Living anatomy thorax Flashcards
Explain the anterior surface markings of the parietal pleura
Explain the posterior surface markings of the lungs
What are the surface markings of the oblique fissures
- Posteriorly lung border at the level of T3
- Anteriorly lower border of the lung at 6th costal cartilage
–> Connect two points= oblique fissue
Explain the surface marking of the right Horizontal fissure
4th costal cartilage at right side
Connect it laterally til it meets the oblique fissure (above the nipple in male)
Where would you perform percussion on the Apex, upper lobe, middle lobe and lower lobe
- Apex
- anterior: above clavicle
- posterior:
- Upper Lobe
- Anterior: 2ICS (right+ left,) (4th ICS left)
- Posterior: 4th ICS
- Middle Lobe
- Right side 4th ICS MCL
- Lower lobe
- Anterior: just below axilla, 6th ICS between mid axillary and anterior axillary line
- Posteior: 8/9 ICS (below scapula)
What are the safe borders for inserting a chest drain?
4th+5th intercostal space
Where do you place the ECG chest leads?
V1= Right 4th intercostal space next to the sternum
V2= Left 4th intercostal space next to sternum
V3= Between V2 and V4
V4= Left 5th intercostal space, mid-clavicular line
V5= between V4 and V6(5th intercostal, anterior-axillary)
V6= left 5th intercostal space mid-axillary line
At which rib is the nipple in males normally located?
What is the normal inferior border of the breast in females?
Male nipple: f4th inter-costal space
Female lower border: at 6th rib
What are the surface markings of the heart?
Where would you palpate the apex beat ?
Explain the process of palpating the apex beat
For OSPE= surface markings of great vessels ? (no content here)
Where would you listen to the different valves of the heart?
Where would you percuss/ausculatat the apex of the lung?
In the root of the neck (Regions 1+2)
Where would you auscultate/percuss for the right and left superior lobe?
- ICS About mid clavicular line
Posteriorly: 3rd ICS mid-scapular line
Where would you percuss/ausculatate the middle lobe of the lung?
Around right 4th intercostal space anteriorly
Where would you auscultate/percuss the inferior lobes of the lung?
8th intercostal space posteriorly +
6th intercostal space anteriorly, lateral to mid-axillary line
Where could you ausculatate the hilum of the lungs?
Describe and demonstrate the surface markings of the arch of the aorta
Begins and ends at level of sternal angle
- Begining and end at sternal angle (level of 2nd CC
- top or the arch: midway between jugular notch and sternal angle
