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45 Cards in this Set

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What forms the apex of the axilla?
The convergence point of the clavicle, superior border of the scapula and the first rib.
The _____________________ is the entrance to the axilla. This is found at the _________ of the axilla.
-cervicoaxillary canal

-apex
What is thoracic outlet syndrome?
When the cervicoaxiallary canal narrows, impinging on the axillay nerve.
The base of the axilla is formed of the
axillary fasia, superficial fascia, and skin of the axillary fossa
What makes the anterior wall of the axilla?
pectoralis major and minor
What makes the posterior wall of the axilla?
scapula, subscapularis muscle, latissimus dorsi, teres major
What makes the lateral wall of the axilla?
intertubercular groove between the humerus and long head of the biceps brachii
What makes the medial wall of the axilla?
the chest wall and intercostal musclecs covered by the serratus anterior
What nerve innervates the serratus anterior?
the long thoracic nerve
What is the action of the serratus anterior?
it holds the scapula close to chest wall (protraction) and upwardly rotates the glenoid cavity by pulling the inferior angle of the scapula laterally
You can find the serratus anterior being pierced by what nerves?
lateral cutaneous branches of intercostal nerves
Paralysis of which muscle causes winging of the scapula?
serratus anterior
How can you test if a patient has paralysis of the serratus anterior?
have him push against a wall to see if the scapula wings out
Winging of the scapula is associated with difficulty of what action?
abduction of arm above the horizontal
What are the contents of the axilla?
1. axillary artery
2. axillary vein
3. brachial plexus
4. axillary lymph nodes
Which structures are enclosed in the axillary sheath?
1. axillary artery
2. axillary vein
3. brachial plexus
Where do you inject anesthetic to perform a nerve block of the brachial plexus?
into the axillary sheath
At which point does the subclavian artery become the axillary artery?
the lateral border of the first rib
The axillary artery is a continuation of the...
subclavian artery
The axillary artery becomes the ____________ at what point?
brachial artery at the inferior border of the teres major
The axillary artery is divided into 3 parts by what muscle?
pectoralis minor
What are all the branches of the axillary artery? Organize your answer by the three parts.
She Tastes Like Sweet Apple Pie
The _____________ artery traverses the quadrangular space with the axillary nerve.
posterior humeral circumflex artery
Between the first rib and the subscapular artery, _____________ of the axillary artery can form allowing blood to bypass ______________ in that area.
-arterial anastomoses

-vascular stenosis
How do you control bleeding from the axillary or brachial artery?
compress the subclavian against the 1st rib
The axillary vein is a continuation of what vein? When does this happen?
continuation of the basillic vein at the inferior border of the teres major
The axillary vein becomes the ______________ at the lateral border of the first rib.
subclavian vein
What major vein drains into the medial part of the axillary vein?
cephalic vein
An injury at the point where the axillary vein turns into the subclavian vein is dangerous because...
-dangerous bleeding

-air can be sucked into the vein, causing a dangerous air embolism
Axillary and subclavian veins are frequently used by doctors to...
administer fluids, medications, renal dialysis, etc.
The brachial plexus is formed by the _________ of which nerves?
anterior rami of spinal nerves C5 to T1
What are the stages of the brachial plexus?
ROWDY TEENS DRINK COLD BEER

R- roots

T-trunks

D-divisions

C-cords

B-branches
The female breast is supplied by branches of what arteries?
-internal thoracic artery
-thoracic aorta
-subscapular artery
-thoracoacromial trunk
What nerves form the superior, middle, and inferior trunks?
-Superior: C5 and C6
-Middle: C7
-Inferior: C8 and T1
What forms the lateral cord of the brachial plexus?
the anterior divisions of the superior and middle trunks
What forms the medial cord of the brachial plexus?
The anterior division of the inferior trunk
What forms the posterior cord of the brachial plexus?
The posterior divisions of all three trunks
What does the lateral cord divide into?
-musculocutaneous nerve
-lateral root of median nerve
What does the posterior cord divide into?
-the radial nerve
-the axillary nerve
What does the medial cord divide into?
-medial root of median nerve
-ulnar nerve
Erb's palsy occurs from nerve lesions of the ___________________, usually from a violent increase in the angle between the neck and the shoulder.
upper part of the brachial plexus (C5 and C6)
Erb's palsy results in the characteristic ___________________ position
waiter's tip (medial rotation of arm, hand pronated)
In Klumpke's paralysis, nerve lesions of the ______________________, usually from jerking the arm when it's in an upward position, result in the characteristic _____________ position.
lower part of the brachial plexus (C8 and T1) cause the claw hand
Nerve lesions of the upper part of the brachial plexus cause
erb's palsy
Nerve lesions of the lower part of the brachial plexus cause
Klumpke's paralysis