Term
| _____ lodges the neurovascular bundle which is separated from the bone by the internal intercostal m. |
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Definition
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Term
| Neurovascular bundle in the thorax is between the ____ and ____ |
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Definition
| bone and internal intercostal m. |
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Term
| How are the nerves in the neurovascular bundle related? From below to upwards |
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Definition
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Term
| A needle prick along the lower border of the upper rib in an intercostal space would most likely puncture? |
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Definition
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Term
| What rib has a scalene tubercle and two pairs of grooves (anterior and posterior). |
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Definition
first
Scalene tubercle for the anterior scalene m.
Anterior groove: subclavian v.
Posterior groove: subclavian a. |
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Term
| This vertebrae has a full costal facet in the upper part and demi-facet in the lower part of the lower side of the body |
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Definition
T1
b/c it connects two different things |
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Term
| single demi-facet in the upper part of side of body |
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Definition
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Term
| single full costal facet in the side of the body |
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Definition
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Term
| single full costal facet in the side of the body, no costal facets in transverse process |
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Definition
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Term
| single full costal facet in the side of the body and no costal facets in transverse process-inferior articular facets face anterolatterally as opposed to forward facing facets on all other T vertebrae |
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Definition
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Term
| Transverse thoracic plane passes through___________ |
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Definition
| Lower border of T4 vertebrae |
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Term
1) Presencse of sternal angle( second costal cartilage attach.) Start counting intervertebral spaces
2) Divides upper and lower mediastinum
3) Discontinuous dermatome C4-T2
4) Bifurcation of trachea
5) SVC pierces fibrous pericardium
6) Arch of azygos v. dives into SVC
7) Arch of aorta begins and ends
8) Thoracic duct passes from R to L |
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Definition
Transverse Thoracic Plane
Lower level of T4 |
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Term
| caused by presence of cervical rib, m. growth on scalene anterior, or narrowing of clavicle on the 1st rib |
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Definition
Thoracic Outlet Syndrome
Causes compression of brachial plexus or subclavian vessels |
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Term
| Passive inspiration caused by ____ |
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Definition
|
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Term
| quiet, passive expiration caused by ______ |
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Definition
| elastic recoil of lungs tissue |
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Term
| COntraction of diaphragm via quiet passive inspiration and expiration results in diaphragm extending ______ diameter of thoracic cavity |
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Definition
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Term
| Pump handle movment occurs due to movment of _____ at ______ and _____ joints. It increases ______ diameter of thoracic cavity. |
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Definition
Ribs 2-6
Costovertebral and Costotransverse
A-P |
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Term
| Breathing movement assoc. with anterior movement of the lower part of the sternum, most at the manubrosternal joint |
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Definition
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Term
| A bucket handle movement occurs largely due to movement of ________ at the _____ and _____ joints. It increases _____ diameter of the thoracic cavity |
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Definition
Ribs 7-10
Costovertebral and Costotransverse
Transverse |
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Term
_____ m. elevate the ribs and help in active inspiration
5 other accessory m. that play important roles during forceful inspiration |
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Definition
External intercostal m.
Scalene and erector spinae m.
