Thoracic Spine Flashcards
Pectus Carinatum
Wide Chest expansion
Pectus Excavatum
Divot in Chest
Barrel Chest
Wide Chest & Upper Abdominals
Chest pain, pallor, sweating, shortness of breath, palpitations, previous heart disease, hypertension, smoker, diabetes
men > 40, women > 50
Myocardial Infarction
*acute myocardial infarction is leading cause of death in women
Pericarditis
-Sharp/stabbing chest pain (may refer to lateral neck/shoulder)
- increased pain with lying down, especially Left side lying
-Relieved with forward lean while sitting
Unstable Angina Pectoris
-pain caused by inadequate blood supply in absence of increased demand (at rest for 30+ min)
Chest pain or pressure that occurs with predictable levels of exertion. Alleviates with Rest
Stable Angina Pectoris
Pulmonary Embolism
-Chest, Shoulder or Upper abdominal pain
-Shortness of Breath
-Abnormally rapid breathing
Pleurisy
-Severe, sharp knife-like pain with inhalation
-history of recent or coexisting respiratory disorder
-chest pain intensifies with inspiration, ventilation or expanding rib cage
Recent bout of coughing, strenous exercise or trauma
easily fatigued
hyperresonance upon percussion
decreased breath sounds
Pneumothorax
Pneumonia
fever
chills
headache
malaise
productive cough
Thoracic & Abdominal Aortic Aneurysm (CALL 911)
-Pain in chest or mid/lower back
-non-mechanical pain
-deep, throbbing feeling along midline
What is indicated when R1 and R2 are close together?
There may be some hypomobility and stiffness at that level
Rule of 3s
T1-T3 spinous process is same plane as transverse process of same segment
T4-T6 spinous process is halfway between transverse process & segment below
T7-T9 spinous process is level with transverse process of segment below
T10 is same as T7-T9
T11 is same as T4-T6
T12 is same as T1-T3
If I do a UPA on the right side of T7, what relative rotation is facilitated?
rotation to the left below T7 and rotation to the right above T7
