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52 Cards in this Set
- Front
- Back
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Lymphatic Drainage of Breast
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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 |
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Breast Drains?
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Axillary Vein
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Arterial Supply of Breast?
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*Anterior intercostal Branch
*Medial Mammary Branches of lateral cutaneous of posterior intercostal arteries *Lateral thoracic and thoracoacromial |
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Intercostal Nerves
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3-6
Lateral Cutaneous Branches Anterior Cutaneous Branches |
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Muscles of the Pectoral Region are?
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Anterior ThoracoAppendicular Group
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Juncture of 2 heads of Pectoralis Major
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Sternoclavicular Joint
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Subclavius Muscle:
Attachment? Action? |
Attached to 1st rib
Depresses Clavicle |
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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 |
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Origin of Lateral Thoracic Artery?
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Axillary Artery
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Attachment of the Serratus Anterior Muscle?
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Upper 8 ribs- Prox attachment
Deep Surface of Scapula- Distal attachment |
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Vessels within Intercostal Space
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Large Posterior Intercostal
Pair of Anterior Intercostals |
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Attachment of Transverse Thoracis & Action
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Attachment: Inferior on Sternum, Superior on Costal Cartilage 2-6
Action: Depresses ribs |
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Internal Thoracic Artery divides into:
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Epigastric Artery and Musculophrenic Artery
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Divisions of Parietal Pleura
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Costal
Mediastinal Diaphragmatic Cupula (Cervical): Superior to 1st rib |
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Name the 2 pleural recesses
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Costodiaphragmatic
Costomediastinal |
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Surfaces of Lung
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Costal
Mediastinal Diaphragmatic |
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What is the arterial supply for the pericardium and where does it orginate?
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Pericardiophrenic Artery originating from Internal Thoracic Artery
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What makes up a bronchopulmonary segment?
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Tertiary bronchi
Tertiary branch of pulmonary artery Drained by intersegmental part of pulmonary veins |
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Where do the Bronchial arteries come from and anastomose with?
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Left Bronchial Artery comes from Thoracic Aorta
RBA- Posterior Intercostal Artery & Thoracic Aorta & Superior Bronchial Artery Anastomose with Pulm. Artery branches. |
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Where doe Bronchial veins come from and drain to?
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Right drain into Azygous
Left drain into Accessory hemiazygous Bronchial come from Braciocephalic vein Both zygous drain into superior vena cava |
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Path of Throacic Wall Veins
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Brachiocephalic-internal thoracic-anterior intercostal-anastomose with posterior intercostal (from brachiocephalic)-azygous/hemiazygous veins-superior vena cava.
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Boundaries of Mediastinum?
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Superior boundary: Superior thoracic aperture
Inferior: diaphragm Anterior: sternum Posterior: Bodies of Vert T1-T12 Lateral: Mediastinal parietal pleura |
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Division of Inferior Mediastinum?
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Anterior, Middle, Posterior
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Plane of Sternal Angle marks what?
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*Superior Border of Pericardium
*Bifurcation of Trachea *Begg & End of Aortic Arch |
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Surfaces of the heart?
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Sternocostal: Created by right ventricle
Diaphragmatic: LV & part of RV Pulmonary: LV |
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What do Anterior Cardiac Veins bridge?
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Bridge the AV groove btwn RA and RV
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What makes of aortic valve?
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Right, Left and Posterior Semilunar cusps
Aortic sinues (behind each cusp) |
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Where is the opening of LCA
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Left aortic sinus
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What gives rise to the sinuatrial nodal branch?
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60% Anterior right atrial branch
40% Arise from Circumflex of LCA |
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Where is AV node located?
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Interatrial septum risen from RCA
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Heart conducting system?
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SA node-right atrium wall-AV node-AV bundle (Right bundle/Left bundle)**supply to ventricle wall and papillary muscle.
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Where is the opening of fossa ovalis located?
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RA
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What are the cusps/papillary muscles of the tricuspid valve?
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Anterior
Septal Posterior |
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What are the semilunar cusps of pulmonary valves?
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anterior, right, left
(one fibrous nodule and 2 lunules) |
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What are the semilunar cusps of the left ventricle?
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posterior, right, left
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Where is the moderator band located?
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RV
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Where is moderator band located?
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RV
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What are boundaries of superior mediastinum
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Superior: Thoracic aperture
Posterior: bodies of vert T1=T4 Anterior: manubrium of sternum Lateral: mediastinal pleura Inferior: Plane of sternal angle |
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What do the 2 brachiocephalic veins meet to join?
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superior vena cava
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Where does trachea bifurcate?
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sternal angle
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What are the boundaries of posterior mediastinum?
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Superior: sternal angle
Posterior: vert of T5-T12 Anterior:Pericardium Lateral: Mediastinal pleura Inferior:Diaphragm |
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Where is moderator band located?
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RV
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What are boundaries of superior mediastinum
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Superior: Thoracic aperture
Posterior: bodies of vert T1=T4 Anterior: manubrium of sternum Lateral: mediastinal pleura Inferior: Plane of sternal angle |
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What do the 2 brachiocephalic veins meet to join?
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superior vena cava
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Where does trachea bifurcate?
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sternal angle
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What are the boundaries of posterior mediastinum?
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Superior: sternal angle
Posterior: vert of T5-T12 Anterior:Pericardium Lateral: Mediastinal pleura Inferior:Diaphragm |
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What is path of right vagus?
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Right Vagus-Right recurrent laryngeal
RV-Cardiac Plexus RV-Pulmonary Plexus-Esophageal Plexus |
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Path of left vagus?
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LV-left recurrent larygenal
LV-pumonary cardiax plexus-joins with right as esophageal plexus |
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Where does Azygous and hemiazy come from?
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IVC
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Where do deep lymphatic plexus drain to?
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Pulmonary nodes-Hilum of lung
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Where does right lymphatic duct drain?
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right subclavian & internal jugular vein
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Where does thoracic duct drain?
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left subclavian
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