Vein Artery and Nerve in the chest ribs? - USMLE Forums
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  #1  
Old 11-04-2010
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Anatomy Vein Artery and Nerve in the chest ribs?

25-old male football player is in your practice. Last night he fell down during game and hurted his right flank. In physical examination there is symmetrical auscultation and tenderness in 5th rib. You decided to do nerve block with bupivacain injection. As you prepare for operation you try to remember basic anatomy of rib region. There is three structures inferior to rib, which of them are the most superior:

a) artery
b) vein
c) nerve
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Old 11-04-2010
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i think its nerve.....cuz vein in the one which is rite on the groove next comes artery n then nerve.
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Old 11-04-2010
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Quote:
Originally Posted by TAAOM View Post
i think its nerve.....cuz vein in the one which is rite on the groove next comes artery n then nerve.
Mnemonics: VAN... the most superior is vein, then artery and the most inferior is nerve.
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Old 11-04-2010
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Yup - VAN... Answer - vein


Vein Artery and Nerve in the chest ribs?-images.jpg
Click to enlarge
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Old 11-04-2010
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Default Let's make it little more complicated

So if we are talking about ribs it is VAN



If we're talking about lower limb the mnemonics is

NAVy blue VAN

Right lower limb: nerve - artery - vein
Left lower limb: vein - artery - nerve
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Old 11-04-2010
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Quote:
Originally Posted by fin-84 View Post
So if we are talking about ribs it is VAN



If we're talking about lower limb the mnemonics is

NAVy blue VAN

Right lower limb: nerve - artery - vein
Left lower limb: vein - artery - nerve
Actually there's a better mnemonic here
Femoral Hernia, Canal, Ring, and Sheath
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Old 11-04-2010
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Quote:
Originally Posted by fin-84 View Post
Mnemonics: VAN... the most superior is vein, then artery and the most inferior is nerve.
This...vein
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Old 11-05-2010
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Guys just an extension from the original question, don't forget that if you want to do a thoracocentesis, you want to avoid the VAN area (therefore entering at the inferior border of the intercostal space)
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