Exams intermediate📘

Marki🚶🏻💚:- Nerves of H&N:- Lesser occipital nerve: C2 Great auricular nerve: C2,3 Transverse cervical:C2,3 Supraclavicular: C3,4 Cranial nerves that supplies muscles in H&N: 1)Facial nerve CN7:- . Muscles of facial expressions . Posterior belly of digastric . Stylohyoid . Stapedius 2)Mandibular nerve CN V3:- . Muscles of mastication . Tensor tempani . Tensor veli palatini . Mylohyoid . Anterior belly of digastric 3)Vagus nerve CN10 :- . Levatorveli palatini . Salpingopharyngeus . Palatoglossus . Palatopharyngeus . Superior&middle&inferior constrictor

Marki 💚🚶🏻:- Arteries of head & neck:- 1.Internal carotid artery:- -no branches in the neck -gives ophthalmic artery : a)supratrochlear b)supraorbital ——————— 2.External carotid artery:- A)superior thyroid artery: .superior laryngeal artery .infrahyoid artery .sternomastoid .cricothyroid .glandular B)lingual artery: .Suprahyoid .sublingual .two dorsal branches C)Facial artery: . ascending palatine . tonsiler . glandular . Submental . Superior&inferior labial . angular D) Ascending pharyngeal artery: . pharyngeal . muscular . inferior tympanic . meningeal E)occipital artery: . muscular . meningeal . auricular . mastoid F) Posterior auricular artery: . stylomastoid . auricular . occipital G) Superficial temporal artery: . transverse facial . anterior auricular . zygomatico-orbital . middle temporal . Anterior&posterior terminal H)Maxillary artery: 1st part : . middle meningeal artery . accessory meningeal . Anterior tympanic . Deep auricular . Inferior alveolar 2nd part : . Deep temporal (ant&post) . Buccal branch . Ptreygoid branch . Masseteric artery 3rd part: . Posterior superior alveolar . Infraorbital . Greater palatine . Sphenopalatine . Ptreygoid canal artery . Pharyngeal artery

Marki 🚶🏻💚:- Arterial supply of the brain :- 1)Vertebral artery: -anterior spinal artery -posterior spinal artery -posterior inferior cerebellar artery 2)basilar artery: -anterior inferior cerebellar artery -superior cerebellar artery -pontine branches -labyrinthine ((internal auditory)) artery -posterior cerebral artery 3)Internal carotid artery: The terminal branches are: A)anterior cerebral artery: -central branches -cortical branches B)middle cerebral artery: -central branches -cortical branches 4)Circle of willis: -2 anterior cerebral arteries + 1 ant. communicating artery -2 post. cerebral arteries + 2 post. communicating arteries

Marki 🚶🏻💚:- Arteries & Veins of pelvic cavity:- 1)Internal iliac artery: a)Posterior division:- ((SIL)) -superior glueal artery -iliolumber artery -lateral sacral artery b)Anterior division:- -inferior vesical artery -inferior gluteal artery -obturator arter -umbilical artery -vaginal/uterine artery -middle rectal artery -internal pudendal artery 2)Tributaries of internal iliac vein: -internal pudendal vein -superior gluteal vein -inferior gluteal vein -lateral sacral vein -vesical venous plexus -prostatic venous plexus -obturator vein

Marki 🚶🏻💚:- Branches of pudendal nerve S2,3,4: -inferior rectal nerve -perineal nerve -dorsal nerve of penis or clitoris ————— Branches of internal pudendal artery: -inferior rectal artery -perineal artery -artery of the bulb of penis or clitoris -deep artery of penis or clitoris -dorsal artery of penis or clitoris

