chapter 10
DESCRIPTION
Chapter 10. Bony Thorax. Bony Thorax. 1 ____________ 12 ______________ 12 ____________. Bony Thorax. Protects: _________ organs _________ organs __________ during breathing. Sternum. 3 parts _____________ Superior portion 2” long ________ (Gladiolus) Longest portion 4” long - PowerPoint PPT PresentationTRANSCRIPT
Chapter 10
Bony Thorax
Bony Thorax
• 1 ____________
• 12 ______________
• 12 ____________
Bony Thorax
• Protects:– _________ organs– _________ organs
• __________ during breathing
Sternum
• 3 parts– _____________
• Superior portion 2” long– ________ (Gladiolus)
• Longest portion 4” long– _____________
• Smallest most distal.
Sternal Landmarks• ____________(suprasternal or manubrial)
– Correlates to T2-3
• _________________– Correlates to T4-5
• Xiphoid tip– Correlates to _________
Sternal Articulations
• Clavicle – _________________ joint
• 7 ribs – Through ______________
• 1st rib costocartilage on manubrium
Ribs• 12 pairs
• ___________– Costocartilage connection anteriorly to the sternum
• __________– 8,9,&10 costocartilage attach to the 7th
– _________(11 &12) – No costocartilage articulation
Rib AnatomyPosterior
• Vertebral end–___________
• Vertebral body
–________
–________ –Transverse process
Rib AnatomyAnterior
• Sternal end– _______
– Shaft
• _______________– Artery, vein, and nerve
Rib ArticulationsAnterior
• ________________ Union – Rib and costocartilage
• Synarthrodial
• ___________________– Sternum and clavicle
• Diarthrodial
Rib ArticulationAnterior
• ________________– Costocartilage to sternum.
• _____________• 2-7 diarthrodial
• ______________–Costocartilage of 6th – 10th
• Diarthrodial
Rib ArticulationPosterior
• _________________–Head of rib to vertebral body
• Diarthrodial
• _________________–Rib ______ to transverse process
• 1 - 10• Diarthrodial
Sternum Imaging
Routine• RAO• Lateral• 40” SID** RAO• 60-72” SID Lateral• 60 – 70 kVp
RAO Sternum
• Moves sternum _______________– Uses ___________ to provide density
• _____________ Oblique– Body habitus dependent
• Breathing technique– Blurs pulmonary markings
RAO Sternum
• CR to mid sternum– Palpate for ____________and xiphoid– Center to mid sternum
• Collimate about ___________
Lateral Sternum
• Increase ________for increased ______
• _________- Arms back
• _____________– Arms above head
Lateral Sternum
• CR to mid sternum– Place IR ____________jugular notch
• Suspend respiration– ___________
Rib Imaging
Routine• PA Chest• AP above diaphragm 60kV• AP below diaphragm 70kV• RPO/LPO above diaphragm 60kV• 40-72” SID (Unilateral or Bilateral)
AP Above Diaphragm
• Center to ______________
• CR to _________
• IR _________shoulder center to cassette
• Suspend respiration on _____________
AP Below Diaphragm
• Center to affected side• CR mid way between _______ and
_________• Suspend respiration on ___________
– Move diaphragm up and away
RPO / LPO Above Diaphragm
• __________ Oblique
• CR between spine a ________ rib margins
• IR _________shoulder and center to IR
• Suspend respiration on ___________
Helpful Tip
• Mark the _____________
• Place a ____________on area of interest.