Exam 3 Pleura

Front 1

... - any (dramatic entrance into the chest wall

Back 1

thoracotomy

Front 2

... - smallest entrance into the chest wall

-you take a small gauge needle and go into the ... (costodiaphragmatic recess)

-path: skin, fat, external, internal and innermost intercostal muscles, parietal pleura. Stop here. Don't enter visceral

Back 2

thoracentesis

pleural cavity

Front 3

... - common approach to the chest (especially during open heart surgery. Going right down the middle of the chest and opening it up)

Back 3

median sternotomy

Front 4

... – 3-5 portals to stick camera tubes in chest

Back 4

Thoracoscopy

Front 5

Pleura: anteriorly

(1) the pleura reach the mid-clavicular line at rib # (sternal angle)
(2) the pleura deviate to the left at rib # (cardiac notch and costomediastinal recess)
(3) the pleura deviate to the right at rib #
(4) the visceral pleura reaches rib # at the mid-clavicular line
(5) the parietal pleura reaches rib # at the mid-clavicular line

Back 5

2
4
6
6
8

Front 6

Pleura: laterally

-the visceral pleura reaches rib # at the mid-axillary line

-the parietal pleura reaches rib # at the mid-axillary line

Back 6

8
10

Front 7

which rib would you go to to perform a thoracocentesis?

Back 7

9th rib

Front 8

pleura: posteriorly

-the visceral pleura reaches rib #

-the parietal pleura reaches rib #

If you abduct the arms, the medial border of the scapula will define the border between the upper and lower lobe

Back 8

10
12

Front 9

the top of the lung is known as the ... and it has the ... pleura

Back 9

apex
cupula

Front 10

if you aspirate something, which main bronchus will it want to go down?

Back 10

right

Front 11

the segmental bronchi go out to the ...

-10 on each side (with variation on the left)

-they are functional units of the lung

Back 11

bronchopulmonary segments

Front 12

reasons that bronchopulmonary segments are important:

-you can isolate and remove ..., and not the ...

-if a patient ... something, you need to go retrieve it.

Back 12

only that segment
whole lobe

aspirates

Front 13

usually, an aspirated item will go to which segment?

Back 13

superior segment 6 of the lower lobe

Front 14

when auscultating for heart sounds, move the stethoscope anatomically away from the valve in the direction of ... in order to hear sounds better (doppler effect)

Back 14

bloodflow

Front 15

what is the procedure that allows this to happen called?

a blocked artery is bypassed within a vessel taken from another part of your body. This allows blood to flow freely to your heart again.

Back 15

Coronary artery bypass graft (CABG)

Front 16

the thoracoscopic approach is also known as the ... procedure

Back 16

keyhole