Lab Unit 06: Thorax & Cardiopulmonary Flashcards

1
Q

Rhomboid Major & Minor

A

Origin (PA): • Major: SP T2-5. • Minor: Nuchal ligament and SP C7, T1.

Insertion (DA): • Major: Medial border of scapula from level of spine to inferior angle.
• Minor: Medial border at root of spine of scapula.

Nerve: Dorsal scapular n. (C4, C5).

**Action: ** Adducts, elevates, and downwardly rotates scapula.

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2
Q

Pectoralis Major

A

Origin (PA): •Clavicular head: Anterior surface of medial half of clavicle. • Sternocostal head: Anterior surface of sternum, superior 6 costal cartilages, and aponeurosis of external oblique muscle.

**Insertion (DA): **Lateral lip of intertubercular groove of humerus.

Nerve: Lateral and medial pectoral nerves
• Clavicular head: (C5, C6, C7)
• Sternal head: (C8, T1).

Action: • Clavicular head: Flexes, adducts, and internally rotates humerus. • Sternal head: Extends, adducts, and internally rotates humerus.

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3
Q

Pectorails Minor

A

PA: 3rd to 5th ribs near their costal cartilages.
DA: Coracoid process of scapula.
N: Medial pectoral n. (C8, T1).
A: Stabilizes scapula by drawing it inferiorly and anteriorly against the thoracic wall.

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4
Q

Serratus Anterior

A

PA: External surfaces of lateral parts of 1st to 8th ribs.
DA: Anterior surface of medial border of scapula.
N: Long thoracic n. (C5, C6, C7).
A: Abducts and upwardly rotates scapula; stabilizes the medial border of the scapula against thoracic wall.

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5
Q

Levator costorum

A

SA: TP C7-T11.
IA: Subjacent ribs between tubercle and angle.
N: PR C8-T11.
A: Elevate ribs.

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6
Q

External Abdominal Obliques

A

O: External surfaces of 5th-12th ribs.
I: Linea alba, pubic tubercle, and anterior half of iliac crest.
N: Thoracoabdominal nerves (AR T7-T11) and subcostal nerve.
A: Flex trunk, laterally flex trunk to ipsilateral side, rotate trunk to contralateral side (with opposite internal oblique). Compresses/supports abdominal viscera.

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7
Q

Internal Abdominal Obliques

A

O: Thoracolumbar fascia, anterior two thirds of iliac crest and connective tissue deep to the lateral third of inguinal ligament.
I: Inferior borders of 10th-12th ribs, linea alba, and pecten pubis via conjoint tendon.
N: Thoracoabdominal nerves (AR T6-T12) and first lumbar nerves.
A: Flex trunk, laterally flex trunk to ipsilateral side, and rotate trunk to ipsilateral side.
Compresses/supports abdominal viscera.

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8
Q

Transversus Abdominus (TA)

A

O: Internal surfaces 7th-12th costal cartilages, thoracolumbar fascia, iliac crest, and connective tissue deep to lateral third of inguinal ligament.
I: Linea alba with the aponeurosis of the internal oblique, pubic crest, and pecten pubis via the conjoint tendon.
N: Thoracoabdominal nerves (AR T6-T12) and first lumbar nerves.
A: Compresses/supports abdominal viscera.

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9
Q

Rectus Abdominus

A

O: Pubic symphysis and pubic crest.
I: Xiphoid process and costal cartilages of 5th-7th ribs.
N: Thoracoabdominal nerves (AR T6-T12)
A: Flexes trunk (lumbar vertebrae) and compresses/supports abdominal viscera.

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10
Q

Anterior Deltoid

A

PA: Lateral third of clavicle.
DA: Deltoid tuberosity of humerus.
N: Axillary n. (C5, C6).
A: Flexes, medially rotates humerus.

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11
Q

Middle Deltoid

A

PA: Acromion.
DA: Deltoid tuberosity of humerus.
N: Axillary n. (C5, C6).
A: Abducts humerus.

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12
Q

Posterior Deltoid

A

PA: Spine of scapula.
DA: Deltoid tuberosity of humerus.
N: Axillary n. (C5, C6).
A: Extends, laterally rotates humerus.

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13
Q

Teres Major

A

PA: Posterior surface of inferior angle of scapula.
DA: Medial lip of intertubercular groove of humerus.
N: Lower Subscapular n. (C5, C6).
A: Extends, adducts, and internally rotates humerus.

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14
Q

Teres Minor

A

PA: Middle part of lateral border of scapula.
DA: Inferior facet of greater tubercle of humerus.
N: Axillary n. (C5, C6).
A: Externally rotates humerus; depresses and compresses humeral head in glenoid.

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15
Q

Supraspinatus

A

PA: Supraspinous fossa of scapula.
DA: Superior facet of greater tubercle of humerus.
N: Suprascapular n. (C4, C5, C6).
A: Abducts humerus; depresses and compresses humeral head in glenoid.

