thoracocentesis and thoracostomy level - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 05-31-2012
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 205
Threads: 58
Thanked 19 Times in 16 Posts
Reputation: 29
Anatomy thoracocentesis and thoracostomy level

can anyone help me with that , I need a reference for thoracocentesis and thoracostomy levels , I tried to find it but could not , even cant find dont rememeber reading that in kaplan or FA

it is when they ask pt had trauma...............then he need thoracostomy tube , which level and he give u choices ???
Reply With Quote Quick reply to this message



  #2  
Old 05-31-2012
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 196
Threads: 9
Thanked 97 Times in 64 Posts
Reputation: 107
Default

http://emedicine.medscape.com/articl...view#aw2aab6b4
Its says 7-9 spaces in mid/posterior axillary line but no one just blindly pokes in. You either do an ultrasound marked tap or a ultrasound/CT guided tap for a loculated effusion. Or atleast percuss for dullness.
Reply With Quote Quick reply to this message
The above post was thanked by:
mycoplasma (06-01-2012)
  #3  
Old 05-31-2012
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 17
Threads: 0
Thanked 14 Times in 11 Posts
Reputation: 24
Default

Right lower border of the pleura is the 7th rib in the midclavicular line, upper border of the 10th rib in the midaxillary, and the 12th rib in the paravertebral line.

Left lower border of the pleura is the 7th rib midclavicular, lower border of 10th rib, and 12th rib in the paravertebral line.

The lower border of the lung is usually two intercostal spaces above the pleural border. Therefore, thoracocentesis should be done between the 5th and 7th in th emidclavicular, 7th and 9th midaxillary, and 9th and 11th in the paravertebral line.
Reply With Quote Quick reply to this message
The above post was thanked by:
mycoplasma (06-01-2012)
  #4  
Old 06-01-2012
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 205
Threads: 58
Thanked 19 Times in 16 Posts
Reputation: 29
Default

Quote:
Originally Posted by Romaeus View Post
Right lower border of the pleura is the 7th rib in the midclavicular line, upper border of the 10th rib in the midaxillary, and the 12th rib in the paravertebral line.

Left lower border of the pleura is the 7th rib midclavicular, lower border of 10th rib, and 12th rib in the paravertebral line.

The lower border of the lung is usually two intercostal spaces above the pleural border. Therefore, thoracocentesis should be done between the 5th and 7th in th emidclavicular, 7th and 9th midaxillary, and 9th and 11th in the paravertebral line.

thanks alot , that was very helpful , but is that the same for thoracostomy......
my exam is so near and I am really week in anatomy especially these stuffs and it is not in kaaplan ,and I have no distinct source to read it as a whole
Reply With Quote Quick reply to this message
  #5  
Old 06-01-2012
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 17
Threads: 0
Thanked 14 Times in 11 Posts
Reputation: 24
Default

A tube thoracostomy should be performed in the midaxillary line at the 4th or 5th intercostal space to avoid iatrogenic injury to the liver or spleen. Although, an immediate needle thoracostomy decompression in the 2nd intercostal space may be indicated in the field. I hope that helps.
Reply With Quote Quick reply to this message
The above post was thanked by:
mycoplasma (06-01-2012)



Reply

Tags
Anatomy-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
What LDL level? usmledee USMLE Step 2 CK Forum 1 02-27-2012 04:39 AM
Level of ECG on step 1 indigo USMLE Step 1 Forum 6 11-29-2011 12:33 PM
Phosphate level in rickets OzoneZone234 USMLE Step 2 CK Forum 11 09-22-2011 05:09 AM
A mnemonic for causes of Low Acetylcholine level! bebix USMLE Step 1 Mnemonics 0 09-03-2011 07:45 AM
DKA and Potassium Level hippocampus USMLE Step 1 Forum 13 07-16-2010 09:27 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)