#thoracic

[rauko]

Anatomical Drawings | Leonardo da Vinci [1452—1519]

Muscles and Skeleton (pg. 81)

[argotess]

Having a rare neurological and vascular disorder that isn’t noticeable from the outside and is very difficult to be diagnosed is such great fun!! I love it so much!! Every time I tell people about the humongous pain I am in they always say I am exaggerating and they think I am faking it!! I totally suggest everyone to fake having TOS at the prime age of 18!! It’s not like I had to quit all of my lifelong dreams because of a “faked” disorder!!

I have been very lucky to have been able to be diagnosed and not have struggled too much before they figured out my problem but the struggle before it was awful and once I got diagnosed my situation barely changed.

We need to change the adult perspective on teenagers faking chronic pain and rare disorders, we don’t do this for attention. If we tell you something is wrong, please listen to us.

[djenaha]

Proof that I am drawing just not digital, cartoon people haha

[uterenonnumera]

I had skills review yesterday and clinical orientations start next week at the hospitals we are placed in. This term I am doing my surgery rotation and got placed in a vascular/thoracic unit. I am nervous yet excited!

[evadenly]

TRAUMATIC INJURIES - Trunk

I got bored of revision, so here’s a very brief list of injuries  to the trunk, if anyone’s interested. 

Will be doing management of these injuries, trauma protocols and traumatic cardiac arrest management at some point too.

Any requests, let me know!

Abdo evisceration

Impaled objects

 Blunt trauma

-spleen (most common)

-liver

-kidneys

-small and large intestines (least common)

 Internal Bleeding

-ruptured aorta

-tearing aorta

-major (catastrophic) haemorrhage

- organs or vessels

-lacs, puncture

 Bowel

-rupture 

-mesenteric vascular injuries

--ischaemia, necrosis, perforation

-Peritonitis (hours)

 Pelvic

- lower urinary track injury 

-genitourinary injuries

-bladder injuries

Thoracic

- pneumo, haemo, pneumohaemo, and tension pneumo

-broken ribs (great for stabbing other internal organs)

-flail chest (bc its fun to look at)

 Cardiac

-tamponade

-ventricular rupture, atrial rupture 

-ruptured aorta

-arterial dissection

[studydev]

Nerve Innervation Supplies Used: Staedtler Triplus Fineliners - http://amzn.to/2pghonI Stabilo Point 88 Fineliner - https://amzn.to/2qU8fC9 Artline Fineliner 210 (0.6mm) - http://bit.ly/2HKpLSL

[gifmk7]

P A ᴎ I C

[readyems]

 The Sections of the Spinal Column

Cervical Spine

5 Vertebrae (C1 - C5)

Cervical Collars (C-Collars) are so named because they immobilize this section.

Most vulnerable section of the spinal column. Thoracic, Sacrum, and Coccyx sections support by other bony structures, protecting from over extension or flexion that causes vertebrae injuries.

Supports head, which weighs 17 lbs, is relatively poorly supported by muscles/other anatomy, and head and neck move independently, increasing susceptibility to injury.

C1 and C2 (Known as Atlas and Axis, respectively) are very unique vertebrae. The Atlas is just under the head. The axis has what is called the odontoid process (its anterior surface is an oval or nearly circular facet for articulation) about which the atlas rotates. The joint between the atlas and axis is a pivot type of joint. It allows the head turn from side to side.

Thoracic Spine

12 Vertebrae (T1 - T12)

Built for stability, plays an important role in holding the body upright and providing protection for the vital organs in the chest.

The rib cage is connected to thoracic spine. One rib is connected firmly on each side of each thoracic vertebra. T1-T10 connect anteriorly to the Sternum, while T11 and T12 do not (free floating), but do protect the Kidneys.

Lumbar Spine

5 Vertebrae (L1 - L5)

Comes from the Latin word “Lumbus,” meaning “Lion.”

Built for both power and flexibility - lifting, twisting, and bending. The five vertebrae of the lumbar spine are the biggest unfused vertebrae in the spinal column, enabling them to support the weight of the entire torso.

Like the Cervical Spine the Lumbar is not well supported by other anatomical structures and bears the most weight of any spinal section, leaving it susceptible to injury. 

The spinal cord ends at the point of connect between T12 and L1. At that point numerous nerve roots from the spinal cord continue down and branch out, forming the "cauda equina.” These nerves extend to the lower extremities (buttocks, legs and feet). Because the spinal cord does not run through the lumbar spine, it is quite rare that lower back injuries would result in spinal cord damage or paralysis.

Sacrum Spine

Triangular-shaped bone and consists of five segments (S1-S5) that are fused together.

As part of the pelvic girdle, the sacrum forms the back wall of the pelvis and also forms joints at the hip bone.

A healthy sacral region is rarely fractured except in instances of serious injury. 

Coccyx Spine

Also known as the “Tailbone”

Depending on an individual’s development, the coccyx may consist of three to five vertebrae connected by fused—or semi-fused—joints. It’s generally assumed to be 4 vertebrae.

Although the tailbone is considered vestigial (or no longer necessary) in the human body, it does have some function in the pelvis. It is one part of a three-part support for a person in the seated position. Weight is distributed between the bottom portions of the two hip bones (or ischium) and the tailbone, providing balance and stability when a person is seated.

Injury to the Coccyx is more common in women. Women tend to place more weight on the coccyx when sitting and during childbirth there can be acute damage as the baby moves over the tailbone.