The apex beat is felt at which intercostal space The apex beat is felt at which intercostal space


 


Q. The apex beat is felt at which intercostal space?

(a) Third
(b) Forth
(c) Fifth
(d) Sixth

Intercostal space:- The space in between two ribs are colled inercostal space.Eleven intercostal space on each side, last two spaces are open in front.
Features of space- Each directed dowenward & forward, Narrow towards vertebral column and towards sternum, widest at cossto-chndral junction, Posterior part is inter-ossesus while anterior part in  intercartilaginous. 
Typical intercostal space-Spaces between typical ribs & transversed by nervees & vessels & confined to thoracic wall.

Intercostal muscle- Arrenged in three sheets from outside inward that is External intercostal,Internal intwercostal and Transverses thoracis.

External intercostal- Origin: Lower border of the rib above.

                                      Insertion: Outer lip of upper border of rib below.
Internal intercostal – Origin: Floor of costal groove of rib above.
                                     Insertion: Supirior border of rib below ( innerto the attachment of external intercostal muscle)

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