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    Back and Spinal Cord Study Guide: 2.1 Topographic Anatomy Study Aims

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    Mihaela
    This document provides a study guide for the back and spinal cord, including: - Key structures and their vertebral level associations, such as the mandible being at C2-C3 and the iliac crests at L4. - Landmarks of the back like the posteromedian furrow and vertebra prominens. - Details on performing lumbar puncture between the L3-L4 or L4-L5 vertebrae to access the spinal fluid while avoiding the spinal cord. - A reminder that the relevant muscles of the back are covered in another section.

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    Back and Spinal Cord Study Guide: 2.1 Topographic Anatomy Study Aims

    Uploaded by

    Mihaela
    63 views1 page
    This document provides a study guide for the back and spinal cord, including: - Key structures and their vertebral level associations, such as the mandible being at C2-C3 and the iliac crests at L4. - Landmarks of the back like the posteromedian furrow and vertebra prominens. - Details on performing lumbar puncture between the L3-L4 or L4-L5 vertebrae to access the spinal fluid while avoiding the spinal cord. - A reminder that the relevant muscles of the back are covered in another section.

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    anatomie

    Original Title

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    This document provides a study guide for the back and spinal cord, including: - Key structures and their vertebral level associations, such as the mandible being at C2-C3 and the iliac crests at L4. - Landmarks of the back like the posteromedian furrow and vertebra prominens. - Details on performing lumbar puncture between the L3-L4 or L4-L5 vertebrae to access the spinal fluid while avoiding the spinal cord. - A reminder that the relevant muscles of the back are covered in another section.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    63 views1 page

    Back and Spinal Cord Study Guide: 2.1 Topographic Anatomy Study Aims

    Uploaded by

    Mihaela
    This document provides a study guide for the back and spinal cord, including: - Key structures and their vertebral level associations, such as the mandible being at C2-C3 and the iliac crests at L4. - Landmarks of the back like the posteromedian furrow and vertebra prominens. - Details on performing lumbar puncture between the L3-L4 or L4-L5 vertebrae to access the spinal fluid while avoiding the spinal cord. - A reminder that the relevant muscles of the back are covered in another section.

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    e40

    SECTION 2 — Back and Spinal Cord Study Guide

    2  Back and Spinal Cord


    Study Guide

    2.1  TOPOGRAPHIC ANATOMY Vertebrae and Corresponding Structures

    Level Corresponding Structure


    Study Aims C2–C3 Mandible
    C3 Hyoid bone
    At the end of your study, you should be able to: C4–C5 Thyroid cartilage
    • Identify posteromedian furrow C6 Cricoid cartilage
    C7 Vertebra prominens
    • Identify external occipital protuberance, vertebra promi-
    T3 Spine of scapula
    nens, iliac crests, posterior superior iliac spines
    T4/5 Sternal angle (of Louis)
    • Identify deltoid, latissimus dorsi, trapezius, erector spinae,
    T7 Inferior angle of scapula
    teres major, infraspinatus, gluteus maximus, and gluteus
    T8 Inferior vena cava pierces diaphragm
    medius
    T10 Xiphisternal junction
    • Identify margins of scapula
    T10 Esophagus enters stomach
    T12 Aorta passes behind diaphragm
    L1/2 Spinal cord ends (cauda equina starts)
    L3 Subcostal plane
    GUIDE L3–L4 Umbilicus
    • Median line of back: posteromedian furrow overlies tips L4 Bifurcation of aorta
    L4 Iliac crests—supracristal line
    of spinous processes
    S2 End of dural sac
    • Deepest in lower thoracic/upper lumbar region S2 Level of posterior superior iliac spines
    • Bordered by erector spinae
    • Vertebra prominens = C7 spinous process (T1 may be more
    prominent)
    • Scapula
    • Superior angle at level of T2
    • Medial end of scapular spine opposite spinous process CLINICAL POINTS
    of T3
    • Inferior angle at level of T7 LUMBAR PUNCTURE
    • Medial border of scapula parallels sixth rib and approx- Lumbar puncture is performed for retrieval of cerebrospi-
    imates oblique fissure of lung when arm is abducted by nal fluid (CSF) from the lumbar spinal cistern. The patient
    placing hand on head. is placed in the left decubitus position, flexed in the fetal
    • Iliac crests at level of L4 = supracristal line posture with the supracristal line vertical. Puncture should
    • S2 spinous process lies level with a line joining posterior be made at the L3/4 (immediately superior) or L4/5
    superior iliac spines. (immediately inferior) interspace in the midline of the
    • Tip of coccyx approximately 2.5 cm posterosuperior to back, to avoid the spinal cord.
    anus
    MEMORY AIDS
    Anatomy of muscles of the back are covered in Section 2.4,
    Muscles and Nerves. (Muscles that are readily visible are tra- Lumbar puncture: To keep the cord alive, keep the needle
    pezius, latissimus dorsi, and teres major.) between L3 and L5!

    e40

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