Term
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Definition
| A line extending from the midpoint of the clavicle downward over the anterior surface of the lungs |
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Definition
| a line extending from the midpoint of the axilla downward over the lateral surface of the thorax |
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Definition
| A line extending over the posterior surface of the thorax from the inferior angle of the scapula downward with the arm at rest |
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Definition
difficult to palpate
-found in the hollow behind the ear |
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Term
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Definition
first prominence felt in the midline of the neck
-located 5 cm below the occiput |
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Definition
located in the cervicothoracic junction
-flex and extend the neck to feel it
(the process of C7 is more prominent with flexion |
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Definition
| Starting at C2 palpate inferiorly counting each prominence until C7 is reached |
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Definition
These vertebrae are very difficult to palpate since the spinous process of one slopes downward and overlies the vertebral body of the lower vertebrae.
Sometimes having the pt perform trunk flexion helps |
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Definition
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Term
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Definition
| with the scapula in the normal position palpate the spine of the scapula. Move medially toward the vertebral column to feel this |
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Term
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Definition
| body located at the inferior angle of the scapula |
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Term
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Definition
midway between T7 and L4-L5
L4-L5 is located at the level of the iliac crest |
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Term
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Definition
| composed of 3 sections, the manubrium, the body, and the xiphoid process |
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Term
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Definition
the notch on the superior surface of the manubrium.
Horizontal level of T2 |
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Term
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Definition
the junction of the clavicle and the 1st costal cartilage with the manibrium.
Palpate the attachment
Horizontal level of T4-T5
This is where the trachea bifurcates into the right and left main stem bronchii |
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Term
| The point of tracheal bifurcation |
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Definition
| Where the 2nd costal cartilage joins the sternum |
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Term
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Definition
Runs from ribs 3-7
Corresponds to T5-T8
The heart is located beneath and slightly to the left of the body of the sternum |
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Term
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Definition
| can be broken off with incorrect hand placement during chest compressions |
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Term
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Definition
| located at T9 and just below the 7th rib |
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Definition
Attach the ribs to the sternum.
They are very flexible early in life and become more calcified and rigid with advanced age |
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Term
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Definition
there are 12 ribs
7 true ribs
5 false ribs
They are attached dorsally to the corresponding vertebrae.
THey have an anterior and downward angulation |
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Term
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Definition
| attached directly anteriorly to the sternum |
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Term
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Definition
ribs 8-10
attached to the sternum via a common costal cartilage |
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Term
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Definition
ribs 11 and 12
not attached anteriorly |
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Term
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Definition
cannot be palpated anteriorly
-with the pt seated palpate from above and move superior and deep to the clavicle |
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Definition
| located at the sternal angle |
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Term
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Definition
no specific landmarks exist, just palpate downward from rib 2
-its best to count anteriorly or in the axillary line
-one fingers width should fit between the adjacent ribs
-its best to count ribs from the top downward |
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Term
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Definition
last direct attachment to the sternum
just superior to the xiphoid process |
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Term
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Definition
| use the common costal cartilage as your palpation guide |
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Term
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Definition
palpate along the lateral margin of the latissimus dorsi muscle
*the kidneys lie just under ribs 11 and 12 |
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Term
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Definition
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Term
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Definition
The outer 2/3 is formed by cartilage.
Inner 1/3 is formed by bone.
Function is to:
-filter
-humidify
-heat/cool the ambient air entering the airway |
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Term
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Definition
COmposed of cartilage, vocal cords and muscles which fuction as a sphincter valve to protect the tracheal airway.
Extends from hyoid bone (C3) to just below the cricoid cartilage (C6) |
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Term
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Definition
| located at the junction of the chin and neck |
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Term
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Definition
inferior and anterior to hyoid bone, its the first cartilage you palpate.
V shaped notch in its superior surface |
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Definition
| lie beneath the thyroid cartilage |
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Definition
inferior to thyroid cartilage.
the only complete cartilaginous ring in the trachea |
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Term
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Definition
performed between the thyroid and cricoid cartialge.
