Lungs and Pulm Cavity
The first location fluid collection will begin.
What is the costodiaphragmatic recess?
The valve best auscultated at the right 2nd intercostal space.
This structure is immediately posterior to the trachea in the superior mediastinum.
What is the esophagus?
The location and order of the intercostal collateral branches.
What is superior margin of the rib and NAV?
The vessels that supplies the thoracolumbar spinal cord.
Sharp chest pain worsened by inspiration is inflammation of this layer.
What is parietal pleura?
A 58 year old woman presents with dull, poorly localized cardiac pain due to visceral afferents traveling with these nerves.
What are cardiopulmonary splanchnic nerves?
Injury to this nerve produces diaphragmatic paralysis and referred pain to the shoulder. What are the fiber types in this named nerve?
What is sensory, motor, and post symp?
In spaces 10-11, the anterior intercostal arteries arise from this artery.
There are no anterior intercostal arteries in the 10-11 spaces.
The only back muscle wth cranial nerve motor innervation.
What is the trapezius?
A pneumothorax creates loss of normal negative pressure. The lung collapses because this forc enormally holds lungs to the chest wall.
What is the surface tension between visceral and parietal pleura?
The structure that acts as an electrical insulator and anchors valves.
What is the fibrous skeleton of the heart?
Name another condition in which a patient may present with hoarseness.
What is a large (esophageal) hiatal hernia?
This vessels leaves a candy cane shaped impression in the right lung. Name the four vessles in which it recieves blood from.
What is the right posterior intercostal arteries, the acessory hemiazygos v, the hemiazygos v, and the right bronchial vein?
Injury to this nerve causes lateral displacement of the scapula with loss of retraction. Name the cord levels.
What is C5? (dorsal scapular nerve)
A 67-year-old man with a long smoking history presents with 3 months of progressive hoarseness, mild dysphagia, and a “tight” feeling in the chest. He reports a new, persistent cough. CT chest shows a left-sided mediastinal mass near the aortic arch. Other than the recurrent laryngeal nerve, name the other structure that may be compressed to cause these symptoms.
A patient's HR drops dramatically with massage to the carotid becuase this nerve increases parasympathetic tone to the SA node.
What is the vagus nerve? (more vagal tone = slower heart rate)
During central line placement, a tear causes air in this potential space and compresses mediastinal structures; the shift is toward the opposite side. Name this condition.
What is a tension pneumothorax causing contralateral mediastinal shift?
This structure is lacking in patient #16 in the lab. Name the location in which this structure typically begins in the body.
What is the 5th intercostal space? (accessory hemi v)
This intrinsic muscle spans the fewest vertebral segments and is most important for segmental stabilization.
What is the rotatores muscle?
The parasympathetic reflex that prevents overinflation of the lungs.
What is the Hering-Breuer reflex?
A 58-year-old woman has crushing substernal chest pain radiating to the jaw and left arm with nausea. ECG suggests anterior wall ischemia. Troponin rises. She later develops a new arrhythmia and evidence of impaired conduction to the ventricles. You are told the infarct involved “the vessel that supplies most of the interventricular septum.” Name the artery involved as wellas the nerve responsible for left arm pain.
This nerve descends posterior to the brachiocephalic veins, crosses the aortic arch, and changes names at T10.
What is the vagus nerve?
Name the fiber types in the nerve responsible for referred arm pain during a MI.
Sensory and post symp
A 20-year-old gymnast reports chronic low back pain worse with extension. Imaging shows a lucency at L5. Later, anterior slippage of L5 on S1 is noted. Name the inital and the later diagnosis.
What is spondylolysis and spondylolisthesis?