thoracic wall Flashcards

1
Q

suprasternal notch @

A

T2

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2
Q

sternal angle @

A

T4-T5

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3
Q

xiphosternal @

A

T9

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4
Q

costal margin @

A

L3

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5
Q

thoracic outlet syndrome

A

symptoms involving structures in superior thoracic aperature (trachea, esophagus, vessels, and n’s)

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6
Q

upper limit of thoracic cavity

A

suprapleural membrane

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7
Q

true ribs

A

upper 7, attached to sternum

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8
Q

false ribs

A

8-10 indirectly attached thru cartilage

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9
Q

floating ribs

A

11+12

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10
Q

diaphragm innervation

A

C345

sensory:
- central: phrenic
- peripheral: innercostal
motor: phrenic

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11
Q

external intercostal muscle mvmt

A

elevate ribs

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12
Q

internal intercostal mucles mvmt

A

depress ribs

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13
Q

ext intercostal direction

A

hands in pockets

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14
Q

int intercostal direction

A

hands in neighbors pockets, at rt angles to ext IC

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15
Q

innermost intercostal muscle action

A

depresses ribs

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16
Q

innermost intercostal muscles

A

transversus thoarcis
innermost intercostal
subcostal

17
Q

internal thoracic A branches

A

superior epigastric

musculophrenic

18
Q

sup epigastric course

A

goes under rectus abdominis

19
Q

musculophrenic course

A

laterally and down alont the costal cartilage margin

20
Q

ant and post IC A’s do what

A

anastomose

21
Q

posterior intercostal vein

A

drains into azygous venous system

22
Q

ant intercostal veins

A

drain into internal thoracic vein

23
Q

intercostal nerves

A
innervate all IC muscles
Ventral T2-T11
somatic motor
somatic sensory
sympathetic
24
Q

subcostal nerve

A

ventral T12

travels in costal grooves

25
Q

ant/post thorax mvmt

A

pump handle mvmt of ribs 2-6 and sternum

26
Q

vertical dimension thorax mvmt

A

increased be depression and contraction of the diaphragm

27
Q

lateral dimension thorax mvmt

A

increased by bucket handle mvmt of lower ribs 7-10

28
Q

ant/post mvmt at costotransverse joint

A

pump handle, upper ribs, rotation

29
Q

lateral mvmt at costotransverse joint

A

bucket handle, lower ribs, gliding

30
Q

articulation of ribs and vertebrae

A

rib articulates with the superior facet of the same level vertebrae and the inferior facet of the vertebrae at the level above it
very little mvmt

31
Q

VAN

A

runs below costal grooves of ribs between 2nd and 3rd muscle layers