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what are the primary curvatures of the spine?
Thoracic and Sacral, CONVEX
What are the secondary curvatures of the spine?
Cervical and Lumbar (CONCAVE)
Which of the secondary curvatures form first?
cervical, neck
what ages do the secondary form?
around 4-5 months and around 9-18 months
number of vertebrae in cervical
7
number of vertebrae in thoracic
12
number of vertebrae in lumbar
5
clinical significance of scoliosis
pathological, causes spine to form C or S shape . best to catch early on
clinical significance of kyphosis
- hunching of the back, over-accentuation of a normal curvature
- most common in elderly individuals as a consequence of aging
clinical significance of lordosis
- over-accentuation of lumbar curvature
- can be congenital or can be developed over time
common characteristics of vertebrae
All have a Body, Lamina, Pedicle, Superior Articular Processes/Facet, Spinous Process, Transverse Processes, Vertebral Arches and a Vertebral Foramen
What is C1?
Atlas, supports skull, no body, allows head to nod, has arch for Dens
What is C2?
Axis, has Dens, Body and Spinous Process
What is the Dens?
Pivot for rotation of atlas and skull . Superiorly Up where the body should be
What is the Hangman Fracture?
When the arch of the axis pushes into the dens into the brain stem, leading to death
Describe C3-C7
-Smallest and Lightest
-Spinal Process is Bifid
-Looks like a little smile :D
-Has transverse foramina
-Spinal Cord is largest here
Describe T1-T10
- Attaches to the ribs
- No transverse foramen
- 2-9 have DEMIFACETS
Describe T11-T12
- Floating Ribs (only posterior articulation)
Describe Lumbar Vertebrae
thick/robust , thin transverse process, triangular vertebral foramen, allows flexion and extension
- smaller as you venture down
What is within the Vertebral Foramen
Spinal cord, Meninges, Fat, Vessels, CSF, Spinal Nerve rootlets
What is within the INtervertbral Foramen
Spinal Nerve/Nerve Roots
DRG
Vessels
What is within the transverse Foramen
vertebral artery
What is the function of the intervertebral disc?
shock absorber, permits slight movement of vertebrae
What is a herniated disc?
abnormal displacement of the nucleus puplosus, pushes on nerves + pain
phases of herniation
degeneration, prolapse, extrusion, sequestration
what is the fibrocartilage of the intervertebral discs called
anaulus fibrosus
what is the gel center of the intervertebral discs called
nucleus pulposus
Which vertebra only have a single facet for articulating with the ribs?
T10-T12
Trapezius function
elevation, retraction and rotation of scapula
innervation of the trapezius
accessory nerve (CN XI) and C3-C4
Latissimus dorsi function
levator scapula function
rhomboid major / minor function
what is considered the erector spinae?
what is in the suboccipital triangle?
Where in the vertebral column does the spinal cord end?
Where does the lumbar puncture occur?
Where does one preform epidural anesthesia?
Why is epidural anesthesia given?
what is spina bifida and its clinical significance?
what is spina bifida occulta and its clinical significance?
what is the clinical significance of a fracture in the 1st rib
what is the clinical significance of a fracture in the middle rib
what is the clinical significance of a fracture in the lower rib cage?
what structure of the rib articulates with the body and transverse processes?
which muscles elevate the thoracic cage?
What is the clinical significance of the location of the intercostal vessels and nerves?
What is the importance of the retromammary space?
What is the importance of the suspensory ligaments?
Which hormone is responsible for breast growth? What is under the influence of each?
Clinical significance of breast cancer
Clinical significance of mastechtomy
Clinical significance of gynecomastia
Clinical significance of sucking pneumothorax
Clinical significance of tension pneumonthorax
What are the types of pleural effusion?
hydrothorax, pyothorax, chylothorax, and hemothorax
hydrothorax
pyothorax
hemothorax
What is the Clinical significance of pleuritis
What is the Clinical significance of thoracocentesis
Innervation of the lungs
Tracheal divisions
Bronchopulmonary segments
Gas exchange process
pulmonary circulation pathway
Layers of pericardium
Lay
Layers of Heart wall
Clinical significance of pericardtis
Clinical significance of cardiac tamponade
Branches of left and right coronary arteries
What is the venous drainage of the heart?
Clinical significance of rheumatic fever?
Conduction system pathway of heart?
What structures are in the supracardiac mediastinum ?