Lecture 50 - Lower Respiratory Tract Flashcards

(45 cards)

0
Q

What is the thoracic cavity divided into?

A

Right pulmonary cavity
Left pulmonary cavity
Mediastinum

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1
Q

What protects the lungs?

A

Bony cage:

Vertebrae
Ribs
Sternum

Muscles

  • diaphragm
  • intercostals
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2
Q

What are the independent functional units of the lung?

Why is it important to have these units?

A

Bronchopulmonary segment

It is important because if one segment is compromised, it can be removed and the rest of the lung can function as normal

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4
Q

Are the two sides of the lung dependent on each other?

A

No
They are completely separate:
- functionally
- structurally: separated by mediastinum

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5
Q

Which pulmonary cavity is smaller?

A

Right PC

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6
Q

What covers the lung?

A

Pleura

Single layer of serous membrane

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7
Q

What does the pleura cover?

A
  • parietal pleural: Wall of the pulmonary cavity

- Visceral pleura: Lung

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8
Q

What separates the visceral and parietal pleura?

Describe the features

A

Pleural cavity

  • Very small potential space
  • Filled with serous fluid –> reduces surface tension
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9
Q

How is the parietal pleura subdivided?

Draw this

A

Mediastinal pleura
Diaphragmatic pleura
Costal pleura
Cervical pleura

Slide 10

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10
Q

How do the bronchi get into the lung rough the pleura?

A

Through the lung route

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11
Q

What is contained within the right lung root?

A

Pleural sleeve containing:

  • pulmonary arteries
  • pulmonary veins (anterior and inferior)
  • main bronchi
  • lymph node
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12
Q

Describe the pleural sleeve

A
Made up of pleural membrane
Encloses the hilum of the lung
Loose
Hangs down to form double folded:
Pulmonary ligament
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13
Q

What separates the lungs into lobes?

A

Fissures

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14
Q

Where does the visceral and parietal pleura receive its innervation and blood supply?

A

Visceral: from lung
- autonomic nerve innervation

Parietal: from intercostal a
- somatic innervation

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16
Q

Describe pain associated with parietal and visceral pleura

A

Parietal: sharp pain

Visceral pleura: dull pain

Due to the different innervation, there is very different quality of pain

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17
Q

Describe the difference between the right and left bronchi.

If a peanut is swallowed, where does it go?

A

Right:

  • Shorter
  • Wider
  • More vertical

Small objects will go down the right main bronchus due to this

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18
Q

Where is the trachea?

A

C6 - T4,5

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19
Q

Describe the tissue structure of the trachea

A

Tracheal ring : of cartilage

Trachealis Muscle at the posterior end
Right up against the oesophagus

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20
Q

What are the divisions of the bronchi?

A

Main bronchi: supplies each lung

Lobar bronchi: supplies lobe

Segmental bronchi: supplies bronchopulmonary segment

21
Q

What type of muscle is the trachealis muscle?

22
Q

Where does the trachea branch?

23
Q

Which lung is larger?

A

Right lung

  • shorter (due to liver inferiorally)
  • wider

Due to the heart protruding into the left side

24
Q

What are the surfaces of the lung?

A

Costal
Mediastinal
Diaphragmatic

25
Q

Where is the hilum of the lung?

A

Mediastinal surface

26
What are the fissures of the lungs?
Right: - two fissures - three lobes Left: - one fissure - two lobes
27
What are the borders of the lung?
Inferior Anterior Posterior
28
What are the grooves and impressions on the mediastinal surface of the right lung?
Grooves: • oesophagus • azygos vein • SVC Impressions: • cardiac impression
29
What are some unique features of the left lung?
Cardiac notch | Lingula
30
What are the grooves and impressions on the mediastinal surface of the left lung?
Grooves: • aorta Impressions: • cardiac impression
31
Does the oesophagus pass anterior or posterior to the lung root?
Anterior
32
What are the lobes and fissures of the right lobe? | Draw this
Lobes: • superior • middle • inferior Fissures: - oblique - horizontal
33
Which cardiac impression is bigger?
Bigger on the left lung
34
Where is the inferior lobe located?
Most of it at the back of the lung
35
What are the lobes and fissures of the left lobe? | Draw this
Lobes: - inferior - superior Fissures: - oblique
36
Describe the blood in he pulmonary artery Why is this weird?
It is deoxygenated Normally arteries contain oxygenated blood
37
What vessels provide blood supply for the lung itself?
Bronchial arteries and veins
38
Where are the pulmonary veins located in the Hilum? Why?
Most inferior Most anterior Need to be somewhere where they can expand fully to collect as much blood as possible
39
Describe the structures in the left lung hilum
Pulmonary artery Pulmonary veins: inferior and anterior Lymph nodes Left main bronchus
40
Where does lymph from the lung drain to?
1a. Superficial lymphatic vessels 1b. Deep lymphatic vessels 2. Bronchopulmonary hilar nodes 3. Tracheobroncho nodes 4. Mediastinal nodes
41
Are the lobes of the lung completely separated by fissures?
No; they connect up at the hilum
42
Where is the base of the bronchopulmonary segment? | Where is the apex?
Base: external surface Apex: facing the segmental bronchus
43
Where is the base of the bronchopulmonary segment? | Where is the apex?
Base: external surface Apex: facing the segmental bronchus
44
Compare the location of the pulmonary artery in the left and right lung hilum
Right lung: anterior and superior ( right main bronchus posterior) Left lung: superior; left main bronchus underneath
45
Describe the location of superifical lymphatics in the lung
Just beneath the visceral pleura | Visible externally
46
Describe the location of deep lymphatic vessels in the lung
Run along the bronchial tree | Not visible externally