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17 Cards in this Set
- Front
- Back
manubriosternal joint
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aka angle of Louis
junction of upper and middle parts of sternum where the 2nd costal cartilage articulates with sternum level of: lower border 4th T vertebra; bifurcation of thorax **can be felt on surface easily, makes it easy to identify the 2nd rib laterally on each side |
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xiphisternal joint
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where the 7th costal cartilage joins the sternum at the xiphoid process
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manubrium
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upper part of sternum (one of 3 parts of sternum, incl body and xiphoid process)
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intercostal neurovascular bundle
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runs along costal space
between innermost intercostal muscle and interior intercostal muscle order V A N |
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types of pneumothorax
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1. Lung puncture by rib fragment
2. Tear of adhesions (spontaneous) 3. Penetrating wound (chest wall and/or lung) |
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costo-diaphragmatic recess
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pleural cavity below each lung, into which the latter can expand during inspiration
(approx below 6 - 10 rib medial to lateral of lung) |
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bronchopulmonary segments
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anatomical, functional and surgical macroscopic units of each lung,
receive a third order/tertiary bronchus accompanied by a segmental/tertiary branch of pulmonary artery 10 per lung (R has middle, L has lingual, both sup and inf) (L may be 8-10); seperated by connective tissue |
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Lung lobule
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basic unit of lung
supplied by bronchiole, lymphatics, and pulm artery branches (pulm vein run bw lobules) approx 30-60 per bronchopulmonary segment 1-2cm across, pyramidal in shape |
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Pulmonary ligament
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space at root of lung required for normal expansion during inspiration and space for veins of root to prevent over constriction.
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mediastinum
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region in centre of chest; contains:
- heart - major blood vessels - esophagus - trachea |
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thorax
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ribs
vertebrae sternum |
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accessory muscles of resp
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insp:
-sternocleidomastoid -scalene -pectoralis minor -serratus exp: -abdominal -intercostals |
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dextrocardia
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position of heart reversed so apex is misplaced to the right instead of left, usually great vessels and arotic arch mirror image too
- isolated dextrocardia: only heart switched, usually complicated by sever cardiac anomilies = TGA - situs inversus - general transposition of thoracic and abdominal viscera, less complications |
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Situs inversus
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- general transposition of thoracic and abdominal viscera, less complications
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pericardiocentesis
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drainage of fluid from pericardial cavity
necessary to relieve cardiac tamponade remove excess fluid w wide-bore needle - thru L 5th or 6th intercostal space near sternum, - or infrasternal angle |
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septomarginal trabecula
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aka moderator band
carries R branch of AV bundle across RV from inferior part of IVS to base of anterior papillary muscle |
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supraventricular crest
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deflects incoming flow into main cavity RV, and outgoing flow into conus arteriosus toward the pulmonary orifice
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