This procedure typically utilizes an 8-cm, 18-gauge needle that is inserted between the xiphoid process and the left costal margin until it enters the pericardial sac, when it can then be used to drain the fluid from the sac.
22.
It arises on either side from the lower third of the posterior surface of the body of the sternum, from the posterior surface of the xiphoid process, and from the sternal ends of the costal cartilages of the lower three or four true ribs.
23.
The fibers arising from the xiphoid process are very short, and occasionally aponeurotic; those from the medial and lateral lumbocostal arches, and more especially those from the ribs and their cartilages, are longer, and describe marked curves as they ascend and converge to their insertion.
24.
The ossification centers appear in the intervals between the articular depressions for the costal cartilages, in the following order : in the manubrium and first piece of the body, during the sixth month of fetal life; in the second and third pieces of the body, during the seventh month of fetal life; in its fourth piece, during the first year after birth; and in the xiphoid process, between the fifth and eighteenth years.
25.
Additionally, there is a distinct ridge on the front margin of the parietal bone, wedged between the frontal bones; the shaft of the lacrimal bone, which is located in front of the eye socket, is wide, flattened, and plate-like seen from the side; the foramen magnum ( a hole in the occipital condyle ( the boss forming the skull-neck joint ); there is no ridge on the bottom of the front lower jaws, which is also not strongly downturned; and the xiphoid process does not flare out from the sternum behind the ribs.
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