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7/31/2019 ANA2 Respiratory System -- Laboratory Learning Supplement
http://slidepdf.com/reader/full/ana2-respiratory-system-laboratory-learning-supplement 1/5
This material has been prepared by Ilona Valerie R. Vidamo, PTRP for the exclusive use of the students of De La Salle Health Sciences Institute – College of Rehabilitation Sciences
enrolled in Physiology 2, Second Semester, SY 2011-12. Contact the document author for permission prior to use for other purposes.
dlshsicrs.vidamo@yahoo.com
ANATOMY OF THE RESPIRATORY SYSTEM: LABORATORY LEARNING SUPPLEMENT
I. Palpation of the Trachea
a. Inspect the attachment of the sternal head of the sternocleidomastoid muscle.
b. Instruct the subject to bend his/her head to reduce the tension in the SCM.
c. Palpate as far down as possible, near the sternal notch, medial to the SCM head.
d. Use the index and middle fingers of both hands, or, index finger and thumb of one hand, in
palpating for the trachea.
II. Palpation of the Intercostal Spaces (ICS)
a. Method A
–
Parasternal Palpation.i. Locate the sternal notch and the Angle of Louis.
ii. The costal cartilage and rib located lateral to the Angle of Louis is the 2nd rib.
iii. Palpate inferior to the 2nd rib. The space that you will be able to locate is the 2nd intercostal
space.
iv. From the second intercostal space, you may be able to palpate for the 3rd-6th ICS by
moving inferiorly.
b. Method B – Posterolateral Ribcage
i. Palpate for the location of the 12th rib.
ii. If you are having difficulties locating the 12th rib, you may ask the patient to raise his/her arm
above the head and bend slightly towards the opposite side.iii. The ICS above the 12 th rib is the 11th intercostal space. You may start from this point in
locating the other ICS.
III. Surface Anatomy of the Lungs
The surface anatomy of the lungs is a rough representation or estimate of the location of the lung
lobes relative to the surface of the thorax.
7/31/2019 ANA2 Respiratory System -- Laboratory Learning Supplement
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This material has been prepared by Ilona Valerie R. Vidamo, PTRP for the exclusive use of the students of De La Salle Health Sciences Institute – College of Rehabilitation Sciences
enrolled in Physiology 2, Second Semester, SY 2011-12. Contact the document author for permission prior to use for other purposes.
dlshsicrs.vidamo@yahoo.com
Surface Anatomy of the Lungs: Anterior Thorax
Lung Apices
Sternoclavicular Joint
Midclavicle (approximately between the Medial and
Intermediate Areas)
Axillary Area (following the contours of the ribcage)
Anterior Border Sternoclavicular Joint, going inferiorly parasternalR: Up to 6th rib or near the Xiphisternal JointL: Up to 4th rib Cardiac notch (with 5th and 6th rib)
Inferior Border Following the line of the 6 th rib, going inferiorly and laterally
To the 8th rib (midaxillary line)
Horizontal Fissure (R) LungTracing the line of the 4 th rib, junctioning at the midaxillary
line with the oblique fissure.
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7/31/2019 ANA2 Respiratory System -- Laboratory Learning Supplement
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This material has been prepared by Ilona Valerie R. Vidamo, PTRP for the exclusive use of the students of De La Salle Health Sciences Institute – College of Rehabilitation Sciences
enrolled in Physiology 2, Second Semester, SY 2011-12. Contact the document author for permission prior to use for other purposes.
dlshsicrs.vidamo@yahoo.com
Illustrations of the surface anatomic markers on the Lateral Sides:
7/31/2019 ANA2 Respiratory System -- Laboratory Learning Supplement
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This material has been prepared by Ilona Valerie R. Vidamo, PTRP for the exclusive use of the students of De La Salle Health Sciences Institute – College of Rehabilitation Sciences
enrolled in Physiology 2, Second Semester, SY 2011-12. Contact the document author for permission prior to use for other purposes.
dlshsicrs.vidamo@yahoo.com
References:
Snell, R. (2004). Clinical Anatomy for Medical Students - 7th
ed. Maryland: Lippincott Williams and Wilkins.
Goldberg, C. A Practical Guide to Clinical Medicine. UCSD School of Medicine, The University of California, San
Diego. Online content retrieved from meded.ucsd.edu/clinicalmed.htm.
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