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Flashcards in Chest Deck (18)
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1
Q

ribs 1-7 8-10 11-12

A

true false - continuous costal margin floating

1
Q

pectus excavatum

A

overgrowth of costal cartilage pushes sternum inward = caved in chest

3
Q

ventilation mechanics of ribs and sternum

A

sternum - pump handle effect costovertebral joints - bucket handle effect

4
Q

where to run chest tube

A

lateral upper chest wall on top of a rib to avoid intercostal VAN

5
Q

ectopia cordis

A

heart is located outside of chest wall

6
Q

great vessels exiting heart are posterior to

A

sternal angle of louis (at 2nd rib)

6
Q

what innervates diaphragm?

A

phrenic nerves

6
Q

coarctation of aorta

A

stenosis of aorta collateralization –> notching of the ribs

7
Q

where does intercostal neurovascular bundle lay?

A

between internal and innermost intercostal muscles

9
Q

pleura covering the lung apex?

A

cupola

10
Q

if the pleural space is broken

A

air is drawn in due to negative pressure =pneumothorax - air collapses lung

11
Q

how to treat cardiac tamponade?

A

pericardiocentesis

11
Q

pectus carinatum

A

pigeon chest - sternum and ribs protrude due to overgrowth of cartilage

13
Q

diaphragm is HIGH at what intercostal space?

A

4th, level of nipples

14
Q

abnormally widened mediastinum

A

trauma! produces hemorrhage from lacerated great vessels torn aorta?! or malignant lymphoma/hypertrophic heart can also widen it

15
Q

lung apex is above

A

clavicle

17
Q

poland syndrome

A

abcense of sternocostal head of pec major + shortened upper extremities and digit anomalies

18
Q

phrenic nerve injury

A

paralysis of the injured side diaphragm paralyzed side will ascend during inhalation since it is pushed by organs displaced by the other descending side paralyzed side descends in exhalation due to positive pressure in lungs