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Anatomy > surface anatomy > Flashcards

surface anatomy Flashcards

1
Q

apophyseal joint palpation L3/4

A

difficult to palpate / lie just lateral to lower third of the spinous process i.e. L3/4 apophyseal joint lies level with the lower third of L3’s spinous process, approx

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2
Q

How can we palpate erector spinae

A

patient lies in prone, arms by side

have patient raise upper part and legs down

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3
Q

How can we palpate external oblique

A

have patient in midprone position

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4
Q

how to palpate cervical spine

A

run hand down the back of head with two thumbs
feel a bony prominence in the distal end of occiput
then feel a gap = C1, has no spinous process
followed by another small bony prominence is C2

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5
Q

apophyseal joint and how to palpate it

A

difficult
joint of superior articular process and inferior articular process
once you feel the spinous process move laterally and inferiorly from it.

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6
Q

parts of the lung

A

apex - top
base - bottom
mediastinal surface - part of lung interacting with heart
hilum - root of lung
costal surface - anterior surface
part of anterior surface of left lung with a crevice for the heart

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7
Q

manubriosternal joint content and vertebral level

A

manubrium (top part of sternum) + and sternum body

level T4/5

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8
Q

xiphosternal joint and vertebral level

A 
xiphoid process (bottom tip of sternum) and sternum 
T9
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9
Q

sternocostal/chondrosternal joint

A

medial costal cartilages of first 1-7th ribs and sternum

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10
Q

costochondral joint

A

transition between bone to cartilage attached to the sternum
at the anterior end of each rib

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11
Q

interchondral joint

A

tips of costal cartilages 8th, 9th 10th / lower border of cartilage

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12
Q

costovertebral joint

A

convex facet of the posterior aspect of ribs with concave facet of vertebrae

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13
Q

costotransverse joint

A

articular facet of transverse process of vertebrae and tubercle of ribs

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14
Q

palpate suprasternal/ jugular notch

A

upper border of manubrium at T2 level

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15
Q

thoracic inlet

A

T1, 1st rib and manubrium

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16
Q

palpate apex of heart

A

6th rib
5th intercostal space
midclavicular line

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17
Q

palpate costal margin

A

cartilage connecting to the sternum and to each other from rib 7-10

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18
Q

costal angle

A

costal cartilage 7-10th ribs, running inferolaterally from xiphisternal joint, together form costal arch, converge L1 = 12th ribs

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19
Q

thoracic outlet

A 
T12, 
full length R12, 
tip R11, 
costal cartilages of R7,8,9,10
Xiphoid process
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20
Q

palpate right border of the heart

A

3rd costal cartilage to 6th costal cartilage

left border of sternum (your left NOT patient’s left)

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21
Q

palpate left border of the heart

A

2nd intercostal space to 5th intercostal space (apex of heart)
further right of the sternum

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22
Q

auscultation for aortic valve

A

2nd intercostal space

right of sternum - patient’s right

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23
Q

auscultation for pulmonary valve

A

2nd intercostal space

left of sternum - patient’s left

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24
Q

horizontal fissure

A

4th rib

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25
Q

oblique fissure

A

4th to 6th rib

26
Q

auscultation for tricuspid valve

A

5th intercostal space

left of sternum - patient’s left

27
Q

auscultation for mitral valve valve

A

apex of heart
5th intercostal space
midclavicular line of left side of rib - patient’s left

28
Q

palpate first rib

A

find clavicle and attachment to manubrium of sternum
move slightly below and feel start of first rib
crosses below clavicle

29
Q

how to palpate pectoralis major

A

90 abduction

add resistance

30
Q

vertebral level of spine of scapula

31
Q

vertebral level of inferior angle of scapula

32
Q

Detect valves in retrosternal

A

3344 (PAMT)

33
Q

location of pleura

A

8th cc midclavicular line
10th rib midaxillary line
11th rib line of inferior angle of scapula
12th thoracic spine

