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Respiratory > Thoracic Wall > Flashcards

Thoracic Wall Flashcards

1
Q

stages of clinical exam

A

inspection, palpation, percussion, auscultation

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2
Q

aortic valve heard at

A

2nd intercostal, R

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3
Q

pulm valve heard at

A

2 intercostal, L

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4
Q

tricuspid heard

A

5th intercostal, L

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5
Q

mitral valve heard

A

5th intercostal, L mid clavicular

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6
Q

thoracic cage features

A

semi ridged, muscle attachment, projection, help with breathing

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7
Q

t2/t3

A

pulm A and branch divide

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8
Q

t4/T5

A

sternal angle, divide superior and inferior mediastinum, 2nd ribs join, bifurcation of trachea and pulm trunk

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9
Q

true ribs

A

1-7

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10
Q

false ribs

A

8-10

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11
Q

floating ribs

A

11-12

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12
Q

which are movable joints in thoracic

A

costovertebral, costotransverse

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13
Q

rib dislocation

A

costal cart detach from sternum

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14
Q

rib separation

A

rib detach from costal cart

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15
Q

flail chest

A

mult farctures, ribs detach from chest wall, section moves inward on inspiration

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16
Q

cervical rib

A

extra, on 7th vertebrae, thoracic outlet syndrome

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17
Q

pointy chest is called

A

pectus carinatum

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18
Q

the three intercostal muscles

A

external, internal, innermost

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19
Q

intercostal membranes

A

anterior (external), posterior (internal)

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20
Q

anterior intercostal A splits into

A

muscular phrenic and superior epigastric

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21
Q

aorta gives off

A

posterior intercostal artery, > dorsal posterior

22
Q

internal thoracic artery gives off

A

anterior intercostal

23
Q

coarctation of aorta

A

narrowing, increases collateral flow, leads to rib notching

24
Q

intercostal vessel main order

A

VAN

25
Q

intercostal colorerai order

A

NAV

26
Q

what part of intervertebral space do you aim thoracocentesis

A

MIDDLE/ just above upper border of ribs to miss main

27
Q

anterior intercost vs posterior veins drain into what?

A

anterior> internal thoracic, posterior>azygous

28
Q

accessory inspiration muscles

A

external intercostal, pecs, serratus

29
Q

compartments of thoracic cavity

A

2 pulm (lung and pleura), central (mediastinum)

30
Q

expiratory muscles

A

oblique, abs, scalènes

31
Q

right lung

A

3 lobes, 2 fissures

32
Q

left lung

A

2 lobes, one fissure, lingual, cardiac notch

33
Q

parietal pleura lung

A

cercival and costal (intercostal n), mediation and diaper (phrenic)

34
Q

visceral pleura of the lung (innervation )

A

autonomic n

35
Q

pleursiy

A

inflamed pleura, rub, sharp pain,

36
Q

what ribs join at sternal angle

A

2nd

37
Q

intercostal nerve functions

A

innervate intercostal muscles, supply skin sensation, innervate costal parietal pleura, from venral rami

38
Q

where is cardiac notch

A

left lung

39
Q

where will aspirated food most likely go

A

right main stem bronchi

40
Q

where does LLL drain?

A

R side trachea lymph nodes

41
Q

hilar lymph nodes are called

A

bronchomediastinal

42
Q

where do lungs extend

A

ribs 6, 8, 10

43
Q

pleural reflection extends to

A

rib 8, 10.12

44
Q

bare area

A

left 5th intercostal space left of sternum

45
Q

pulmonary bleb

A

weekend outpourings, can rupture and cause spont pneumonia

46
Q

vagus nerve functions

A

bronchoconstrict, promote secretion, relax blood vessels

47
Q

sympa fiber functions

A

bronchodilator, inhibiting mucus, constrict blood vessels

48
Q

phrenic nerve functions

A

motor diaphragm, sensory diaphragm and mediastinal pleura

49
Q

Pulm embolism

A

block of pulm ARTERY of branch.

50
Q

how are intercostal spaces numbered?

A

superior riv

51
Q

which rib facet does not articulate with same vert number

A

superior- vertebrae above!

Respiratory (34 decks)

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