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Xipoid process
- level of T10 vertebra
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xiphisternal joint
- -inferior limit of thoracic cavity
- - superior limit of the liver
- - central tendon of the diaphragm
- - inferior border of the heart
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sternum
level of T5-T9 vertebrae
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Pectus Excavatum
- - sunken sternum
- - (concave depression of the thoracic wall)
- - increased IUP on the chest during development
- - abnormal diaphragm position causing post. retraction
- - abnormal CT produciton
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Pectus Carinatum
- - pigeon chest
- - protrusion of sternal angle and costal cartilage
- - more frequently affects boys
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flail chest
- caused by a double rib fracture that causes paradoxical movement during respiration
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thoracic outlet syndrome
- - compression of structures exiting the thoracic inlet- eg. subclavian a. and v.
- - caused by cervical ribs, tumor, etc
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rib dislocation
- displacement of the costal cartlige from the sternum
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rib seperation
- displacement of rib from costal cartilage
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Thoracoplasty
- - procedure to decrease thoracic volume (closure of persistant pleural space)
- - resection or replacement of ribs with an inward convexity device
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Ankylosing Spondylitis
- - Chronic inflammatory disease affecting joints of the axil skeleton
- - presents mostly with lower back pain
- - limits spinal range of motion
- - bilateral sacrolitis
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manubrium
- at level T3 and T4
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infrasteranl angle
- - inferior part of sternal body
- - location of proper hand position for CPR (compress 2 inches down at 100 compressions per minute)
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jugular notch
- notch of the manubrium at T2 level
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thoracocentesis
- -needle inserted in upward angle at the 9th IC space at the midaxillary line
- - used for removal of fluid fromt the thoracic cavity
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auscultation of the lung
apex: superior to medial 3rd or clavicle
superior lobe: 2 ICS
middle lobe(right lung): 4 ICS
inferior lobe: 6/7 ICS
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superior mediastinum contents
- A PVT Left BATTLES
- arch of the azygous, phrenic nerve, vagus, thoracic duct, left recurrent pharyngeal n, brachiocephalic veins, arch of aorta and 3 branches, thymus, trachea, lymph nodes, esophagus, SVC
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posterior mediastinum
- Vegas DATES
- vagus n., descending aorta, azygous and hemiazygous, thoracis duct, esophagus, splanchnic and sympathetic trunk
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