Or between the 2nd and 3rd cartilaginous rings below the cricoid cartilage |
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Term
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Definition
a fibromuscular sac located behind the nasal cavity, mouth and larynx
12-14 cm long and extends from the back of the nasal cavity to the esophagus at the level of the cricoid cartilage at C6 |
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Definition
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Definition
a cartilaginous tube 10-11 cm in length and 2.5 cm wide
Extends from cricoid cartilage to the sternal angle
Besides the cricoid, the other 16-20 cartilaginous rings are horseshoe shaped and open posterior. |
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Term
| Non-emergency Tracheostomies |
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Definition
| performed between the cartilaginous rings just superior to the notch of the manubrium. |
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Term
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Definition
many are located in the area of the upper airways.
Not normally found in healthy people
Less than 1 cm in size
Are not tender and are mobile are not considered clinically significant |
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Term
| Areas to palpate lymph nodes |
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Definition
Submandibular
Supraclavicular
Anterior Cervical
Posterior Cervical
Axillary
Also in the femoral triangle near the inguinal lig. |
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Term
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Definition
| Superior border, anterior border, inferior border, posterior border |
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Term
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Definition
R sternoclavicular joint to a point 2.5 cm above the medial portion of the clavicle.
A line down the clavicle ending 1/3 of the distance fin from the lateral end |
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Term
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Definition
| R SC joint draw a line in the inferior direction down the center of the sternum to the sternal angle and then to the xiphoid process |
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Term
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Definition
| Xiphoid laterally to the 6th rib in the midclavicular line, the 8th rib in the midaxillary line and the 10th rib in the midscapular line then continue over to the spinous process of T10 |
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Term
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Definition
| T10 up to C7 staying 2 cm lateral to the vertebral column. Continue line to the line demarcating the superior border |
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Term
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Definition
| Line from the spinous process of T3 anteriorly and downward to the 6th costochondral junction |
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Term
| R Lung FIssure, Horizontal |
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Definition
| from oblique fissure in the midaxillary line anteriorly to the 4th costal cartilage |
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Term
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Definition
| superior border, anterior border, inferior border, posterior border |
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Term
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Definition
| a line fron the L SC joint to 2.5 cm above the medial portion of the clavicle, down the clavicle ending 1/3 the distance from the lateral end |
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Term
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Definition
| From L SC joint draw a line down the sternum to the sternal angle, then down the sternum to the 4th costal cartilage, move laterally along the 4th costal cartialge to a point 3 cm from the sternal border, and then down and medially to a point on the 6th costal cartilage 2.5 cm from the sternal border |
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Term
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Definition
| line of anterior border laterally to 6th rib in the midclavicular line, the 8th rib in the midaxillary line and the 10th rib in the midscapular line continuing to appoint 2.5 cm lateral to the spinous process of T10 |
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Term
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Definition
| line from 2.5 cm lateral to the spinous process T10 superiorly to C7. Connect this line to the end of the superior border |
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Term
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Definition
Oblique
-a line from the s process of T3 anteriorly and downward to the 6th costochondral junction |
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Term
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Definition
| same line as superior border of lung and same line for the anterior border EXCEPT continue the line down to the 6th costal carilage on the anterior surface. COntinue the line laterally to the level of the 8th rib in the midclavicular line, the 10th rib in the midaxillary line and the 12th rib in the midscapular line. It follows the same posterior border as the R lung |
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Term
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Definition
| Same super border of the L lung. Follow the same line for the anterior border down to the 4th costal cartilage then draw a line to the level of the 8th rib in the midclavicular line, rib 10 in the midaxillary line and rib 12 inthe midscapular line. Follow the same line for the posterior border as for the posterior border of the L lung. |
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Term
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Definition
| the R oblique fissure seperated the R upper and middle lobes from the lower lobes. The horizontal fissure separates the R lung into upper and middle lobes |
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Term
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Definition
| the L oblique fissure separates the L lung into upper and lower lobes |
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Term
| Bronchoplumonary segments |
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Definition
lie within the lobes of the lungs.
10 segments of the Right
8 on the Left
Each segment is its own descrete bronchopulmonary unit
These segments are important for treatment techniques known as postural drainage |
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Term
| R Upper Lobe Bronchopulmonary segment |
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Definition
1) The apical segment is the area above the clavicle
2) the anterior segment is the area below the clavicle to the horizontal fissure
3) the posterior segment is the posterior area below the level of the clavicle down the oblique fissure |
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Term
| R middle lobe bronchopulmonary segment |
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Definition
1) the medial segment is the area medial to the midline of the RML
2) the lateral segment is the area lateral to the midline of the RML |
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Term
| R lower lobe bronchopulmonary segment |
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Definition
| anterior basilar segment, superior basilar segment, posterior basilar segment, lateral basilar segment, medial basilar segment |
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Term
| Anterior basilar segement |
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Definition
| area below the oblique fissure to the inferior border of the lungs and laterally over to the axilla |
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Term
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Definition
area on the posterior surface from the oblique fissure down to the ribs 8-9 posteriorly.
