| **Congenital and Spasmodic Torticollis (Wry neck) symptoms | Head turns to the side and face away
from the affected side.
Leads to stifness of the neck due to fibrosis
and shortening of the sternocleidomastoid.
Injury during delivery may also result in Torticollis.
(muscle tear and hematoma leads to fibrosis)
🗑
|
||||
| ***Spasmodic Torticollis (Wry neck) | Cranial dystonia (abnormal tonicity)
Between 20-60 years of age. Unknown cause.
May involve bilateral neck muscles especially
the Sternocleidomastoid M.
Unilateral deviation of the head.
(turning, tilting, flexion or extension of the neck)
🗑
|
||||
| Spasmodic Torticollis: THERAPY | myotomy or also section of the spinal
Accessory N. and upper cervical ant. roots
🗑
|
||||
| ***Infrahyoid muscles: | Omohyoid, Sternohyoid,
Sternothyroid and Thyrohyoid
🗑
|
||||
| **Omohyoid muscle | *Action: fascia tensor and dilates internal
Jugular vein lying beneath it.
(this aids to return of blood to the heart)
Opens the mouth and helps in lateral
flexion of the head.
*Innervation: Most Infrahyoid muscles are
innervated by cervical Ansa
🗑
|
||||
| Thyrohyoid M. | Innervation: C1, before giving the branch to
cervical ansa.
*Action: All infrathyroid muscles work together
to approximate thyroid cartilage to hyoid bone.
When mouth is open, they stabilize
laryngeal cartilages and the hyoid bone
🗑
|
||||
| Suprahyoid muscles | Digastric, Stylohyoid,
Myelohyoid and Geniohyoid MM
🗑
|
||||
| ***Digastric M | Function: Raising hyoid and
stabilizing it in speaking and
swallowing,depressing the mandible.
**Innervation:
Ant. Belly: V/3, trigeminal N. (from nerve to
myelohyoid) and post. belly: VII, facial nerve.
🗑
|
||||
| Stylohyoid M | Function: elevates and retracts hyoid bone,
elongates floor of the mouth.
Innervation: VII, facial N. (cervical branch)
🗑
|
||||
| **Myelohyoid M | Function:
Elevates hyoid and floor of the
mouth and tongue in swallowing
and speaking.
*Innervation:
V/3 (myelohyoid N. from
inf. Alveolar N.)
🗑
|
||||
| ***Geniohyoid M | Function: pulls the hyoid anterosuperiorly,
shortens floor of the mouth and widens pharynx.
*Innervation: C1 via hypoglossal nerve
🗑
|
||||
| Rectus capitis | Helps to flex the head. NN: Cervical Plex.(C1)
🗑
|
||||
| Helps to flex the head. NN: Cervical Plex.(C1) | Bend the head forward and unilateral action
turns the head sideways.
NN: Cervical Plexus(C1-4).
🗑
|
||||
| Longus Colli | Action: unilateral contraction bends and turns
cervical column to the side.
Also bend the cervical spine forwards.
NN: cervical and brachial Pl. (C2-C8)
🗑
|
||||
| Scalene muscles: Scalene Anterior (17): Scalene Medius (20): Scalene Posterior (23 | Most important muscles for quiet inspiration
They lift the first 2 pairs of ribs (sup part of thorax).
Unilateral contraction tilts cervical column to one
side.
🗑
|
||||
| Scalene opening | brachial plexus and subclavian artery pass through
🗑
|
||||
| Occipital (Omotrapezoid) triangle | *Content: Cervical Plexus.
Accessory Nerve comes from behind the
Sternocleidomastoid M
🗑
|
||||
| ***Scalene gap | Formed between scalene Anterior and Middle
and 1st rib, in which run the Brachial plexus (18)
and Subclavian Artery
🗑
|
||||
| Anterior Triangle | Borders:
Posterior (lateral) :
Sternocleidomastoid
Superior: mandible
Anterior: midline of the neck
🗑
|
||||
| Carotid Triangle | Borders:
Super: Post. belly of Digastric
Med: Sup. Belly of Omohyoid
(2)
🗑
|
||||
| Thyroid Gland | Body's largest endocrine gland
Is deep to sternothyroid and sternohyoid M
🗑
|
||||
| ****Function OF THYROID | Produces Thyroxin which controls
the rate of metabolism of the body,
and Calcitonin controlling Ca++
metabolism.
🗑
|
||||
| Goiter: Enlargement of Thyroid gland | (nonneoplastic
and noninflammatory). Usually not upward shift.
Endemic in areas deficient in Iodine in food.
Swelling in the neck which may disturb trachea,
esophagus and/or laryngeal nerves.
Exophthalmic goiter is due to excessive production
of th
🗑
|
||||
| Thyroidectomy: Removal of thyroid due to cancer. | Subtotal due to preservation of Parathyroid glands
and recurrent as well as superior laryngeal nerves.
Inadvertent removal of parathyroid glands lead to
tetany, severe convulsion and muscle spasm due to
decrease in serum Ca++ and may lead to resp f
🗑
|
||||
| Parathyroid glands | Usually 4, one upper and one lower gland per each thyroid lobe.
They are external to thyroid capsule and internal to the connective tissue sheath.
Function: Produce parahormon, controlling the metabolism of P and Ca++
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Mikewagner85
Popular Science sets