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Evans-VasculatureH&N

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Question
Answer
All 8 branches of the external carotid A in order as it ascends   1.Superior Thyroid. 2.Ascending Pharyngeal. 3.Lingual. 4.Facial. 5.Occipital. 6.Posterior Auricular. 7.Maxillary. 8.Superficial Temporal  
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What nerve does the Superior thyroid A travel with?   Internal branch of Superior Laryngeal N  
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What Artery comes off the Superior Thyroid A?   Superior Laryngeal A  
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Does the inferior thyroid Vein travel with the inferior thyroid A?   No, the inf thyroid A comes off the thyrocervical trunk lateral to the trachea while the veins travel down the midline of the trachea to the bracheocephalics.  
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What is the only medial branch of the Ext Carotid A?   Ascending Pharyngeal A. (2nd branch off the ECA)  
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Where will you find the Lingual A?   (3rd branch off the ECA)Runs with the Hypoglossal nerve (CN XII) deep to stylohyoid and Post. Digastric.  
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Arteries derived from the facial artery   (4th branch off ECA) 1.Inferior Labial A. 2.Superior Labial A. 3.Angular A (stays in the nasal-labial crease)  
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CN XII exits the skull directly below what artery?   Occipital A  
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Temporal Arteritis   Patient presents with scalp/eye pain, extreme head aches, and dilated vasculature in temporal region.  
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Branches off the Maxillary A   1.Middle Meningeal. 2.Inferior alveolar. 3.Spehnopalatine. 4.Superior Alveolar. 5.Infraorbital. 6.Greater Palatine  
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What arteries are responsible for nose bleeds?   Kiesselbach's plexus: 1.Sphenopalatine A. 2.Superior labial A. 3.Greater Palaine A. 4.Anterior Ethmoid A.  
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Where does the Middle Meningeal A enter the skull?   Foramen Spinosum. It then is found in the grooves on the temporal bones.  
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Epidural Hematoma   Spread of BL from lateral skull blunt trauma is in the epidural space. Movement laterally is limited by dural attachment to inner skull table which causes a midline shift. Therefore they feel initial pain and then a "lucid interval"  
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Presentation of "normal/textbook" Circle of Willis   Only seen in about 20-25% of pop  
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What Artery runs inferior to CN VI-X?   Anterior Inferior Cerebellar A  
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What Artery runs between CN I and CN II?   Anterior Cerebral A  
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What Artery runs over the Hypoglossal N?   Posterior inferior cerebellar A  
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What CN does the posterior cerebral cross superiorly?   CN III oculomotor. **superior cerebellar is just behind and inferior to CN III  
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Most common site for a Subarachnoid Hemorrhage?   Anterior communicating A. (Congenital saccular aneurysm)  
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How would Patient present with a subarachnoid hemorrhage of Ant comm A? Post comm A?   Ant: Worse head ache of their life, vision loss. Post: Worse head ache of their life with occulomotor loss  
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Subdural hematoma   Rupture of Bridging Veins. Delayed onset of symptoms and NO midline shift b/c blood can spread laterally across suture lines. **Seen with SHEARING force (whiplash, shaken baby syndrome)  
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Danger Triangle   The facial v can drain to the cavernous sinus via superior/inferior opthalmic v. Therefore you can infection can spread there causing meningitis.  
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Emissary Veins   Allow infection to spread from the scalp to the cranial cavity. They pass through parietal foramina  
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Structure located on lateral wall within the cavernous sinus?   CN III, IV, V1, V2.  
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Structures located centrally on either side of the cavernous sinus?   CN VI and Internal carotid A  
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Cavernous Sinus Thrombosis (CST)   complication of untreated sinusitis or facial infection. **patien presents with eye swelling, HA, loss of corneal reflex.  
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Corneal Reflex   Poke eye, both eyes blink. Senory arm: V1. Motor arm: VII  
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