Exam II: Diaphragm and Plurae Flashcards

1
Q

What forms the superior mediastinum?

A

sternal aangle to t4

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2
Q

What forms the inferior mediastinum?

A

anything below the t4 to t12

has anterior portion, middle portion, and the posterior portion

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3
Q

What is a crura?

A

musculotendenous attachment from the anterior vertebral. there is a left and right. the right is longer than the left.

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4
Q

Median arcurate ligament:

A

occurs between the left and the right crura.

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5
Q

Medial arcurate ligament

A

made by the psoas major

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6
Q

lateral arcurate ligament

A

made by the quadraduous lumborum

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7
Q

What are the aperatures?

A

I ate ten eggs at noon
IVC at T8
Esophag. at T10
aorta at t12

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8
Q

What innervates the diaphragm?

A

cervical nerves (phrenic) 3,4,5 somatic and some sensory

interocstal nerves also innervate the peripheral parts of Dia.

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9
Q

Inhalation:

A

diaphragm contracts

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10
Q

Exhalation

A

dia relaxes

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11
Q

Superior arterial supply to the diaphragm:

A

musculophrenic and the pericardacophrenic both come from the internal thoracic artery.

also the superior phrenic artery which comes off of the thoracic aorta.

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12
Q

Interior arterial supply to the diaphragm:

A

inferior phrenic which comes from the abdominal aorta.

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13
Q

Venous supply to the diaphragm:

A

venous flow follows the arteries into interior throacic vein

veinous also can go into the azygous and the hemiazygous

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14
Q

left side of the thoracic venous supply

A

hemiazygous

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15
Q

Right side of the thoracic venous supply

A

azygous

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16
Q

What is the endothoracic fascia?

A

fasica on the outside of the pleura everywhevere except the cervical pleura.

17
Q

What is a pleura recess?

A

where the lung does not fill the entire space.

costodiaphragmatic and the cosomediastinal

18
Q

empyema

A

pus in the pleural space

19
Q

hemothorax

A

blood on the lungs

20
Q

Pneumothorax

A

air on the lungs (this can happen blunt force or penetrating injury.

21
Q

What is the arterial supply of the visceral pluera

A

branches of the bronchial and pulmonary arterial systems

22
Q

What is the venous supply of the visceral plurae?

A

azygous and hemiazygous and some pulmonary viens

23
Q

Bronchial arteries

A

from the thoracic aorta

there are one to two arteries for each lung.

24
Q

Visceral venous return:

A

bronchial veins–> azygous and hemiazygous

25
Q

What is the blood supply of the parietal plurae

A

cervical and costal = intercostal arteries

diaphragm plurae (central tendon and the intercostal vessels)

venous supply is the same as the artieral supply

26
Q

Can visceral pleura feel pain?

A

no they cannot

27
Q

How is the parietal pleurae innervated?

A

it is identical to the vascular supply.

28
Q

What provides arterial blood to the cervical plurae?

A

intercostal arteries

29
Q

What provides arterial blood to the costal plurae?

A

intercostal arteries

30
Q

What provides arterial blood to the diaphragmatic pleura?

A

Intercostal arteries

pericardiacophrenic arteries

31
Q

What provides arterial blood to the mediastinal pluera?

A

pericardiacophrenic arteries