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41 Cards in this Set
- Front
- Back
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True Ribs
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1-7
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False ribs
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8-10
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Floating ribs
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11-12
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Typical ribs
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3-10
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Rib 1
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Atypical; articulates with T1, no angle
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Rib 2
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Atypical; large tuberosity on shaft for serratus anterior
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Ribs 11, 12
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Articulates with one vertebrae; have no tubercles
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When the left first rib is elevated, what happens to T1? What type of mechanics is this?
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T1 becomes SrRr, and it is type 2 mechanics
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Rib 1 joint type
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Synchondrosis (non-synovial)
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Ribs 2-7 joint type
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synovial
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What nerves innervate the diaphragm?
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C3-C5 keep the diaphragm alive
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What goes through the holes in the diaphragm and at what levels?
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I 8 10 Eggs at Noon
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Pump handle motion
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Ribs move anterior and superior with inhalation
Motion in sagittal plane Palpate midclavicular Ribs 1-5 |
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Bucket Handle motion
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Ribs 6-10 move laterally and in coronal plane
Move along AP axis Increase transverse diameter of rib cage Palpate in midaxial line |
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Caliper motion
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Ribs rotate externally
Motion in transverse plane Axis of motion is vertical line Palpate 3-5 cm laterally to TP |
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Inhalation rib dysfunction
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Rib is held in a position of inhalation, pain when exhaling
Elevated, inhaled rib |
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Exhalation rib dysfunction
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Rib is held in exhalation, pain when inhaling
Depressed, exhaled rib |
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Where does all the lymph of the body drain to?
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Immediately posterior to end of the clavicle and the first rib
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Anatomical inlet
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Manubrium, 1st rib bilaterally, and T1
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Functional inlet
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Manubrium with angle of Louis, first 2 ribs, and T1-T4
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Three places in thoracic outlet syndrome where things can get stuck
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Anterior and medial scalene
Clavicles and first rib Pec minor and ribs |
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Muscle spindle
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Rate of change of length; in parallel
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Golgi tendon
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Muscle tension; in series
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Trigger points
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Weak hyperirritable points; may radiate pain
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Adson's Test
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Turn neck towards affected side, extend.
Checks patency of ipsilateral artery traveling through triangle Positive if absent radial pulse |
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Wright's maneuver
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Shoulder external rotation, abduction beyond 90 degrees
Compresses below pec minor at coracoid process |
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Halstead maneuver
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Narrows costoclavicular space (clavicle and first rib)
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Yeargason's Test
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Test for stability in biceps groove
Physician pulls down on elbow, and externally rotates forearm as patient resists |
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T1-T2
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Inferior transition of cervical lordosis
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T3-T12
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Thoracic kyphosis
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T5-T6
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Apex of thoracic kyphosis
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T10-T12
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Transition to lumbar lordosis
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Intrinsic back muscles are innervated by what?
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Posterior Rami of T2-T12
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Semispinalis
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Superficial; span 4-6 segments, type 1
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Multifidus
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Mid depth; span 2-4 segments (Between type 1 and 2)
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Rotatores
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Deepest; span 1-2 segments (type 2)
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Celicac ganglion
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T5-T9
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Superior mesenteric ganglion
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T10-T11
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Inferior mesenteric
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T12-L2
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Type 1a fiber
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Intrafusal; velocity of stretch (strongest signal); relative degree of stretch
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Type II fibers
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Flower spray, located in extrafusal fibers; absolute degres of stretch
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