SCM
SA
Pec Major |
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Term
_____ and ______ m. help in active expiration
2 other m. that play an active roll in forceful expiration |
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Definition
Internal Intercostal and Innermost Intercostals
Flat m. of anterior abdominal wall and latissimus dorsi |
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Term
| These nerves are ventral rami of thoracic spinal n. which provide motor supply to intercostal m. and sensory supply to narrow strip of skin |
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Definition
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Term
| To prevent n. injury a needle should be placed along the ______ |
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Definition
| Upper border of the lower rib |
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Term
| In order to anesthetize an intercostal space the n. should be injected by placing the needle ______ |
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Definition
| Lower border of upper rib |
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Term
There are ____ anterior intercostal a. for each upper ___ intercostal spaces |
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Definition
| 2 9 (no anterior intercostal a. in the lower 2 spaces) |
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Term
The internal thoracic a. gives off anterior intercostal a. for the ____ intercostal spaces
The muscolophrenic a. gives off anerior intercostal a. for the ____ intercostal spaces |
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Definition
upper 6 spaces
lower 3 spaces |
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Term
| What 2 a. anastomose with the posterior intercostal a. |
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Definition
| Upper and Lower and anterior intercostal arteries |
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Term
Posteior intercostal a. come off
______ in lower 9 spaces
and
______ in upper 2 spaces |
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Definition
descending thoracis aorta
superior intercostal a. (off costocervical trunk) |
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Term
| this bronchus is more vertical, shorter, and wider |
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Definition
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Term
|
Definition
secondary bronchi
aka
lobar bronchi |
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Term
| supplies a bronchopulmonary segment |
|
Definition
tertiary bronchi
AKA
segmental |
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Term
| The right lung has )))) segments |
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Definition
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Term
| the left lung has ____ segments |
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Definition
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Term
| Right lung has ____ lobes and a ____ and ____ fissure |
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Definition
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Term
| Left has ____ lobes and a ____ and ____ fissure |
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Definition
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Term
| Which fissure extends from the level of the spinous process of T2 veterbra posteriorly to the 6th costal cartilage anteriorly |
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Definition
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Term
| This fissure extends from the oblique fissure along the 4th rib to and 4th costal cartilage anteriorly |
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Definition
| Horizontal Right Lung Fissure |
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Term
| What is formed by the reflection of the costal and diaphragmatic pleura? |
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Definition
Costdiaphragmatic Pleura
Fluid often gravitates down here and must be accessed for drainage |
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Term
Pleurocentesis
Where should this be done at |
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Definition
Drainage of pleura fluid
8th or 9th intercostal spaces at the midaxillary line |
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Term
| Bring deoxygenated blood to the lungs out of the RV |
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Definition
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Term
| carry oxygenated blood out of the lungs and to the LA |
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Definition
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Term
| This pleura has somatic supply by the intercostal n. Pain would be referred to intercostal spaces. |
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Definition
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Term
| This pleura is supplied by the phrenic n. Pain would be referred to tip of the shoulder. |
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Definition
| Medisatinal and central part of diaphragmatic pleura |
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Term
| Contain sympathetic (postganglionic), parasympathetic (preganglionic), and visceral afferent (preganglionic) fibers--Provide innervation to lungs |
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Definition
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Term
| PS innervation to the lungs is provided by what n.? what does it cause? |
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Definition
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Term
| Located in the lateral horn cells of T1-5 segments of spinal cord. Cause sympathetic inn. that causes??? |
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Definition
Sympathetic preganglionic motors
bronchodilation |
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Term
| Nororeceptive (pain) afferents are carried to lungs via |
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Definition
|
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Term
| PS fibers carry what in the lungs? |
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Definition
Reflex afferents
via Vagus PS fibers |
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Term
| What would be disrupted in a fracture of the manubrium? |
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Definition
Clavicle
Body of Sternum
1st and 2nd rib |
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Term
| 5th rib is fractured- what will be affected? |
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Definition
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Term
| T2 is fractured-what will be affected? |
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Definition
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Term
What happens if superior vertebral notch is fractured?
-Superior notch of T6 |
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Definition
Preceding spinal n. is damaged
5th intercostal n. |
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Term
What happens if inferior vertebral notch is fractured?
-Inferior notch of T6 |
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Definition
It would be that spinal n.
6th intercostal n. |
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Term
| How many joints does T1-T9 form? |
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Definition
12 joints
4 zyagopheseal
4 costovertebral
2 costotransverse
2 intervertebral |
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Term
| How many joints does T10 form? |
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Definition
|
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Term
| How many joints does T11 and T12 form? |
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Definition
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Term
| What 3 things can cause thoracic outlet syndrome? |
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Definition
1) Cervical rib
2) m. of scalene anterior
3) narrowing between clavicle and 1st rib |
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