Thoracic wall Flashcards

(46 cards)

1
Q

What are the parts of the sternum

A

Manubrium
Body
Xiphoid process

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2
Q

The sternum is a major site for what?

A

Production of Red Blood Cells

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3
Q

What are the anatomical variations of the xiphoid process

A

Bifid

can have xiphoid foramen

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4
Q

What intervertebral disc level is the sternal angle found at

A

T4/T5

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5
Q

What can cause a barreled chest

A

Living at high elevation

People with COPD

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6
Q

What is the superior thoracic aperture (inlet) bounded by

A

Manubrium
First rib
T1

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7
Q

what is the inferior thoracic aperture (outlet) bounded by

A
Xiphoid process
Costal margin
Twelth rib
Distal end of eleventh rib
T12
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8
Q

What are the groups of ribs that are divided based on patterns of articulation

A
True ribs (1-7)
False ribs (8-12)
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9
Q

What are the group ribs that are divided based on morphology

A
Typical ribs (3-9)
Atypical ribs (1,2,10,11,12)
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10
Q

What ribs are known as floating ribs

A

11 and 12

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11
Q

What is the difference between a false and true rib

A

False ribs do not articulate with the sternum directly, they attach to the costal cartilage of the rib above

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12
Q

What is the function of the thoracic cage?

A

Protection
Muscle attachments
Respiration

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13
Q

What are the muscles of the thoracic wall

A
External intercostal muscle
Internal intercostal muscle
Innermost intercostal muscle
Subcostalis muscle
Transversus thoracis muslce
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14
Q

What is the second most important muscle in respiration

A

External intercostal muscle

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15
Q

What direction do the external intercostal muscles run

A

Downward and forward

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16
Q

What is the function of the internal intercostal muscle

A

Depress the ribs in forced expiration

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17
Q

What direction do the internal intercostal muscles run

A

Downward and backward

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18
Q

What is the function of the innermost intercostal muscles

A

Depress the fibs in forced expiration

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19
Q

What direction do the innermost intercostal muscles run

A

Downward and backward

20
Q

What do all the intercostal muscles prevent?

A

Pushing or drawing out of the intercostal spaces during respiration

21
Q

What muscles are specialization of the innermost intercostal muscle

A

Subcostalis muscle

Transversus thoracis

22
Q

What is the function of the subcostalis and transversus thoracics muscles

A

Depresses the ribs during forced expiration

23
Q

The internal thoracic artery comes off of what artery?

A

Subclavian artery

24
Q

What are the branches of the internal thoracic artery

A

Pericardiacophrenic artery
Anterior intercostal arteries
Musculophrenic artery
superior epigastric artery

25
What supplies the posterior aspect of the thoracic wall?
Supreme intercostal artery Third through eleventh posterior intercostal arteries subcostal artery
26
What vein drains the anterior thoracic wall
Internal thoracic vein
27
What drains the posterior thoracic wall
Azygos system of veins
28
What does Azygos mean
Not Paired
29
What does the (right) first posterior intercostal drain into
Brachiocephalic vein
30
What does the (right )2nd and 3rd posterior intercostal drain into?
Superior intercostal vein
31
What does the (right) 4th and 11th posterior intercostal veins and subcostal vein drain into
Azygos vein
32
What does the (right) superior intercostal vein drain into
Azygos vein
33
What does the (left) 1st posterior intercostal drain into
Brachiocephalic vein
34
What does the (left) 2nd and 3rd posterior intercostal vein join to form?
Superior intercostal vein
35
What does the left superior intercostal vein drain into
Left Brachiocephalic vein
36
what does the (left) 4th through 8th posterior intercostal vein join to form
Accessory hemiazygos vein
37
What does the Accessory Hemiazygos vein drain into
It drains into the azygos vein
38
What does the (left) 9th though 11th posterior intercostal vein and the subcotal vein joint to form?
Hemiazygos vein
39
What does the Hemiazygos vein drain into?
The Azygos vein
40
The azygos and hemiazygos vein are thoracic continuations of what vein
Left and right ascending lumber veins
41
What are the nerves of the thoracic wall?
Intercostal nerve | Subcostal nerve
42
Where does the intercostal nerves originae from
Anterior Primary rami of the first 11 thoracic spinal nerves
43
Where does the subcostal nerve originate from
Anterior primary rami f the 12th thoracis spinal nerve
44
What is the function of the endothoracic fascia
Prevent rubbing against parietal pleura
45
What is it called when the parietal plaura thickens on the apex of the lung
Suprapleural membrane
46
What is contained in the intercostal space
Intercostal artery Intercostal Vein Intercostal Nerve