Lecture8: Nerves Of Thorax And Diaphragm Flashcards

1
Q

As the Vagi pass through the thorax, they provide… to the thoracic viscera?

A

Parasympathetic innervation

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2
Q

Both right and left vagi give branches to?

A

Esophagus, pulmonary plexus, and cardiac plexus

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3
Q

The Right vagus nerve enters which division of the mediastinum?

A

The Superior

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4
Q

The left vagus nerve descends between both?

A

Left common carotid and left subclavian

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5
Q

What is the branch of the Left Vagus nerve?

A

The Left recurrent laryngeal nerve

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6
Q

Where does the Left Recurrent Laryngeal nerve recur?

A

Below the arch of aorta

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7
Q

Injury to left recurrent laryngeal nerve leads to?

A

Left vocal fold paralysis and hoarseness of voice

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8
Q

How does the Left laryngeal nerve get injured?

A

Via an aneurysm of the aortic arch and or a mediastinal tumor

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9
Q

Where does the Phrenic nerve arise from?

A

C3-C5

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10
Q

Where does the Phrenic nerve run relative to the root of the lung?

A

Anterior to it

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11
Q

Where does the Vagus nerve run relative to the root of the lung?

A

Posterior

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12
Q

What does the Phrenic nerve give motor supply to?

A

The diaphragm

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13
Q

What innervates the fibrous pericardium and both mediastinal and diaphragmatic pleurae?

A

The Phrenic nerve

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14
Q

The right Phrenic nerve descends in which position relative to the root of the lung?

A

In front of it

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15
Q

What does the Left Phrenic nerve descend between?

A

Both left common carotid and subclavian arteries

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16
Q

What do both Phrenic nerves lay relative to the root of the lung?

A

In front of it

17
Q

What does the Right Phrenic nerve pierce on the inferior surface of the diaphragm?

18
Q

What does the Left Phrenic nerve pierce on the the inferior surface of the diaphragm?

A

The Left copula

19
Q

What causes a complete paralysis of the corresponding half of the diaphragm?

A

Lesion of the Phrenic nerve

20
Q

What is a hiccup?

A

An involuntary diaphragmatic spasmodic sharp contraction

21
Q

What causes hiccups?

A

Stimulation of nerve endings in the digestive tract and or diaphragm

22
Q

What is the diaphragm insertion?

A

Central tendon

23
Q

What forms the left and right copula?

A

The elevated lateral parts of the central tendon

24
Q

What is the diaphragm motor supply?

A

Phrenic nerve

25
What is the diaphragm sensory supply?
Left intercostal nerves
26
Which part of the diaphragm acts as a sphincter to the lower end of the esophagus?
Right crus
27
At what level is the IVC opening?
T8
28
Where is the IVC opening?
Central tendon
29
Where is the Oesophageal opening?
Right crus
30
What is the Oesophageal opening level?
T10
31
Where is the Aortic Opening?
Posterior to the median cruciate ligament
32
What is the aortic opening level?
T12
33
Structures passing through aortic opening?
Aorta, Azygos vein and thoracic duct
34
What is congenital hernia?
When the diaphragm fails to fuse thus leaving an opening
35
What is hiatal hernia?
When the fundus of the stomach herniates into the posterior mediastinum
36
Hiatal hernia symptoms?
Acid reflux