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52 Cards in this Set

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  • Back
Lymphatic Drainage of Breast
Most lymph (lateral quad)
Axillary LN (pec/subscap/humerus)- supraclavicular node & infraclavicular node- subclavian lymphatic trunk

Medial breast-parasternal node-bronchomediastinal node- lymphatic/right thoracic duct
Breast Drains?
Axillary Vein
Arterial Supply of Breast?
*Anterior intercostal Branch
*Medial Mammary Branches of lateral cutaneous of posterior intercostal arteries
*Lateral thoracic and thoracoacromial
Intercostal Nerves
3-6

Lateral Cutaneous Branches
Anterior Cutaneous Branches
Muscles of the Pectoral Region are?
Anterior ThoracoAppendicular Group
Juncture of 2 heads of Pectoralis Major
Sternoclavicular Joint
Subclavius Muscle:
Attachment?
Action?
Attached to 1st rib
Depresses Clavicle
What passes deep surface of clavicular head?
These also pass through this membrane with another structure.
Thoraco Acromial Artery & Lateral Pectoral Nerve

Costacoracoid Membrane along with Cephalic Vein
Origin of Lateral Thoracic Artery?
Axillary Artery
Attachment of the Serratus Anterior Muscle?
Upper 8 ribs- Prox attachment
Deep Surface of Scapula- Distal attachment
Vessels within Intercostal Space
Large Posterior Intercostal
Pair of Anterior Intercostals
Attachment of Transverse Thoracis & Action
Attachment: Inferior on Sternum, Superior on Costal Cartilage 2-6
Action: Depresses ribs
Internal Thoracic Artery divides into:
Epigastric Artery and Musculophrenic Artery
Divisions of Parietal Pleura
Costal
Mediastinal
Diaphragmatic
Cupula (Cervical): Superior to 1st rib
Name the 2 pleural recesses
Costodiaphragmatic
Costomediastinal
Surfaces of Lung
Costal
Mediastinal
Diaphragmatic
What is the arterial supply for the pericardium and where does it orginate?
Pericardiophrenic Artery originating from Internal Thoracic Artery
What makes up a bronchopulmonary segment?
Tertiary bronchi
Tertiary branch of pulmonary artery
Drained by intersegmental part of pulmonary veins
Where do the Bronchial arteries come from and anastomose with?
Left Bronchial Artery comes from Thoracic Aorta

RBA- Posterior Intercostal Artery & Thoracic Aorta & Superior Bronchial Artery

Anastomose with Pulm. Artery branches.
Where doe Bronchial veins come from and drain to?
Right drain into Azygous
Left drain into Accessory hemiazygous

Bronchial come from Braciocephalic vein

Both zygous drain into superior vena cava
Path of Throacic Wall Veins
Brachiocephalic-internal thoracic-anterior intercostal-anastomose with posterior intercostal (from brachiocephalic)-azygous/hemiazygous veins-superior vena cava.
Boundaries of Mediastinum?
Superior boundary: Superior thoracic aperture
Inferior: diaphragm
Anterior: sternum
Posterior: Bodies of Vert T1-T12
Lateral: Mediastinal parietal pleura
Division of Inferior Mediastinum?
Anterior, Middle, Posterior
Plane of Sternal Angle marks what?
*Superior Border of Pericardium
*Bifurcation of Trachea
*Begg & End of Aortic Arch
Surfaces of the heart?
Sternocostal: Created by right ventricle
Diaphragmatic: LV & part of RV
Pulmonary: LV
What do Anterior Cardiac Veins bridge?
Bridge the AV groove btwn RA and RV
What makes of aortic valve?
Right, Left and Posterior Semilunar cusps
Aortic sinues (behind each cusp)
Where is the opening of LCA
Left aortic sinus
What gives rise to the sinuatrial nodal branch?
60% Anterior right atrial branch
40% Arise from Circumflex of LCA
Where is AV node located?
Interatrial septum risen from RCA
Heart conducting system?
SA node-right atrium wall-AV node-AV bundle (Right bundle/Left bundle)**supply to ventricle wall and papillary muscle.
Where is the opening of fossa ovalis located?
RA
What are the cusps/papillary muscles of the tricuspid valve?
Anterior
Septal
Posterior
What are the semilunar cusps of pulmonary valves?
anterior, right, left
(one fibrous nodule and 2 lunules)
What are the semilunar cusps of the left ventricle?
posterior, right, left
Where is the moderator band located?
RV
Where is moderator band located?
RV
What are boundaries of superior mediastinum
Superior: Thoracic aperture
Posterior: bodies of vert T1=T4
Anterior: manubrium of sternum
Lateral: mediastinal pleura
Inferior: Plane of sternal angle
What do the 2 brachiocephalic veins meet to join?
superior vena cava
Where does trachea bifurcate?
sternal angle
What are the boundaries of posterior mediastinum?
Superior: sternal angle
Posterior: vert of T5-T12
Anterior:Pericardium
Lateral: Mediastinal pleura
Inferior:Diaphragm
Where is moderator band located?
RV
What are boundaries of superior mediastinum
Superior: Thoracic aperture
Posterior: bodies of vert T1=T4
Anterior: manubrium of sternum
Lateral: mediastinal pleura
Inferior: Plane of sternal angle
What do the 2 brachiocephalic veins meet to join?
superior vena cava
Where does trachea bifurcate?
sternal angle
What are the boundaries of posterior mediastinum?
Superior: sternal angle
Posterior: vert of T5-T12
Anterior:Pericardium
Lateral: Mediastinal pleura
Inferior:Diaphragm
What is path of right vagus?
Right Vagus-Right recurrent laryngeal
RV-Cardiac Plexus
RV-Pulmonary Plexus-Esophageal Plexus
Path of left vagus?
LV-left recurrent larygenal
LV-pumonary cardiax plexus-joins with right as esophageal plexus
Where does Azygous and hemiazy come from?
IVC
Where do deep lymphatic plexus drain to?
Pulmonary nodes-Hilum of lung
Where does right lymphatic duct drain?
right subclavian & internal jugular vein
Where does thoracic duct drain?
left subclavian