Injuries
which ribs are most mobile
ribs 10-12
upper 7 ribs are ____ ribs
TRUE
Uneven skin folds could be caused by
Bilateral muscle imbalance, increased/ decreased kyphosis, scoliosis, or disease
what do you do first when assessing an abdomen injury
- vitals/ pulse
- assess breathing
- assess organs
direct blow (severe!)
EMERGENCY
sternal fx/ dislocation
Name all organs in each quadrant
URQ- liver, pancreas, kidney, lung, galbladder, small intestine, large intestine
ULQ- heart, spleen, kidney, stomach, lung, L kidney, pancreas, small intestine, large intestine
LRQ- appendix, ureter, bladder, colon, gonads, large intestine, small intestine, R ovary, prostate, uterus, kidney
LLQ- ureter, bladder, colon, gonads, large intestine, small intestine, uterus, L kidney, L ovary, L fallopian tube
What organ(s) is/are the most vulnerable to trauma?
kidneys
no sound in 2 min
refer> slow motility
blood in pleural space, tracheal shift, s/s dyspnea, tachycardia
hemothorax
what are the false ribs
ribs 8-10
What does Kehr's Sign indicate
Ruptured spleen
+: belly button moves up, down, or to one side
Beevors Sign: imp. segmental involvement of the nerves innervating the rectus abdominus (T5-T12)
upstroke of T wave
commotio cordis
Posterior Vascular arteries vascularize thoracic spine- what are they made of
first 2 branches- subclavian arteries
rest- from thoracic artery
Signs of cardiac tissue ischemia
referred pain into the left shoulder, arm, jaw, or epigastric area
Thoracic Outlet Syndrome
Allen (pec minor), ROOS (pec minor), Wright (scalenes/ pec minor), Military Brace (cervical rib), Adson (scalenes/ pec minor)
2 broken places in each rib
flail chest
How many nerve roots in thoracic region
12 (t1-t12
Kyphotic curve in thoracic spine is counterbalanced by what
lordotic curve in cervical spine
Disc pathologies are more or less common in thoracic spine?
less- d/t limited ROM