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.$%$lar )S$pra+t rnal* Not&h St rnal An%l )An%l of Lo$"+/#an$(r"o+t rnal .o"nt* Tra&h al B"f$r&at"on
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&""ro!i'ately center of 'anubriu' or first intercostal s"ace (hich (ould "ut it at the level of the %3 & %4 vertebral junction
%5 to %) vertebrae %* vertebra (ty"ically) +ro' su"erior thoracic inlet to the hori,ontal "lane "assing fro' the sternal angle to the inferior border of %4 vertebra - second intercostal s"ace. 'edial / second intercostal s"ace / lo(er sternu' +ourth intercostal s"ace in 'idclavicular line
P$l'onary 0al0 Aort"& 0al0 Tr"&$+p"d 0al0 N"ppl "n #al Ap x of H art ('itral valve)
+ifth intercostal s"ace %5 to %) vertebrae %6 to %* vertebrae %5#%* sy' ganglia %6 %) vertebra % 0 1 vertebra %21#%22 sy' ganglia %22 sy' ganglia % 22 vertebra % 22 & - 0 vertebral j unction -0 vertebra (su"erior border)
Ba+ of H art )S$p"n Po+"t"on* )Er &t Po+"t"on* %r at r +plan&hn"& n2 O(l"6$ f"++$r of l$n% V na Ca0al Fora' n E+opha% al H"at$+ L ++ r +plan&hn"& n2 L a+t +plan&hn"& n2 Aort"& H"at$+ # d"an Ar&$at L"%a' nt of R +p"ratory D"aphra%' C l"a& Tr$n3
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S$p r"or # + nt r"& Art ry Inf r"or # + nt r"& Art ry Hor"1ontal )Th"rd* Part of D$od n$' R"%ht 7"dn y 8 S$p r"or Pol Inf r"or Pol H"l$'
-0 vertebra (inferior third) -3 vertebra (subcostal "lane) -3 vertebra (subcostal "lane) %22 vertebra (su"erior border) -3 vertebra -0 vertebra (trans"yloric "lane)
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L ft 7"dn y 8 S$p r"or Pol Inf r"or Pol H"l$' Pan&r a+ 8 H ad D$od n$' 8 F"r+t Part 8 S &ond Part 8 Th"rd Part U'("l"&$+ )S$p"n 9R &$'( nt Po+"t"on* B"f$r&at"on A(do'"nal Aorta Or"%"n of Inf r"or V na Ca0a Ant r"or S$p r"or Il"a& Sp"n Po+t r"or S$p r"or Il"a& Sp"n
%22 vertebra (su"erior border) -3 vertebra -0 vertebra (trans"yloric "lane) -2 & -3 vertebrae - 0 vertebra -0. -2 & -3 vertebrae (right side) -3 vertebra 3isc bet(een -3 & -4 vertebrae -4 vertebra -5 (transtubercular "lane) 0 vertebra 2 vertebra
BODY PLANES
Tran+0 r+ Thora&"& Plan 8 a hori,ontal line that anteriorly "asses through the sternal angle and "osteriorly through the %4 & %5 vertebral junction4 5"ph"+t rnal Plan 8 'ar5s the anterior. inferior li'it of thoracic cavity. the su"erior surface of the liver. the res"iratory dia"hrag' and the inferior border of the heart4 0t is ty"ically at the level of the %* vertebra4
Tran+pylor"& Plan 8 S$p"n Po+"t"on : "n Cada0 r H"la Both 7"dn y+ S$p r"or # + nt r"& Art ry N &34 Body and H ad of Pan&r a+ Tran+pylor"& Plan )Er &t Po+"t"on* S$(&o+tal Plan Tran+$'("l"&al Plan S$pra&r"+tal Plan )H"%h +t Po"nt on Il"a& Cr +t* Tran+t$( r&$lar Plan
-0 vertebra (inferior border) - 0 vertebra (trans"yloric "lane) - 2 vertebra (trans"yloric "lane) - 0 vertebra (trans"yloric "lane) -2 to -4 vertebral levels de"ending on "erson -3 vertebra (su"erior border or transacts it) 3isc bet(een -3 & -4 vertebrae -4 vertebra -5 vertebra