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Flashcards in Surface Features Deck (10):

Lines: midsternal, parasternal, midaxillary, midclavicular, paravertebral, scapular

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Scapular: thru inferior angle, marker for brachial plexus palsy

Midclavicular: marker for PMI (5th intercostal, mitral valve)

Midaxillary: marker for thoracentesis (9th intercostal) & V6 electrode, chest tube in ptx (6th intercostal)

Paravertebral: assoc w/ tips of transverse processes

Parasternal: L 6th intercostal = marker for pericardiocentesis, L 2nd intercostal = pulmonic valve

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Intercostal Spaces

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2nd left (pulmonic), right (aortic)

4th lower left sternal border (tricuspid), 5th left, just medial to midclavicular line (mitral)

5th @ midclavicular line, just below nipple (apex)

4-6th along left sternal border (cardiac notch, pericardiocentesis)

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C7 spinous process (vertebra prominens)

Most visible superficially

base of the neck

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Median Furrow of back

overly spinous processes

begins superiorly in cervical region, ends w/ gluteal cleft

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Iliac Crest

highest point = L4 where LPs can be done

palpation of kidneys

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Posterior Superior Iliac Spine

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Triangle of Auscultation

inferior trapezius, latissimus dorsi, medial border of scapula

lungs can be more easily heard d/t thinning of musculature of back

accentuated by pt leaning forward and folding arms across chest

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Lumbar Triangle

Inferior Lumbar Triangle- iliac crest, external abd oblique, latissimus dorsi

Superior Lumbar Triangle- quadratus lumborum, T12, internal abd oblique

-sites of herniation (superior more commonly), inferior more superficial

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Unilateral area of skin innervated by sensory fibers from a single spinal nerve

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Axillary Tail of Breast

"tail of spence": extension of breast tissue into the axilla,

masses may develop in this tissue, which doesn't appear to be a part of the breast,

higher incidence of cancer in the axillary tail, must be checked during exams

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