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how manny bones are in the skull |
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domed upper part, covers brain
formed by 3 temporal, 2 Temporal, 2 Parietal, and unpaired Frotal, Sphenoind and Occipital bones |
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- Fascial skeleton Nasal, Palatine, Lacrimal, Zygomatic, Maxillae, Inferior Nasal Conchae, and Vomer |
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Forehead and superior orbit Supercillacilliary arches and Glabella Supraorbital foramen Zygomatic process |
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paired Nasal bones articulate with each other and the Frontal bone at the Nasion
Laterally, each Nasal bone articulates with Maxilla |
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paired Nasal bones articulate with each other and the Frontal bone at the Nasion
Laterally, each Nasal bone articulates with Maxilla |
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Nose hole
Visible though Piriform aperture are inferior Nasal Conchae |
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Found between orbit and upper teeth Zygomatic process Frontla process Infraorbital Foramen Alveolar process |
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Body, angle and rams Mental protuberance Mental Foramen Oblique line Alveolar part |
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Lateral structures of the skull |
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Coronal suture lambdoid suture Greater wing of Sphenoid Pterion |
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- weakest part of the skull - connects temporal, frontal, Sphenoid, Parietal bones |
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Spuamous portion Zygomatic process Typmpanic portion and External Auditory Meatus Styloid process mastoid process |
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Body Angle Ramus Condylar process Coronoid process |
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Squamous portion Lambdoid suture Occipitamastoid sutute Inion Nuchal lines |
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Mastoid process and notch |
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Coronal sutute Sagittal suture Bregma Lmbda |
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Sull: Inferior Anterior part |
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Teeth and hard palate Hard palate = Maxillae and Palatine bones Incisive fossa Greater/Lesser palatine Forame Posterior Nasal Spine |
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Vomer Sphenoid Temporal Occipital |
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Body Greater wings Pterygoid processes |
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Foramen lacerum Carotid canal Mndibular fossa Mastoid Process Stylomastoid foramen (CVII passes to face) |
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Groove for superior sagital sinus Grooves for Middle Meningeal Arteries Granular Fovea |
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Cranial Cavity floor: Anterior Cranial fossa |
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Formed by frontal, Ethnoid and Sphenoid bones Found above nasal and orbital cavities Crista galli - Attachement of Dura matter reflection Foramen Cecum (emissary veins into Superior Sagitall Sinus) Cribiform plate and foramina Lesser wings of Sphenoid form the boundary between anterior and middle fossae Anterior Clinoid Process and Optic canals |
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Sella Turcica - Hypophysial fossa - where the pituitary resides Superior Orbital fissure CN III, IV, VI, V1 Foramen Rotundum CNV2 Foramen Ovale CNV3
Foramen Spinosum Foramen Lacerum and Carotid canal |
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Foramen Magnum Internal auditory meatus Groove for Sigmoid Sinus Hypoglossal canal (CNXII) |
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Dura Mater Arachnoid mater Pia mater |
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Falx Cerebri Tentorium Cerebeli Diaphragma Sellae Falx Cerebelli |
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Anterior Meningeal Middle Meningeal Posteior Meningeal
All come from External Carotid Artery |
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Small meningeal branches of V1, V2, V3
Also from parts of Vagus and possibly C1-3 |
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Thin, avascular membrane that lines the Dura Subarachnoid Space |
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narrows the lips and closes the mouth |
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presses cheek against teeth |
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Zygomaticus Major & Minor action |
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Sensory innervation to the face |
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V1- ophthalmic V2- Maxillary V3- Mandibular |
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Branches of External Carotid |
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Internal Jugular drains brain
External Jugular drains face and head
Valveless and bidirectional flow |
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Temporal/Infratemporal Fossae |
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location of TMJ and muscles of mastication |
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Synocial joint formed by the head of Mandible and Mandibular fossa of Temporal bone
Articular disc divides joint into 2 cavities |
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Lower part the Temporomandibular joint |
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Lower part allows hinge-like depression and elevation of Mandible |
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Upper part of the Temporomandibular joint |
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allows forward and backward translation |
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Temporomandibular Joint capsule and ligament |
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Definition
Enclosed within synovial membrane surrounded by fibrous joint capsule
3 ligaments provide additional support - lateral - Sphenomandibular - Stylomandibular |
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Coronoid process of Mandible |
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Elevates/retracts Mandible |
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Lateral plate of Pterygoid process & maxilla |
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Medial surface of angle of Mandible |
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Elevates/lateral movements of Mandible |
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Lateral plate of Pterygoid process & Maxilla |
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Capsule of TMJ and next of Mandible |
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Protrusion/lateral movements of Mandible |
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Anterior Triangle of neck bounded by |
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SCM laterally mandible superioly and midline medially |
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Contents of Anterior triangle |
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Submandibular Submental Muscular Carotid |
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4 pairs of muscles, all attaching to Hyoid (elevation) - assist in swallowing.
