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25 Cards in this Set

  • Front
  • Back
What are the atypic vertebrae and why is each atypical?
T1, T10, T11, T12 = all have one entire facet
T11 or T12 = no facet on transverse process
What is the greatest motion of the rib cage and what limits this motion?
rotation
limited by the ligamentum flava and facet joint capsules
What is the second greatest motion of the rib cage and what limits it?
sidebending
limited by contralateral ligamenta flava and intertransverse ligament
What is the second least motion (the 3rd motion) of the rib cage and what limits this motion?
flexion
limited by:
- posterior longitudinal ligament
- interspinous ligament
- ligamentum flavum
- capsular ligaments
What is the least motion (the 4th motion) of the rib cage and what limits it?
extension
limited by:
- least motion
- limited by spinous processes shingling onto one another
- nucleus pulposus is driven anteriorly
At which level is the superior angle of the scapula found?
T2
At which level is the spine of the scapula found?
T3/4
At which level is the inferior angle of the scapula found?
T7/8
At which level is the jugular notch found?
T2
At what level is the sternal angle found?
T4/5
attaches to the 2nd costal cartilage
What makes up the anatomical inlet?
manubrium
1st ribs bilaterally
T1
What makes up the functional inlet?
manubrium with angle of louis
first two ribs bilaterally
T1-4
What makes up the thoracic outlet?
clavicle
1st ribs
scapula
What is weird about rib 1?
has no angle and only articulates with T1
Which muscles help the separation of ribs 11 and 12 in caliper motion?
11 is pulled superiorly by latissimus dorsi
12 is pulled inferiorly by quadratus lumborum
Describe the motion of the sternum
Anterior/posterior compression and decompression
superior and inferior gliding motion
rotation around a transverse axis
rotation arounda vertical axis
torsion around oblique axis
Levoscoliosis
left convexity, side bends right
Dextroscoliosis
right convexity, sidebends left
How do you name structural scoliosis?
named for the side of convexity of the curve
How does increased tone in the diaphragm affect its shape and function?
depresses the diaphragm
less efficient respirations due to decreased pressure gradients between the thoracic and abdominal cavities
affects respiration and lymphatic return
How do sympathetics affect the lungs?
decreased lymphaticovenous drainage
increased number of goblet cells = thick and sticky secretions
inhibits secretion = dryness and cracking and increased secondary bacterial infections
bronchodilation
What are sympathetic-dominant complaints?
constipation
abdominal pain
flatulence
distension
How does increased sympathetics affect the GI tract?
increased mucosal sensitivity to H+ concentration and alters mucosal barrier
decreased peristalsis
relaxation of gallbladder and ducts
abdominal pain
flatulence
distension
How does increased sympathetics affect the urinary system?
T10-L1:
ureterospasm
decreased peristalsis of ureters (decreased urine flow)
arteriole constriction to the kidney (decreased GFR and urine volume)
T12-L2
Relaxed bladder wall = incomplete bladder emptying and reflux
What is the difference in symp. and parasymp. function on the sphincter, trigone and ureteral orifices and the bladder wall?
sphincter, trigone and ureteral orifices:
symp (T12-L2) = activates
parasymp (S2-4) = inhibites

Bladder wall:
symp = inhibits
parasymp = activates