Neurovasculature Stuctures of Thoracic Wall Flashcards

0
Q

Where do the first 6 intercostal aa branch from

A

internal thoracic artery

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1
Q

Where do the VAN lie

A

partially under he cover of the costal groove of the upper rib

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2
Q

Where do the lower intercostal aa (7-9) branch from

A

musculophrenic a

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3
Q

Which direction does the main branch of the intercostal aa travel and which direction does the collateral branch travel

A

Main: inferior surface of rib in costal groove
Collateral: superior surface of next adjacent inferior rib

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4
Q

Where do the 1st and 2nd posterior intercostal aa branch from

A

superior intercostal a

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5
Q

Where do the lower posterior intercostal aa branch from

A

directly from descending thoracic aorta

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6
Q

What is supplied by the dorsal branch of the posterior intercostal aa

A

vertebral column, back musculature, skin

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7
Q

Where do the anterior intercostal vv drain to

A

forward to musculophrenic vv or internal thoracic vv

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8
Q

Where do the posterior intercostal drain to

A

drain backward to the azygos system of vv

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9
Q

What does the internal thoracic artery branch from

A

subclavian artery

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10
Q

What are the branches of the internal thoracic artery

A

pericardiophrenic a

anterior intercostal aa

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11
Q

What level does the internal thoracic artery terminate at and what does it terminate as

A

Terminates at 6th intercostal space
musculophrenic a
superior epigastric a

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12
Q

What parts of the body drain to the azygos system of veins

A

back
thoracoabdominal walls
mediastinal viscera

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13
Q

What is different about the azygos system

A

the veins are valveless

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14
Q

What vertebral level does the azygos v span

A

T4-T12

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15
Q

Where does the azygos vein drain to

A

superior vena cava

16
Q

What vessels does the azygos vein receive blood from

A

4th-11th posterior intercostal vv on RIGHT side

17
Q

Where is the Hemiazygos vein located

A

posterior mediastinum of left side from T9-T12

18
Q

How does the hemiazygos vein drain

A

Crosses over at T9 and drains into the azygos

19
Q

What vessels drain into the hemiazygos vein

A

9th-11th posterior intercostal vv on left side

20
Q

Where is the accessory hemiazygos vein located

A

posterior mediastinum of left side from T5-T8

21
Q

How does the accessory hemiazygos vein drain

A

Crosses over at T8 and drains into the azygos vein

22
Q

Where does the accessory azygos vein receive blood from

A

4th-8th posterior intercostal vv

23
Q

How is the superior intercostal vv formed

A

1st-3rd posterior intercostal vv

24
Q

Which sides of superior intercostal vv drain where

A

Right: drains to azygos v
Left: drains to either accessory hemiazygos or left brachiocephalic v

25
Q

What makes up the intercostal nerves

A

VPR of T1-T11

26
Q

What does the VPR of T12 form

A

subcostal nerve

27
Q

What does the collateral branch of intercostal nerves supply

A

intercostal mm and parietal pleura

28
Q

What is supplied by the lateral cutaneous branch of intercostal mm

A

skin of lateral thorax

29
Q

What is supplied by the anterior cutaneous branch of the intercostal nerve

A

skin of anterior thorax

30
Q

What is supplied by the muscular branch of the intercostal n

A

motor to the intrinsic mm of thoracic wall

31
Q

What number intercostal nerves are the thoracoabdominal nn

A

7th-11th intercostal nn

32
Q

What number intercostal nn are considered Typical intercostal nn.

A

3rd-6th