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Thoracic Wall
Written by Justin Cutler   
Friday, 13 October 2006

1. Don't forget to review the bones of the vertebrae column, ribs, and sternum.
2. Ribs 2-10 each have how many articulations with vertebrae?
3. At what vertebrae levels does the sternum lie?
4. At what vertebrae level does the angle of Louis lie?
5. How many ribs articulate with the manubrium?
6. Where does rib 2 articulate?
7. Where is the costal groove?
8. Ribs 11 & 12 each articulate with how many vertebrae?
9. Which ribs articulate with the body of the sternum?
10. What are "floating" ribs?
11. Which ribs are "floating" ribs?
12. What are the boundaries of the superior thoracic aperture?
13. What are the boundaries of the inferior thoracic aperture?
14. What structures make up the infrasterna langle?
15. What is the difference in "pump handle" motion of the thoracic cage vs. "bucket handle"?
16. What are the dilations of the lactiferous duct called?
17. Where are the attachments of the suspensory ligaments?
18. What is the difference in locaiton fo the external vs. internal intercostal MEMBRANES?
19. Where do you find the innermost intercostal muscles?
20. Where do you find the subcostal muscles?
21. Where do you find the transversus thoracis?
22. What forms intercostal nerves?
23. Where are the blood supplies to the thoracic cage originating?
24. Into what structure do intercostal veins drain?
25. What dermotome supplies sensation to the nipples?
26. What are the different lymphatic drainages of the breast?
27. In a radical massectomy and even in a modified radical, the Pectoralis Major muscle is removed. What lymph pattern of drainage would explain the need for this?
28. How can disease spread from one breast to the other (don't say a sexual partner!)?

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