Thorax Flashcards

1
Q

Surface markings of the heart

A

5th ICS on the midlclavicular on the left to the 6th costal cartilage on the right

2nd ICS on the left to the 3rd costal cartilage on the right

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2
Q

SAN

A

Pacemaker
RA - crista terminalis

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2
Q

What runs in the atrieventricular sulcus?

A

Circumflex artery

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3
Q

Venous drainage of heart

A

Mostly through coronary sinus

Great cardiac vein - anterior
Middle - posterior
small, posterior, oblique

then the rest through venea cordis

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4
Q

Oesophagus course

A

18-25cm long
Begins at c6 at the inferior border of cricoid
left side of superior medistinum
diaphragm T10

Cricopharyngeal sphincter at C6

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5
Q

What nerve lies next to the Oesophagus

A

Recurrent laryngeal nerve
Tracheo-oesophageal groove

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6
Q

What is a portosystemic anastomosis?

A

Connection of the portal and systemic venous system

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7
Q

Sphincters of the oesophagus

A

Anatomical - cricopharngeus

Physiological - GOJ
1. ACUTE ANGLE
2. INCREASED PRESSURE
3. MUCOSAL FOLDS
4. PINCH COCK

sliding hernia prevents high pressure

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8
Q

True ribs

A

Attach with their own costal cartilages Ribs 1-7

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9
Q

False ribs

A

Attach to the costal cartilages above them ribs 8-10

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10
Q

Floating

A

Ribs 11-12

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11
Q

Vagus nerve

A

Jugular forman - carotid sheath

Right - anterior to subclavian artery
left - in between sublacviabn and CC

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12
Q

Subclavian steel syndrome

A

Sterno-occlusive disease of the proximal subclavian artery before origin of vertebral
Retrograde
Stolen blood from the verebrobasilar

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13
Q

Thoracic outlet syndrome

A

Compression of the neurovascular bundle between scalenus medius and anterior

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14
Q

Surface marking of the right horizontal fissure

A

Transverse line drawn from 4th ICS

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15
Q

Oblique fissure

A

Posterior
T3
Medial angle of scapula -> 6th ICS

16
Q

Azgous vein

A

Valveless
Right side
Ascending right lumbar and the right subcostal
joins SVC

17
Q

Oesophagus anatomy

A

c6-T11

18
Q

Vertebral level of PV

A

T6

19
Q

What is the pulmonary ligament

A

Pleural fold that connects the mediastinal surface of the lung and the pericardium to allow expansion of pulmonary veins with increased blood flow

20
Q

How to confirm this is the left lung

A

Flat diaphragm
Thin sharper anterior border

21
Q

Azgous tributaries

A

My Hipo Breaths

Mediastinal
Heamiazgous
inferior and superior intercostal veins
oesophagus
bronchial

22
Q

Thoracic outlet syndrome

A

Compression of neurovascualr bundle

23
Q

What is achalasia

A

Motility disorder involving the smooth muscle layer of the esophagus and the LES, incomplete LES relaxation

Hypertrophied musculature and absence of myesteric plexus