Flashcards in Misc- Table conference 2 Deck (124):
left lung impressions
aortic arch, thoracic aorta, cardiac
right lung impressions
SVC, right brachiocephalic vein, arch of azygos vein, esophagus, cardiac
lung visceral innervation
lung parietal innervation
extends inferior to root of lung, holds lung in place
where is the lingula and what is it
inferior to cardiac notch of left lung
what kind of blood do bronchial arteries carry
where do bronchial arteries originate
what type of blood do pulmonary arteries carry
where do the pulmonary arteries originate
pulmonary trunk, which is from the right ventricle
where does the pulmonary vein carry blood to
what are plural cavities?
space in thorax for lungs
difference between visceral and parietal plurae?
visceral- covers lungs
parietal- covers thorax
what is between visceral and parietal plurae, what's its function?
serous fluid; creates frictionless surface for lungs to move
what space would you insert a needle for a plural tap? what is this space called?
intercostal space T7-9; costodiaphragmatic recess
what is the "root" of the lung? what is there?
bronchus, arteries, veins enter the lung here
what nerve provides preganglionic parasympathetic fibers to the lungs?
what is in the white ramus comunicans?
preganglionic symapthetic nerves (myelinated)
parasympathetic cranial nerves
what organs are innervated by pelvic sphlancnics
descending colon, sigmoid colon, rectum
what is the function of the azygos system of veins?
drains the thoracic vessels (intercostal veins) into the SVC and IVC; shunt from IVC to SVC or reverse
what does azygos mean
what does vagus mean
what does duodenum mean
why is left recurrent laryngeal nerve in a strange path, what is it a branch of?
branch of vagus, wraps down and then up around the aorta because it was pulled down during development
which main bronchus has a more direct route to the lung?
right; it's more vertical
what veins drain into the azygos?
sternal angle- what is it the level of?
loop of left recurrent laryngeal nerve
start/end of aortic arch
bifurcation of the trachea
intervertebral disc T4-5
what are bronchopulmonary segments?
bronchi and their successive divisions
what does right recurrent laryngeal nerve loop around
loops around right subclavian artery
number of segmental bronchi - left
number of segmental bronchi - right
connects left pulmonary artery - arch of aorta
what/where is the carina?
bifurcation of the trachea into main stem bronchi
right-left atria septum; was formane ovale in embryo, shunted oxygenated blood from right to left atrium
what forms the posterior aspect of tracheal rings?
trachealis muscle-smooth muscle tissue
what are tracheal rings made of?
where is the thoracic duct?
"duck between 2 goose"
between esophagus and azogus
why are arteries called "coronary" and veins "cardiac"?
coronary arteries originate at aorta, run around crown of heart - sulcus
cardiac veins originate lower at right atrium, cardiac=heart
small cardiac vein pairs with
middle cardiac vein pairs with
posterior interventricular artery
great cardiac vein pairs with
left anterior descending artery
where do cardiac veins drain into
coronary sinus > right atrium
layers of heart wall
sulci of the heart
anterior/posterior interventricular, coronary
innervation of pericardium
fibers of pericardium?
blood supply to pericardium?
why are coronary arteries called functional end arteries?
don't anastomose enough to perfuse heart if blocked
most common sites of blockage in heart?
right coronary artery
heart referred pain- where is it felt?
dermatomes T1-T5, C2-C3
which heart valves work via pressure differences?
aortic, pulmonary, open during systole
which heart valves work via muscular action?
what type of nerve fibers innervate the heart?
tricuspid valves named
what holds valves down from flapping up?
what muscles hold the cordae tendonae?
where is the moderate band (septomarginal trabecula), what does it do?
right ventricle ONLY!
connects anterior papillary m. to interventricular septum
muscles of the right atrial wall
pectinate m. (horizontal), crista terminale (vertical)
muscles of right ventricular wall
what is the most anterior portion of the heart
pulmonary valve cusps
where does blood go from right atrium
through tricuspid valve, to right ventricle
where does blood go from right ventricle
through pulmonary valve, to right and left pulmonary arteries
how is pulmonary trunk related to the aorta?
what is the ligament between the aorta and the pulmonary trunk?
after blood goes through lungs, what does it return to heart through?
