Thoracic Walls and Breast Flashcards

(92 cards)

1
Q

Thoracic walls role (2)

A

protection and breathing mechanisms

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2
Q

Thoracic walls components (2)

A

thoracic cage and covering

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3
Q

Thoracic wall elements (8)

A

intercostal space, rib cage, deep fascia, pectoralis major, skin, superficial fascia, subcutaneous fat, intercostal muscles

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4
Q

intercostal space elements (3)

A

muscle, nerves, vessels

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5
Q

skin elements (6)

A

nerves, fat, blood vessels, lymphatic vessels, sweat glands, mammary gland

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6
Q

True ribs

A

R1-R7

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7
Q

floating ribs

A

R11 and R12

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8
Q

floating rib feature

A

no anterior attachment

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9
Q

false rib

A

R8-R10

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10
Q

false rib feature

A

attach to costal cartilage of the rib above

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11
Q

space between ribs

A

intercostal space

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12
Q

Costal cartilage role (2)

A

attaches ribs to sternum and provides rib cage mobility for breathing

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13
Q

Typical ribs

A

R3-R9

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14
Q

Atypical ribs

A

R1-R2 and R10-R12

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15
Q

typical rib appearance (2)

A

curved and flat

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16
Q

atypical rib feature

A

atypical markings

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17
Q

Typical rib elements (9)

A

head, neck, shaft, angle, superior facet, inferior facet, costal groove, articular facet, tubercle

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18
Q

Rib 1 markings (2)

A

groove for subclavian vessels and scalene tubercle

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19
Q

Sternum elements (8)

A

maubrium, xiphoid process, body, sternal angle, jugular notch, clavicular notch, manubriosternal joint, costal cartilage attachment

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20
Q

sternal angle other name

A

angle of Louis

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21
Q

Which rib costal cartilage attaches at the manubriosternal joint

A

C2

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22
Q

Number of thoracic vertebra

A

T1-T12

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23
Q

Thoracic vertebra elements (11)

A

lamina, pedicle, vertebral canal, transverse process, spinous process, superior articular facet, inferior articular facet, intervertebral foramen, body, intervertebral disc

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24
Q

Throacic vertebra role (3)

A

rotation and movement

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25
Rib articulation with vertebra elements (9)
superior demifacet, inferior demifacet, tubercle, transverse process, costal facet, rib, rib head, costotransverse joint, costovertebral joint
26
Costovertebral joint is between (4)
inferior demifacet, superior demifacet, spinous process, rib head
27
costotransverse joint has how many parts
2
28
costotransverse joint is between (3)
costal facet, transverse process, and tubercle of rib
29
superior demifacet articulates with which rib
same number as vertebra
30
Intercostal muscles (4)
external, external intercostal membrane, internal, innermost internal
31
external intercostal fibre direction
antero inferior
32
internal intercostal fibre direction
postero inferior
33
external intercostal role
thoracic cage elevation
34
medial internal intercostal role
thoracic cage elevation
35
lateral internal intercostal role
throacic cage depression
36
innermost intercostal deficit
posteriorly
37
innermost intercostal fibre direction
postero inferior
38
intercostal space elements (7)
intercostal nerve, intercostal vein, intercostal artery, costal groove, innermost intercostal muscle, internal intercostal muscle, external intercostal muscle
39
pectoralis minor role (2)
elevates ribs and stabilises scapula
40
pectoralis major role
adducts arm
41
serratus anterior rib insertion
R1-R8
42
serratus posterior insertion and origin
spinous processes C7-T3 and T11-L2, rib angles R2-R5 and R7-R12
43
serratus posterior inferior role
rib depression
44
serratus posterior superior role
rib elevation
45
How many lobules in breast tissue
15-20
46
how much of pectoralis major covered by breast
2/3
47
How much of serratus anterior covered by breast
1/3
48
tail on breast
axillary tail
49
breast goes from to
mid axillary line to lateral border of the sternum
50
where is the nipple commonly found
4th intercostal space
51
darker patches on mammogram
suspensory ligaments
52
Arterial Blood supply to the breast (2)
lateral mammary branches medial mammary branches
53
lateral mammary branches branch from (2)
lateral thoracic artery and posterior intercostal arteries
54
lateral thoracic artery branches from
axillary artery
55
axillary artery branches from
subclavian artery
56
medial mammary branches branch from
internal thoracic artery
57
Breast venous drainage (2)
medial mammary vein and lateral mammary vein
58
medial mammary vein drains into
internal thoracic vein
59
lateral mammary vein drains into
lateral thoracic vein
60
lateral thoracic vein drains into
axillary vein
61
axillary vein drains into
subclavian vein
62
subclavian vein meets up with the
internal jugula vein
63
lymphatic plexus around arerola
subareola plexus
64
lymph nodes in armpit
axillary nodes
65
lymph nodes on sternum
parasternal nodes
66
do lymphatics cross between breasts
yes
67
lymph nodes near clavicle
subclavian nodes
68
upper right quadrant drains into the
right brachiocephalic vein
69
drain into the right brachiocephalic vein via the
right lymphatic duct
70
superior vena cava splits into
brachiocephalic veins
71
brachiocephalic veins split into (2)
subclavian veins and internal jugular veins
72
majority of the body drains into the
left brachiocephalic vein
73
what drains into the left brachiocephalic vein
thoracic duct
74
thoracic duct ends in the
cisterna chyli
75
where is cisterna chyli located
inferior to diaphragm
76
what lymphatics drain from the upper half of the body (3)
jugular trunk, subclavian trunk, bronchomediastinal trunk
77
what % of lymphatics in the cisterna chyli
20%
78
what drains lateral to the cisterna chyli
intestinal trunks
79
intestinal lymphatic trunks (3)
coeliac, superior mesenteric, inferior mesenteric
80
what drains inferior to the cisterna chyli
lumbar trunk
81
the lumbar trunk drains into theat drains into the lumbarr trunk
common iliac trunk
82
lymphatic lumbar trunks (3)
posterior abdominal wall, pelvis, lower limb
83
what drains into the common iliac lymphatic trunk (2)
external iliac trunk and internal iliac trunk
84
where is breast cancer usually derived from
glandular epithelium in lobules
85
what does cancer typically look like on a mammogram
jagged mass
86
in which patients is it hard to identify breast cancer
dense breast mammograms
87
what can breast cancer damage
suspensory ligaments (shortens)
88
how does damaged suspensory ligaments typically present (3)
thick skin, dimpled skin, inverted nipple
89
what happens to breast cancer once it enters lymphatic vessels before entering venous system
passes through lots of lymph nodes
90
when cancer lodges in lymph nodes
metastases
91
where are metastases from breast cancer easily palpated
axilla
92
does lack of axilla metastases rule out metastatic cancer
no