Anatomy And Imaging Flashcards

(42 cards)

1
Q

Which cardiac vessel is called the “Widowmaker” and why?

A

Left Anterior Descending Artery

Most often blocked in a heart attack

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2
Q

How is the heart kept in its normal position

A

The pericardium is attached to the sternum AND mediastinal portions of right and left pleura

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3
Q

What is the mediastinum?

A

Thoracic cavity between the lungs

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4
Q

State the structure and function of the Pericardium

A

Structure: A fibroserous sac

Function: Encloses heart and the roots of the great vessels

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5
Q

Name the two layers of the pericardium

A

Outer fibrous

Inner serosal

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6
Q

Compare the 2 parts of the Inner Serosal layer in the Pericardium

A

Visceral Pericardium: Adheres to external wall of the heart

Parietal Pericardium: Lines Outer Fibrous layer, formed when Visceral Pericardium reflects back on itself

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7
Q

What is the Pericardial cavity

What does it do?

A
  • Space between Visceral and Parietal Pericardium

- Consists of pericardial fluid which reduces friction

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8
Q

How are the Right and Left Phrenic nerves associated with the pericardium

A

Right: Moves along pericardium of right atrium to innervate diaphragm

Left: Moves along pericardium of left ventricle to innervate diaphragm

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9
Q

Compare the Transverse and Oblique Pericardial Sinuses

A

Transverse: A passage between Aorta and Pulmonary Artery posteriorly and the Superior Vena Cava anteriorly

Oblique: The pericardial “cul-de-sac” behind the heart, which opens into the pericardial space

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10
Q

What is the Endocardium?

A

Single layer of epithelial cells that lines the surface of the valves and the interior surface of the chambers

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11
Q

What is the Myocardium

A

Thickest layer of the heart and consists of bundles of cardiac muscle cells

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12
Q

What is the Epicardium?

A

Outermost heart layer, another name for the Visceral Pericardium

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13
Q

Which blood vessels emanate from the Pericardium Superiorly and Inferiorly

A

Inferiorly: Inferior Vena Cava

Superiorly: Superior Vena Cava, Aorta, Pulmonary Artery

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14
Q

What is external to the Myocardium

A

A layer of connective tissue and adipose tissue, through which pass the Larger vessels and nerves that supply the heart muscle

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15
Q

Compare the functions of the 3 vessels which drain into the right atrium

A

Vena Cavae: Returns deoxygenated blood from systemic veins

Coronary Sinus: Returns deoxygenated blood from cardiac veins

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16
Q

Which vascular structures enter the left atrium

A

4 Pulmonary veins

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17
Q

What is on the floor of the right atrium

What are the 4 valves

A

Tricuspid valve

Semilunar:

  • Aortic valve
  • Pulmonary valve

Atrioventricular:

  • Tricuspid (Right)
  • Bicuspid/ Mitral (Left)
18
Q

What is the Aortic Vestibule

A

A smooth-walled part of the ventricular cavity just below the Aortic valve

19
Q

What gives the right ventricle a sponge-like appearance

A

A number of irregular bridges- Trabeculae Carnae

20
Q

How does the right ventricle help to prevent Tricuspid valve opening during systole

A

Contains 3 Papillary muscles which project into chamber via their tendons (Chordae Tendineae)

These attach to edges of Tricuspid valve leaflets and contract

21
Q

Describe the function and location of Cardiac Veins

A

Function: Return blood from myocardial capillaries to the right atrium, mainly from coronary sinus

Location: Lie in epicardial fat, superficial to their arterial counterparts

22
Q

Name the Major veins in the thorax

Name the major Arteries in the thorax

A

Vein: Superior Vena Cava

Arteries: Descending (Thoracic) Aorta + its Intercostal branches

23
Q

Name the major veins in the abdomen

A

Inferior Vena cava

Right, Left Renal Veins

Right, Left Testicular Veins

24
Q

Name the major arteries in the abdomen

A

Abdominal Aorta + its paired branches

Celiac Artery

Superior, Inferior Mesenteric Artery

Suprarenal Arteries

Renal Arteries

Ovarian, Testicular Arteries + unpaired branches

25
Name the major veins in the pelvis Name the major arteries in the pelvis
Common Iliac Vein External Iliac Vein Internal Iliac Vein Common Iliac Artery External Iliac Artery Internal Iliac Atery
26
Name the Major Veins in Lower Limb
Femoral Popliteal Great Saphenous Small Saphenous
27
Name the major arteries in the lower limb
Femoral Popliteal Anterior, Posterior Tibial
28
Name the major veins in the upper limb
Subclavian Cephalic Basilic Median Cubital
29
Name the major arteries in the upper limb
``` Subclavian Axillary Brachial Radial Ulnar ```
30
Name the major veins in Head and Neck
External Jugular Internal Jugular Left, Right Braciocephalic
31
Name the major Arteries in Head and Neck
``` Braciocephalic trunk Common Carotid Internal Carotid External Carotid Superficial Temporal Facial Maxillary ```
32
What are 6 methods of Cardiac Imaging
X-Ray Ultrasound Nuclear CMR (Cardiac MRI)- Excellent for soft tissues CT- Excellent for bones and vasculatue Cardiac 1/3 all imaging
33
How do you calculate Cardiac/ Thoracic ratio | What is the upper limit of normal
Maximum heart diameter/ maximum thorax diameter | 50%
34
What is the Dicrotic Notch
When Aortic valve closes after blood is ejected from ventricle. Small increase in aortic blood pressure
35
What is the average Cardiac Output for an average adult male How do you calculate Cardiac Output
- 5 Litres/ min | - Heart Rate* Stroke Volume
36
What results from a thickened pericardium
Thickening and calcification of the pericardium Chambers unable to expand -> Hypertension
37
What is one very good method of ultrasound to use when imaging valves
Transoesophogeal Echocardiography Valves very close to Oesophagus
38
How does enlargement of the heart cause “regurgitation”
Valve leaflets become stretched, don’t close properly so some Regurgitation occurs
39
What are the 3 main Coronary Arteries Which supplies most of heart muscle
- Right Coronary (Branches from aorta) Circumflex + Left Anterior Descending (Branch from Left main artery from aorta - LAD Supplies most of heart muscle
40
Where is the Left Anterior Descending Artery
Runs down front of heart, in the Interventricular groove
41
Where is the Circumflex Artery What does it supply
Runs towards back of heart, supplies posterior part of left ventricle
42
Where is the Right Coronary Artery
Runs down front of heart, Supplies most blood to right ventricle