Chest Flashcards
Structures that form the Thoracic Cage:
•Sternum
•Ribs/Costal Cartilages
•Thoracic Vertebrae
Sternum
-Creates anterior boundary
-Components: Manubrium Body
-Xiphoid Process
-Jugular notch
Ribs
•Creates lateral boundary
•Articulates with the thoracic spine
Ribs names & numbers
True ribs: 1-7
attach directly to sternum
False ribs: 8-12
Don’t attach directly to sternum
Floating ribs: 11-12
Only articulate with vertebrae
Thoracic spine
-Vertebral bodies
-Intervertebral disks
-Pedicles
-Spinous Processes
Landmarks for chest x-rays
Jugular notch
T7 = Inferior angle of the scapula
Airway structures
•Trachea
•Bronchial Tree
•Right and Left Lungs
Trachea
-Trachea: C6-T4/T5
-Carina: T5
Right Main Bronchus
•Upper lobar
•Middle lobar
•Lower lobar
Left Main Bronchus
•Upper lobar
•Lower lobar
Bronchi’s and bronchioles
-Primary bronchi
-Secondary bronchi
-Tertiary bronchi
-Bronchioles
-Terminal bronchioles
Alveoli
Site of oxygen and carbon dioxide exchange by diffusion
Lungs
Organ of respiration
•Apex
•Base
•Hilum
Pleura
Double membrane that encloses each lung
•Visceral pleura: adheres to surface of the lung
•Parietal pleura: lines the thoracic cavity
-Pleural cavity: space between two layers
Right lung
3 lobes
-Oblique fissure: Separates inferior lobe from middle and superior
-Horizontal fissure: Separates middle lobe from superior lobe
Left lung
2 lobes
-Oblique fissure: Separates inferior lobe from superior
Cardiac notch: Large area on the medial surface
Diaphragm
Separates thoracic and abdominal cavities
During Inhalation the diaphragm __________ and moves to ________ position
-contracts, lower
During Exhalation the diaphragm _________ and moves _________ pushing air out of lungs
-relaxes, upwards
Mediastinum
•Heart
•Great Vessels
•Trachea
•Esophagus
•Thymus/Lymphatics
•Nerves
•Fibrous Tissue
•Fat
Position of the heart
-Lies obliquely in the mediastinum
-Apex toward the left side of the body
How should patient position usually be for chest x-rays and why?
Upright when possible
•Prevents engorgement of pulmonary vessels
•Gravity depresses diaphragm
•Demonstrates air fluid levels (with horizontal beam)
•Allows for full expansion of lungs
Inspiration/Expiration breathing are required for
•Pneumothorax
•Excursion (movement) of diaphragm
•Foreign body
•Atelectasis
Images obtained with high or low kVp?
High