anatomy- thorax Flashcards by chini carmona

modified sweat gland located at the 2ND to -6TH rib

breast

How well did you know this?

Not at all

Perfectly

breast innervation

2nd -6th intercostal nerves

How well did you know this?

Not at all

Perfectly

nipple location

dermatome?

4th ICS

How well did you know this?

Not at all

Perfectly

accessory nipple
mc congenital breast anomaly
failure of complete regression of the milk streak

polythelia

How well did you know this?

Not at all

Perfectly

polythelia mc location

inferior to the breast

How well did you know this?

Not at all

Perfectly

mc location of polymastia

acillq

How well did you know this?

Not at all

Perfectly

amastia is 90%assoc with —— syndrome?

amastia

How well did you know this?

Not at all

Perfectly

causes nipple retraction in breast ca

mammary ducts

How well did you know this?

Not at all

Perfectly

cause orange peel appearance in breast ca

obstruction of subcutaneous lymphatics

How well did you know this?

Not at all

Perfectly

causes dimpling in breast ca

retraction of cooper ligament

How well did you know this?

Not at all

Perfectly

eczematous lesion of the nipple/areola

- assoc with underlying ductal malignancy

pagets dse

How well did you know this?

Not at all

Perfectly

blood supply of the breast?
medial?
lateral?

internal thoracic artery

- axillary artery

How well did you know this?

Not at all

Perfectly

baseline mammography screening age

40 y/o

How well did you know this?

Not at all

Perfectly

nerves identified in MRM

long thoracic nerve

- thoracodorsal nerve

How well did you know this?

Not at all

Perfectly

(vertebral angle)

jugular notch

How well did you know this?

Not at all

Perfectly

(vertebral angle)

sternal angle

t4/5

How well did you know this?

Not at all

Perfectly

(vertebral angle)

xiphoid process

How well did you know this?

Not at all

Perfectly

true ribs

attached to sternum

1-7

How well did you know this?

Not at all

Perfectly

false ribs

attached to coatal cartilage above

8-10

How well did you know this?

Not at all

Perfectly

floating ribs

no attachment anteriorly

t11-12

How well did you know this?

Not at all

Perfectly

typical ribs

3-9

How well did you know this?

Not at all

Perfectly

mc location of rib fracture

5-10

rib 1-2 - severe
lower rib injury- liver or splenic injury

How well did you know this?

Not at all

Perfectly

PE of flail chest

paradoxical chest movement

How well did you know this?

Not at all

Perfectly

major cause of respi compromise in flail chest

respi compression

How well did you know this?

Not at all

Perfectly

tx of flail chest

PEEP

tenderness over the costochondral joints

costochondritis/teitz syndrome

tx costochondritis

NSAIDS

vit d deficiency PE -rachitic rosary harrison groove

rickets

external intercostal action

inspiration

intercostal nerve block complications

pneumothorax | hemorrhage

mngt for tension pneumothorax? anterior approach- lateral approach-

needle thoracostomy 2nd ICS MCL 2nd ICS AAL

definitive tx for tension pneumothorax used for Ir removal and fluid drainage -incision site

4th or 5th ICS | 5th or 6th-snell

thoracentesis | site?

9th ics mal end of expiration needle angled upwards

main muscle of expiration

diaphragm

(diaphragmatic appertures) caval opening T? what goes out?

t8 - ivc right phrenic nerve

(diaphragmatic appertures) esophageal opening T? what goes out?

t10 - esophagus - vagus - left gastric vessels

(diaphragmatic appertures) aortic hiatus opening T? what goes out?

t12 -aorta thoracic duct azygous

hernia with SCAPHOID abdomen - bowel sounds on the chest wall - located posterior to the left

bochdaleck

sefect in morgagni hernia(rare and right)

septum

- 10% of population - usually arise from the brachiocephalic artery - identified in surgery - lower thyroid

thyroidea ima artery

starts at the CYSTERNA chyli and enters the AORTIC opening

thoracic duct

communicates with the internal and vertebral venous plexus | -valveless

azygous

mc ANTERIOR mediastinal mass in adult

thymoma

mc ANTERIOR mediastinal mass in pedia

lymphadenopathy

mc MIDDLE mediastinal mass in adult

lymphadenopathy

mc pediatric mediastinal mass un adult

benign cyst

mc POSTERIOR mediastinal mass un adult

nerve sheath tumors

mc POSTERIOR mediastinal mass in pedia

neuroblastoma

left shoulder pain affecting C3-C4 | - splenic rupture -hemorrhage within peritoneal cavity

kehr sign

intercostal approach of perocardiocentesis

5th 6th ics bear sternum

xiphisternal approach to pericardiocentesis

larreys point

pericardial effusion | -imaging

water bottle configuration

wedge shaped density in pulmonary embolism

hamptons hump

mc source of pulmo thromboembolism

thrombin in deep vein of the legs

mc lung ca | location?

adeno carcinoma | -peripheral mass

closest correlation with smoking | location?

squamous cell carcinoma | central

most malignant, assoc with with smoking

small cell ca

autoantibodies against PRESYNAPTIC voltage gated ca channels at NMJ -failure of ACH release

Lambert eatob syndrome

antibodies against POSTSYNAPTIC nicotinic receptors

myesthenia gravis

aka superior sulcus tumor, pulmonary sulcus tumor - horners syndrome - apical neoplasm (pancoast tumor)

pancoast tumor

often assoc with small cell carcinoma | -positive PEMBERTON sign

superior vena cava syndrome

partial development of the AP septum | -single vessel exits both ventricles and gives rise to both systemic and pulmonary circulation

persistent truncus arteriosus

- nonspiral devt of ap septum - mc cause of cardiac cause of cyanosis in neonatal period - cxray?

transposition of great arteries | -egg on a string

downward displacement of the tricuspid valve | imaging?

ebstein anomaly | box shaped heart

slowest velocity in the conduction system

AV node

fastest velocity in the conduction system

purkinje fibers

anatomy- thorax Flashcards

(66 cards)