Thorax Flashcards

1
Q

What is the thoracic inlet bound by?

A

T1 - Posteriorly
First pair of ribs - Laterally
Costal cartilage of rib 1 and sup. border of manubrium - Anteriorly

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2
Q

What is the thoracic outlet bound by?

A

T12 - Posteriorly
11th and 12th ribs - Laterally
Costal cartilages ribs 7-10 and xiphosternal joint - Anteriorly

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3
Q

What is the location of the sternal angle?

A

At the lower border of T4

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4
Q

What lodges in the anterior groove of the 1st rib?

A

Subclavian vein

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5
Q

What lodges in the posterior groove of the 1st rib?

A

The subclavian artery and lowest trunk of the brachial plexus.

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6
Q

What does the head of the rib articulate with?

A

Body of the thoracic vertebrae of the same number and with the body of the vertebrae above, at the costovertebral joints (synovial plane joints)

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7
Q

What does the tubercle of the rib articulate with?

A

The transverse process of the thoracic vertebrae of the same number at the costotransverse joint (synovial plane joint).

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8
Q

What is the arterial supply of the thoracic wall?

A

Posterior intercostal arteries
Anterior intercostal arteries
Branches of axillary arteries

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9
Q

What is the venous drainage of the thoracic wall?

A

Azygos
Internal thoracic veins

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10
Q

Where does the left side of the chest wall drain to?

A

Thoracic duct -> left subclavian vein

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11
Q

Where does the right side of the chest wall drain to?

A

Right lymphatic duct -> right subclavian vein

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12
Q

Where does the breast drain to?

A

Axillary LN
Parasternal LN
Abdominal LN

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13
Q

What are the 3 peripheral attachments of the diaphragm?

A

Lumbar vertebrae and arcuate ligaments
Costal cartilages of ribs 7-12
Xiphoid process of the sternum

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14
Q

What is the central attachment of the diaphragm?

A

The central tendon

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15
Q

What happens to the diaphragm during inspiration?

A

Contracts and thoracic volume increases.

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16
Q

What happens to the diaphragm during expiration?

A

Relaxes and thoracic volume decreases

17
Q

At what vertebral levels does the IVC pass through the diaphragm?

A

T8

18
Q

At what vertebral levels does the oesophagus pass through the diaphragm?

A

T10

19
Q

At what vertebral levels does the aorta pass through the diaphragm?

A

T12

20
Q

What is the innervation of the diaphragm?

A

C3,4,5 - Motor and sensory