Thoracic Wall Flashcards

1
Q

4 parts of the sternum

A

manubrium, body, xiphoid process, sternal angle

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2
Q

which rib articulates at the sternal angle?

A

2nd rib

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3
Q

what is another name for the superior thoracic aperture?

A

thoracic outlet

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4
Q

what covers the inferior thoracic aperture?

A

diaphragm

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5
Q

3 main parts of a thoracic vertebrae

A

body, arch, processes

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6
Q

what is on the vertebral arch?

A

pedicles and lamina provide protection for spinal cord

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7
Q

where are the two costal facets on thoracic vertebra?

A

a pair is on the body and one is on the transverse process

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8
Q

the costal facet on the transverse process binds what part of the rib?

A

the tubercule

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9
Q

the costal facet on the body of the vertebra binds what part of the rib?

A

head of the rib

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10
Q

what part of the rib has the costal groove?

A

the shaft of the rib

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11
Q

what lies in the costal groove?

A

VAN…vein artery nerve

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12
Q

how many vertebra does a rib articulate with?

A

2…the one it is numbered as and the one above

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13
Q

name the three joints of ribs

A

costochondral
sternocostal
costovertebral

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14
Q

what structure of the heart lies under the 3rd intercostal space?

A

left auricle

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15
Q

what structure of the heart lies under the 4th/5th intercostal space on left?

A

left ventricle

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16
Q

what structure of the heart lies under the right 4th intercostal space?

A

right atrium

17
Q

what lies under the right side 2nd and 3rd intercostal spaces

A

superior vena cava

18
Q

what vessel crosses under the manubrium of the sternum?

A

left brachiocephalic

19
Q

what space is the aorta in?

A

midline…2nd and 3rd ribs

20
Q

what structure is in the 5th intercostal space, and crosses the midline?

A

right ventricle

21
Q

what is pectus excavatum?

A

when sternum is too low and can cause trouble breathing…can have surgery

22
Q

what nerves innervate the pectoralis major?

A

medial and lateral pectoral nerves

23
Q

where does the pectoralis major and pectoralis minor insert respectively?

A

major is on humerus

minor is on coracoid process of scapula

24
Q

what nerve innervates the pectoralis minor?

A

medial pectoral nerve

25
Q

what nerve innervates the serratus anterior?

A

long thoracic nerve

26
Q

what can you give someone if they have bone cancer in ribs or have broken rib to relieve pain?

A

local anasthesia to the nerves in the rib shaft canal

27
Q

what is between the innermost intercostal muscles and the interior interccostals?

A

neurovascular plane!

28
Q

one innermost intercostal to know name of

A

transversus thoracis which is on the sternum and ribs

29
Q

what two vessels provide the arteries for the thoracis wall? and which is anterior and which is posterior?

A
aorta-posterior
internal thoracic (mammary) artery-anterior
30
Q

what two vessels does the interior thoracic artery split into?

A

superior epigastric and musculosphrenic

31
Q

what can the internal thoracic artery be used for?

A

coronary artery bypass graft

32
Q

where does venous blood from thoracic wall drain?

A

into the azygos veins which are located posteriorly but anterior to body of spinal column

33
Q

where does mediastinum extend?

A

from the superior thoracic apertrure to the diaphragm

34
Q

what is in the anterior inferior mediastinum?

A

thymus! or fat

35
Q

what is in the middle inferior mediastinum?

A

heart, pericardium, great vessels

36
Q

what is in the posterior inferior mediastinum?

A

esophagus, descending aorta, azygos veins, thoracic duct, autonomic nerves

37
Q

where is the transthoracic plane and what does it divide?

A

it is from the sternal angle to the T4/T5 vertebra…it divides the mediastinum into superior and inferior parts