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Clinical Anatomy II

Review Test 1
Spring 2020
Differences between
vertebral bodies

• Cervical
• Thoracic
• Lumbar
• Sacrum
• Coccyx
Have you completed this?
Where would this be?
Describe the facet joint orientations –
movements-Act it out

Cervical Thoracic Lumbar


Occiput

C1
Attachments
to C2

Vertebral bodies
Cervical region?
How does
blood flow to
spinal cord?
Thoracic region?
How does blood flow
to spinal cord?
Blood supply to vertebral bodies
Blood flow cervical/ thoracic/ lumbar
Venous flow
Review attachments of muscles

Face Face? NO

Yes Cervical: yes

Yes TMJ ms : yes


FACIAL MUSCLES
• FUNCTIONS
• What muscles are working?
• NERVE SUPPLY
1981 Nachemsom study on disc pressures
• Least pressure on disc:
• 1.
• 2.
• 3.
• Most pressure on disc:
• 1.
• 2.
• 3.
Show where this is on the vertebral body
What is it called?
SPONDYLYSIS: Fracture of pars interarticularis
Between _____ and ______
What symptoms might someone have?
Attachments
Muscle Proximal attachment Distal attachment

Masseter

Temporalis Temporal fossa

Lateral Pterygoid

Medial Pterygoid

Pg. 522-3 great pic of


attachments on mandible
TMJ dysfunction
• Contributors: • Treatment in clinic
Foramen Ovale
Exit of mandibular
branch of trigeminal
n. (CN V3) from skull
Foramen ovale
What foramen does the
trigeminal n. exit? Styloid
Facial n.? Find them on process
the skull

Stylomastoid
Foramen
Exit of facial n. (CN VII)
from skull Gilroy Fig 37.6, p. 510
Common Carotid A.
-External Carotid A.
-Facial a.
-Occipital a.
-Superficial
Temporal a.
Can feel pulse anterior
to masseter on inferior
border of mandible.
The a. heads around
nose and to medial
corner of eye

Gilroy Fig 34.4B, p. 517


Venous Drainage
Of Face

No 1-way valves in
face. Blood can
move any direction.
Extra care with facial
infections, esp
mouth.

Gilroy Fig 40.9A, p. 552


Which sensory innervation level to?:
• Anterior to vertex _____
• Chin _____
• Skin above mouth _____
• Side of jaw _____
• Top of ear _____
• Posterior ear _____
• Forehead _____
• Tip of nose _____
• Under eye _____
• Cheek bone _____
• Posterior Occiput _____
Cranial Dura Mater Partitions
What does the falx cerebri
separate?______

What does the falx


cerebelli separate? What does
_______________ the tentorim
cerebelii
separate?
________

Gray’s Fig 8.31, p. 831


Know them bones!
Draw where cranial nerves are located in each section
Cranial nerves in cranial fossas
• Anterior • Posterior
• I Olfactory • VII Facial
• VIII Vestibulocochlear
• Middle • IX Glossopharyngeal
• II Optic* • X Vagus
• III Oculomotor • XI Accessory
• V Trigeminal • XII Hypoglossal
• IV Trochlear
• VI Abducens
How does the brain get blood supply?

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