{"iconType":"icon","icon":"plus","color":"#d372d4","hotspots":[{"position":{"x":50,"y":38.081896551724135},"alwaysFullscreen":false,"header":"Sternum"},{"position":{"x":49.54233409610984,"y":15.284778225806454},"alwaysFullscreen":false,"content":[{"params":{"text":"

The sternal notch is an important landmark. It is the first landmark you want to palpate when assessing the anterior thorax (for apical pulse and \/ or lung sounds. <\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"1b696f42-6ce8-45b1-81fe-2592ed4c39cf"}],"header":"Sternal Notch"},{"position":{"x":49.77116704805492,"y":24.27545362903226},"alwaysFullscreen":false,"content":[{"params":{"text":"

This is a palpable anatomical feature formed where the manubrium and sternum join (the manubriosternal juction).<\/p>\n\n

You will palpate from the sternal notch down to the angle of louis. Once you have located this, you will move your finger pads laterally to feel for the gap between the ribs. That will be the second intercostal space your next landmark.<\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"121efc23-36cd-4216-a876-79478e4b3ab4"}],"header":"Angle of Louis"},{"position":{"x":53.31807780320366,"y":30.241935483870968},"alwaysFullscreen":false,"content":[{"params":{"text":"

Intercostal spaces are each numbered according to the rib superior to it. <\/p>\n\n

To palpate intercostal spaces, your finger pads should be facing away from the sternum. <\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"fa0e8044-3b41-4ba8-bc47-ad2d72bd1bb1"}],"header":"Second intercostal space"},{"position":{"x":60.86956521739131,"y":57.982610887096776},"alwaysFullscreen":false,"content":[{"params":{"text":"

The apex of the heart for adults is located at the 5th intercostal space, midclavicular line. <\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"e5ebe87d-69d7-437b-9267-afa8870afd4e"}],"header":"5th intercostal space, mid-clavicular line"},{"position":{"x":49.77116704805492,"y":59.83492943548387},"alwaysFullscreen":false,"header":"Xiphoid Process","content":[{"params":{"text":"

The xiphoid process is the most distal edge of the sternum.<\/p>\n\n

This is a key landmark when dividing the abdomen into 4 quadrants. <\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"3388f0f9-3753-4ca9-8158-967f666d1ab8"}]},{"position":{"x":38.329519450800916,"y":45.1171875},"alwaysFullscreen":false,"content":[{"params":{"text":"

This is the 4th rib on the right side of the thorax. <\/p>\n\n

Palpating and couting ribs is important so you can determine what organs are beneath. <\/p>\n\n

This is an important landmark, beacuse it is an approximation of where the upper and middle lung lobes divide on the right side. <\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"8dbea0c9-de08-41e8-8126-e5339c91daf8"}],"header":"4th Rib"},{"position":{"x":35.46910755148742,"y":63.98689516129033},"alwaysFullscreen":false,"content":[{"params":{"text":"

The 6th ribs bilaterally at the mid-clavicular line is a useful landmark for the lower lungs. <\/p>\n\n

To auscutate the lower lungs from the anterior. Palpate down to the 6th rib. Directly above it is the 5th intercostal space and move laterally to the anterior axillary line, this is a good auscultation site for the lower lobes bilaterally. <\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"4479cceb-5339-4cae-ba60-c17431efc2fc"}],"header":"6th Rib Mid-clavicular line"}],"hotspotNumberLabel":"Hotspot #num","closeButtonLabel":"Close","image":{"path":"images\/image-5f6df9e3d1f8f.jpg","mime":"image\/jpeg","copyright":{"license":"U"},"width":1280,"height":720}}

Landmarks for Anterior Thorax

Emily Parkinson