Thorax 1 Flashcards
Fracture of ribs is rare in adult or child
Ans:child ,as they have HIGHLY ELASTIC CHEST WALL
Ribs fracture at weakest point located at
Ans:Angle of rib
Upper and lower two ribs are protected from fracture
Upper by clavicle
Lower - as they are floating
Thorax is seperated from neck by
Suprapleural membrane / sibsons fascia
Why infants have purely abdominal respiration
Due to horizontal placed ribs ,by the action of diaphragm
Shape of thorax in adult, infants and quadrapeds
Oval, circular<2years,ap >ts diameter
Hiccups
Spasmodic involuntary contraction of diaphragm accompanied by closed glottis, gastric irritation, phrenic nerve irritation,uraemia,hysteria
Sibsons fascia provides rigidity to
Thoracic inlet
Thoracic inlet syndrome
Two structures arch over first rib - the subclavian artery and first thoracic nerve . these structures may be pulled or pressed by cervical rib or by variations in inserting of scalenus anterior
Therefore symptoms may be neural, vascular or both
Structures passing through venacava opening
RT phrenic nerve,IVC, lymphatic of liver
Left phrenic nerve pierces
Left cupola
What is foramen of morgagni
Sup epi artery=space of larrey =b/w slip of xiphoid and 7th costal cartilage slip of diaphragm=foramen is enlarged
When a person complains of paraesthesia or abnormal sensations along ulnar border of forearm and wasting of small muscles of hand supplied by segment T1 Vascular changes may also occur
A cervical rib is a rib attached to vertebra at C7 it occurs in about 0.5% of subjects such a rib traction on lower trunk of breakal plexuses which arches over cervical rib