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UNIT I: CHEST WALL
A. Anatomy, Physiology and Embryology
Contents:
- Chest wall embryology
- Ectodermal, mesodermal, endodermal
- Chest wall anatomy
- Skeletal
- Muscular
- Neural
- Vascular
- Relationships to adjacent structures
- Diagnostic tests to define chest wall anatomy
- Chest x-ray
- CAT scans
- MRI scans
- Nuclear scans
- Pulmonary function tests
- Major flaps of the chest wall and their vascular pedicles
- Latissimus dorsi
- Pectoralis major
- Serratus anterior
- Trapezius
- Intercostal
- Pleural
- Pericardial fat pad
- Rectus abdominis
- Omental
- Vascularized rib graft
Clinical Skills:
During the training program the resident:
- Recognizes the normal and abnormal anatomy of the chest wall;
- Reads and interprets tests to diagnose chest wall abnormalities;
- Performs operations utilizing major chest wall flaps and the correct application
of prosthetic materials.
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