Assessment of the Lungs and Thorax Flashcards

1
Q

the thoracic cage consists of

A
  • 12 thoracic vertebrae
  • 12 pairs of ribs
  • sternum
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2
Q

how to the ribs connect to the thoracic cage

A

posteriorly

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3
Q

what are the floating ribs

A

11th and 12th rib

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4
Q

the ribs are connected to the sternum by

A

costal cartilage

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5
Q

what are the 3 components of the sternum

A
  • manubrium
  • body
  • xiphoid process
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6
Q

intercostal space

A

the space between the ribs

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7
Q

suprasternal notch

A
  • u-shaped depression at the ventral aspect of the neck, just above the manubrium
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8
Q

manubriosternal junction (angle of louis

A
  • junction between manubrium and sternum; useful for rib identification
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9
Q

anterior chest wall topographic markers

A
  • nipples
  • suprasternal notch
  • manubriosternal junction (angle of louis)
  • midsternal line
  • costal angle
  • clavicals
  • midclavicular lines
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10
Q

midsternal line

A
  • imaginary vertical line through the middle of the sternum
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11
Q

costal angle

A
  • intersection of the costal margins
  • usually no more than 90 degrees
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12
Q

midclavicular lines

A
  • imaginary vertical lines on right and left sides of chest that are “drawn” through the clavicle midpoints, parallel to the mensternal line
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13
Q

a costal angle of more than 90 degrees is indicative of

A

emphysema

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13
Q

lateral chest wall topographic markers

A
  • anterior axillary lines
  • posterior axillary lines
  • midaxillary lines
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13
Q

anterior axillary lines

A
  • imaginary lines on the right and left sides of the chest “drawn” from the anterior axiallry fold through the anterolateral chest, parallel to the midsternal line
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14
Q

posterior axillary lines

A
  • imaginary vertical lines of the right and left side of the chest “drawn” from the posterior axillary folds along posterolateral thoracic wall and abducted lateral arm
15
Q

midaxillary lines

A
  • imaginary vertical lines on the right and left sides of the chest “drawn” from axillary apices ; midway between and parallel to anterior and posterior axillary lines
16
Q

posterior chest wall topographic markers

A
  • vertebra prominence
  • ventebral line
  • scapular lines
17
Q

vertebra prominence

A
  • spinous process of C7; visable and palpable with head bent forward
18
Q

vertebral line

A
  • imaginary vertical line “drawn” along posterior vertebral spinous processes
19
Q

scapular lines

A
  • imaginary verticle lines on the right and left sides of the chest “drawn” parallel to the mid-spinal line; pass through inferior angles of scapulae in upright patient with arms at the side
20
Q

what are the 3 main structures within the thorax or chest

A
  • medistinum and right and left pleural cavities
21
Q

what structures are in the medistinum

A
  • heart
  • aortic arch
  • superior vena cava
  • lower esophagus
  • lower part of the trachea
22
Q

parietal pleura lines

A

chest wall and diaphragm

23
Q

the viseral pleura lines

A

outside of the lungs

24
Q

how many lobes does the right lung have

A

3

25
Q

Mechanism of breathing during inspiration

A
  • diaphragm contracts
  • intercostal muscle pushes chest outward
25
Q

how many lobes does the left lung have

A

2

26
Q

what are the primary muscles of inspiration

A
  • intercostal muscles
  • diaphragm
27
Q

mechanism of breathing during expiration

A

muscles relax

28
Q

control of respiration in intiated in the

A

brain stem
- medulla
- pons

29
Q
A