Test 2 Lecture 1 Pericardium Flashcards

1
Q

What is the Pericardium

A

Fibrous Sac surrounding the heart and roots of great vessels

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2
Q

Where does pericardium fuse inferiorly and superiorly

A

Superiorly: Adventitia of Superior vena cava, ascending aorta and pulmonary arteries
Inferior: Central Tendon of Diaphragm

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3
Q

What attaches the paracardium to the sternum

A

Attached superiorly by two sternocardial ligaments

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4
Q

How is neck connected to the pericardum

A

Pretrachial fascia in the neck descends to fuse with anterior surface of the pericardium

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5
Q

How is posterior pericardium attached

A

Membranous connective tissue attaches the pericardium to tracheal bifurcation and main bronchi

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6
Q

What overlaps the pericardium

A

Two pleural sacs and the lungs

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7
Q

What drapes over the peracardium laterally

A

Mediastinal Plura

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8
Q

What is sandwiched between Pleura and Pericardium

A

Phrenic Nerve, Pericadiophrenic artery and Vein

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9
Q

What does Pericardium contact posteriorly

A

Esophagus, descending aorta and Main Bronchi

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10
Q

What migrates medially during pericardium development

A

Pleruopericardial Folds migrate medially and bring phrenic nerves with them

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11
Q

What is the Pericardium

A

Fibrous Sac surrounding the heart and roots of great vessels

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12
Q

What happens as pleuropericardial folds migrate medially

A

The roots of each pleuropericardial fold migrates Ventrally

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13
Q

What happens at end of 5th week

A

The pleuropericardial folds fuse partitioning the thoracic cavity into pericardial cavity and pleural cavity

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14
Q

When do pleuropericardial folds start migrating

A

Begininning of 5th week

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15
Q

What makes up the outer layer of pericardium

A

Dense connective tissue called fibrous pericardium

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16
Q

What is on the inner part of pericardium

A

Inner serous part includes the parietal and Visceral Layer

17
Q

What is the serous part of pericardium

A

Enclosed sac inbetween parietal and Visceral layer called the pericardial cavity

18
Q

What is the function of firbous pericadium

A

it is inelastic and functions to retain heart in position and limit distension

19
Q

What does the parietal layer of heart adhere to

A

Pericardium

20
Q

What is the Visceral layer of heart called and what is it called

A

Binds loosely to the heart and is also called epicardium

21
Q

What is located under epicardium

A

Loose connective tissue containing fat and blood vessels

22
Q

What is the heart completely invested in ?

A

Epicardium

23
Q

What is special about the posterior irregular area of the heart

A

Instead of being invested in epicardium the irregular area between vena cava and pulmonary veins myocardium contacts fibrous pericardium

24
Q

During the third week of development heart is forme from cells that form a horseshoe shaped region called

A

Cardiogenic Region

25
Endocardial Tubes
By day 19 these tubes form and they fuse together to form single primitive heart tube
26
This forms most of the right ventricle and parts of overflow tracts for aorta and pulmonary trunk
Bulbis Cordis
27
Forms most of the left ventricle
Primitive Ventricle
28
Forms anterior parts of right and left atria
Primitive atrium
29
Right and Left Horn, forms the superior vena cava and part of right atrium
Sinus Venosus
30
When does heart begin to beat
Day 22
31
What forms transverse pericardial sinus
Primitive atrial and venous ends are brought together
32
What forms oblique pericardial sinus
Veins expand and pericardial reflection is carried out around them
33
What constitues the blood supply to the pericardium
pericardiophrenic arteries, musculophrenic arteries, branches of thoracic aorta (bronchial, esophageal and superior phrenic) and coronary arteries (Visceral layer only)
34
What constitues venous drainage for the pericardium
pericardiophrenic vein, internal thoracic vein and branches of azygous system
35
what provides somatic sensory innervation to fibrous and parietal layers of paricardium
Phrenic Nerves
36
What provides visceral sensory to epicardium
Cardiac Plexuses
37
Does Epicardium feel pain?
No, it is insensitive to pain
38
What is the mediastinum
Portion of thoracic cavity between the lungs
39
What four regions can the mediastinum be divided into
Anterior mediastinum, Posterior Mediastinum, Middle mediastinum, Superior Mediastinum