Thorax and Larynx Flashcards

1
Q

What are the “typical ribs”

A

ribs 3-9

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2
Q

What attaches/passes near to rib 1

A

➔ articulates w/ T1, manubrium ➔ anterior scalene m. (scalene tubercle) ➔ middle scalene m. ➔ subclavian v anterior to: scalene tub., ant. scalene m., subclavian a. (in groove) ➔ posterior: inf. trunk of brachial plexus

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3
Q

what attaches to rib 2

A

tuberosity for serratus ant. m. articulates w/ sternal angle (where manubrium and body meet)

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4
Q

What are all of the lines of the thorax (7)

A
  1. Anterior Medial Line (AML) 2. Midclavicular Line 3. Anterior Axillary Line 4. Midaxillary Line (MAL) 5. Posterior Axillary Line 6. Scapular Lines 7. Posterior Median Line (PML)
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5
Q

What’s special about rib 10?

A

articulates w/ T10 only

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6
Q

what’s special about rib 11 and 12

A

That are floating ribs so there are no ant. bony articulations only articulate w/ 1 vertebra no neck/tubercle

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7
Q

what is the Costal Margins (borders)?

A

a) continuous border formed by costal cartilages ribs 7-10
b) form costal arch (or synonymous with)
c) infrasternal angle (aka subcostal angle) @xiphoid

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8
Q

What are the Demifacet details?

A

➔ T1: only IDF ➔ T2-T9: SDF articulate w/ corresponding rib ➔ T1- T8: IDF articulate w/ next rib down (T9 doesn’t need inf. facet) ➔ T10-T12: only 1 demifacet ea.

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9
Q

What kind of joint in the sternal angle?

A

secondary cartilaginous jt fibrocartilaginous disc

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10
Q

what are the boundaries of the superior and inferior thoracic apertures?

A
  • Superior Thoracic Aperture bounded by: T1, 1st ribs, manubrium
  • Inferior Thoracic Aperture T12, 11th/12th ribs, costal margins, xiphisternal jt diaphragm
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11
Q

Tell me about Interchondral joints

A

a) btwn costal cartilages of ribs (6-7), (7-8), (8-9), (9-10) b) (6-7), (7-8), (8-9): synovial planar jts c) (9-10): fibrous

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12
Q

Tell me about the sterncostal joints

A

1st joint is a primary cartilaginous joint 2-7 synovial plane joint

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13
Q

what are the accessory muscles of respiration

A

(1) SCM (sternocleidomastoid) (2) Pec. Minor/ Major (3) Serratus Ant. (4) Ant., Mid., Post. Scalene mm. (5) Quadratus Lumborum

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14
Q

what are the primary respiratory muscles?

A

(1) SPS- Serratus Posterior Superior (Netter 177) (2) SPI- Serratus Posterior Inferior (3) LC- Levatorum Costarum (4) IC- Intercostal mm (Netter 179) (a) external V in front, A in back (b) internal A in front, V in back (c) innermost A in front, V in back (5) TT- Transversus Thoracis (6) SC- Subcostal mm

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15
Q

what are the 3 dermatome landmarks?

A

a) T4 - Nipple b) T10 - umbilicus c) L1 - inguinal region

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16
Q

What intercostal spaces does the musculophrenic artery and vein supply/drain?

A

spaces 7, 8, 9

17
Q

What intercostal spaces does the internal thoracic artery and vein supply/drain?

A

Spaces 1-6

18
Q

what are the true ribs?

A

1-7

19
Q

What kind of Joint is the Xiphisternal joint?

A

Primary cartilaginous

20
Q

where is the corniculate cartilage?

Where is the ventiricle of the larynx?

A

on top of the arytenoid.

Between vocal and vestibular folds.

21
Q

What nerve innervates the larynx?

A

Reccurent laryngeal nerve, a branch of the vagus nerve. Both motor and sensory

22
Q

What innervates the perietal peritneum? Visceral peritoneum?

A

Perietal is innervated by Intercostal nerves, which sense pain.

Visceral is not innervated.

23
Q

Where does pleuritis refer to?

A

Cutaneous pain of thoracic and abdominal walls

24
Q

What is a Hydrothorax?

What is a Hemothorax?

A

Fluid in the pleral cavity

Blood in the pleura cavity

Both result in collapsed lung.

25
Q

What fissure is present inthe right lung but absent in the left lung?

A

Horizontal fissure

26
Q

Primary secondary and teritiary bronchi; what do each of them supply?

A

a Lung. a lobe, and segment.

27
Q

What are the three openings of the diaphragm?

A
  • Esophageal Hiatus is for the esophagus, vagus, BV, Lymphatics
  • Caval opening in for IVC
  • Aortic Hiatus is for aorta and thoracic duct, surrounded by Left and right Crus
28
Q

What inneravtes the diaphragm?

A
  • C3, C4, C5 mostly moto. Pain only felt in central tendon.
  • Intercostal nerves provide sensory innervation to peripheral diaphragm
    • bilateral idiot!