Exam 2 Notes Flashcards
Where is the aortic valve located and where is it most audible?
It is located behind the left half of the sternum medial to the third intercostal space.
most audible over the right second intercostal space
Where is the pulmonary valve located and where is it most audible?
It is located behind the medial end of the third left costal cartilage. it is most audible over the left second intercostal space
Where’s the mitral valve located and where it most audible?
Located behind the left half of the sternum medial to the fourth costal cartilage.
most audible over the left fifth intercostal space at the midclavicular line
Where is the tricuspid valve located and where is it the most audible?
Located behind the right half of the sternum medial to the fourth intercostal space.
most audible over the right lower part of the body of the sternum
What is the sharp border of the fossa ovalis?
Limbus
What is the vertical muscular ridge which is the termination of the pectinate muscles and is externally marked by vertical group called the sulcus terminalis?
Crista terminalis
What is the piston movement?
The diaphragm contracts, pulling the domes inferiorly into the abdomen. this results in an increase in the vertical diameter of the thorax
What is the bucket handle movement?
Elevation of the lower ribs (7th to 10th) about an anterio-posterior axis this results in an increase in the transverse diameter of the thorax
What is the pump handle movement?
Elevation of the upper ribs (second to sixth) about a transverse axis. this results in an increase in the anterio-posterior diameter of the thorax
What might be a result of damage to the long thoracic nerve?
1) Winged scapula
2) weakness in elevation of arm above horizontal
3) difficulty with deep inspiration
What are the four branches of the internal thoracic artery?
1) periCARDIACOphrenic artery
2) anterior intercostal arteries
3) musculophrenic artery
4) superior epigastric artery
What artery accompanies the phrenic nerve and supplies the pleura, pericardium, and diaphragm?
PeriCARDIACOphrenic artery
What arteries supply the upper six intercostal spaces, anastomose with the posterior intercostals?
Anterior intercostal arteries
What artery is the lateral terminal branch of the internal thoracic artery?
Musculophrenic artery
What artery is the medial terminal branch of the internal thoracic artery?
Superior epigastric artery