- Stylohyoid - Digastric - Mylohyoid - Geniohyoid |
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4 pairs of muscles, all attaching to Hyoid (depression) - assist in swallowing
- Sternohyoid - omohyoid - Thyrohyoid - Sternothyroid |
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Vessels of Anterior triangle |
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Definition
- Common Carotid Artery and branches (Internal and External Carotid)
- Internal Jugular Vein and tributaries |
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Common Carotid artery originates from |
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- Right originates from Brachiocephalic trunk - left is direct branch from Aorta |
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Common carotid ascendtion and divisions |
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Both ascend into the neck lateral to Trachea and Esophagus
Divides into Internal and External Carotid |
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Two lateral lobes joined in the midline by isthmus
located anterior to Trachea
Parathyroids located posterior surface |
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Posterior triangle boundaries |
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Definition
anteriorly by SCM inferiorly by Clavicle posteriorly by Trapezeus |
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posterior triangle contents |
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External Jugular and Subclavian are found coursing through it Deep is found the Brachial Plexus |
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Transverse process of C4-6 |
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Transverse processes of C2-7 |
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Transverse process of C3-6 |
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Prevertebral Muscles (Deep neck flexors |
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Rectus captus Anterior REctus capitus lateralis Longus Colli Longus capitus |
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Rectus Capitus Anterior: O |
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Definition
Anterior surface of atlas |
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Rectus Capitus Anterior I |
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Basilar surface of Occipital bone |
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Rectus Capitus Anterior N |
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Rectus Capitus Anterior A |
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Rectus Capitus Lateralis O |
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Transverse process of Atlas |
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Rectus Capitus Anterior I |
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Inferior surface of Occipital bone |
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Rectus Capitus Anterior n |
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Rectus Capitus Anterior A |
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Flexes head laterally to same side |
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Bodies and transverse processes of cervical and thoracic vertebrae |
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Transverse processes and bodies of cervical vertebrae |
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Transverse process of Atlas |
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Inferior surface of Occipital bone |
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Bounder of the root of the neck |
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Anterior - Manubrium and Clavicle Posterior - T1, superior Scapula Lateral - Rib 1 |
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Right - branch of Brachiocephalic trunk arches and passes posterior to Anterior Scalene
After passing Rib1, it changes its name to Axillary
Left - direct branch of Aorta |
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Branches of Subclavian artery |
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- Vertebral Artery - Thyrocervical - Internal thoracic - Costocervical |
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First branch - ascends to enter Transverse foramen of cervical vertebrae
Enter foramen magnum to supply brain |
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- 2nd branch where it immediately divides into 3 branches:
Inferior thyroid, transverse cervical, suprascapular |
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3rd branch - descends to enter thoracic cavity, anterior to thoracic viscera |
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Final branch - ascends over thoracic viscera and divides:
Deep Cervical, Supreme intercostal |
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Phrenic - anterior surface of Anterior Scalene
Vagus - Descends within Carotid sheath posterior to Common Carotid and Internal Jugular |
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