bronchi pleura living anatomy Flashcards
parietal pleura
lines interior thoracic cavity
attached to the costal pleura, (inner surface of the chest wall), superior surface of the diaphragm (diaphragmatic pleura), lateral aspects of the mediastinum (mediastinal pleura), extends into the neck above the first rib (cervical pleura)
where do the L and R pleural cavities meet
superior mediastinum
separated inferiorly by the presence of heart and pericardial activity
sternoclavicar joint
occurs between proximal end of clavicle and clavicular notch of manubrium of the sternum
percussion
tapping chest = hollow drum like sound when air filled spaces
dull sound over solid organs
how do you perform percussion
symettrically, systematically on anterior, posterior and axillary regions
striking motion from the wrist and not from the forearm
how do you move the scapular laterally (protraction
cross the arms in front of the chest
auscultation of lungs
listening to breath sounds with a stethoscope
sounds produced by air turbulence in airways (not alveoli)
bronchial sound and vesicular sound
what position is auscultation of the posterior chest wall easiest in
sit over the side of the couch
what position is auscultation of the anterior chest wall easiest in
lying supine (face up)
anteromedial
in the front and towards the middle
what is the chest piece made of
a diaphragm and a bell
what cant you hear lung sounds through
female breast
clothing
where is the lung hilum
mid point of the scapular and posterior median line
opposite T4-6
conditions with chest drain
pneumothorax
pleural effusion
haemothorax
post operative
common position for a chest drain
anterior to mid axullary line
avoid the thoracic nerve behind it - it is in the safe triangle
