Thoracic Cavity Flashcards
Where in the thoracic cavity are RBCs formed?
Ribs and sternum
Where is the greatest width of the thoracic cavity?
8th to 9th rib level
Site of communiation between the thoracic cavity and root of the neck
Thoracic inlet
Compression of the vessels crossing between the first rib and clavicle
Thoracic inlet syndrome
Site of communcation between the thoracic cavity and the abdomen
Thoracic outlet
Is the thoracic cavity an open or closed system?
Closed
Formed by the medial borders of costal cartialges of ribs 7-10
Costal margin
Where the costal margins converge at the xiphisternal joint
Infrasternal angle
Classification of ribs 1-7
True ribs: attach directly to sternum by costal cartilages
Classification of ribs 8-10
False ribs: cartialges indirectly attach to the sternum thru costal cartilage of rib 7
Classification of ribs 11 and 12
Do not attachto the sternum and end in the abdominal musculature
Where the transverse process of the vertebra of the same number connects with the rib at the same level
Articular tubercle
Where the lateral costotransverse ligament attaches
Non-articular part of the rib tubercle
Concave, internal aspect of the inferior border of the rib that assists in protection of the intercostal neurovascular bundle
Costal groove
Broadest, shortest, most sharply curved rib
Rib 1. has no costal groove. Superior surface has 2 shallow grooves (separated by scalene tubercle) for subclavian vein and artery
Which rib has a tubercle at the middle of its external surface for the attachment of the serratus anterior?
Rib 2. Has facets that articulates with T1 and T2
Which ribs only have the articular facet on the head to articulate with the vertebral body?
Ribs 10 and 11
Shortest and thinnest rib
Rib 12
Attaches the ribs to the sternum
Costal cartilages
Widest and thickest part of the sternum
Manubrium
What makes up the body of the sternum?
4 central sternebrae that fuse in young adulthood
Which ribs does the sternum articulate with?
2 to 6
When does the xiphisternal joint typically ossify
5th decade of life
What vertebrae level is the manubrium at?
T3 and T4
What ribs are at the sternal angle?
2nd pair of costal cartilages
What rib is at the spin of the scapula?
4th
What rib is the inferior angle of the scapula at?
8th
Ligament from crest of head of the rib to the IVD
Intra-articular
Ligament that passes from the enterior margin of the head of the rib to the sides of the bodies of 2 vertebrae and the IVD between them
Radiate ligament
The articulation b/t the tubercle of the rib and the transverse costal facet of the vertebra with the same number
Costotransverse joint
Ligament that connects the posterior part of the rib neck to the anterior surface of the adjacent transverse process
Costotransverse ligament
Ligament that connects the tubercle of the rib to the tip of the transverse process
Lateral costotransverse ligament
Ligament that connects the crest on the neck of the rib to the caudal border of the trnsverse process above
Superior costotransverse ligament
What is the most important muscle of respiration?
diaphragm
Boyle’s law
volume and pressure have an inverse relationship
What keeps the lungs “stuck” to the diaphragm and thoracic wall?
Slightly negative intrapleural pressure
Muscle that attaches to the inferior border of the rib above and the superior border of the rib below, creating an oblique line TOWARDS the sternum
External intercostal muscles
Aponeurosis that is an anterior continuation of the external intercostal muscles
External intercostal membrane
Muscles that runs from the inferior border to the superior border of the ribs it is b/t, creating an inferoposterior oblique
Internal intercostal muscle
Deepest intercostal muscle
Innermost intercostal muscle
What encompasses the intercostal nerves and vessels
Internal and innermost intercostal muscles
Posterior muscles inside the toracic cage, runs from one rib to the one 2-3 below it
Subcostal muscles
Anterior muscles inside the toracic cage that is continuous with the transverse abdominis
Transversus thoracis
Quite respirations
Tidal breathing
Nerve branch that supplies the skin over the lateral and anterolateral thoracic wall
Lateral cutaneous braches (anterior and posterior)
Nerve that is just lateral to the sternum, innervates the anterior thoracic wall and anterior abdomen
Anterior cutaneous branches
Where do the 1and 2 posterior intercostal arteries arise from?
Supreme (superior) intercostal artery, from the costocervical truck of subclavian artery
Where do the third thru eleventh posterior intercostal arteries arise from?
Paired brnaches from the thoracic aorta
Arises in the root of the neck from the inferior surface of the 1st part of the subclavian artery
Internal thoracic artery
Course of the internal thoracic artery
Posterior to the clavical and 1st costal cartilage, posterior to the internal intercostal muscles and anterior to the transversus thoracis, terminating at the 6th intercostal space (superior epigastric and musculophrenic arteries)
Branches of the internal thoracic artery
Pericardiacophrenic, Superior epigastric, musculophrenic, anterior intercostal, Anterior perforating branches
Branches from axillary artery
Supreme thoracic artery, pectoral branch of thoracoacromial artery, lateral thoracic artery, toracodorsal branch of subscapular artery
Where do the posterior intercostal veins drain into?
Right: azygos into the SVC, left: hemiazygos veins
Where do the anterior intercostal veins drain to?
Musculophrenic vein into the internal thoracic vein
Where to the parasternal lymphatics of the thoracic wall drain to?
Medial aspect of the mammary gland and anterior thoracic wall
Where do the intercostal lymphatics receive lymph from?
Posterior thoracic wall
Extension of the superior outer quadrant of the breat that extends over the border of the pectoralis major into the axilla
Axillary tail
What type of muscle allows for the nipples to become erect during nursing?
Circular smooth muscle
Parts of the parenchyma of the breast
Lobes, lactiferous duct, lactiferous sinus
Dilation of each lactiferous duct located just deep to the ducts opening on the nipple
Lactiferous sinus. Acts as a reservoir for milk
Dense connective tissue components that surrounds the ductal tissue
Suspensory ligaments or Cooper’s ligaments
What type of autonomic innervation does the breast receive?
Sympathetic
Where does the majority of breast lymphatic drainage go?
Axillary lymph
Most common sites of metastases from breast tissue?
Lymph nodes, bones, liver, brain