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41 Cards in this Set

  • Front
  • Back

The internal thoracic artery is a branch of the

internal thoracic artery

What are the branches of the subcostal nerve?

For T12 rib only!


Rami communicantes: connects the intercostal nerves to the sympathetic trunk


Collateral branches: goes down superiorly to the inferior rib


Lateral cutaneous branch: innervates rhe lateral side of the skin of the abdominal wall ***


Anterior cutaneous branches: innervates the anterior part of the Thorax and abdomen


Muscular branches: innervates the intercostal and transversus thoracis muscles

What are dermatomes?

Parts of the body that relate to a particular part of the vertebrae due in innervation

What are ways to know it’s not shingles?


When can you suspect if it is shingles?


How can you confirm it is shingles?

- If the rash is everywhere ie up down left and right


- if the rash is around the T3 or T5 dermatome (but not both or bilateral)


- use a zank test - same used for herpes - the culture smear will stack up


Zank god I don’t have herpes

You should wear a mask if you’re burning off a wart why?

HPV is airborne and you can inhale it —> throat cancer

What dies the thoracic sorta supply?

Intercostal space 3-11 the subcostal space and the overlying skin and parietal pleura

The internal thoracic artery is a branch of the

subclavian artery

The ventral Ramus turns into the

Intercostal nerves and gives sensory input into the skin and pleura cavity

What are the motor n. of the thoracic wall?


*** rewatch video

???

Which breast implants do you nerve put in a former breast cancer patient?

Silicone

Where can you place the implant?


Where can you make in incision to insert the implant?

-Over or under the pectoralis major m.


- the areola, underneath the breast or the armpit

What is a modified sweat gland in the breast and what does it secret?

The apocrine gland and it secrets milk

Is a mammogram reading better with silicon or saline implants?


Is it better with it over or under the pectoral m. ?

Saline


Under the muscle

What is more likely to be damaged in a over the muscle breast implant?

Apocrine gland for breast feeding

What makes up the breast bed?

2/3 pectoral Fascia and 1/3 Fascia covering the serratus anterior

What tissue overlies the pectoralis major m. ?

Subcutaneous tissue

Which implant mode in more perky?

Under the muscle

Why would a patient want a nipple lift with the breast implant?

Change of weight in breast changes the anatomy of the breast

An enlargement in skin follicle around the breast is a possible sign of what?

Breast cancer?

If you feel several lumps in a patients breast what do they most likely have?

Fibrocystic lumps


Not breast cancer

What structure in the breast acts an an internal bra?

The suspensory ligaments

What vessel plays a role on the metastasis of cancer?

Lymphatics

What drains the most of the lateral portion of the breast?

Axillary lymph nodes

Enlargement of the axillary lymph node may suggest?

Breast cancer



* important in early detection

Is the mediastinal convex or concave?

Concave

Which main bronchus is shorter but wider?

R. Main bronchus

Narcolepsy

The thorax is not about to be as expand properly causing them to fall asleep

If you aspirate a foreign object where is most likely to go? Why?

The r. Bronchus because it’s shorter wider and straighter

Is the pleural cavity a false cavity?

Yes

What part of the lung dies not feel pain?

Hi

Where to puncture the the lung for a thoracosentisis

The bottom (diaphragmatic) T8-T10 intercostal space

What is a pleural effeusion

Excess fluid in the lungs standing still

How do you know a patient has fluid in the lungs?

Phlegmy cough


Hard to breath


Radiolucent in x- ray


Gurgling in lungs

Is asthma a disorder of the lungs?

No it’s an autoimmune/inflammatory disorder

What do you give someone with pneumonia?

Bronchoconstrictor

What do you give someone with asthma

Vasodilator

Does the parasympathetic stimulate vasodilation or vasoconstriction?

Vasodilation

Does the parasympathetic stimulate bronchodilation or bronchocontriction?

Bronchoconstrictor

Asthma can turn into

COPD or influenza

Is COPD and influenza a disease if the lung?

Yes

People with asthma may also have...

Acid reflux or GI problems