Marki 🚶🏻💚:- Contents of superficial perineal pouch: 1)crura&bulb of clitoris or penis 2)bartholin’s glands 3)ischiocavernosus muscle 4)bulbospongiosus muscle 5)internal pudendal vessels 6)perineal nerves —————- Contents of deep perineal pouch: 1)deep transverse perineal muscle 2)sphincter urethrae 3)membranous urethra 4)internal pudendal vessels 5)dorsal nerve of penis or clitoris 6)part of vagina 7)bulbourethral gland ————— Boundaries&contents of ischiorectal fossa: Medial=anal canal Lateral=obturator internus& fascia Superior=pelvic diaphragm Inferior=perineal skin 1)ischiorectal pad of fat 2)pudendal nerve 3)internal pudendal vessels 4)inferior rectal nerve & vessels 5)perineal branch of posterior femoral cutaneous nerve —————— Contents of pudendal canal: 1)pudendal nerve 2)internal pudendal vessels ———————- Structures attached to perineal body: 1)superficial&deep transverse perineal muscle 2)bulbospongiosus muscle 3)pubococcygeus muscle 4)external anal sphincter 5)superficial&deep perineal fascia 6)superior&inferior fascia of urogenital diaphragm —————-

Marki 🚶🏻💚:- Contents of spermatic cord :- 1)ductus deferens 2)testicular artery 3)pampiniform plexus of vein 4)cremasteric artery 5)artery to vas deferens 6)nerve to cremasteric muscle 7)sympathetic nerves ——————— Ligaments that support the ovary: 1)ovarian ligament 2)suspensory ligament ————— Parts of uterine tube: 1)infundibulum 2)ampulla 3)isthmus 4)interstitial segment —————- Ligaments that support the uterus: 1)round ligament of uterus 2)transverse cervical ligament 3)uterosacral ligament 4)broad ligament of uterus

Marki 🚶🏻💚:- Arteries of Abdomen :- 1)Coeliac Trunk:- a) left gastric artery: -oesophageal -gastric b) hepatic artery: -gastroduodenal which gives ( Rt. Gastroepiploic & Superior pancreaticoduodenal) - right gastric - supraduodenal - Rt. hepatic - Lt. hepatic C) splenic artery: - pancreatic branches - short gastric - Lt. gastroepiploic - terminal splenic 2) Superior mesenteric artery:- a) from left side of the artery: - jejunal & ileal branches b) from right side of the artery: - inferior pancreaticoduodenal - middle colic - right colic - iliocolic which gives ( Ant.&Post. caecal, Appendicular, ileal branches,Ascending branch) 3) Inferior mesenteric artery:- - left colic - sigmoid continue as superior rectal artery.

Marki🚶‍♂💚 Root value of Lower Limb Nerves:- 1)Femoral nerve : L2,3,4 2) Obturator nerve: L2,3,4 3) Sciatic nerve: L4,5, S1,2,3 4) Superior gluteal nerve: L4,5,S1 5) Inferior gluteal nerve:L5,S1,2 6) nerve to Obturator internus:L5,S1,S2 7) nerve to quadratus femoris:L4,5S1 8) common peroneal nerve:L4,5 S1,2 9) Tibial nerve: L4,5 S1,2,3

Marki 🚶‍♂💚 ((Tributaries)) Veins of lower limb :- 1) Femoral Vein: - great saphenous - deep vein of the thigh - popliteal vein 2) great saphenous: - superficial epigastric vein - superficial circumflex iliac vein - superficial external pudendal - accessory saphenous vein 3) popliteal vein: - small saphenous vein - posterior tibial vein

Marki🚶‍♂💚 Arteries of the Lower Limb :- 1) Femoral Artery : - Profunda femoris - superficial epigastric - superficial circumflex iliac - superficial external pudendal - deep external pudendal - descending genicular 2) Profunda femoris: - medial circumflex - lateral circumflex - perforating arteries 3) obturator artery: - anterior branch - posterior branch 4) popliteal Artery: - superior genicular (medial & lateral) - middle genicular - inferior genicular (medial & lateral) - anterior tibial - posterior tibial 5) Anterior Tibial: - posterior tibial recurrent - anterior tibial recurrent - muscular branches - anterior medial malleolar - anterior lateral malleolar - continue as dorsalis pedis 6) posterior tibial Artery: - fibular artery - circumflex fibular - nutrient - muscular - malleolar - calcaneal - medial planter - lateral planter 7) Dorsalis pedis: - medial tarsal - lateral tarsal - arcuate - 1st dorsal metatarsal - 1st plantar metatarsal

