Thorax Flashcards

1
Q

Which ribs do the breast extend vertically across

A

R2-6 or 7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are lactiferous ducts

A

15-20 ducts that drain individual lobes and empty to the nipple, separated by septa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the lactiferous sinus

A

dilated region in each lactiferous duct

–milk accumulates here during nursing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the retromammary space

A

located behind the breast, but anterior to pectoralis major

– allows breast to have movement over muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the suspensory ligament

A

ligament from clavicle and clavipectoral fascia branching out through and around breast tissue to the dermis of the skin overlying the breast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the axillary tail

A

part of the breast that extends into axilla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the areola

A

pigmented area around the nipple

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is located in the areola

A

oil secreting ducts to help with chaffing and irritation during nursing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What level does the nipple sit at

A

4th intercostal space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What arteries supply the breast

A

anterior and posterior intercostal aa
Thoracoacromial trunk
Internal Thoracic a
Lateral thoracic a

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where does the venous system of the breast drain to

A

Drains into the superior vena cava or azygos system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Where does lymph of the lateral breast drain to and how much drainage does it account for

A

75% drains to the pectoral nodes, then to the axillary nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where does the lymph of the medial breast drain to

A

parasternal nodes, or opposite breast–how cancer spreads to the other breast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where does the lymph of the inferior breast drain to

A

Abdominal nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the most prevalent type of breast cancer

A

adenocarcinomas of the glandular epithelium of mammary gland ducts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is often the resulting issue of breast cancer

A

blockage of lymphatic drainage that results in edema

17
Q

What are the physical signs of blocked lympatic drainage in the breast

A

deviation of the nipple
thickening of skin
orange peel appearance

18
Q

What are the ways that metastatic breast cancer can spread

A

lymphatic drainage to axilla
posterior intercostal v
Azygos system of vv

19
Q

What will occur if the breast cancer has entered the retromammary space or deep pectoral fascia

A

Breast will elevate when pectoralis major is elevated

20
Q

What is a modified mastectomy

A

breast is removed down to retromammary space and axillary nodes

21
Q

What is a radical mastectomy

A

breast, pectoral mm, fat, fascia, axillary lymph nodes are removed
In extreme cases part of the thoracic wall may be removed

22
Q

What is the sensory nerve supply to the breast?

A

2nd to 6th intercostal nerves and anterior and lateral cutaneous branches that carry sympathetics as well as sensory fromVPR of T1-T11