Pleura and breast Flashcards
Visceral (lung)
6th rib MCL
8th rib MAL
10 rib sides of vert column
Parietal pleura (costal line)
8th rib in MCL
10th rib in MAL
12th rib sides of vertebral column
Thoracocenresis done at
Rib 8-10 (anterior)
Nerve supply of parietal pleura
Visceral/splanchnic plexus
Root of the lung
Bronchi Pulmonary a. Pulmonary v. Lymph vessels Bronchial vessels
Trachea
C6-T4
Eparterial bronchus
Above the pulmonary a.
R superior bronchus
Total bronchopulmonary segments
18
R lung:10
L lung: 8
Conductive unit of lung
Trachea Bronchi 1 B 2 B 3 B Bronchiole (without cart) Terminal Bronchiole (simple columnar)
Respiratory unit
Respiratory bronchioles
AD, AS, Alveoli
Foreign body aspiration
Sitting/standing
Post basal BPS of R lobe
Foreign body aspiration
Supine
Superior BPS of R lower lobe
Foreign body aspiration
Lying on the R side
Posterior BPS of the R upper lobe
Foreign body aspiration
Lying on the L side
Inferior lingular BPS of the left upper lobe
Blood supply of the lung
Bronchial a. - desc thoracic aorta
Pulmonary a. - pulmonary trunk
Venous drainage
Bronchial v.–> Azygous and hemiazygous
Pulmonary v. –> LA
Thoracentesis done
Above the rib
Avoid hitting VAN at posterior of the rib
Thoracentesis
Skin Ext IC Int IC Innermost IC Thoracic cavity
Aortic coarctation with better prognosis
Postductal
Development of collateral circulation
DISTAL (adult) to ligamentumarteriosum
PROXIMAL (infantile) to ligamentumarteriosum
Common sites for CVP
Internal jugular
Subclavian
Femoral
CVP- int jugular vein
Apex of triangle formed by scm and clavicle on the r side
CVP- subclavian vein
Intersection of first rib and clavicle
Internal jugular and subclavian unite to form SVC
First R costal cartilage
SVC ends
3rd R costal cartilage
Nipple retraction in breast CA
Pulling of lactiferous ducts
Skin dimpling in breast CA
Shortening of suspensory lig of Cooper
Radical mastectomy n. Injury
Long thoracic: winging of scapula
Thoracodorsal: difficulty in dorsal extension of upper extremities
IC: loss of sensation in the upper inner surface of the arm
Medial pectoral: difficulty in lifting a child
Lymph drainage of the breast
Lateral quadrants–> Axillary LN
Medial quadrants –> parasternal LN
Inferior –> subdiaphragmatic inf phrenic lymph nodes
Axillary LN
Lateral/humeral- I
Central - II
Apical - III
Only motor nerve supply to the diaphragm
Phrenic nerve
Caval
T8
IVC, R phrenic n.
Esophageal
T10
Esophagus, vagus n.
Aortic
T12
Aorta, thoracic duct, Azygous v.
