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Cardiopulmonology > (1) Thoracic Wall And Cavities (Olinger) > Flashcards

(1) Thoracic Wall And Cavities (Olinger) Flashcards

1
Q

What are the components of the sternum?

A

(3 parts)

Manubrium

Body of the Sternum

Xiphoid process

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2
Q

Label the diagram

A
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3
Q

What are the three classifications of ribs?

(both names)

A

Vertebrocostal Ribs (True)

Vertebrochondral Ribs (False)

Vertebral (Floating) Ribs

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4
Q

What rib segments make up the following?

Vertebrocostal Ribs (True)

Vertebrochondral Ribs (False)

Vertebral (Floating) Ribs

A

Vertebrocostal Ribs (True) : 1-7

Vertebrochondral Ribs (False): 8-10

Vertebral (Floating) Ribs: 11,12

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5
Q

Which ribs are considered “typical”?

A

3rd-9th

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6
Q

What ribs are considered “Atypical” ribs?

A

1st, 2nd

10th-12th

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7
Q

Atypical Ribs:

Describe how the 1st rib is identified

A

Shortest

Broadest

Grooves for subclavian A. and V.

Scalene Tubercle

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8
Q

Atypical Ribs:

Descibe how the second rib is identified

A

Tuberosity of serratus anterior

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9
Q

What is this?

A

1st Rib

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10
Q

What is this?

A

Second Rib

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11
Q

What are these?

A

Ribs 10, 11, 12

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12
Q

What is the difference b/w a simple vs a complicated rib fracture?

A

Simple: Break of the rib itself

Complicated: break of blood vessels, pleura, multiple rib fractures

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13
Q

What is this?

A

Typical Thoracic Vertebra

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14
Q

Label the diagram

A
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15
Q

Label the diagram

A
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16
Q

Label the diagram

A
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17
Q

Label the diagram

A
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18
Q

Describe how a rib articulates with the vertebral column:

A
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19
Q

Label the diagram

A
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20
Q

Label the diagram

A
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21
Q

During inspiration which direction does the thoracic cage move?

A

UPWARDS

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22
Q

During expiration, which way does the thoracic cage move?

A

Downward

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23
Q

Label the diagram

A

Synchondrosis

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24
Q

Identify the difference in location between a dislocation vs a separation

A
25
Q

At the arrows, identify the type of joint!

A
26
Q

Label the arrows

A
27
Q

Label the diagram:

A
28
Q

Label the diagram

A
29
Q

Label the diagram

A
30
Q

Label the diagram

A
31
Q

Label the diagram

A
32
Q

Label the diagram

A
33
Q

Label the diagram

A
34
Q

What are the apertures of the thorax?

A

–> Superior Thoracic Aperture (Thoracic Inlet)

–> Inferior Thoracic Aperture (Thoracic Outlet)

35
Q

Superior Thoracic Aperture

Communicates b/w?

A

Neck and Thorax

36
Q

Superior Thoracic Aperture

Contents?

A

Trachea

Esophagus

37
Q

Superior Thoracic Aperture

Boundaries?

A

T1 Vertebral Segment

Paired 1st Ribs

Superior Manubrium

38
Q

Inferior Thoracic Aperture

Communicates b/w?

A

Thorax and Abdomen

39
Q

Inferior Thoracic Aperture

Contents?

A

Esophagus

Inferior Vena Cava

Aorta

40
Q

Inferior Thoracic Aperture

Boundaries?

A

T12 Vertebral Segment

11th and 12th Ribs

7th-10th Costal Cartilages

Xiphisternal Joint

41
Q

HN: The Thoracic Cavity if surrounded by an ____________________ thoracic cage

A

Osteocartilaginous

42
Q

HN: The Thoracic cavity contains 3 primary divisions:

What are they?

A

Two pulmonary cavities (located laterally, contain lungs)

Mediastinum (located centrally, contains heart, thoracic great vessels, trachea, thoracic esophagus, thymus)

43
Q

What does the mediastinum contain?

A

Heart

Thoracic Great Vessels

Trachea

Thoracic Esophagus

Thymus

44
Q

CN:

Which are the most commonly fractured ribs?

A

MIDDLE RIBS

45
Q

CN:

What are supernumerary ribs?

A

Extra ribs

in either the cervical region or lumbar region

46
Q

What are the three types of joints?

A
  1. Synovial Joint (Diarthrosis)
  2. Fibrous Joint (Synarthrosis)
  3. Cartilaginous Joint (Amphiarthrosis)
47
Q

What are the two forms of movement that occur at the costovertebral joint?

Describe their movement

A
  1. Bucket Handle movement: Increases transverse diameter of the thorax
  2. Pump Handle movement: increases the anterior-posterior diameter of the thorax
48
Q

CN:

What does a dislocation of ribs refer to?

A

Dislocation at the Sternocostal joint

49
Q

CN:

What does a separation of ribs refer to?

A

Separation at the costochondral joint

50
Q

CN:

Describe Thoracentisis

A

Insertion of needle through intercostal musculature b/w ribs to obtain a fluid sample or drain small amounts of blood or fluid from the pleural cavity

Needle is inserted inferior to the intercostal neurovascular bundle and superior to the collateral branches

51
Q

CN:

Describe Insertion of chest tube

A

Insertion of a tube to remove large amounts of air, fluid, blood or pus from the pleural cavity

Tube is inserted b/w 5th and 6th intercostal space

52
Q

CN:

Describe thoroscopy

A

Insertion of a thoroscope into the pleural cavity through small incisions for visualizing and biopsying the space inside the pleural cavity

53
Q

Intercostal Muscles

External Intercostal M.

O

I

A

N

A

O: Inferior border of ribs

I: Superior border of ribs

A: Elevate ribs

N: Intercostal N.

54
Q

Intercostal Muscles

Internal Intercostal M.

O

I

A

N

A

O: Inferior border of ribs

I: Superior boder of ribs

A: Depress ribs

N: Intercostal N.

55
Q

Intercostal Muscles

Innermost Intercostal M.

O

I

A

N

A

O: Inferior border of ribs

I: Superior border of ribs

A: Undetermined (probably same as internal intercostal m.)

N: Intercostal N.

56
Q

What are the two internal thoracic wall muscles?

A
  1. Transverse thoracic m.
  2. Subcostal m.
57
Q

Internal Thoracic Wall Ms.

Transverse Thoracic M.

O

I

A

N

A

O: Posterior surface of the lower part of the sternal body and xiphoid process

I: internal surface of the 2nd-6th Costal cartilages

A: Depress ribs

N: Intercostal N.

58
Q

Internal Thoracic Wall Ms.

Subcostal M.

O

I

A

N

A

O: Inferior border of rib

I: Superior border of rib

A: probably similar to internal intercostal m.

N: intercostal n.

Cardiopulmonology (22 decks)

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