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31 Cards in this Set

  • Front
  • Back

broadest and most curved rib



attachment of scalenus anterior

1st Rib

Rib with Tuberosity for Serratus Anterior

2nd Rib

Ribs with no neck or tubercle

11th to 12th Rib

Weakest point of a rib

Anterior to its Angle

Commonly fractured Ribs

5th to 9th ribs

Border of Thoracic Inlet/Outlet

Post - T1


Lat - 1st rib, medial border


Ant - Manubrium

structures affected in Thoracic Outlet Syndrome

Lower Trunk of Brachial Plexus, Ulnar Nerve

Inspiration and Expiration changes in the Vertical Diameter of the Thoracic Wall

Inspi - diaphragm down - inc diameter


Expi - diaphragm up - dec diameter

Bucket Handle Inspiratory Movement

Change in Transverse Diameter



(ribs = bucket handle)

Pump Handle Inspiratory Movement

Change in Anteroposterior Diameter



(sternum = pump handle)

Depressors of the Muscles of the Thoracic Wall

Serratus Posterior Inferior


Internal Intercostal


Transversus Thoracis



(SIT in the thoracic wall, and you will Fall)

Aortic arch starts and ends at what thoracic level?

T4

common site for marrow biopsy

Sternum

True Ribs

1 - 7th ribs

False ribs

8th -12th ribs

Rib Articulations

5 Rib Head - sup articular facet - T4 body


- inf articular facet - T5 body


5 Rib tubercle - transverse process T5

Atypical Ribs

1, 2, 10, 11, 12

pulling of lactiferous ducts in the nipple

Nipple Retraction

shortening of Cooper's Ligaments in Breasts

Skin Dimpling

poor lymph drainage and thick leather skin in breasts

peau d'orange

breast, level

Ribs 2 - 6

most common site of breast ca

Upper Outer Quadrant

breast lymphatic drainage

lateral quadrants - axillary LN


medial quadrants - parasternal LN

key muscle in axillary LN division

Pectoralis Minor



Level 1 inf PM


Level 2 post PM


Level 3 sup PM

key muscle in axillary LN division

Pectoralis Minor



Level 1 inf PM


Level 2 post PM


Level 3 sup PM

Clinical Stage of Breast Ca

0 - in situ, ductal system


1 - </= 2cm, no LN


2 - </= 5cm, 1 - 3 LN


3 - </= 5 cm, 4 - 5 LN


4 - distant metastasis

Only Motor Nerve Supply to Diaphragm

Phrenic C3 - C5

what passes through the caval opening in the diaphragm?

IVC


R phrenic N

what passes through the esophageal opening in the diaphragm?

Esophagus


Vagus N

what passes through the aortic opening in the diaphragm?

Aorta


Thoracic Duct


Azygous V

Sternal Angle is at what Rib level and Thoracic level?

2nd Rib, T4



level where Trachea bifurcates