Thorax

Subclavian Artery: Branches

 " V.I.T.amin C & D "

  

  • Vertebral artery
  • Internal thoracic artery
  • Thyrocervical trunk

(VIT-arises from 1st part of Subclavian artery) 

  • Costocervical trunk (from 1st part in left & 2nd part in right)
  • Dorsal scapular artery (from 3rd part)

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Cardiovascular disease: Risk factors (Framingham)

" FRAMINGHAM "

 

  • Family history
  • Running (exercise)
  • Adiposity (obesity)
  • Marlboro (tobacco)
  • Insulin resistance (diabetes)
  • Non-regulated lipids (dyslipidaemia)
  • Georgie Pie (high fat diet)
  • Hypertension
  • Age
  • Male

 

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Apex beat: Abnormalities

 Abnormalities on palpation - ".H.I.L.T"

  • Heaving
  • Impalpable
  • Laterally displaced
  • Thrusting/ Tapping

 If it is impalpable, causes are "C.O.P.D"

  • COPD
  • Obesity
  • Pleural/ Pericardial effusion
  • Dextrocardia

 

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Pectoral nerves: Lateral vs Medial

"Lateral is Less, Medial is More"

  • Lateral pectoral nerve goes only through pectoralis major muscle
  • Medial pectoral nerve goes through both pectoralis major and pectoralis minor muscles

 

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