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THORAX, BREASTS AND LUNGSTHORAX, BREASTS AND LUNGS
rounded configuration with APD = TDrounded configuration with APD = TD
Thoracic index :Thoracic index :11= birth= birth1.251.25= 1 y.o.= 1 y.o.1.351.35= 6 y.o.= 6 y.o.
Pectus Carinatum = “pigeon chest”Pectus Carinatum = “pigeon chest”= sternum is displaced anteriorly, increasing the= sternum is displaced anteriorly, increasing theAP diameter. Grooves of the chest wallAP diameter. Grooves of the chest wallaccentuate the deformityaccentuate the deformity
 
Pectus ExcavatumPectus Excavatum= “funnel chest”= “funnel chest”= characterized by a depression in the lower = characterized by a depression in the lower portion of the sternum.portion of the sternum.=compression of the heart and great vessels may=compression of the heart and great vessels maycause hemorrhagecause hemorrhage= midline sternal retractions with normal inspiration= midline sternal retractions with normal inspiration
 
Retractions = subcostal, intercostal, supraclavicular Retractions = subcostal, intercostal, supraclavicular 
Intercostal retractionsSupraclavicular retractions
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