Thorax Flashcards
Arrangement of structures BELOW the ribs
VAN
Superior margin od manubrium
Jugular notch
Also called manubriosternal joint
Sternal angle of Louis
Located at level of sternal angle of Louis
- Second rib articulation to sternum
- Begin of aortic arch
- End of aortic arch
- Bifurcation of trachea
- Leve of T4-T5
When xyphoid process becomes bony
40 yrs old
True ribs
1st-7th
False ribs/ vertebrochondral
8th-12th
Floating ribs
11 and 12
Typical ribs
3-9
Head of the rib articulates to what part of vertebrae?
Vertebral body immediately above
Where does the tubercle or the ribs articulate?
Transverse process of the same numerical rib
Atypical ribs
1,2,10,11,12
What happens anterior of the first rib?
Subclavian vein crosses the rib
What happens post. Of the first rib?
Subclavian artery and lower trunk of brachial plexus cross rib
Part lacking in ribs 11-12
Neck and tubercle
Weakest part of the rib
Anterior to the angle
Most commonly fractured ribs
5-9
Lesion to the lower trunk of brachial plexus produces pain down the medial forearm (ulnar nerve involved)
Thoracic outlet obstruction
Movement of diaphragm on inspiration or expiration
Ins- down
Exp- up
Muscles depress ribs
Serratus post inf
Int intercostal
Transverse thoracis
Blood supply of posterior intercostal
First 2- superior intercostal from costocervical trunk
Remaining- descending aorta
Blood supply of anterior intercostal:
Upper 6- internal thoracic artery
Ramining- muschilophrenic
Boarders of mediastinum
Superior- thoracic inlet
Inferior- diaphragm
Anterior- sternum and costal cartilages
Posterior- bodies of thoracic vert
Contents of superior mediastinum
Brachiocephalic AA trachea Svc Thoracic duct Esophagus Vagus and phrenic nerves Thymus
Contents of anterior mediastinum
Thymus
Anterior mediastinal Ln
Internal mammarey vessels
Middle mediastinum contents
Heart Ascending and transverse aortic arches Vena cava Brachiocephalic vessles Pulmo vessles Phrenic nerve Trachea and main bronchus
Posterior mediastinum contents
Descending aorta Esophagus Thoracic duct Azygous and hemi-azygoue veins Posterior mediastinum LN vagus nerve
Organs absent in Di George
Thymus and parathyroid