ะฃ ะฝะฐั ะฒั ะผะพะถะตัะต ะฟะพัะผะพััะตัั ะฑะตัะฟะปะฐัะฝะพ ๐๐. ๐๐ง๐ญ๐๐ซ๐๐จ๐ฌ๐ญ๐๐ฅ ๐ฌ๐ฉ๐๐๐๐ฌ (๐๐ง๐ญ๐๐ซ๐๐จ๐ฌ๐ญ๐๐ฅ ๐ฆ๐ฎ๐ฌ๐๐ฅ๐๐ฌ, ๐ฏ๐๐ฌ๐ฌ๐๐ฅ๐ฌ, ๐๐ง๐ ๐ง๐๐ซ๐ฏ๐๐ฌ) ะธะปะธ ัะบะฐัะฐัั ะฒ ะผะฐะบัะธะผะฐะปัะฝะพะผ ะดะพัััะฟะฝะพะผ ะบะฐัะตััะฒะต, ะบะพัะพัะพะต ะฑัะปะพ ะทะฐะณััะถะตะฝะพ ะฝะฐ ัััะฑ. ะะปั ัะบะฐัะธะฒะฐะฝะธั ะฒัะฑะตัะธัะต ะฒะฐัะธะฐะฝั ะธะท ัะพัะผั ะฝะธะถะต:
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ะัะปะธ ะฒะพะทะฝะธะบะฐัั ะฟัะพะฑะปะตะผั ัะพ ัะบะฐัะธะฒะฐะฝะธะตะผ, ะฟะพะถะฐะปัะนััะฐ ะฝะฐะฟะธัะธัะต ะฒ ะฟะพะดะดะตัะถะบั ะฟะพ ะฐะดัะตัั ะฒะฝะธะทั
ัััะฐะฝะธัั.
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This video explains the contents of the intercostal spaces (intercostal muscles, vessels, and nerves) and their applied anatomy (including MCQ, practical, and interactive questions). * ๐๐ก๐๐ฉ๐ญ๐๐ซ๐ฌ (๐ญ๐ข๐ฆ๐๐ฌ๐ญ๐๐ฆ๐ฉ๐ฌ) ุงููุตูู (ุงูุทูุงุจุน ุงูุฒู ููุฉ) 00:00 - Intro (ู ูุฏู ุฉ) 00:18 - Content (ุงูู ุญุชูู) 00:40 - Intercostal muscles 00:47 - Classification 03:57 - Outer layer (External intercostal muscle) 07:07 - Intermediate layer 08:57 - Inner layer 09:02 - Innermost intercostal muscle 10:30 - Sternocostalis 12:02 - Subcostalis muscle 14:22 - MCQ 15:47 - Intercostal nerves 15:51 - Typical intercostal nerves 21:54 - Atypical intercostal nerves 23:14 - MCQ 23:42 - Intercostal arteries 28:39 - MCQ 29:57 - Intercostal veins 28:39 - MCQ 35:42 - Applied anatomy * ๐๐ฆ๐ฉ๐จ๐ซ๐ญ๐๐ง๐ญ ๐ง๐จ๐ญ๐: - The internal thoracic artery terminates opposite the sixth intercostal space by dividing into superior epigastric and musculophrenic arteries. - The internal thoracic vein is formed by the union of the two venae comitantes of the internal thoracic artery unite behind the third costal cartilage. * ๐๐ก๐๐ญ ๐ข๐ฌ ๐ญ๐ก๐ ๐ฉ๐ซ๐๐๐๐ซ๐ซ๐๐ ๐ฌ๐ข๐ญ๐ ๐๐จ๐ซ ๐ญ๐ก๐จ๐ซ๐๐๐๐ง๐ญ๐๐ฌ๐ข๐ฌ (๐ญ๐๐ฉ๐ฉ๐ข๐ง๐ ๐จ๐ซ ๐๐ฌ๐ฉ๐ข๐ซ๐๐ญ๐ข๐จ๐ง)? - Needles introduced into the intercostal spaces (to remove collection in the pleura). ^^ ๐ข๐ฒ๐ฝ๐ฎ: They are done in the lateral part of the chest wall. ^^ ๐๐ช๐พ๐ผ๐ฎ:To avoid injury of the posterior intercostal nerve and vessels. (it is also better to be introduced near the UPPER BORDER of the rib below) - The recommended location varies depending on the source. - Some sources recommend the midaxillary line, in the eighth, ninth, or tenth intercostal space. - Whenever possible, the procedure should be performed under ultrasound guidance, which has been shown to reduce complications. * ๐๐๐: 1. A patient has