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16
Q

Infraspinatus

A

PA: Infraspinous fossa of scapula.
DA: Middle facet of greater tubercle of humerus.
N: Suprascapular n. (C5, C6).
A: Externally rotates humerus; depresses and compresses humeral head in glenoid.

17
Q

Subscapularis

A

PA: Subscapular fossa.
DA: Lesser tubercle of humerus.
N: Upper and Lower subscapular n.’s (C5, C6, C7).
A: Internally rotates humerus; depresses and compresses humeral head in glenoid.

18
Q

Coracobrachialis

A

PA: Tip of coracoid process of scapula.
DA: Middle 1/3 of medial surface of the humerus.
A: Shoulder flexion and adduction.
N: Musculocutaneous (C5,C6,C7).

19
Q

Triceps Brachii

A

PA: Long head: infraglenoid tubercle.
Lateral head: posterior surface of the humerus superior to spiral (radial) groove.
Medial head: posterior surface of the humerus inferior to spiral (radial) groove.
DA: Olecranon process and fascia of forearm.
A: Elbow extension.
N: Radial (C7, C8).

20
Q

Biceps Brachii

A

PA: Short head: coracoid process.
Long head: supraglenoid tubercle and superior labrum.
DA: Radial tuberosity (and fascia of the forearm via bicipital aponeurosis).
A: Forearm supination, elbow flexion, shoulder flexion.
N: Musculocutaneous (C5,C6,C7).

21
Q

Sternum

A
  • Manubrium
  • Body
  • Xiphoid process
22
Q

Scapula

A
  • Acromion process
  • Coracoid process
  • Superior border
  • Medial/vertebral border
  • Lateral/axillary border

• Spine
- Tubercle at apex of spine

  • Inferior angle
  • Superior angle
  • Suprascapular notch
  • Glenoid
    • Glenoid fossa
    • Supraglenoid tubercle
    • Infraglenoid tubercle
  • Supraspinous fossa
  • Infraspinous fossa
  • Subscapular fossa
23
Q

Ligaments

A
  • Costoclavicular ligament
  • Acromioclavicular (AC) ligament
  • Anterior sternoclavicular (SC) ligament
  • Posterior sternoclavicular (SC) ligament
  • Coracoclavicular ligament (conoid/trapezoid)
  • Coracoacromial ligament
  • Coracohumeral ligament
  • Superior transverse scapular ligament
24
Q

Joints of Thoracic Spine and Ribs

A
• Intervertebral joints: 
 secondary cartilaginous (aka symphyses)
  • Costovertebral joints: synovial, plane joint
  • Costotransverse joints: synovial, plane joint
• Costochondral joints:
 primary cartilaginous (aka synchondrosis)
  • Interchondral joints: synovial, plane joint
  • Sternocostal joints:
    • 1st joint: primary cartilaginous (aka synchondrosis)
    • 2nd-7th joint: synovial, plane joint

• Sternoclavicular joints: synovial, saddle joint

25
Q

Miscellaneous

A
  • Central tendon of the diaphragm
  • Linea alba
  • Thoracolumbar fascia
  • Inguinal ligament
  • Iliac crest
  • Pubic tubercle
  • Mastoid process
  • Superior nuchal line
  • External occipital protuberance
  • Nuchal ligament
  • Characteristics of synovial joints
26
Q

Heart

A
  • Left & right atria
  • Pectinate muscles (found in atria)
  • Interatrial septum
  • Chordae tendinae
  • Papillary muscles
  • Left & right ventricles (note difference in thickness of L/R ventricle walls)
  • Trabeculae carnae (found in ventricles)
  • Interventricular septum
  • Apex of heart
27
Q

Valves

A

• Left atrioventricular valve (AV valve)
(or mitral valve or bicuspid valve)

• Right atrioventricular valve (AV valve)
(or tricuspid valve)

  • Pulmonary Semilunar valve
  • Aortic Semilunar valve
28
Q

Vasculature

A
  • Superior vena cava
  • Inferior vena cava
  • Coronary sinus
  • Left coronary artery
  • Left Anterior Descending (“widowmaker”)
  • Right coronary artery
  • Pulmonary trunk
  • Pulmonary arteries
  • Pulmonary veins
  • Ascending aorta
  • Aortic arch
  • Descending aorta
  • Brachiocephalic trunk (know vessels that branch off this structure)
  • Right common carotid artery
  • Left common carotid artery
  • Internal carotid artery
  • External carotid artery
  • Right subclavian artery
  • Left subclavian artery
  • Right & left vertebral arteries
29
Q

Blood Flow

A
  • Through the heart
  • From heart ⇒ to lungs/from lungs
  • From heart ⇒ out into body
30
Q
A