UNIT I: CHEST WALL


A. Anatomy, Physiology and Embryology



Contents:

  1. Chest wall embryology
    1. Ectodermal, mesodermal, endodermal

  2. Chest wall anatomy
    1. Skeletal
    2. Muscular
    3. Neural
    4. Vascular
    5. Relationships to adjacent structures

  3. Diagnostic tests to define chest wall anatomy
    1. Chest x-ray
    2. CAT scans
    3. MRI scans
    4. Nuclear scans
    5. Pulmonary function tests

  4. Major flaps of the chest wall and their vascular pedicles
    1. Latissimus dorsi
    2. Pectoralis major
    3. Serratus anterior
    4. Trapezius
    5. Intercostal
    6. Pleural
    7. Pericardial fat pad
    8. Rectus abdominis
    9. Omental
    10. Vascularized rib graft
Clinical Skills:

During the training program the resident:

  1. Recognizes the normal and abnormal anatomy of the chest wall;

  2. Reads and interprets tests to diagnose chest wall abnormalities;

  3. Performs operations utilizing major chest wall flaps and the correct application of prosthetic materials.

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