Anatomy 2 Pleura Sept28 M1 Flashcards

(83 cards)

1
Q

two sides of pleura

A

visceral on lung side

parietal on chest side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Different names of parietal pleura depending on location

A

Cervical (on top)
Costal (middle)
Diaphragmatic (bottom)
Mediastinal (on interior side facing heart)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what mediastinal means and what sits in correspond region

A

comes from mediastinum, region where heart sits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

T-F: parietal and visceral pleura are separate

A

F: are continuous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

volume of fluid in pleural cavity

A

8-10 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Consequence of disruption of intrapleural pressure

A

dyspnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

pneumothorax def and what happens

A

hole in pleura, air enters it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

hemothorax def

A

blood enters pleural cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is mediastinal shift, when it happens and consequence

A

heart moves to side where lung collapsed. (happens in severe pneumothorax) Compromises hemodynamic stability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

which pleura has nervous innervation and why

A

both

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

visceral pleura sensitivity what innervates it and where pain is referred

A

Autonomic innervation, insensitive to pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

innervation of parietal pleura

A

Intercostal nerves innervate cervical, costal and exterior portion of diaphragmatic pleura
Phrenic nerve innervates interior or diaphragmatic pleura and mediastinal pleura

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pain to parietal pleura: where it is referred

A

If sensed by intercostal nerves: refer to lateral thoracic and abdominal walls
sensed by phrenic nerve: refers to neck and shoulders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Parietal pleura: somatic or autonomic innervation

A

somatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

pain in diaphragm: where it is felt

A

neck and shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

name of pleural cavities (what we say instead of cavities) and how many

A

pleural recesses, two

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

pleural recesses location, name and direction of expansion

A
costomediastinal recess (mediastinal, interior, expand on side)
costodiaphragmatic recess: below lung on above diaphragm (expand vertically)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

lobes in right and left lung

A

right: superior, middle, inferior
left: superior inferior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

fissures in right and left lung

A

right and left have oblique fissure to separate superior (+ middle in right) from inferior
right has horizontal fissure to separate middle and superior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

name of surface on bottom of lung

A

diaphragmatic surface

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

two characteristic structures of left lung and where

A
cardiac notch (on mediastinal surface in bottom)
lingula, bottom interior
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

