Anatomy clinical correlates: Skull, face and scalp

00:00 / 00:00

Videos

Notes

Anatomy clinical correlates: Skull, face and scalp

Anatomy

Head

Bones of the cranium

Anatomy of the cranial base

Anatomy of the orbit

Anatomy of the eye

Anatomy of the nose and paranasal sinuses

Anatomy of the oral cavity

Anatomy of the temporomandibular joint and muscles of mastication

Muscles of the face and scalp

Anatomy of the salivary glands

Nerves and vessels of the face and scalp

Anatomy of the tongue

Anatomy of the pterygopalatine (sphenopalatine) fossa

Anatomy of the inner ear

Anatomy of the infratemporal fossa

Anatomy of the external and middle ear

Anatomy clinical correlates: Skull, face and scalp

Anatomy clinical correlates: Ear

Anatomy clinical correlates: Eye

Anatomy clinical correlates: Temporal regions, oral cavity and nose

Neck

Bones of the neck

Superficial structures of the neck: Posterior triangle

Superficial structures of the neck: Cervical plexus

Superficial structures of the neck: Anterior triangle

Deep structures of the neck: Prevertebral muscles

Anatomy of the thyroid and parathyroid glands

Anatomy of the larynx and trachea

Anatomy of the pharynx and esophagus

Anatomy of the lymphatics of the neck

Fascia and spaces of the neck

Anatomy clinical correlates: Bones, fascia and muscles of the neck

Anatomy clinical correlates: Vessels, nerves and lymphatics of the neck

Anatomy clinical correlates: Viscera of the neck

Cranial nerves

Introduction to the cranial nerves

Cranial nerve pathways

Anatomy of the olfactory (CN I) and optic (CN II) nerves

Anatomy of the oculomotor (CN III), trochlear (CN IV) and abducens (CN VI) nerves

Anatomy of the trigeminal nerve (CN V)

Anatomy of the facial nerve (CN VII)

Anatomy of the vestibulocochlear nerve (CN VIII)

Anatomy of the glossopharyngeal nerve (CN IX)

Anatomy of the spinal accessory (CN XI) and hypoglossal (CN XII) nerves

Anatomy of the vagus nerve (CN X)

Anatomy clinical correlates: Olfactory (CN I) and optic (CN II) nerves

Anatomy clinical correlates: Oculomotor (CN III), trochlear (CN IV) and abducens (CN VI) nerves

Anatomy clinical correlates: Trigeminal nerve (CN V)

Anatomy clinical correlates: Facial (CN VII) and vestibulocochlear (CN VIII) nerves

Anatomy clinical correlates: Glossopharyngeal (CN IX), vagus (X), spinal accessory (CN XI) and hypoglossal (CN XII) nerves

Assessments

Anatomy clinical correlates: Skull, face and scalp

USMLE® Step 1 questions

0 / 1 complete

USMLE® Step 2 questions

0 / 8 complete

Questions

USMLE® Step 1 style questions USMLE

of complete

USMLE® Step 2 style questions USMLE

of complete

A 4430-g (9-lb 10-oz) male newborn is delivered at term to a 30-year-old woman. The pregnancy was unremarkable, but the second stage of labor was complicated by recurrent late decelerations and required vacuum assistance. Apgar scores are 6 and 8 at 1 and 5 minutes, respectively. The newborn is evaluated 6 hours later for scalp swelling. Temperature is 35.6°C (96.1°F), the pulse is 186/min, respirations are 40/min, and blood pressure is 40/28 mm Hg. The patient appears pale. Physical examination shows a diffuse, fluctuant swelling of the head that extends to the orbital ridges anteriorly, to the nape of the neck posteriorly, and the level of the ears laterally. Which of the following is the most likely cause of this infant’s presentation? 

Transcript

Content Reviewers

Viviana Popa, MD

Arjun Maini

Contributors

Stefan Stoisavljevic, MD

Jake Ryan

Alaina Mueller

Patricia Nguyen, MScBMC

The head is one of the most complex parts of our body. Besides having an abundance of muscles, nerves and blood vessels, it protects our brain and houses various facial structures. In this video, we’ll go through a variety of conditions that can affect the skull, face, and scalp. This might not be the easiest subject to learn about, but you’ll see that it’s nothing to get a headache over!

First, let’s discuss the bones of the skull that make up the cranial vault, which as a group are also called the calvaria. We’ll start from the very beginning of their development. See, the flat bones that make up the skulls of neonates have gaps between them and these gaps are covered by fibrous membranes. These membrane-covered gaps between the bones are called fontanelles. The anterior fontanelle is a large diamond-shaped area found at the junction of the sagittal suture, coronal sutures and frontal suture.

In adults, this point where the sutures eventually come together is called the bregma. The anterior fontanelle is bordered by the frontal bone anteriorly and two parietal bones posteriorly. By 18 months of age, the bones fuse together and the anterior fontanelle closes. The posterior fontanelle is a triangular shaped membrane found at the junction of the lambdoid sutures and sagittal suture. In adults, this point is called the lambda. The posterior fontanelle is bordered by the two parietal bones anteriorly and the occipital bone posteriorly. The posterior fontanelle usually closes during the first few months of life and is no longer palpable by the end of the first year.

By palpating fontanelles before they close, bone growth and development of the skull can be assessed. How fontanelles look is also important from a clinical standpoint. For example, a depressed fontanelle can indicate dehydration, while a bulging fontanelle can signal increased intracranial pressure.

Elsevier

Copyright © 2023 Elsevier, except certain content provided by third parties

Cookies are used by this site.

USMLE® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). COMLEX-USA® is a registered trademark of The National Board of Osteopathic Medical Examiners, Inc. NCLEX-RN® is a registered trademark of the National Council of State Boards of Nursing, Inc. Test names and other trademarks are the property of the respective trademark holders. None of the trademark holders are endorsed by nor affiliated with Osmosis or this website.

RELX