Virtual Gross PracticalThorax - Block II

Assembled by Scott Korfhagen (scott.korfhagen@gmail.com)

Images from:http://ect.downstate.edu/courseware/haonline/toc.htm

Identify

1.ExternalIntercostalMembrane

Identify2.

3.

4.

InternalIntercostalMuscle

InnermostIntercostalMuscle

IntercostalNerve

Identify (hint: muscle)

5.TransversusThoracisMuscle

Identify

6.

7.

InternalThoracicVein

InternalThoracicArtery

Identify

8.AnteriorCostalParietalPleura

Identify9a.Apex of

The rightlung

9b. Apex ofThe leftlung

10.

11.

12.

13.

14.

15.

16.

Superior lobeof the rightlung

Middle lobeOf the rightlung

Inferior lobeof the rightlung

Superior lobeof the leftlung

Inferior lobeOf the left lung

Cardiac notch

lingula

Identify

17. Obliquefissure

18.

19.

Horizontal/TransverseFissure /Minorfissure

ObliqueFissure /MajorFissure

20. Identify the impression

Groove for the arch of the azygos vein

21. Identify the impression

Groove for the superior vena cava

22. Identify the impression

Cardiac impression

23. Identify the impression

Groove for the esophagus

24. Identify the impression

Groove for the aortic arch

25. Identify the impression

Groove for the thoracic descending aorta

26. Identify the impression

Cardiac impression

Right or Left27. Left

pulmonaryartery

28.Bronchi(secondary)

29. LeftSuperiorPulmonaryvein

30. LeftInferiorPulmonaryvein

31. This whole thing is called the? Hilus of the left lung

Right or Left

32. 33.

34.

35.

Bronchi(secondary)

RightInferiorPulmonaryvein

RightPulmonaryartery

RightSuperiorPulmonaryvein

36. Identify

Left phrenic nerve

37. Identify

Left vagus nerve

Identify

38.

39.

SerousParietalpericardium

FibrousParietalpericardium

40. Identify what the probe is touching

Visceral layer of serous pericardium (epicardium)

41. What is this space?

The Transverse Pericardial Sinus

42. What is this space?

The oblique pericardial sinus

43. Identify

Superior vena cava

44. Identify

Ascending aorta

45. Identify

Inferior vena cava

46. Identify

Arch of the aorta

47. Identify

Pulmonary trunk

48. Identify

Pulmonary trunk

49. Identify

Pulmonary veins

50. Identify

Left recurrent laryngeal nerve

51. Identify

Ligamentum arteriosum

52. Identify

Apex of the heart (left ventricle)

53. Identify

Coronary sulcus or atrioventricular sulcus

54. Identify

Anterior interventricular sulcus

55. Identify the surface

Sternocostal (anterior) surface - right ventricle

56. Identify

Right auricle

57. Identify

Right atrium

Identify

58.

59.

Leftauricle

Leftventricle

60. Identify

Anterior interventricular branch (left anterior descending - LAD)

61. Identify

Left coronary artery

62. Identify

Circumflex branch

63. Identify

Right coronary artery

64. Identify

Posterior interventricular branch

65. Idnetify

Coronary sinus

66. Identify

Marginal branch

67. Identify

Great cardiac vein

68. Identify

Middle cardiac vein

69. Identify

Pectinate muscles

70. Identify

Crista terminalis

71. Identify

Orifice of superior vena cava

72. Identify

Orifice of inferior vena cava

73. Identify

Orifice and valve of coronary sinus

74. Identify

Fossa ovalis

75. Identify

Right atrioventricular orifice and tricuspid valve

76. Identify

Chordae tendineae

77. Identify (be specific)

Posterior papillary muscle of the right ventricle

78. Identify (be specific)

Septal papillary muscle

79. Identify (be specific)

Anterior papillary muscle of the right ventricle

80. Identify

Septomarginal trabecula (moderator band)

81. Identify

Trabeculae carneae

82. Where is the probe?

In the Orifice of the pulmonary trunk

83. What isThis partcalled?

Conus arteriosus(infundibulum)

Identify

83.

84.

85. AnteriorPulmonarycusp

LeftPulmonarycusp

RightPulmonarycusp

The whole thing is called the: Pulmonary Valve

86. Where is the probe?

Orifice of the left inferior pulmonary vein

87. Identify

Orifice of the left atrioventricular or mitral (bicuspid) valve

88. Identify

Posterior cusp of the mitral valve

89. Identify

Anterior cusp of the mitral valve

90. Identify

Interventricular septum

This part?MembranousPart This part?

MuscularPart

Identify91.

92.93.

PosteriorNon-coronaryCusp

RightCoronaryCusp

LeftCoronaryCusp

This whole thing is called the: Aortic Valve

94.NoduleOn freeMarginOf the posteriornon-coronary cusp

Identify95.

96.

97.

98.

99.

Brachiocephalictrunk

RightBrachiocephalicvein

LeftBrachiocephalicvein

LeftSubclavianartery

LeftCommonCarotidartery

100. Identify

Azygos vein

101. Identify

Arch of the azygos vein

102. Identify

Carina

102a.102b.

Right mainBronchus

Left mainBronchus

103. Identify

Right Vagal Trunk

104. Identify

Sympathetic Trunk

Identify

105.Sympatheticganglion

106.Ramicommunicantes

107.Intercostalnerve

108. Identify

Thoracic (descending) aorta

109. Identify

Posterior intercostal arteries

110. Identify

Posterior intercostal vein

Identify

111.Esophagus

112.Diaphragm

Give general names

113a. 113b.

114.

PleuralCavity

Mediastinum

PleuralCavity

What’s Going on here?

Right sided tension pneumothorax

What’s wrong here?

Pleural adhesions and calcification

For gunners

Pancoast tumor in the left apex with destruction of left upperribs and invasion of the upper thoracic spine

This is a problem. What is it?

The lung volume is increased

Possible cause?

emphysema

What is this?

thymic hyperplasia

And this?

Cardiomegaly

This patient received a drug resulting in panel C. What

could it be?

Nitroglycerin

Good Job!

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