L15-Lungs and Pleura Flashcards

1
Q

The thoracic cavity is divided up into what divisions?

A

-Right and Left Pulmonary Cavities -Mediastinum

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2
Q

In embryonic development, what three fluid filled sacs form?

A

2 pleural and 1 pericardial

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3
Q

As embryonic lungs grow, do they break into the sac?

A

No, the push against the pleural sac which causes it to surround them. The lungs are NOT inside the sac

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4
Q

What is the function of the serous fluid?

A

To prevent the lungs from rubbing against the thoracic wall when lungs expand.

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5
Q

The parietal pleurae is broken up into what divisions?

A

Cervical, costal, diaphragmatic, mediastinal

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6
Q

Define pleuritis

A

an inflammation of the pleura (infection, adhesion). Pain with activity, audible friction of lungs rubbing

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7
Q

The lungs are under what kind of pressure?

A

Negative pressure. Inflate during inspiration

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8
Q

When does the pleural cavity become a real space?

A

If the pleural sac is breached, the lung collapses and can’t re-inflate

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9
Q

What is the “potential” space of the pleural cavity filled with?

A

Serous pleural fluid

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10
Q

What is a pneumothorax?

A

air in the pleural cavity

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11
Q

What is a hydrothorax/pleural effusion?

A

-fluid in the pleural cavity (chylothorax: lymph in pleural cavity) (hemothorax: blood in pleural cavity)

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12
Q

what is the costodiaphragmatic recess?

A

the periphery of the diaphragm/costal margin

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13
Q

What are the pleural recesses?

A

places where the lungs do not entirely fill up their share of the thoracic cavity

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14
Q

What is a thoracentesis?

A

Drainage of fluid that accumulates in the costodiaphragmatic recess between ribs 9 and 10

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15
Q

What are the superior portion of the lungs called?

A

Apex: extends to base of neck

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16
Q

What is the most inferior portion of the lungs called?

A

Base: over abdominal diaphragm

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17
Q

Name the lobes of the left lung

A

Superior and inferior lobes

18
Q

Name the lobes of the right lung

A

superior, middle and inferior lobes

19
Q

What fissure separates the superior and inferior lobes of the lungs?

A

oblique fissure

20
Q

What fissure separates the middle lobe from the superior lobe? What lung is this found in?

A

horizontal fissure; right lung only

21
Q

Where do you find the cardiac notch?

A

In the inferior, medial portion of the left lung

22
Q

Where do you find the lingula?

A

Near the cardiac notch in the left lung

23
Q

Name the surfaces of the lungs

A
  • a: Costal surface
  • b: Diaphragmatic surface
  • c: Mediastinal surface
24
Q

Name the impressions of the right lung

A
  • a: SVC impression
  • b: Cardiac Impression
  • c: Arch of azygos impression
  • d: Esophasgus impression
25
Q

Name the impressions of the left lung

A
  • a: Thoracic aorta impression
  • b: aortic arch impression
  • c: cardiac impression
26
Q

Define hilum of the lung

A

The region of lung that the roots sit in

27
Q

What structures make up the root of the lung

A

pulmonary artery, pulmonary veins, main(primary bronchus)

28
Q

Where can you auscultate the superior lobes?

A

superior to rib 4 posteriorly, rib 4 on right anteriorly, rib 6 on left anteriorly

29
Q

Where can you auscultate the inferior lobes?

A

at the triangle of auscultation

30
Q

What is the carina?

A

internal ridge at the point of T4/T5 of the trachea

31
Q

Where does the trachea start?

A

At the cricoid cartilage, C6

32
Q

Which main bronchus is more likely to receive a foreign object if inhaled

A

The right because it is wider and more vertical

33
Q

Why are the tertiary bronchi special?

A

The form segments that call function independently

34
Q

What are the segments of lungs supplied by a tertiary bronchus called?

A

Bronchopulmonary segments

35
Q

Pulmonary arteries carry what type of blood?

A

oxygen poor

36
Q

Pulmonary veins carry what type of blood?

A

oxygen rich

37
Q

What do the bronchial veins drain into?

A

typically into the azygos system

38
Q

What nerve innervates the lungs and visceral pleura parasympathetic?

A

Vagus ( CNX)

39
Q

What nerve innervates the lungs and visceral pleura sympathetically?

A

sympathetic trunks via cardiopulmonary splanchnic nerves

40
Q

What innervates the parietal pleura?

A

somatic innervation, sensory primarily from adjacent intercostal nerves. Mediastinal sensory from phrenic nerves