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1 Anterior Chest wall and breast
Exam 1
36
Anatomy
Graduate
09/24/2011

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Term
Cushing’s Syndrome
Definition
Moon face, red cheeks, excessive hair growth
Term
Nephrotic syndrome-
Definition
Edematous and pale. Swelling around the eyes in the morning may become slit-like with excess edema.
Term
Myxedema
Definition
Hypothyrodism, dull, puffy facies. Edema around eyes does not pit with pressure. Hair and eyebrows dry, coarse and thinned. Dry skin
Term
Parkinson’s Disease-
Definition
Blunted expression. Mask like face! Neck and upper trunk flex forward. Facial skin is oily and drooling may occur.
Term
Acromegaly
Definition
Increased growth hormone produces enlargement of both bone and soft tissues. Head is elongated with prominent forehead, nose and lower jaw. The soft tissue also enlarges
Term
Parotid Gland enlargement-
Definition
Chronic bilateral asymptomatic parotid gland enlargement. May be due to obesity, diabetes, cirrhosis and other conditions. Swelling anterior to the ear lobs and above the angles of the jaw. Gradual unilateral enlargement suggests neoplasm. Acute enlargement is seen in mumps.
Term
How many major exams will you take in this course?
Definition
6 total (3 written & 3 lab practicals)
Term
How much will each major exam be worth?
Definition
equally (90% of grade PA; 100% of grade PT)
Term
What other activities contribute to your course grade?
Definition
PA: X-SEC Anatomy Tutor 10% of grade; PT: nothing. 3 bonus points in lab (DIP) - both PA & PT.
Term
Name the three types of trash in the laboratory.
Definition
regular, tissue, sharps
Term
What is the jugular or sternal notch?
Definition
top of manubrium, between the attachment of clavicles.
Term
What attaches at the Sternal Angle of Louis?
Definition
costal cartilage for rib 2.
Term
Demonstrate the mid-axillary line.
Definition
I did, did you?
Term
What anterior chest feature lies on the mid-clavicular line?
Definition
nipple, 4th ICS (in the male)
Term
5.What projects laterally at the union of the pedicle and lamina of the vertebra?
Definition
transverse process.
Term
What is a true rib and how many are there?
Definition
ribs that attach directly to sternum via their costal cartilage. 7
Term
“typical: ribs attach to three bony structures. What are they?
Definition
vertebral body of same rib number, vertebral body above, and transverse process of same rib number.
Term
Did man have 13 ribs at one time?
Definition
maybe?
Term
Where is intercostal space 3?
Definition
Between rib 3 & 4
Term
What is the fatty layer just beneath the skin called?
Definition
superficial fascia or hypodermis
Term
What are Langer lines and how do they relate to scar formation?
Definition
orientation of collagen bundles in dermis. Healing of full thickness skin cuts & lacerations heal with minimal scaring if parallel to Langer lines.
Term
Where is the female breast anatomically located?
Definition
Superficial fascia
Term
13.What two vessels supply most of the blood supply to the breast?
Definition
internal thoracic & lateral thoracic.
Term
14.Most of the lymphatic drainage of breast tissue is toward which lymph nodes?
Definition
axillary nodes
Term
15.The line on which mammary tissue can be found in mammals is called what?
Definition
Milk Line
Term
16.What are five physical signs of breast cancer?
Definition
lump, dimpling of skin, retracted nipple, orange peel skin, loss of mobility.
Term
What is found in the deltopectoral triangle or groove?
Definition
Cephalic vein
Term
18.What two vessels supply the pectoral and lateral thoracic wall regions?
Definition
lateral thoracic & thorocoacromial artery
Term
Name three structures that pierce the clavipectoral fascia above the pectoralis minor.
Definition
thorocoacromial artery & vein, cephalic vein, lateral pectoral nerve.
Term
What is the innervation to the pectoralis major?
Definition
lateral and medial pectoral nerves
Term
What is the axillary artery called proximally?
Definition
Subclavian
Term
What is the action of the pectoralis major?
Definition
adducts and flex arm
Term
23.Describe the involvement of the intercostal muscles in the respiratory cycle.
Definition
inspiration - they draw ribs upward. Forced expiration - innermost pulls ribs down, others relax
Term
What is a neurovascular bundle?
Definition
nerve, artery and vein running together.
Term
Name 2 neurovascular bundles encountered thus far.
Definition
1) intercostal n.a.v, 2) thorocoacromial artery & vein & lateral pectoral nerve
Term
Other than muscles what is found in the intercostal spaces.
Definition
intercostal neurovascular bundle.
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