Flashcards in Surface Anatomy Workshop Deck (20):
The scapula extends from what vertebral level to what vertebral level?
T2 to T7
Give the borders of the triangle of auscultation
Medial - Trapezius, Lateral - Rhomboid major (sometimes medial border of scapula), Inferior - Latissimus dorsi
A transverse plane running along the top of the iliac crest. Generally at the L4 level
Give the location of the kidney, the superior and inferior poles of the kidney, and where we strike to assess kidney tenderness
Kidney - Retroperitoneal at T12-L3, Superior poles - Deep to 11th and 12th ribs, Inferior poles - Around L3-L4, Tenderness - Strike at costovertebral angle (12th rib)
How do we find the site for a lumbar puncture?
Use the supracristal plane to find L4 (insert needle midline between L3 and L4 or L4 and L5)
In males, what intercostal space does the nipple demarcate?
The 4th ICS
Superior border of heart margins. CC-costal cartilage, ICS-intercostal space, MCL-midclavicular line
Line connecting superior border of 3rd CC (right) to inferior border of 2nd CC (left)
Right border of heart margin. CC-costal cartilage, ICS-intercostal space, MCL-midclavicular line
Line drawn from 3rd CC to 6th CC
Left border of heart margin. CC-costal cartilage, ICS-intercostal space, MCL-midclavicular line
Inferior border of 2nd CC to 5th ICS medial to the MCL
Inferior Border of heart margin. CC-costal cartilage, ICS-intercostal space, MCL-midclavicular line
Line connecting 6th CC (right) to the 5th ICS medial to left MCL (apex)
How far do the left and right sternal lines of pleural reflection descend together?
From Costal Cartilages 2 to 4
For the left and right sternal lines of pleural reflection respectively, where does each diverge from the sternum?
Left - At 4th CC passes to left margin of sternum, then inferior to 6th CC. (Down, Left, Down) Right - Moves inferior along midsternal line to xiphoid (straight down, more or less)
At what level do costal lines of pleural reflection pass through the following lines: midclavicular, midaxillary, and posterior midsternal line
8th rib (midclavicular), 10th rib (midaxillary), and 12th rib (posterior midsternal)
At what level are the inferior lung margins at each of the following lines: midclavicular, midaxial, and scapular
6th rib (MCL), 8th rib (MAL), 10th rib (scapular)
How many ribs further inferior does the parietal pleura extend than the lung (and visceral pleura)
Where are chest tubes inserted
In the MAL in the 5th or 6th ICS (angled superiorly to remove air, angled inferiorly to remove fluid)
Where is the point of insertion for a thoracocentesis and what is the purpose of this procedure?
Into 9th ICS during expiration, needle point upwards. Purpose is to remove small amounts of fluid
Give the two insertion points for pericardiocentesis
5th or 6th left ICS near sternum (bare area), or Superoposterioly through infrasternal (subcostal) angle
At what vertebral level is the spine of the scapula?