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32 Cards in this Set
- Front
- Back
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Sternal Angle
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Articulation of second rib and sternum
End of the manubrium |
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Last rib to join sternum
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7th rib
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Cervical rib pathologies
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Impinge subclavian artery
Impinge brachial plexus |
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Thoracic outlet
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Space between first rib, manubrium and first thoracic vertebrae
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Pectoralis minor attachment
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Coracoid process of scapula
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Numbness with hands above head
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Problems with costoclavicular space
Axillary artery impinged by pectoralis minor |
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Flail chest (cause and symptoms)
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Broken ribs in two places (independent segment of thoracic wall)
Moves in on inhalation and out with exhalation |
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Intercostal neurovascular bundle (location)
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Inferior to rib
Between innermost and internal intercostal muscles |
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Bucket handle respiration
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Normal respiration moves ribs out and up, and down and in
Because of synovial joints |
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Long thoracic nerve (origin and innervation)
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Comes from C5-7
Innervates serratus anterior |
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Winged scalpula
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Damage to long thoracic nerve
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Thoracoepigastric vein
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Drains the superficial fascia veins of thoracic wall
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Aorta coarctation (anastomoses)
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Subclavian - internal thoracic - anterior intercostal - posterior intercostal - aorta
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Above umbilicus (re: drainage)
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Drain to axillary vein
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Cooper's ligaments
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Connect dermis to deep glandular tissue in breast
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Lactiferous duct organization
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Surround nipple
Make radial, not circumferential incisions |
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Arteries of the breast
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Internal thoracic
Lateral thoracic Intercostal |
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Breast cancer (symptoms, causes)
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Dilated superficial veins (to support tumor)
Edema (tumor blocks off lymph drainage); peau d orange Skin dimpling (tumor invades Cooper's ligaments; flexing pec helps see the dimpling) |
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Normal direction coronal x ray
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PA
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Normal direction of saggital x ray
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Left lateral
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Breast skin dimpling
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Cancer in Cooper's ligaments
Cancer in retromammary space (into pectoralis major) |
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Lymph drainage from breast
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Most into the axillary vein
Some into the parasternal nodes |
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Intercostals involved in inspiration
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External Intercostals (re: respiration)
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Intercostals involved in expiration
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Internal Intercostals (re: respiration)
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Allen's Test
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Collateral circulation in the hand
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Pulmonary ligament
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Extension of sleeve around hilum
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Parietal pleura innervation
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Somatic innervation (re: lungs)
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Inferior vessels of hila
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Pulmonary veins (location)
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Phrenic nerve (location in hila)
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Most anterior nerve in hila
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Carina angle (diagnostic)
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Sign of left atrial hypertrophy (possibly mitral valve stenosis)
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Sympathetic effect on bronchioles
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Dilate bronchioles
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Drainage of lungs
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Right - right lymphatic duct
Left - thoracic duct Left lower lobe - some can drain to right lymphatic duct |
