Lungs - vasculature, nerves, pulmonary embolism Flashcards

1
Q

what are the lungs supplied with?

A

deoxygenated blood by the paired pulmonary arteries

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2
Q

what happens once the blood has received oxygenation?

A

it leaves the lungs via four pulmonary veins (two for each lung)

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3
Q

what do the bronchi, lung roots, visceral pleura and supporting lung tissues require?

A

an extra nutritive blood supply

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4
Q

what delivers the extra nutritive blood supply to the bronchi, lung roots, visceral pleura and supporting lung tissues?

A

This is delivered by the bronchial arteries, which arise from the descending aorta.

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5
Q

where do the bronchial arteries arise from?

A

the descending aorta

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6
Q

what do the bronchial veins provide?

A

venous drainage

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7
Q

where does the right bronchial vein drain into?

A

azygos vein

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8
Q

where does the left bronchial vein drain into

A

the accessory hemiazygos vein

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9
Q

where are the nerves of the lungs derived from?

A

from the pulmonary plexuses

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10
Q

what do the nerves of the lungs feature?

A

They feature sympathetic, parasympathetic and visceral afferent fibres

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11
Q

where is parasympathetic fibres of the pulmonary plexus derived from?

A

Derived from the vagus nerve

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12
Q

what is the function of the parasympathetic fibres of the pulmonary plexus stimulate?

A

stimulate secretion from the bronchial glands, contraction of the bronchial smooth muscle, and vasodilation of the pulmonary vessels

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13
Q

where is the sympathetic fibres of the pulmonary plexus derived from?

A

Derived from the sympathetic trunks

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14
Q

what is the function of the sympathetic fibres of the pulmonary plexus?

A

They stimulate relaxation of the bronchial smooth muscle, and vasoconstriction of the pulmonary vessels

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15
Q

what is the function of the visceral afferent fibres?

A

Conduct pain impulses to the sensory ganglion of the vagus nerve

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16
Q

what is a pulmonary embolism?

A

the obstruction of a pulmonary artery by a substance that has travelled from elsewhere in the body. The most common emboli are

17
Q

what are the most common emboli?

A

Thrombus
Fat
Air

18
Q

what is a thrombus responsible for?

A

responsible for the majority of cases and usually arises in a distant vein

19
Q

when do fat embolisms appear?

A

following a bone fracture or orthopaedic surgery

20
Q

when does an air embolism appear?

A

following cannulation in the neck

21
Q

what is the effect of a pulmonary embolism?

A

a reduction in lung perfusion

22
Q

what does a reduction in lung perfusion result in?

A

results in decreased blood oxygenation, and the accumulation of blood in the right ventricle of the heart

23
Q

what are clinical features of a pulmonary embolism?

A

dyspnoea, chest pain, cough, haemoptysis and tachypnoea

24
Q

what is used to assess the probability of PE?

A

the Wells’ score

25
Q

what are definitive treatment of PE?

A

involves anticoagulation and thrombolytic therapy

26
Q

what do anticoagulation and thrombolytic therapy do?

A

This reduces the size of the embolus, and prevents further clotting.