pulmonary veins, to left atrium
where is the conus ateriosus?
blood from pulmonary veins de/oxygenated?
only veins that carry oxygenated blood in body?
only arteries that carry deoxygenated blood in body?
where does blood go from left atrium?
through mitral valve, to left ventricle
cusps of mitral valve?
most muscular part of heart?
blood from left ventricle goes where?
through aortic valve, through aorta
cusps of aortic valve?
where are the aortic sinus?
behind the valve cusps of the aortic valve
what comes out of aortic sinus?
blood to coronary arteries
which valves are open during sistole?
which valves are open during diastole?
first branch off abdominal aorta
before celiac trunk!
purpose of greater omentum?
support, protect abdominal structures in event of ulcer; facilitates healing; protects from infection
what is in the portal triad?
bile duct, portal vein, proper hepatic artery
what does portal triad run in?
liver, gallbladder, spleen, stomach, 1st part of duodenum, jejunum, ileum, transverse colon, sigmoid colon, appendix
which of the GI tract organs aren't intraperitoneal
ascending colon, descending, colon, 2nd part of duodenum
primary retroperitoneal organs
kidneys, adrenal glands, aorta, IVC, testes
bladder, prostate, seminal vesicles, uterus, ovaries
secondarily retroperitoneal structures
2-4th part of duodenum, cecum, ascending and descending colon, rectum, pancreas
border of foregut
2nd part of duodenum
what are the paracolic gutters
either side of ascending/descending colon, drain fluids
pelvic sphlancnic root values
sympathetic innervation of abdomen
greater, lesser, lumbar (thoracic) sphlancnics
parasympathetic innervation of abdomen
vagus until left colic flexure; then, pelvic sphlancnics (S2-S4)
greater splanchninc nerves root value?
primary fiber type of greater splanchnic nerve?
GVE primarily, but also GVA
alimentary tract, from proximal to distal
mouth, esophagus, cardiac sphincter, stomach, pyloric sphincter, duodenum (4 parts), jejunum, ileum, cecum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, anus
what are the subdivisions of small intestine?
duodenum (intraperitoneal, 2-4th parts secondarily retroperitoneal), jejunum (intraperitoneal), ileum (intraperitoneal)
subdivisions of large intestine?
cecum (secondarily retroperitoneal), ascending (secondarily retroperitoneal), transverse (intraperitoneal), descending colon (secondarily retroperitoneal), sigmoid colon (intraperitoneal)
what is "a" mesentery?
double layer of peritoneum
what is "THE" mesentery?
mesentery supporting small intestine
blood supply runs through from SMA and IMA to the small intestine
early pain from appendicitis?
referred to T10, belly button
3 unpaired vessels of abdominal aorta?
celiac, SMA, IMA, median sacral
vertebral level of celiac trunk?
vertebral level of SMA?
vertebral level of IMA?
what do ventral branches of aorta tend to do?
supply gut, unpaired organs like liver
what do lateral branches of aorta tend to do?
supply specific paired organs, like kidneys
direct branches of abdominal aorta?
renals, medial suprarenals, inferior phrenics, testicular/ovarian, lumbars (1-4)
arteries that supply diaphragm?
superior and inferior phrenics, musculophrenic, pericardiacophrenic
inferior phrenics arise from?
superior phrenics arise from?
musculophrenic and pericardiacophrenic arise from?
internal thoracic artery
suprarenal glands supplied by?
superior, medial, inferior suprarenal arteries
hepatic v. portal vein?
portal: carries blood from all digestive organs into liver for filtering
hepatic: carry blood away from liver into IVC for systemic circulation
what is "marginal" artery? where? clinical significance?
inside the Mesentery; connects vessels carrying blood to vasa recta; suppled by both SMA and IMA, so major collateral route
left renal vein function?
drains much of left part of abdomen, direct extension of IVC
why called "bare area" of liver?
no peritoneum, liver directly contacts diaphragm
what are coronary ligaments?
on "crown" of liver, connect to diaphragm
bile passage route?
bile made in liver > hepatic duct > common bile duct when joins cystic duct > duodenum or back through cystic duct to gall bladder for storage
IVC location re: portal vein?
main tributaries of portal vein?
SMV, splenic vein
wehre woudl you feel biliary colic?