Thorax Flashcards

1
Q

Thoracic cage superiorly is

A

Bounded by an opening which is attached to the 1st Thoracic rib and a membrane known as SUPRAPLEURA MEMBRANE which is an extension of the ENDOTHORACIC FASCIA.

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2
Q

Suprapleura membrane is ______ inch greater than the first Thoracic rib

A

1

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3
Q

Supra pleura Membrane is connected to which cervical vertebrae

A

7th

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4
Q

In the Thoracic dermatomes, the C5-C7 forms the ___

A

Brachial plexus

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5
Q

Dermatomes are

A

Areas of the skin that contains spinal nerves

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6
Q

Cutaneous nerves above the sternal angle is

A

Supra clavicular nerves

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7
Q

Cutaneous nerves below the sternal angle are

A

Lateral and anterior branches of the Intercoastal nerves

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8
Q

Cutaneous nerves in the posterior walls are

A

Branches of the posterior rami of the Thoracic spinal nerves

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9
Q

Intercoastal muscles are divided into

A

External Intercoastal muscles
Internal Intercoastal muscles
Innermost Intercoastal muscles

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10
Q

External Intercoastal muscles are ____

A

*Positioned downward and forward
*Coming from the lower border of the upper rib to the upper border of the lower rib
* Originating from the rib tubercle at the back to the coastal-chondral junction at the front.
* It is incomplete and deficient at the front
* the remaining portions occupied by the external or anterior Intercoastal membrane.

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11
Q

Internal Intercoastal muscle _____

A

*is positioned downward and backward
*Is coming from the Sternum of the rib at the front to the angle of the rib at the back
*Is incomplete and deficient at the back also( i.e the remainder part is occupied by internal( posterior) Intercoastal membrane.
* From the subcostal groove of the rib above to the upper border of the rib below

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12
Q

Innermost Intercoastal muscles ________

A
  • extends from one Intercoastal space to another
  • Is connected posteriorly to the endothoracic fascia
  • It’s divided into 3 portions.
  • Its related to VAN( neurovasculature of the thorax)
  • It’s also incomplete
  • Originates from the medial border of the coastal groove of the superior rib.
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13
Q

VAN stands for

A

Veins
Artery
Nerve

They lie directly below the ribs

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14
Q

Endothoracic fascia ___

A

Lies between the Thoracic cage and the parietal pleura.
It extends superiorly to the Apex of the pleura where it continues as SUPRA PLEURA membrane
It also extends posteriorly where it forms a thin membrane between the diaphragm and the pleura.

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15
Q

VAN is located

A

Between the internal and the innermost Intercoastal muscles

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16
Q

Intercoastal nerves are _____ pairs

A

12

17
Q

1-6 pairs are in _______
7-11 pairs are ___
12th pair ____

A

Intercoastal space
Anterior abdominal wall
Subcoastal nerve of the abdomen

18
Q

Branches of Intercoastal nerves include 7 branches including

A

Lateral cutaneous branch
Anterior cutaneous branch
Muscular branch
Pleural branch
Collateral branch
Peritoneal branch
Rami communicantes

19
Q

There are three Atypical Intercoastal nerves namely____

A

1st, 2nd and 12th
They do not follow the general pattern as the others

20
Q

The First Intercoastal nerves ___

A

Has no anterior cutaneous branch. It is connected to the Brachial plexus via the lateral cutaneous branch.

21
Q

Intercoastal nerves are

A

Mixed nerves

22
Q

Second Intercoastal nerves is

A

Connected to the medial cutaneous branch by the Brachial plexus through a branch called INTERCOSTOBRACHIAL NERVE

23
Q

For the posterior Intercoastal arteries , the last 9 spaces contains

A

Thoracic aorta

24
Q

In the posterior Intercoastal arteries, the first two spaces is supplied by the

A

Superior Intercoastal arteries

25
Q

Superior Intercoastal artery is a branch of ____

A

Costocervical branch of sub clavian trunk

26
Q

In the anterior Intercoastal arteries, the first 6 spaces is occupied by ____

A

Internal Thoracic artery

27
Q

In the anterior Intercoastal arteries, the last five spaces are supplied by ___

A

Musculophrenic arteries

28
Q

In the posterior Intercoastal space, the veins that drains the right side are___

A

Right Brachiocephalic veins for the first space
Azygos veins for the remaining spaces

29
Q

In the posterior Intercoastal space, the veins that drain from the left side are ____

A

Left Brachiocephalic veins for the first three spaces
Hemiazygos veins for the remaining spaces

30
Q

In the anterior Intercoastal space, the veins that drain are _____

A

Musculophrenic veins for the last five spaces
Internal Thoracic veins for the first six spaces.

31
Q

Anterior lymphatic drainage of the Intercoastal space is the

A

Anterior Intercoastal nodes along the internal artery

32
Q

Posterior lymphatics of the Intercoastal space drains into ______

A

Posterior Intercoastal node along the posterior mediastinum