Thorax, Lungs, Middle Mediastinum Flashcards

1
Q

What is the clavicular notch on the manubrium for?

A

sternoclavicular joint

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2
Q

Where does the body of the sternum join the manubrium?

A

sternal angle

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3
Q

What does the head of the rib articulate with?

A

2 vertebral bodies and 1 disc

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4
Q

What does the tubercle of the rib articulate with?

A

1 transverse process

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5
Q

What forms the costal groove?

A

intercostal VAN

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6
Q

Where is the region of m attachment for pectoralis mm?

A

between UL and ant chest

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7
Q

What is the pectoralis major divided into?

A

clavicular and sternocostal heads

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8
Q

What envelopes the pectoralis minor m?

A

clavipectoral fascia to keep it separated during motion of upper limbs

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9
Q

What is a pleural tap (thoracentesis)?

A
  • aspiration of fluids at midaxillary line or slightly posterior (furthest position from lungs)
  • ICS 6 or 7
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10
Q

Why is it bad if the needle is inserted into ICS 8 or 9 during thoracentesis?

A
  • may pierce diaphragm, liver or spleen

- also want to avoid intercostal n and vessels

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11
Q

Which lung has the horizontal fissure?

A

R

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12
Q

contents of middle mediastinum

A
  • pericardium and heart
  • phrenic nn applied to pericardium
  • pericardiacophrenic vessels
  • roots of great vessels to and from heart
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13
Q

What is the fibrous portion of the pericardium continuous with superiorly?

A

tunica adventitia of great vessels

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14
Q

What is the pericardial sac?

A

complete inner pericardial membrane (parietal and visceral)

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15
Q

What is a pericardial cavity?

A
  • inside pericardial sac
  • potential space b/t serous and parietal layers
  • contains small ant of serous fluid
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16
Q

Pericardial effusion

A

accumulation of excess fluid in pericardial cavity

  • results in compression of heart
  • common in conjunction with congestive heart failure
17
Q

Hemopericardium

A

accumulation of blood in pericardial cavity

  • associated with penetrating heart wounds or perforated heart mm following MI
  • arterial bleeding into cavity leads to cardiac tamponade = compression of heart and roots of great vessels