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Medial
Closer to the midline of the body
Lateral
Farther from the midline of the body
Median
Located directly on the midline
Proximal
Closer to the point of attachment or trunk
Distal
Farther from the point of attachment or trunk
Superior
Above or higher than another structure
Inferior
Below or lower than another structure
Deep
Farther from the body surface
Superficial
Closer to the body surface
Palmar
Relating to the palm of the hand
Plantar
Relating to the sole of the foot
Anterior/Ventral
Front side of the body
Posterior/Dorsal
Back side of the body
Cephalic/Cranial
Toward the head
Rostral
Toward the nose or mouth
Caudal
Toward the tail or lower body
Axial/Transverse/Horizontal plane
Divides body into superior and inferior parts
Sagittal plane
Divides body into left and right parts
Coronal plane
Divides body into anterior and posterior parts
Flexion
Movement that decreases the angle between body parts
Extension
Movement that increases the angle between body parts
Lateral flexion
Side bending of the neck or trunk
Abduction
Movement away from the midline
Adduction
Movement toward the midline
Radial deviation
Movement of wrist toward the thumb side
Ulnar deviation
Movement of wrist toward the little finger side
Pronation
Rotation of forearm so palm faces posteriorly/downward
Supination
Rotation of forearm so palm faces anteriorly/upward
Medial rotation
Rotation toward the midline
Lateral rotation
Rotation away from the midline
Inversion
Turning sole of foot medially
Eversion
Turning sole of foot laterally
Plantar flexion
Pointing foot downward
Dorsiflexion
Bringing top of foot toward shin
Protraction
Anterior movement of a body part
Retraction
Posterior movement of a body part
Circumduction
Circular movement combining flexion, extension, abduction and adduction
Somatic
Relates to body wall and limbs
Visceral
Relates to internal organs
Somatic nervous system
Controls voluntary skeletal muscle movement and conscious sensation
Autonomic nervous system
Controls involuntary regulation of organs, glands and smooth muscle
Neonate skull characteristics
Large head, open fontanelles and thinner skull bones
Adult skull characteristics
Fully fused sutures and rigid skull
Neonate spinal cord level
Approximately L3
Adult spinal cord level
L1-L2
Neonate airway features
Smaller airway, larger tongue and higher larynx
Adult airway features
Larger airway diameter and lower larynx
Neonate thorax features
Horizontal ribs and diaphragm dependent breathing
Adult thorax features
Downward angled ribs and rigid thoracic cage
Neonate cardiovascular features
Higher baseline heart rate and limited stroke volume increase
Adult cardiovascular features
Lower resting heart rate and greater cardiovascular reserve
Neonate musculoskeletal features
More cartilage, open growth plates and ligament laxity
Adult musculoskeletal features
Complete ossification and closed growth plates
Thoracic cage components
12 thoracic vertebrae, 12 ribs and sternum
Thoracic vertebrae identifying feature
Costal facets for rib articulation
True ribs
Ribs 1-7
False ribs
Ribs 8-10
Floating ribs
Ribs 11-12
Structures in costal groove
Intercostal vein, artery and nerve
Parts of the sternum
Manubrium, body and xiphoid process
Sternal angle vertebral level
T4-T5
Sternal angle significance
Level of 2nd rib, tracheal bifurcation and arch of aorta
Xiphoid process significance
Landmark for CPR hand placement
Pump handle movement
Increases anterior-posterior thoracic diameter
Bucket handle movement
Increases transverse thoracic diameter
External intercostal muscle function
Elevates ribs during inspiration
Internal intercostal muscle function
Depresses ribs during forced expiration
Neurovascular plane location
Between internal and innermost intercostals
Posterior intercostal arteries origin
Descending thoracic aorta
Anterior intercostal arteries origin
Internal thoracic artery
Intercostal nerves origin
Anterior rami of T1-T11 spinal nerves
Diaphragm function
Primary muscle of respiration
Right crus attachment
L1-L3
Left crus attachment
L1-L2
Caval opening vertebral level
T8
Structures through caval opening
Inferior vena cava and right phrenic nerve
Oesophageal hiatus vertebral level
T10
Structures through oesophageal hiatus
Oesophagus and vagal trunks
Aortic hiatus vertebral level
T12
Structures through aortic hiatus
Descending aorta, thoracic duct and azygos vein
Diaphragm motor innervation
Phrenic nerve
Phrenic nerve roots
C3-C5
Quiet inspiration primary muscle
Diaphragm
Accessory muscles of inspiration
Sternocleidomastoid and scalenes
Muscles of forced expiration
Abdominal muscles and internal intercostals
Thoracic inlet boundaries
T1 vertebra, first ribs and superior border of manubrium
Thoracic outlet boundaries
T12 vertebra, ribs 11-12, costal margin and xiphoid process
Superior mediastinum contents
Great vessels, trachea, oesophagus, vagus and phrenic nerves
Anterior mediastinum contents
Fat, connective tissue and lymph nodes
Middle mediastinum contents
Heart and pericardium
Posterior mediastinum contents
Descending aorta, oesophagus and thoracic duct
Right main bronchus characteristics
Shorter, wider and more vertical
Left main bronchus characteristics
Longer, narrower and more horizontal
Bronchopulmonary segment
Independent lung segment supplied by tertiary bronchus and pulmonary artery branch
Pulmonary circulation function
Carries deoxygenated blood to lungs for gas exchange
Bronchial circulation function
Supplies oxygenated blood to lung tissues
Parasympathetic effect on lungs
Bronchoconstriction and gland secretion
Sympathetic effect on lungs
Bronchodilation and reduced gland secretion
Visceral pleura innervation
Autonomic nerves
Parietal pleura innervation
Somatic nerves