Extra Flashcards
Where does the internal thoracic artery bifurcate and what is formed?
Rib 6
Into superior epigastric artery and musculophrenic artery
Where is the serratus anterior muscle?
Superior broder of the first 8-9 ribs
It inserts into the scapula
What does the serratus anterior muscle do?
It pulls the scapula towards the thoracic wall
Helps to abduct the arm esp if greater than 90 degress - scapula moves upwards and laterally
Where is pectoralis minor found?
Anterior - ribs 3-5 to the caracoid process
What does pectoralis minor do?
Depresses the tip of the shoulder to protect the scapula
Where is pectoralis major?
Covers anterior surface of the chest wall and it has two heads - sternocostal and clavicular
Where does pectoralis major insert itself?
Into the intertubular sulcus of the humerus after forming a flat tendon
What does pectoralis major do?
It adducts and medially rotates the arm
Where is the subclavius?
It is a triangle shaped muscle
It passes laterally from the junction between rib 1 and the CC on the inferior surface of the middle third of the clavicle
What does the subclavius do?
It pulls the clavicle medially to stabilise the sternoclavicular joint
What are the 2 heads of pec major?
sternocostal and clavicular
What joint is formed between the vertebrae and the ribs?
synovial
What joint is formed between the CC and the sternum?
synovial
What joint is formed between the CC and the ribs?
Primary cartilagenous joint
What happens to the posterior branch of the intercostal artery at the mid axillary line?
divides to form a lateral cutaneous branch
What happens to the posterior and anterior intercostal arteries anteriorly?
anastomoses
Give some features of the cervical vertebrae
transverse foramen
C2- has a dens
split spinous process
Give some features of the thoracic vertebrae
long spinous process
heart shaped
transverse process is posterior facing
Give some features of the lumbar vertebrae
kidney shaped
short, broad spinous process
What is coarctation?
congenital malformation in which the aorta is constricted (normally region of left subclavian)
What is the clinical significance of coarctation?
intercostal arteries enlarge so blood can get to the lower parts of the body leading to notching of the ribs
What is a costovertebral joint?
synovial joints between the head of a rib and the costal facets of a vertebra
What is a costotransverse joint?
synovial joints between the tubercle of a rib and the transverse process of a vertebra
At what levels does the trachea start and end?
C6 - T4/5
At which level do the primary bronchi form?
T4
What is found at the hilum of the lungs?
- Pulmonary artery
- Pulmonary vein
- Primary bronchus
- Lymph nodes and vessels
- Pulmonary plexus
- Bronchial artery
- Bronchial vein
What is the diaphragm attached to?
Lumbar vertebrae
Costal margin
Xiphoid process
Ends of ribs 11/12