Marki 🚶🏻💚:- Pulsation sites of lower limb arteries:- 1)Femoral Artery: -Mid inguinal point —————- 2)Popliteal Artery: - popliteal fossa ——————- 3)posterior tibial Artery: -between middle malleolus and calcaneus ——————- 4)Dorsalis pedis Artery: - between tendons of Extensor hallucis longus & Extensor digitorum longus

Marki 🚶🏻💚:- Innervation of upper limb ( brachial plexus):- 1)Branches from the root :- A)dorsal scapular nerve (C5) B)long thoracic nerve (C5,6,7) ———— 2)branches from upper trunck :- A)nerve to subclavius (C5,6) B)suprascapular nerve (C5,6) ————- 3)branches from lateral cord :- A)lateral pectoral nerve (C5,6,7) B)musculocutaneous nerve (C5,6,7) C)lateral root of median nerve ——- 4)branches from medial cord :- A)medial pectoral nerve (C8,T1) B)medial cutaneous nerve of arm (T1) C)medial cutaneous nerve of forearm(C8,T1) D)ulnar nerve (C8,T1) E)medial root of median nerve ——- 5)branches from posterior cord :- A)upper&lower subscapular nerve(C5,6) B)thoracodorsal nerve (C6,7,8) C)axillary nerve (C8,T1) D)radial nerve (C5,6,7,8,T1) —— Lateral root from lateral cord+medial root from medial cord=median nerve(C5,6,7,8,T1)

Marki 💚🚶🏻.: Joints of the thorax:- 1) Intervertebral disc: secondary cartilagenous 2) Manubriosternal: secondary cartilagenous 3) costochondral: primary cartilaginous 4) sternocostal: 1st rib primary cartilaginous the rest synovial 5) xiphisternal: primary cartilaginous 6) costovertebral: synovial plane 7) interchondral: synovial plane 8) sternoclavicular: synovial saddle Joints of upper limb:- 1) shoulder joint: synovial ball and socket 2) elbow joint: synovial hinge 3) proximal and distal radioulnar: synovial pivot 4) wrist joint: synovial condyloid 5) carpometacarpal: synovial saddle and plane 6) metacarbophalengeal: synovial condyloid 7) interphalangeal: synovial hinge. 8) acromioclavicular: synovial plane

Marki🚶🏻‍♂💚: Branches of Main Arteries in thorax and upper limb : 1) Right coronary artery: - right conus - right marginal - posterior interventricular - atrial branch - ventricular branch - SA node branch - AV node branch ------------------------------------- 2) Left coronary artery: - Anterior interventricular - Left conus - Left marginal - atrial branch - ventricular branch - circumflex ------------------------------- 3) Subclavian artery: -1st part: Vertebral, internal thoracic, thyrocervical trunk which gives (inferior thyroid, suprascapular, superficial cervical) -2nd part:((in the right side)) costocervical trunk -3rd part: dorsal scapular ------------------------------------------ 4) Internal thoracic: - anterior intercostal - mediastinal - perforating - pericardiophrenic - superior epigastric - musculophrenic ---------------------------------- 5) Axillary Artery: -1st part : superior thoracic -2nd part: thoracoacromial, lateral thoracic -3rd part: subscapular, anterior and posterior circumflex humeral. ---------------------------------------- 6) Brachial Artery: -Profunda brachii gives ( middle and radial collateral) - humeral nutrient - superior ulnar collateral - inferior ulnar collateral Terminal branches (radial and ulnar) ---------------------------------------- 7) Radial Artery: - radial recurrent - muscular - superficial palmar branch - dorsal carpal branch ------------------------------------- 8) Ulnar Artery: - anterior Ulnar recurrent - posterior ulnar recurrent - common interosseous which gives ( interosseous recurrent, anterior and posterior interosseous) - muscular - two small carpal branches - deep palmar branch