Review Items - Thoracic Wall, Pleura, & Pericardium

Landmarks and osteology:

Sternum (N 185)
     Body
     Manubrium
     Sternal angle
     Xiphoid process
     Suprasternal (jugular) notch
Typical rib (N 186)
     Head, neck, tubercle, angle and costal groove
     Costal margin

Pleura: (N 241)

Visceral pleura
Parietal pleura
     Costal, diaphragmatic, mediastinal, cupula, lines of pleural reflection (N 211,196)
Hilar reflection (N 241)
Pulmonary ligament (N 199,230,231)
Recesses
     Costodiaphragmatic (N 230,231)
     Costomediastinal (N 230,206)

Vessels:

Internal thoracic a. & v. (N 33,191)
     Pericardiacophrenic a. & v. (N 194,212)
     Anterior intercostal aa. & vv. (N 191)
     Superior epigastric a. & v. (N 191)
     Musculophrenic a. & v. (N 191)
Posterior intercostal aa. & vv. (N 192)
Left superior intercostal vein (N 231)
Superior vena cava (N 212)
Pulmonary trunk (N 212)
     Left & right pulmonary aa. & vv. (N 206)
Inferior vena cava (N 206,261)
Aorta (N 212)
     Ascending
     Arch
Ligamentum arteriosum

Muscles:

External intercostal muscle and membrane (N 188,189)
Internal intercostal muscle and membrane (N 188,254)
Innermost intercostal layer (N 189,254)
     Transversus thoracis m. (N 189)
     Innermost intercostal m. (N 189,254)
     Subcostalis m. (seen later)

Nerves:

Intercostal nn. and collateral branches (N 189,254)
Phrenic n. (N 194,212)
Left vagus n. (N 206,212)
     Left recurrent laryngeal n.

Mediastinum: (N 231)

Anterior
Middle
Posterior

Pericardium:

Fibrous (N 211)
Serous (N 212,241)
     Parietal
     Visceral (epicardium)
Pericardial sac & cavity
     Oblique sinus (N 212,215)
     Transverse sinus (N 215)

Heart:

External features
     Apex (N 212)
     Base (N 212)
     Right (acute) & left (obtuse) margins (N 212)
     Diaphragmatic surface (N 214)
     Atrioventricular (coronary) sulcus (N 212)
     Anterior & posterior interventricular sulci (N 212,214)
     Right and left atria and auricles (N 212,214)
Sternocostal projections (margins, great vessels and valve positions) (N 196)

Miscellaneous:

Trachea (N 206,211)
Hilum and root of lung (N 199)
Parasternal lymph nodes (N 181)
Endothoracic fascia

Clinical Terms:

Collateral circulation
Shingles (herpes zoster)
Thoracotomy
Sternotomy
Sternal deformities (funnel chest, pigeon chest)
Empyema
Thoracocentesis (aspiration)
Pneumothorax/Hemothorax
Pleurisy
Pleural effusion