lymph node - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-18-2011
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 258
Threads: 118
Thanked 294 Times in 115 Posts
Reputation: 304
Default lymph node

After biopsy resection of a lymph node in her neck, a 23-year-old woman notices instability of her shoulder. Neurologic examination reveals winging of the scapula on the side of the surgery. During surgery, she probably suffered damage to which of the following?
Deltoid muscle
Long thoracic nerve
Serratus anterior muscle
Suprascapular nerve
Axillary nerve
Reply With Quote Quick reply to this message
The above post was thanked by:



  #2  
Old 08-18-2011
USMLE Forums Scout
 
Steps History: Not yet
Posts: 29
Threads: 2
Thanked 15 Times in 13 Posts
Reputation: 25
Default long thoracic nerve?

long thoracic nerve?
SALT Serratus Anterior Long Thoracic nerve.
the biopsy was in the neck so direct trauma to the muscle itself couldnt have happened.
LT takes fibers from the roots of C5,6 and 7, so very easily can be damaged by neck surgery

Quote:
Originally Posted by usmleman2020 View Post
After biopsy resection of a lymph node in her neck, a 23-year-old woman notices instability of her shoulder. Neurologic examination reveals winging of the scapula on the side of the surgery. During surgery, she probably suffered damage to which of the following?
Deltoid muscle
Long thoracic nerve
Serratus anterior muscle
Suprascapular nerve
Axillary nerve
Reply With Quote Quick reply to this message
  #3  
Old 08-18-2011
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 567
Threads: 25
Thanked 524 Times in 263 Posts
Reputation: 534
Default

Answer is Long Thoracic Nerve. =) Winged Scapula due inability to move the Serratos mayor. The surgery damage the nerve not the muscle..
Reply With Quote Quick reply to this message
 
  #4  
Old 08-18-2011
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 258
Threads: 118
Thanked 294 Times in 115 Posts
Reputation: 304
Default

Long thoracic nerve
Reply With Quote Quick reply to this message
  #5  
Old 08-19-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 76
Threads: 11
Thanked 24 Times in 19 Posts
Reputation: 34
Default

long thoracic nerve
Reply With Quote Quick reply to this message
  #6  
Old 08-19-2011
USMLE Forums Master
 
Steps History: Not yet
Posts: 674
Threads: 264
Thanked 963 Times in 394 Posts
Reputation: 973
Send a message via Yahoo to ricko335
Default

Paralysis of the serratus anterior permits the scapula to be separated posteriorly from the thoracic wall, a winged scapula. Have the patient stand and push the hands against a wall while you observe the scapulae. Injury to the long thoracic nerve is caused, by stretching, during heavy lifting or surgical trauma.
Reply With Quote Quick reply to this message



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
lymph node invovement jahn77 USMLE Step 1 Forum 1 08-13-2011 06:46 PM
A 3 year old boy with enlarged submandibular node aksyonez USMLE Step 2 CK Forum 4 07-08-2011 03:00 PM
A 5 year old boy with fever,soar throat and swollen lymph nodes aksyonez USMLE Step 2 CK Forum 3 07-06-2011 04:51 PM
Enlarged submandibular node + 6 mm PPD in a child ? kemoo USMLE Step 2 CK Forum 2 07-02-2011 07:30 PM
AV node location dr z USMLE Step 1 Forum 1 10-27-2010 06:43 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)