This segment occupies almost 1/2 of the posterior RLL
this segment |
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Term
| Posterior basilar segment |
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Definition
| the area occupying the medial 2/3 of the area below the ribs 8-9 to the inferior border |
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Term
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Definition
| area occupying the lateral 1/3 of the area below the ribs 8-9 to the inferior lung border |
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Term
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Definition
| medial area of the RLL directly across from the heart. This area is located internally and so cannot be palpated |
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Term
| L Upper Lobe bronchopulmonary segment |
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Definition
| Anterior segment, apiocposterior segment, L superior lingular segment, and L inferior lungular segment |
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Term
| L upper lobe Anterior segment |
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Definition
| occupies the anterior area below the clavicle to rib 4 |
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Term
| L upper lobe Apicoposterior segment |
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Definition
| the area analogous to the apical and posterior segments of the RUL combined |
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Term
| L upper lobe L superior lingular segment |
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Definition
| area from ribs 4 to rib 5 anteriorly |
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Term
| L upper lobe L inferior lingular segment |
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Definition
| area from below rib 5 to the oblique fissure |
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Term
| L lower lobe bronchopulmonary segment |
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Definition
| anterior basilar segment, superior basilar segment, posterior basilar segment, lateral basilar segment |
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Term
| L lower lobe anterior basilar segment |
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Definition
| area anterior to the midaxillary line but below the oblique fissure |
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Term
| L lower lobe superior basilar segment |
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Definition
| on the posterior surface, the area below the oblique fissure to rib 7. This area occupies 1/3 of the posterior surface of the LLL |
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Term
| L lower lobe posterior basilar segment |
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Definition
| area occupying 2/3 of the remaining inferior area of the LLL |
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Term
| L lower lobe lateral basilar segment |
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Definition
| area occupying the remaining 1/3 of the posterolateral area of the LLL |
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Term
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Definition
| DIaphragm, intercostals, SCM muscles, scalenes, pectoralis major, pectoralis minor, serratus anterior, trapezius |
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Term
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Definition
| dome shaped muscle which rests in the concave surface of the lungs |
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Term
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Definition
| anterior, midthoracic, posterior |
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Term
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Definition
| level of the xiphosternal junction |
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Term
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Definition
| level of the 4th and 5th ribs, 2.5 cm below the L nipple line |
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Term
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Definition
| 2.5 cm below the inferior angle of the scapula |
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Term
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Definition
| anterior, midthoracic, posterior |
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Term
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Definition
| level of the xiphosternal junction |
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Term
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Definition
| level of the 4th and 5th ribs, 1-2 cm below the R nipple line |
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Term
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Definition
| level 1-2 cm below the angle of the scapula |
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Term
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Definition
between the ribs
-slant down and forward from the ribs above to those below |
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Term
| Internal and innermost intercostals |
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Definition
between ribs
-slant down and back from the ribs above to those below |
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Term
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Definition
Attachments:
clavicle
sternum
mastoid |
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Term
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Definition
| attachment: T processes C4-6 and rib 1 |
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Term
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Definition
| attachments: T processes C2-7 and rib 1 |
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Term
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Definition
| attachments: T processes C5-6 and ribs 2-3 |
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Term
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Definition
attachements: clavicle, costal cartilages 1-6 and humerus
lower border in males and prepubescent females pec major will follow the line of rib 5 |
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Term
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Definition
| attachments: rib 3-5 and coracoid process |
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Term
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Definition
| palpate at points of interdigitation on ribs 1-8 with shoulder protraction |
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Term
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Definition
| attachments: occiput,scapulae and spinous processes |
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Term
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Definition
positioned in the chest, behind the lower half of the sternum and protruding toward the L.
The apex is located 9 cm to the left of the sternum in the 5th intercostal space |
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Term
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Definition
| 1 cm to the R of the sternum from the 3rd to the 6th costal cartilages |
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Term
| Lower border of the heart |
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Definition
| across the xiphosternal junction to the apex |
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Term
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Definition
| from the level of the apex to the 2nd intercostal space 1 cm from the L sternal margin |
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