Lungs and Pleura Flashcards

1
Q

Pleura

A

thin membrane of fibrous tissue

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2
Q

mesothelium

A

layer of flat cells covering the pleura

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3
Q

where is the parietal pleura

A

lines thoracic wall (seperated by endothoracic fascia)

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4
Q

What does the parietal layer of the pleura attach to

A

the inferior surface of the suprapleural membrane, at the thoracic inlet, and to the mediastinal surface of the fibrous pericardium

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5
Q

why does the parietal pleura extend firther than the bottom of the lung

A

to allow for lung expansion

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6
Q

what is the costodiaphragmatic recess

A

the space seperating the costal parietal pleura from the diaphragmatic parietal pleura

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7
Q

what arteries supply the parietal pleura

A

intercostal, internal thoracic and musculophrenic arteries

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8
Q

where is the venous drainage of the pleura

A

to the azygos system of veins.

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9
Q

where do the lynphatics of the pleura drain to

A

the intercostal, parasternal, diaphragmatic and posterior mediastinal nodes

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10
Q

what is parietal pleura senstivie to

A

pain, temperature, touch, and pressure

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11
Q

what nerves supply the costovertebral pleura

A

intercostal nerves

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12
Q

what nerves supply the diaphragmatic pleura

A

the phrenic nerve over the domes, and by the lower six intercostal nerves around its periphery

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13
Q

what nerve supplies the mediastinal pleura

A

phrenic nerve

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14
Q

what supplies the arterial supply and venous drainage of the visceral pleura

A

bronchial vessels

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15
Q

visceral pleura sensitivities

A
  • sensitive to stretch
  • insensitive to pain and touch
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16
Q

where does the visceral pleura recieve nerve supply from

A

autonomic nerve supply from the pulmonary plexus

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17
Q

how many lobes has the left lung got

A

2

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18
Q

how many lobes has the right lung got

A

3

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19
Q

what is the root of the lung

A

The region of the mediastinum where the lung is connected to the trachea and heart

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20
Q

what is the hilum

A

The region of the lung where the bronchi and pulmonary vessels enter or leave

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21
Q

1

A

anterior border

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22
Q

2

A

costal surface

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23
Q

3

A

apex

24
Q

4

A

hilum

25
Q

5

A

bronchus

26
Q

6

A

pulmonary artery

27
Q

7

A

pulmonary vein

28
Q

8

A

posterior border

29
Q

9

A

mediatsinal surface

30
Q

11

A

inferior border

31
Q

12

A

diaphragmatic surface (base)

32
Q

what is the oblique fissure

A
  • vertical fissure
  • divides lung into upper and lower lobes
33
Q

what is the horizontal fissure

A
  • horizontal fissure that makes the third lobe in the right lung
34
Q

how long is the right main bronchus

A

2.5cm

35
Q

how lung is the left main bronchus

A

5cm

36
Q

what arteries supply the tissues of the bronchu

A

the bronchial arteries

37
Q

what do the veins of the right main bronchus drain to

A

azygos vein

38
Q

what do the veins of the left main bronchus drain to

A

the accessory hemiazygos vein

39
Q

name three cells present in the tracheobronchial epithelium

A
  • goblet
  • cilliated
  • clara
40
Q

goblet cells function

A

secrete mucus

41
Q

cilliated cells function

A

sweep debris

42
Q

clara cells function

A

divide, differentiate, metabolize toxic chemicals

43
Q

arterial supply of bronchial tree

A

bronchial arteries

44
Q

how many bronchial arteries altogether

A

3

45
Q

bronchial arteries on the left: amount and origin

A

two, direct branches of aorta

46
Q

bronchial arteries on the right: amount and origin

A

one, third right posterior intercostal artery

47
Q

where do the bronchial veins drain

A

nto the azygos vein on the right and the accessory hemiazygos on the left superficially, and into a main pulmonary vein from the deeper lung where it mixes with oxygenated blood

48
Q

what is the capillary plxus

A

plexus in walls of alveoli which is fed with deoxygenated blood by the pulmonary artery

49
Q

where do the lymphatic vessels inside the lung originate

A

a superficial subpleural plexus and a deep submucosal plexus

50
Q

where do the lynphatic vessels inside the lung drain to

A

bronchopulmonary nodes

51
Q

where do lymphatics from the bronchopulmonary nodes proceed to drain to

A

Lymphatics from the upper and middle lobes drain to superior, and those from the lower lobes to inferior, tracheobronchial nodes

52
Q

nerve supply inside the lung

A

autonomic nerves from pulmonary plexus

53
Q

where do the parasympathetic nerves orginate

pulmonary plexus

A

vagus nerve

54
Q

where do the sympathetic nerves originate from

pulmonary plexus

A

sympathetic trunk

55
Q

functions of pulmonary plexux

A
  • Parasympathetic: dilate blood vessels/constrict bronchi
  • Sympathetic: constrict blood vessels/dilate bronchi
  • Supply visceral pleura