Anatomy Of Breathing Flashcards

(38 cards)

1
Q

Where are the lungs located?

A

In the thorax, separated by mediastinum (space between the lungs) and heart

Extend from the neck to the diaphragm

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2
Q

What separates the thoracic and abdominal cavities?

A

The diaphragm

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3
Q

Describe the shape and texture of the lungs.

A

Conical shaped with a soft, spongy texture

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4
Q

What is the apex of the lung?

A

The top part of the lung that lies above the clavicle

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5
Q

What are the three surfaces of the lungs?

A
  • Diaphragmatic surface (base) - sits on the diaphragm
  • Costal surface (large surface) - lies adjacent to the ribs
  • Mediastinal surface - faces the mediastinum
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6
Q

How many lobes does the right lung have?

A

Three lobes: Superior, Middle, Inferior

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7
Q

What fissures (slits) are present in the right lung?

A
  • Oblique fissure - separates superior and middle lobe from the inferior lobe
  • Horizontal fissure - separates superior and middle lobe
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8
Q

How many lobes does the left lung have?

A

Two lobes: Superior, Inferior

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9
Q

What fissure is present in the left lung?

A

Oblique fissure

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10
Q

What is the hilum of the lung?

A

Located on the mediastinal surface

The area where the pulmonary vessels, bronchi, bronchial vessels, lymphatics, and nerves enter/leave the lung

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11
Q

What factors affect the lungs?

A

Compliance (distensibility)
Ability of the lungs to expand and allow air to enter
Affected by
- connective tissue structure of the lungs
- level of surfactant (hard for alveoli to reexpand)
- mobility of the thoracic cage (lungs are connected)

Elasticity
- elastic tissue allow lung expansion during inspiration and recoil during expiration

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12
Q

What is the function of the pleura?

A
  • Reduces friction during breathing (friction causes pain)
  • Creates a pressure gradient which assists in ventilation
  • Compartmentalises (separates) each lung to reduce spread of infection
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13
Q

What are the two layers of the pleura?

A
  • Visceral pleura - adheres to the lung
  • Parietal pleura - attaches to the thoracic wall and diaphragm
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14
Q

What does the bony thorax consist of?

A

Forms the skeleton of the chest wall

  • Sternum
  • Ribs (12 pairs)
  • Thoracic vertebrae (12)
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15
Q

What are the parts of the sternum?

A
  • Manubrium
  • Body
  • Xiphisternum (cartilaginous)
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16
Q

How are the ribs attached to the thoracic vertebrae?

A

By the head and tubercle

Slope downwards and forwards

17
Q

How are the ribs arranged?

A

Ribs 1-10 attached by costal cartilage (at the front) to the sternum

  • 7 pairs true
  • 3 pairs false
  • 2 floating

Head of rib articulates with the body of the thoracic vertebra

Tubercle of rib articulates with the transverse process of the thoracic vertebra

18
Q

What are the three types of intercostal muscles?

A

Span the spaces between the ribs (intercostal spaces)

  • External intercostal muscles = superficial layer
  • Internal intercostal muscles = middle layer
  • Innermost intercostal muscles = deep layer
19
Q

What is the main function of the diaphragm?

A

Separates the thorax from the abdomen

20
Q

What is the role of the diaphragm in breathing?

A

Increases vertical diameter of the thorax during inspiration

21
Q

What is the difference between inspiration and expiration?

A

Inspiration:
- Movement of air into the lungs
- Occurs when intrapulmonary pressure is lower than atmospheric pressure

Expiration:
- Movement of air out of the lungs
- Occurs when intrapulmonary pressure is greater than atmospheric pressure

22
Q

What alters intrapulmonary pressure?

A

Changes in thoracic volume

23
Q

Fill in the blank: The contraction of the diaphragm is responsible for _______ increase in thoracic capacity during inspiration.

24
Q

What muscles assist in forced inspiration?

A
  • Pectoralis minor - pulls towards the scapula = pulls ribs up
  • Sternocleidomastoid - brings sternum down
  • Scalenes - holds 1st and 2nd ribs = pulls lower ribs
  • Serratus anterior - pulls scapula forward
  • Pectoralis major - normally acts on arms but acts on ribs when humorous is fixed
25
What muscles are involved in forced expiration?
* Internal intercostal - depress the ribs and reduce the size of the thoracic cavity Abdominal muscles: * Rectus abdominis * External oblique * Transversus abdominis * Internal oblique Compress the abdomen and force the diaphragm upwards to reduce thoracic volume
26
True or False: Quiet expiration is an active process.
False
27
What happens to the rib elevation during forced expiration?
Internal and innermost intercostals depress the ribs
28
What is an important difference between the right and left lung?
The right lung is wider and shorter than the left lung *due to displacement of liver*
29
What is the pleura?
A double layered serous membrane The pleural cavity is a potential space between the parietal and visceral layers that contains a thin layer of serous fluid (holds the 2 layers together)
30
How are the intercostal muscles arranged?
External intercostals - fibres run downwards and forwards Internal intercostals - fibres run downwards and backwards
31
What is the role of intercostal vessels & nerves?
Supply the muscles, adjacent skin and pleura Course in the intercostal spaces between the internal intercostal and innermost intercostal muscles
32
What is the structure of the diaphragm?
- dome-shaped skeletal muscle with a central tendon - attached to the xiphisternum, costal margin, 11th & 12th ribs, and the lumbar vertebrae - openings for the inferior vena cava, oesophagus and aorta - fibrous pericardium (bottom of it) fused to central tendon - Innervated by the phrenic nerve
33
How can thoracic volume be altered?
By changing the: - vertical diameter (from top to bottom) - anterior posterior (AP) diameter - transverse diameter (between right and left side of rib)
34
How can the vertical diameter be altered?
- contraction of the diaphragm increases vertical diameter - relaxation of the diaphragm decreases vertical diameter
35
How are the AP & transverse diameters increased?
Elevation of the ribs increases the AP and transverse diameters Responsible for 25% increase in thoracic capacity
36
What are the muscles of breathing?
Muscles of: - quiet inspiration & expiration = occurs at rest - forced inspiration & expiration (when greater intake of O2 is required) = occurs during exercise or respiratory illness
37
What are the muscles involved in quiet inspiration?
- the contracted diaphragm flattens to increase the vertical diameter of the thorax - the external intercostals elevate the ribs and increase AP and transverse diameters
38
What muscles are involved in quiet expiration?
Passive process - the diaphragm and external intercostal muscles relax