34
Q

Muscles connecting the upper limb to the vertebral column

A 
Trapezius
Latissimus Dorsi
Levator Scapulae
Rhomboid Major
Rhomboid Minor
35
Q

Muscles connecting limb to the thoracic wall

A

Pectoralis Major
Pectoralis Minor
Subclavius
Serratus Anterior

36
Q

muscles of the shoulder

A 
Deltoid
Subscapularis
Supraspinatus
Infrapinatus
Teres Minor
Teres Major
37
Q

origin and insertion of anterior head deltoid

A

origin - lateral third of clavicle

insertion - deltoid tuberosity lateral side of humerus

38
Q

origin and insertion of middle head deltoid

A

origin - acromion

insertion - deltoid tuberosity lateral side of humerus

39
Q

origin and insertion of posterior head deltoid

A

origin - spine of scapula

insertion - deltoid tuberosity lateral side of humerus

40
Q

origin and insertion of infraspinatus

A

origin - posterior surface of scapula

insertion - middle facet of humerus

41
Q

origin and insertion of supraspinatus

A

origin - supraspinatus fossa of scapula

insertion - superior facet of humerus

42
Q

origin and insertion of teres minor

A

origin - lateral border of scapula

insertion - inferior facet of humerus

43
Q

origin and insertion of teres major

A

origin - inferior angle of scapula

insertion - intertubercular groove of humerus

44
Q

origin and insertion of subscapularis

A

origin - subscapular fossa of scapula

insertion - lesser tubercle of humerus

45
Q

how to palpate trapezius

A

patient lying in position
have patient do abduction
add resistance beyond 90 degree abduction

46
Q

palpate serratus anterior

A

patient lying in supine position
shoulder flexion with a clenched fist
add resistance to fist
feel lateral side of chest

47
Q

palpate rhomboids

A

patient sitting up
dorsum of hand touch lumbar of spine
feel space between vertebrae and lower scapula

48
Q

palpate latissimus dorsi

A

patient lying in prone position

shoulder extension

49
Q

palpate deltoids

A

patient sitting and 90 degree abduction
anterior deltoid - move arm forward
posterior deltoid - move arm backward

50
Q

palpate supraspinatus

A

shoulder abduction

palpate muscle above spine of scapula

51
Q

palpate infraspinatus

A

elbow flexion and shoulder abduction - external rotation lag test
palpate hand below spine of scapula
tell patient to move arm back

52
Q

ratio of degrees of movement between glenohumeral joint and scapulothoracic

A

Ratio of 2:1

53
Q

pulses of upper arm

A 
Subclavian artery
Axillary artery
Brachial artery
Radial artery
Ulnar artery
54
Q

content of carpal tunnel

A

median nerve
flexor digitorum superficialis
flexor digitorum profundus
flexor pollicis longus

55
Q

palpate bicep

A

patient sitting
dorsum of hand resting on patients thigh - supination
resisted elbow flexion
palpate in upper arm

56
Q

palpate brachialis

A

patient sitting
palm of hand resting on patients thigh - pronation
resisted elbow flexion
palpate in upper arm

57
Q

palpate brachioradialis

A

patient sitting
hand resting on patients thigh in mid prone
resisted elbow flexion
palpate in lower arm - from wrist to proximal part of arm

58
Q

palpate tricep

A

patient sitting
hand resting on patients thigh in prone
resisted elbow extension
palpate in back of upper arm -

59
Q

palpate pronator teres

A

patient sitting
hand resting on patients thigh in supine with elbow in flexion
resisted supination
palpate in front of lower arm in proximal region

60
Q

palpate FCR/FCU

A

patient sitting
hand resting on patients thigh in supine with elbow in flexion
resisted wrist flexion
feel in wrist

61
Q

palpate EPL/EPB/APL

A

extend the thumb

feel in back of arm

Anatomy (27 decks)

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