Thorax Dissection Presentation: Clinical Correlate Ideas

[Dub]

Hi 18Ds,
I am a senior in college and am getting ready to give my first of several presentations on my (in progress) dissection of the thorax. I have just reflected the anterior thoracic wall and my next step will be to remove the lungs for further dissection.

Part of our presentation is to discuss a clinical correlate of our choosing, which can be anything interesting which is clinically related to what I have dissected. Some examples: diseases afflicting certain structures, procedures performed on certain structures, or the effects of damaging certain structures and the remedy.

I would like to present and learn about something an 18D may have to deal with or fix. So if you would please give me some 18D procedures or things you have done/encountered in the thorax I could discuss. Maybe something the anatomy professors have not heard about, so I can wow em a bit.

Pneumothorax is a common one, so if you say that give me some interesting 18D ways of fixing it.


So you know what structures I have dissected/observed:
lateral cutaneous branches of intercostal nerve, pectoral muscle group, the thoracoacromial artery and branches, cephalic vein as it passes through shoulder, medial and lateral pectoral nerves and vessels, subclavius muscle, serratus anterior muscle, intercostal muscles, intercostal artery, vein, and nerve, internal thoracic vessels, superior epigastric a., musculophrenic a. and transversus thoracis. All pleura associated with lungs, the diaphragm,

Observed only: lungs, heart, mediastinum

Much Appreciated and I look forward to some interesting responses!
- Dub

[SouthernDZ]

acute managment of a pneumothorax, tension pneumothorax on the battlefield is pretty much the same across the spectrum (68W-SOCM-18D) with the advent of TCCC. Only with a delayed evacuation (such as encountered by an 18D) does the chest tube come into play. In other words, skip the tension PTX - boring.

Aortic transections are common with the "sudden stop" that inevitably occurs with parachute malfunctions; this type of shearing force injury is common with head-on MVCs. The aortic "tear" usually occurs at the ligamentum arteriosum. This might be interesting to present.

The "butterfly effect" caused by overpressure within the thorax might make a good presentation as well. Sometimes seen with IEDs.

Good luck to you.

[Surgicalcric]

Originally Posted by SouthernDZ

...The "butterfly effect" caused by overpressure within the thorax might make a good presentation as well. Sometimes seen with IEDs...

Pulmonary Emboli, Pneumothoracis, Tension-pneumos, etc... are quite common and your anatomy professors will have probably heard of them. I would go with Effects of a Primary Blast Injury as mentioned previously.

Crip

[Dub]

Thanks. I will research up on the effects of a primary blast injury aka "butterfly effect" and probably use that.

- Dub