Surface Markings Flashcards

1
Q

Radial artery

A

At the wrist over the distal radius
Lateral to flexor carpi radialis tendon

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2
Q

Ulnar artery

A

At the wrist over the distal forearm
Lateral to flexor carpi ulnaris tendon

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3
Q

Brachial artery

A

In the cubital fossa
Medial side of biceps tendon with elbow in full extension

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4
Q

Axillary artery

A

On the medial side of humerus (lateral wall of axilla)
Posterior to short head of biceps tendon

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5
Q

Common carotid artery

A

Between lateral side of the thyroid cartilage and medial border of sternocleidomastoid

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6
Q

Superficial temporal artery

A

In front of tragus of ear

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7
Q

Subclavian artery

A

In the supraclavicular fossa, at the angle between clavicle and sternocleidomastoid

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8
Q

Femoral artery

A

Mid-inguinal point (halfway between pubic symphysis and ASIS)

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9
Q

Popliteal artery

A

With knee semi-flexed, using both hands to palpate in popliteal fossa

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10
Q

Dorsalis pedis artery

A

Lateral to flexor hallucis longus tendon

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11
Q

Posterior tibial artery

A

1/3 of the way from the medial malleolus to calcaneus

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12
Q

Heart

A

3rd CC 1cm from sternal border
6th CC 1cm from sternal border
5th ICS at MC line
2nd ICS 2.5cm from sternal border

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13
Q

T2/T3

A

Jugular/suprasternal notch

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14
Q

T4/T5

A

Sternal angle of Louis

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15
Q

Nipple in males and prepubertal females

A

4th ICS lateral to MC line

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16
Q

Outline of pleura (anterior)

A

1 inch over medial 3rd of clavicle
Sternoclavicular joint
2nd CC
4th CC
Xiphisternal joint
8th rib at MC line

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17
Q

Outline of pleura (posterior)

A

10th rib at costal margin at MA line
12th rib at medial border of scapula
L1 vertebrae below 12th rib

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18
Q

Outline basal border of lungs

A

Anterior
- 6th rib at MC line

Posterior
- 8th rib at MA line
- 10th rib at medial border of scapula
- T9 at posterior midline

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19
Q

Lung hilum

A

Mid point of scapular line and posterior median line at spinal levels T4 to T6

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20
Q

Oblique fissue

A

T3 level

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21
Q

Liver

A

Right 5th rib at MC line
Lower end of sternum
Left 5th ICS at MC line
Costal margin at mid-axillary line

22
Q

Transpyloric plane

A

Across tips of 9th CC

9th CC –> junction between costal margin and lateral border of rectus abdominis muscle

23
Q

Gallbladder

A

Tip of 9th right CC

24
Q

Spleen

A

Between MA line and lateral border of erector spinae muscles

Between ribs 9 to 11

25
Q

Kidneys

A

4-5cm away from the posterior midline
Starts at rib 11
Ends 3-4cm above SC plane (L4)

26
Q

Kidney size

A

Height 9-12cm
Width 5-7cm

27
Q

Ureter

A

5cm lateral to posterior midline at transpyloric plane (L1)
Straight down to posterior superior iliac spine

28
Q

Abdominal aorta

A

From xiphisternal joint down, through umbilicus to supracristal plane at L4 where is bifurcates

29
Q

Triangle of safety

A

From 2nd to 5th ICS at MA line

Apex below axilla
Anterior axillary fold (pectoralis major)
Posterior axillary fold (latissimus dorsi)
Inferior border at 5th ICS

30
Q

Nine quadrants

A

MC lines on both sides
Subcostal plane (10th rib costal cartilages)
Inter-tubercular plane (L5)

31
Q

L1, L3, L3/4, L4, L5, S2

A

L1 - transpyloric
L3 - subcostal
L3/4 - umbilicus
L4 - supracristal
L5 - inter-tubercular
S2 - ASIS

32
Q

Femoral triangle

A

Inguinal ligament
Lateral border of adductor longus
Medial border of sartorius

33
Q

Superior angle of scapula

A

T2

34
Q

Root of spine of scapula

A

T3

35
Q

Inferior angle of scapula

A

T7

36
Q

Mid-point between inferior angle of scapula and top of iliac bone along scapular line

A

T12

37
Q

Highest point of the iliac crest

A

L4

38
Q

Heart valves anatomical position

A

Aortic - 3rd ICS
Pulmonary - 3rd CC
Tricuspid - 4th ICS
Mitral - 4th CC

39
Q

Heart valves surface markings

A

Aortic - 2nd ICS right sternal border
Pulmonary - 2nd ICS left sternal border
Tricuspid - 4th ICS left sternal border
Mitral - 5th ICS MCL - apex beat

40
Q

Xiphisternal joint

A

T8/T9

41
Q

Internal jugular vein

A

Follows line between ear lobule and median end of clavicle
Posterior to SCM and lateral to common carotid

42
Q

Common carotid artery

A

Posterior to SCM and medial to IJV

43
Q

Anterior triangle of neck

A

Anterior border - midline
Posterior border - anterior border of SCM
Superior border - mandible

44
Q

Posterior triangle of neck

A

Anterior border - posterior border of SCM
Posterior border - anterior border of trapezius
Superior border - middle third of clavicle

45
Q

Aortic arch

A

Starts and ends at level of the sternal angle
Rises to midpoint of sternal angle and jugular notch

46
Q

Antecubital fossa

A

Upper border - horizontal line between lateral and medial epicondyles
Medial border - lateral side of pronator teres
Lateral border - medial side of brachioradialis

47
Q

Horizontal fissure

A

4th CC right sternal border
Meets oblique fissure at MAL

48
Q

Oblique fissure

A

6th CC at MCL to rib 4 at MAL
to T3/T4 on posterior wall

49
Q

Where does the trachea bifurcate?

A

Sternal angle
Rib 2
T4

50
Q

Appendix

A

1/3 of distance from right ASIS to umbilicus
McBurneys point