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Flashcards in Lungs Deck (48):
1

Costal Line of Pleural Reflection

8th rib MCL
10th rib MAL
12th rib sides of vertebral column

2

Lower Margin of the lung

6th rib MCL
8th rib MAL
10th rib sides of the vertebral column

3

Parietal Pleura Nerve Supply

Sensitive to pain, touch, temperature, and pressure

1. Costal - intercostal nerve
2. Mediastinal - phrenic nerve
3. Diaphragmatic - phrenic and intercostal

4

Visceral Plerua Nerve Supply

Sensitive to stretch

Pulmonary Plexus

5

Right Lung

3 lobes
Horizontal and Oblique fissure
Larger, Heavier, Shorter and Wider
Epiarterial Bronchi - superior
Hyparterial Bronchi - middle and inferior

6

Left Lung

2 Lobes
Obliqure fissure
Hyparterial Bronchi - superior and inferior

7

Lobes of right ling

1. superior
2. middle
3. inferior

Horizontal fissure
Oblique fissure

8

Lobes of left lung

1. superior
2. inferior

Oblique fissure
Deep cardiac notch
Liingula

9

Anatomical and surgical units of the lung

bronchopulmonary segments

10

Superior bronchopulmonary segment of the right lung

1. apical
2.posterior
3. anterior

11

Middle bronchopulmonary segment of the right lung

1. lateral
2. medial

12

Inferior bronchopulmonary segment of the right lung

1. superior
2. anterior basal
3. medial basal
3. lateral basal
4. posterior basal

13

Superior bronchopulmonary segment of the left lung

1. apico posterior
2. anterior
3. superior
4, inferior

14

Inferior bronchopulmonary segment of the left lung

1. superior
2. anterior basal
3. medial basal
4. lateral basal
5. posterior basal

15

Superior Lobe Breath sound

anterior and superior aspect of thoracic wall

16

Inferior Lobe Breath sound

posterior and inferior aspect of the back

17

Middle Lobe Breath sound

anterior chest wall near the sternum, inferior to the right 4th costal cartilage

18

Epirarterial Bronchus

Right Superior Bronchus

19

Hyparterial

Right Middle and Inferior Bronchus
Left Superior and Inferior Bronchus

20

Location of Cardiac Notch

Superior Lobe of Left Lung

21

Foreign Body in the Lungs (sitting/standing)

1. Right Inferior Lobe - posterior basal segment

22

Foreign Body in the Lungs (supine)

1. Right inferior lobe - superior sgement

23

Foreign Body in the Lungs (lying on the right side)

Right superior lobe - posterior segment

24

Foreign Body in the Lungs (lying on the left side)

Left superior lobe - inferior lingular segment

25

Aspiration pneumonia location

Superior Segment of the lower lobes

26

Blood supply of lungs

1. bronchial arteries - descending thoracic aorta
2. pulmonary arteries - pulmonary trunk

27

Venous supply of lungs

1. bronchial veins - drains into azygous and hemiazygous veins
2. pulmonary veins - empty into left atrium

28

Causes of Lower Trunk Brachial Injury

1. thoracic outlet obstruction
2. fracture of 1st rib
3. pancoast tumor

29

Superior pulonary sulcus tumor; involves apex of lung

Pancoast Tumor

30

Pancoast Syndrome

1. lower trunk brachial injury
2. lesion of cervical sympathetic ganglia (horner syndrome)

31

Lymph drainage of Lung
Lies deep in visceral pleura and drains lymph from the surface to the hilum of lung

Superficail/ Subpleural plexus

32

Lymph drainage of Lung
Lies in the lung

Deep plexus

33

Lymph drainage of Lung
Tracheobronchial Lymph nodes

Drain into bronchopulmonary/ Hilar Lymph nodes

34

Nerve Supply of the lung

1. Sympathetic - bronchodilation and vasoconstriction
2. Parasympathetic - bronchoconstriction and vasodilation and increased glandular secretion

35

Intercostal Arteries

1. Posterior IC - branch of thoracic aorta
2. Anterior IC - branch of internal thoracic and musculophrenic artery

36

Intercostal Veins

1. Posterior IC - drains to azygous/hemiazygous veins
2. Anterior IC - drains to internal thoracic vein

37

Posterior Intercostal Arteries

First two - superior intercostal of the costocervical trunk
Remaining Branches - descending aorta

38

Anterior Intercostal Arteries

Upper 6 - internal thoracic artery
Remaining - musculophrenic

39

Thoracentesis

MAL 8th ICS
withdraw fluid from costodiaphragmatic recess

40

Branches of Ascending Aorta

1. left coronary artery
2. right coronary artery

41

Branches of Arch of Aorta

1. left subclavian artery
2. left common carotid artery
3. right brachiocephalic artery

42

Branches of the descending Aorta

1. bronchial artery
2. mediastinal artery
3. esophageal artery
4. posterior intercostal artery
5. pericardial artery
6.subcostal artery

43

Continuation of Sigmoid Sinus

Internal Jugular Vein

44

Tributaries of IJV

1. inferior petrosal sinus
2. pharyngeal
3. superior thyroid
4. facial vein
6. lingual vein
7. middle thyroid vein

45

Sites of Central Venous Catheter

1. Internal Jugular Vein
2. Femoral Vein
3. Subclavian Vein

46

Brachiocephalic Vein

Union of IJV and Subclavian Vein
At the level of inerior border of the 1st right costal cartilage

47

Tributaries of Brachiocephalic Vein

1. Internal Thoracic
2. Vertebral
3. Inerior Thyroid
4. Superior Intercostal

48

Superior vena cava drains to right atrium at what level?

3rd right costal cartilage