name of top of the lung and where it is

A

apex. 2-4 cm above clavicle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

which lung bigger and why

A

right bc heart sits more towards left so left smaller

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

impressions in right lung

A

posterior to anterior: esophagus, azygos vein, SVC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
impressions in left lung
posterior to anterior: aorta, cardiac impression
26
impression def
characteristics created by fixation bc surfaces stick together
27
lines used as anatomy landmarks to find chest structures on each side
parasternal lines: on each side of sternum | mid-clavicular lines: vertical lines that cross middle of clavicle on each side
28
How to find horizontal fissure
is along rib 4 in right lung
29
how to find oblique fissure
at rib 6 and mid-clavicular lines crossing, then goes up, to the side and to the back
30
right lung lobes position in front
sup: rib 1-4 middle: rib 5-6 inf: rib 6 to the back
31
left lung lobes position in front
sup: rib 1-6 inf: rib 6 to the back
32
where to place stethoscope for auscultation of apex
above clavicle
33
where to place stethoscope for auscultation of superior lobe of RIGHT lung
between ribs 2 and 3 on front
34
where to place stethoscope for auscultation of middle lobe of right lung
below rib 4 on front
35
where to place stethoscope for auscultation of inferior lobe of right lung
below rib 6, a little bit on the side
36
at what level does the horizontal fissure cross the midaxillary line and what it shows
rib 5. Bc crosses rib 4 at the front, it shows that it doesn't go as up as steep as the ribs
37
Oblique fissure what it lines up to from back to front
Is at TIV, crosses ribs 4 and 5, and continues anteriorly along rib 6
38
Which ribs crosses midaxillary line at inferior border of the lung
Rib 8
39
Which ribs crosses midaxillary line at parietal pleura
rib 10
40
name of pleural cavity between rib 8 and 10
costodiaphragmatic recess
41
surface anatomy landmarks when looking at the back
paravertebral lines
42
What ribs cross the inferior border at midclavicular line at midaxillary line and at paravertebral line
6, 8, 10
43
What ribs cross the parietal pleura at midclavicular line at midaxillary line and at paravertebral line
8, 10, 12
44
which lobes can we listen to from the back (for each lung)
right: sup and inf left: sup and inf
45
Tip to identify the oblique fissure easily when looking at patient from the back
Tell them to put both hands behind head. Oblique fissure goes along medial scapular border
46
How to auscultate apex of lung from the back
Stethoscope near rib 1
47
How to auscultate superior lobe of lung from the back
stethoscope between rib 3 and 4
48
How to auscultate inferior lobe of lung from the back
stethoscope between rib 8 and 9
49
Why trachea has cartilage rings
Keep airways open, no closing when kink when turning head
50
Level at which trachea branches to become primary bronchi and name of this branching
Carina. T4-T5 level
51
How many secondary bronchi in left and right lung
left: 2. Right: 3
52
What is also on level of carina
sternal angle of rib 2
53
Name of muscle found in trachea and function
Trachialis muscle. Allows trachea to contract and expand a little
54
How many tertiary bronchi in each lung and how they subdivide within the secondary bronchi
10 per lung. Right lung: 3 sup 2 middle 5 inf. | Left lung 5 sup 5 inf
55
Name of technique where take scope and look inside airways
bronchoscopy
56
See 3 holes in bronchoscopy camera, what do we know?
We're at superior lobe of right lung
57
What tertiary bronchi correspond to
Correspond to numbered segments of the lung
58
How many segments in each lobe
Right lung: 3 in sup, 2 in inf, 5 in inf | Left lung: 5 in sup, 5 in inf
59
3 types of lung resections and def
Segmentectomy (remove lung segment) Lobectomy (remove lung lobe) Pneumonectomy (remove a lung)
60
End portion of the branching of a segmental bronchus
Bronchiole
61
Two portions of bronchiole
Terminal bronchiole and respiratory bronchiole
62
What is the largest structure name for gas exchange
respiratory bronchiole
63
how structure of bronchus changes as it branches more and more
less cartilage and more smooth muscle (in terminal and resp bronchioles)
64
where do we find smooth muscle in the airways exactly
In terminal and resp bronchioles
65
how many pulm arteries and veins
2 pulm arteries (one each side) | 4 pulm veins (2 each side)
66
What provides blood supply and venous drainage to the bronchi and lung tissues
Bronchial arteries and veins
67
Hillum of the right lung
back to front: primary bronchus, pulm artery, pulm vein. | below: pulm vein
68
hillum of the left lung
superior to inferior: pulm artery, primary bronchus, pulm vein. in front: pulm vein
69
how to recognize primary bronchus on image (or macroscopically?)
grey bc of cartilage and more thick therefore
70
pulmonary ligament location and function
below hillum of each lung. makes the hillum hang down to provide space for vessel, veins, bronchus to expand
71
Nearest structure to trachea and lungs that provide nervous innervation + location
Anterior and posterior pulmonary plexuses. front and back of trachea
72
Where pulmonary plexuses stem from (what they're made of)
contribution from nerves from T2-T6 and going out of sympathetic chain and also of vagus nerve (PSS)
73
Where SS info goes
bronchi and tracheobronchial tree
74
5 lymphatic structures in or near the lungs
``` Pulmonary nodes Hilar (bronchopulmonary) nodes Trachebronchial nodes Paratracheal nodes Bronchomediastinal trunk ```
75
lymphatic system, give 2 functions
immune response, fat transport
76
how recognize lymph nodes whe looking at mediastinal surface of lung
dark aggregates (are hilar lymph nodes)
77
pulmonary nodes location and can see them or not
nodes at capillary level within lung, can't see them
78
hilar nodes location and can see them or not
where right primary bronchus enters lung, at hillum of the lung
79
tracheobronchial nodes location
where primary bronchi meet trachea at the carina
80
paratracheal nodes location
up on either side side of trachea
81
Bronchomediastinal trunks description
Lymphatic vessels draining lymphatic circulation from pulmonary nodes, etc. back to heart
82
left bronchomediastinal trunk termination
joins thoracic duct which then enters blood circulation at venous angle (angle between jugular vein, vertical and subclavian vein, horizontal)
83
right bronchomediastinal trunk termination
joins directly circulation at venous angle (angle between jugular vein, vertical and subclavian vein, horizontal)