Week 2 Thorax ✅ Flashcards
Where is the neurovascular bundle in relation to the rib?
Inferior of costal groove
How do you know where to insert the chest drain?
Palpate the rib, go above and aim for middle
How do the upper ribs move?
Laterally
How do the lower ribs move?
Bucket handle
What are the external intercostal muscles used for?
Inspiration
What are the internal intercostal muscles used for?
Expiration
What are the innermost intercostal muscles used for?
Expiration
Which nerves control automated and voluntary breathing?
C3,4,5
Why is referred pain from the diaphragm felt in the shoulder?
C3,4,5
Where might referred pain be felt in ectopic pregnancy?
Diaphragm
Why might the diaphragm be elevated on the right? What about if it was very elevated
Liver makes diaphragm higher on the right
Very high - ?paralysis of diaphragm
Which accessory muscles are used for inspiration?
Sternocleidomastoid
Anterior, middle and posterior scalenes
Pectoralis major/minor
Serratus anterior
How should you position patients in respiratory distress
Sat up/tripod
DO NOT LIE DOWN
How should a single rib fracture be managed?
Rest - rib above and below will act as a splint
Analgesic to keep moving
What happens if rib/chest pain is poorly treated?
Pneumonia