mediastinum Flashcards

(41 cards)

1
Q

mediastinum borders

A

superiorly tghoracoc outlet
inferiorly diapghram
anteriorly sternum
posteriorly vc

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2
Q

at the sternal angle

A

mediastinum division
tracheal bifurication
pulmonary trunk divsion
arch of the azygous vein
the end of the ascending aorta
the beginning and end of the arch of aorta
the beginning of teh descending thoracic aorta

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3
Q

superior mediastinum contents

A

eso, trachea, large arteries and veins, thoracic duct, remenant of thymus, sympathetic trunks

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4
Q

anteri0or mediatsinum contents

A

few lymph nodes , loose connective tissue, sternopericardial ligaments , mediastinal bramches of internal thoracic artery, sometimes degenerated or remains of thymus gland

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5
Q

middle mediastinum contenst

A

1 - T h e p e r i c a r d i u m
2 - T h e h e a r t
3 - T h e a s c e n d i n g a o r t a
4 - T h e l o w e r h a l f o f t h e s u p e r i o r v e n a c a v a
5 - T h e t r a c h e a l b i f u r c a t i o n a n d b o t h m a i n b r o n c h i
6 - T h e p u l m o n a r y t r u n k a n d r i g h t a n d l e f t p u l m o n a r y
a r t e r i e s a n d v e i n s
7 - T h e r i g h t a n d l e f t p h r e n i c n e r v e s
8 - T h e d e e p p a r t o f t h e c a r d i a c p l e x u s
9 - T h e t r a c h e o b r o n c h i a l l y m p h n o d e s .

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6
Q

posterior mediastiunum contents

A

1-The descending thoracic aorta
2-Hemiazygos
3-Accessory azygos veins
4-sympathetic chains
5-splanchnic nerves
6-Vagus nerves
7-The azygos
8-The esophagus
9-The thoracic duct
10-lymph nodes

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7
Q

right brachiocephalis is formed by

A

right subclavion and right internal jugular

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8
Q

rbv begins at the

A

posteriro to the right clavicle at the medial end

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9
Q

rbv compared to the lbv is more

A

shorter and more vertical

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10
Q

lbv journey

A

it moves towards the right side passing in an inferior direction to form the superior vena cava posteriro to the lower edge of the first cc ont the right side

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11
Q

the lbv is more ehat compared to the rbv

A

longer and more horizantal

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12
Q

superior vena cava carries blood from the

A

head neck upper limbs

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13
Q

superior vena cava journey

A

begins at the posteriro lower edge of the right first cc
penetrates teh pericardium posterior to the lower edge of the 2nd right cc
and it terminates and penetrates the heart at the level of the 3rd right cc

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14
Q

azygous vein formation

A

right ascending lumbar vein and right subcostal

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15
Q

azygous vein passes from the

A

aotic opening

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16
Q

azygous vein journey

A

goes up to T5 arches forward on the root of the right lung at the level of teh sternal angle and empties into the superior vena cava posteriorly before the superiro vena cava penetrates the pericardium

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17
Q

azygous vein tributaries

A

lower eight righjt intercostal veins
mediastinal veins
right superiro intercostal veins
superior and inferior hemiazygous bveins

18
Q

inferiro hemiazygous formatons

A

left ascending lumbar vein and left subcostal vein

19
Q

inferior hemiazygous ascends through what structure

A

left crus of diaghpram

20
Q

inferior hemiazygous journey

A

at the leevl of T8 it joins teh azygious vein

21
Q

tributariesof inferiro hemiazygous

A

mediastinal veins
lower left intercostal veins
posterior intercostal 9,10,11

22
Q

superiro hemiazygous union

A

posteriro intercostal veins 4-8
joins teh azygous vein at tehlevel of T7

23
Q

aorta parts

A

ascending descending arch abdominal aorta

24
Q

ascending aorta begins at the

A

base of the LT

25
the ascending aorta ends at the
level of sternal angle
26
the ascending aorta is enclosed by
fiborous pericardium
27
ascending aorta branches
right and left coronary arteries
28
arch of aorta ending and begiining
sternal angle
29
branches of arch of aorta
brachiocephalic trunk
30
arch of the aorta i present to the lft or right of trachea
left
31
brachiocephalic trunk ks present to teh left or right of trachea
right
32
behind what joint to the right does the brachiocephalic trunk divide ino
right sternocalvicular joint
33
branches of brachiocephalic trunk
right common carotid right subclavion artery
34
arch of aorta left common carotid artery journey
upwrad to the left of trchea and enters teh neck at the left sternoclavicular joint
35
arch of aorta left subclavion
upwrad to thelaft of tracha and esophagus enters teh root of the nck and arches over the apex of the left lung
36
descendibng thoracic aorta
* Begins: sternal angle * Runs downward in the posterior mediastinum * Then forward and medially to reach the anterior surface of the vertebral column * Ends: 12th thoracic vertebra through the aortic opening
37
descending aorta branches
* Posterior intercostal arteries: to the lower nine intercostal spaces * Subcostal artery * Pericardial arteries * Esophageal arteries * Bronchial arteries
38
pulnmoary trunk descriotion
Begins: upper part of the right ventricle and runs upward, backward, to the left * about 2 inches * Ends: concavity of the aortic arch
39
pulmonary trunk branches
* Right pulmonary artery * Right behind the ascending aorta and superior vena cava to enter the root of the right lung ⚫ Left pulmonary artery ⚫ left in front of the descending aorta to enter the root of the left lung
40
ligamentum arteriosum vonnects what two things
aortic arch to the left pulmonary trunk in emvryo ductus arteriosus
41
right vagus nerve info
posterior to the eso posterolateral to the brachiocephalic artey lateral to trachea posterior to the huglim of the lung vagys nerve penetrates tehdiaphragm phreniuc nerve stiops at it left vgaus nerve anterior to the esophagyus phrenic nerve anterior to the highlim of the lung right recurrent laryngeal will hook over the right subclavion artery left recurrent will hook over the aortic arch under he ligamentum arteriosium