Lungs Flashcards

(48 cards)

1
Q

Costal Line of Pleural Reflection

A

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

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2
Q

Lower Margin of the lung

A

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

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3
Q

Parietal Pleura Nerve Supply

A

Sensitive to pain, touch, temperature, and pressure

  1. Costal - intercostal nerve
  2. Mediastinal - phrenic nerve
  3. Diaphragmatic - phrenic and intercostal
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4
Q

Visceral Plerua Nerve Supply

A

Sensitive to stretch

Pulmonary Plexus

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5
Q

Right Lung

A
3 lobes
Horizontal and Oblique fissure
Larger, Heavier, Shorter and Wider
Epiarterial Bronchi - superior
Hyparterial  Bronchi - middle and inferior
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6
Q

Left Lung

A

2 Lobes
Obliqure fissure
Hyparterial Bronchi - superior and inferior

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7
Q

Lobes of right ling

A
  1. superior
  2. middle
  3. inferior

Horizontal fissure
Oblique fissure

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8
Q

Lobes of left lung

A
  1. superior
  2. inferior

Oblique fissure
Deep cardiac notch
Liingula

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9
Q

Anatomical and surgical units of the lung

A

bronchopulmonary segments

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10
Q

Superior bronchopulmonary segment of the right lung

A
  1. apical
  2. posterior
  3. anterior
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11
Q

Middle bronchopulmonary segment of the right lung

A
  1. lateral

2. medial

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12
Q

Inferior bronchopulmonary segment of the right lung

A
  1. superior
  2. anterior basal
  3. medial basal
  4. lateral basal
  5. posterior basal
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13
Q

Superior bronchopulmonary segment of the left lung

A
  1. apico posterior
  2. anterior
  3. superior
    4, inferior
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14
Q

Inferior bronchopulmonary segment of the left lung

A
  1. superior
  2. anterior basal
  3. medial basal
  4. lateral basal
  5. posterior basal
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15
Q

Superior Lobe Breath sound

A

anterior and superior aspect of thoracic wall

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16
Q

Inferior Lobe Breath sound

A

posterior and inferior aspect of the back

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17
Q

Middle Lobe Breath sound

A

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

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18
Q

Epirarterial Bronchus

A

Right Superior Bronchus

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19
Q

Hyparterial

A

Right Middle and Inferior Bronchus

Left Superior and Inferior Bronchus

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20
Q

Location of Cardiac Notch

A

Superior Lobe of Left Lung

21
Q

Foreign Body in the Lungs (sitting/standing)

A
  1. Right Inferior Lobe - posterior basal segment
22
Q

Foreign Body in the Lungs (supine)

A
  1. Right inferior lobe - superior sgement
23
Q

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

A

Right superior lobe - posterior segment

24
Q

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

A

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