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Sternoclavicular joint
Manubrium sterni
Costal margin
Costal arch
Midsternal line
PLEURAL EFFUSION
Blunted costodiaphragmatic recess: effusion
CHEST EXAMINATION
Inspect
Palpate
Percussion
Auscultate
A. INSPECTION
Configuration of chest
B. PALPATION
C. PERCUSSION
D. AUSCULTATION
Breath sounds
RIB AND COSTAL CARTILAGE IDENTIFICATION
Allows surgeon to gain easy access without having to enter pleural cavities
Rib Excision
o
Rib Fracture
o
Flail Chest
o
When 2 or more contiguous ribs are broken in more than one place each
Blocked before the lateral cutaneous branch arises at the midaxillary line
Pectus Excavatum
o
Sternal depression
Funnel chest
Pectus Carinatum
o
Chicken-breast type
Kyphosis
Scoliosis
Lordosis
PLEURAL FLUID
Normal amount is 5 to 10 mL
PLEURAL EFFUSION
Hydrothorax
Hemothorax
Chylothorax
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