Practical 1: Surface Anatomy Flashcards

1
Q

Identify

A

Suprasternal notch / Jugular notch

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2
Q

Clinical significance of jugular notch

A

The trachea lies directly behind it, so it can be used to check for tracheal deviation/shift by palpating for the trachea .

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3
Q

What is tracheal deviation ?
Symptoms ?

A

When pressure increases within the chest cavity, the trachea may shift to one side, typically the side where the pressure is LOWER or there is LESS lung volume

Symptoms:
- coughing
- difficulty breathing
- wheezing
- chest pain

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4
Q

Some causes of tracheal deviation

A

Neck injury, trauma
Pneumothorax
Bleeding
Multinodular goiter
Tumors, cancer, mediastinal lymphoma
Pleural effusion
Pneumonectomy
Atelectasis
Pleural fibrosis
Pulmonary fibrosis

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5
Q

What is pneumothorax

A

A collection of air outside the lung but within the pleural cavity (between parietal and visceral pleura) , which can apply pressure on the lung and make it collapse

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6
Q

What is pleural effusion

A

The accumulation of fluid in between the parietal and visceral pleura, called the pleural cavity.
It can occur by itself or can result from surrounding parenchymal disease like infection, malignancy, or inflammatory conditions

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7
Q

What is pneumonectomy ?

A

A surgical procedure to remove one lung.

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8
Q

What is Atelectasis ?

A

The collapse of part or all of a lung caused by a blockage of the air passages (bronchus or bronchioles) or by pressure on the lung

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9
Q

Which muscle forms the lateral border of the jugular notch ?

A

Sternocleidomastoid muscles

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10
Q

Identify

What does this structure attach to medially and laterally ?

A

Clavicles

Medial end attaches to manubrium
Lateral end attaches to acromion process

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11
Q

Identify

A

Costal margin

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12
Q

Identify

A

Subcostal angle (left and right costa-xyphoid angle)

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13
Q

Identify the structure

What is the significance of this structure ?

A

Xyphoid process

It is at the level of the 6th rib

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14
Q

Identify this landmark

What is the clinical significance ?

A

Manubriosternal junction / Sternal angle / Angle of Louis

At the level of 2nd rib ( also at the level between T4 and T5)

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15
Q

Identify

A

Spinous process of C7

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16
Q

Identify this structure

What is the clinical significance

A

Spine of the scapula

Approximately at the level of spinous process of T3

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17
Q

Identify

A

Medial border of scapula

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18
Q

Identify this structure

What is the clinical significance ?

A

Inferior angle of the scapula

Approximately the level of T8/T9

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19
Q

Label

A
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20
Q

Label these lines

21
Q

Label these lines

22
Q

Label these lines

23
Q

Which muscle forms the anterior axillary fold ?

A

Pectoralis major

24
Q

Which muscles form the posterior axillary fold ?

A

Latissimus dorsi
Teres major

25
Identify the surface protection of the heart
1. Lower border of left 2nd costal cartilage (Pulmonary) 2. Upper border of right 3rd costal cartilage (Aortic) 3. Right 6th costal cartilage (Tricuspid) 4. Left 5th intercostal space 10 cm away from midsternal and medial to midclavicular (Mitral - apex of heart) Hint: A P T M
26
Identify the surface projection of the pleura
Hint : (2,2,4,6,8,10,12)
27
True or false This diagram portrays the anatomical positions of the valves
False All 4 valves are anatomically located behind the sternum. However we can’t auscultate the sternal area because we will hear all the valves at once and cannot differentiate between them. This diagram shows the auscultatory locations of the valves (where they are BEST heard)
28
Identify the surface projection of the lungs
Hint: (2,2,4,6,8,10)
29
The lungs is two ribs higher than the pleura anteriorly, laterally, and posteriorly. WHY?
To allow for full expansion of the lungs during inspiration
30
The lungs extend anteriorly to the ________ rib.
6th
31
The lungs extend laterally to the ________ rib.
8th rib
32
The lungs extend posteriorly to the ________ rib.
10th rib
33
The pleura extends anteriorly to the ________ rib.
8th rib
34
The pleura extends laterally to the ________ rib.
10th rib
35
The pleura extends posteriorly to the ________ rib.
12th rib
36
True or false The reflection of the lungs is similar to the pleura except superiorly
False Inferiorly
37
True or false We stop auscultating the lung anteriorly by the 8th rib.
False 6th rib because that’s where the lungs end anteriorly
38
At what rib level does the cardiac notch start and end
Rib 4 - Rib 6
39
True or false The pleura will stop anteriorly at the 10th rib
False 8th rib
40
Both the apex of the lungs and pleura are located where?
2 cm above the clavicle
41
How many lobes and fissures in the right lung?
3 lobes: - upper - middle - lower 2 fissures: - oblique - horizontal
42
How many lobes and fissures in the left lung?
2 lobes: - upper - lower 1 fissure: - oblique
43
Describe the oblique fissure
It starts posteriorly from T3 and runs downward and laterally parallel to the medial border of the scapula when abducted and continues anteriorly
44
Describe the location of the horizontal fissure
Located at 4th rib anteriorly and it runs horizontally until it crosses the midclavicular line , then it will run downward and laterally to meet the oblique fissure
45
True or false The cardiac notch is present only on the LEFT lung and pleura.
True
46
Which side is BEST to auscultate the lower lobes ?
Posteriorly
47
Understand the location of the lobes and fissures
Done
48
Where would you auscultate the right lower lobe laterally?
Posterior to the midaxillary line