pleural effusion. When inserting a chest tube through the intercostal space to treat him, the intercostal vessels and nerves are avoided by placing the tube immediately at which of the following anatomical sites? A. At the upper border of the rib below B. At the lower border of the rib above C. Midway in the intercostal space D. Near the anterior end of the ribs 2. Which of the following arteries is a branch of the internal thoracic artery? A. Superior intercostal B. Superior epigastric C. Subcostal D. Left bronchial 3. Which of the following is a typical intercostal nerve? A. 3rd intercostal B. 2nd intercostal C. 10th intercostal D. 9th intercostal 4. The intercostobrachial nerve is which of the following intercostal nerves? A. 3rd B. 2nd C. 1st D. 9th 5. Which of the following arteries gives the 9th pair of anterior intercostal arteries? A. Subclavian B. Internal thoracic C. Musculophrenic D. Superior epigastric 6. Which of the following intercostal nerves is atypical? A. 2nd B. 3rd C. 4th D. 5th 7. Which of the following arteries is the origin of the 5th posterior intercostal artery? A. Descending thoracic aorta B. Subclavian C. Inferior thyroid D. Internal thoracic 8. The right superior intercostal vein drains mainly into which of the following veins? A. Azygos B. Hemiazygos C. Right subclavian D. Right brachiocephalic 9. What is the origin of the internal thoracic artery? A. First part of the subclavian B. Second part of the subclavian C. Brachiocephalic D. Descending thoracic aorta 10. The site of introducing the needle into the intercostal space to remove blood collection in the pleura is which of the following sites? A. Lateral part of the chest wall near the rib below B. Lateral part of the chest wall near the rib above C. Posterior part of the chest wall near the rib below D. Posterior part of the chest wall near the rib above ๐๐ ๐คฃ ๐ฆ๐ช๐ฒ๐ฝ๐ฒ๐ท๐ฐ ๐๐ธ๐ป ๐จ๐ธ๐พ๐ป ๐๐ท๐ผ๐๐ฎ๐ป ๐๐ ๐คฃ * ๐ ๐จ๐ซ ๐๐จ๐ง๐ญ๐๐๐ญ: ๐๐๐ฆ๐๐ข๐ฅ: [email protected] ๐๐ ๐๐๐๐๐จ๐จ๐ค ๐ฉ๐๐ซ๐ฌ๐จ๐ง๐๐ฅ ๐๐๐๐จ๐ฎ๐ง๐ญ: ย ย /ย drayman.khanfourย ย ๐๐ ๐๐๐๐๐จ๐จ๐ค ๐ ๐ซ๐จ๐ฎ๐ฉ: ย ย /ย 314015989895733ย ย ๐๐๐๐ฅ๐๐ ๐ซ๐๐ฆ ๐๐ก๐๐ง๐ง๐๐ฅ: https://t.me/+k-LcyYc-0WsyNDg0 ๐๐๐๐ฅ๐๐ ๐ซ๐๐ฆ ๐ ๐ซ๐จ๐ฎ๐ฉ: https://t.me/+S-dZx8Sf-LBiOWE0 ๐๐๐ง๐ฌ๐ญ๐๐ ๐ซ๐๐ฆ:ย ย /ย dr_aymnย ย ๐๐๐จ๐ฎ๐๐ฎ๐๐ ๐๐ก๐๐ง๐ง๐๐ฅ ๐ฐ๐๐๐ฌ๐ข๐ญ๐ ๐ฅ๐ข๐ง๐ค:ย ย ย /ย @dr.ayman_khanfourย ย ๐๐๐จ๐๐ข๐ฅ๐ (๐๐ง๐ ๐๐ก๐๐ญ๐ฌ๐๐ฉ๐ฉ): +20 1223815866 * ๐๐๐ฌ๐ก๐ญ๐๐ : #intercostal_muscles #intercostal_nerves #intercostal_vessels