Thorax Flashcards

1
Q

Subclavian artery branches

A

Vertebral
Internal thoracic
Thyrocervical

Costocervical trunk

Dorsal scapular

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2
Q

Epithlium trachea

A

Ciliated columnar

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3
Q

Hyaline cartilage

A

T2
Airway and joints

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4
Q

Elastic cartilage

A

T2
Ear larynx, eustachian tube

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5
Q

Fibro cartilage

A

T1
Tendins ligaments IV discs
No pericondrium

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6
Q

Synovial joint

A
  1. Covered by hyaline
  2. Surrounded by capsule
  3. Joint cavity
  4. Allows movement
  5. Surrounded by ligament
  6. Lined internally synovial membrane
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7
Q

Ribs

A

1-7 true
8-10 false
11-12 floating

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8
Q

Trachea

A

From c6 to sternal angle
Inferior thyroid and bronchial arteries
Symp fibres upper ganglia symp trunks

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9
Q

Phrenic

A

Motor and sensory diaphragm
C4
Behind subclav vein, in front of lung root
Diaphragm tendon on right, muscle on left
Lateral ant and post branches

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10
Q

Azygous

A

Drains post chest wall
Goes to SVC T4
Formed by the ascending lumbar vein and the right subcostal vein
receives the lower eight posterior intercostal veins
joined by the hemiazygos vein at the T8–T9
passes through the aortic opening of the diaphragm.

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11
Q

Lymph drainage lung

A

LLL right superior tracheobronchial nodes

Subpleural plexus drains parenchtna and visceral pleura

Eventually venous angle or r lymph duct or l thoracic duct

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12
Q

Embryonic septum transversum

A

Becomes fibrous pericardium and central tendon of diaphragm

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13
Q

Serratus anterior

A

Side wall thorax and medial wall axilla
Digitations upper 8 ribs
2nd upper scap, lower 4 lower scap
Supplied by long thoracic C5-7
5 upper 2
6 3rd and 4th
7 rest

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14
Q

Thoracic wall muscles

A

Inner: innermost IC, transversus thoracicus, subcostal
Middle: internal intercostal
Outer: external IC, serratus posterior inferior and superior, levator costae

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15
Q

Male trachea

A

1.6-2cm
12cm long
Half intrathoracic
12-20 cartilaginous c shapes with trachealis muscle posteriorly

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16
Q

Innervation parietal lung

A

Phrenic - med diaphragm and mediastinal
IC - lat diaphragm and costal

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17
Q

Lung fissure surface anatomuly

A

Oblique - T2 - 6th costal
Horizontal - oblique until 4th rin and costal

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18
Q

Thymus

A

Arteries: Anterior intercostal
Internal thoracic
Makes t lymphocytes, not active in thymus
Releases thymosin which stimulates maturation lymphocytes other organs

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19
Q

Oesophagus

A

25cm
C6 to t11
Anterior to prevertebral fascia cervically
Right crossed by azygous
Left crossed aortic arch

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20
Q

Heart border

A

Right - r 3rd costal to r 6th costal cart
Inf - r 6th to L 5th ic space (apex)
Left - apex to l 2nd costal cart 2cm from sternum
All lower edge

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21
Q

Atypical ribs

A

Typical:
Head with 2 articular facets
Neck curving into crest
Shaft
Atypical:
1, 2, 11, 12 and sometimes 10
1 - 1 articular facet, short wide, 2 grooves for vessels
2 - rough oatch for seratus anterior
11 - 1 articular facet, no tubercle, short neck
12 - 1 articular facet, no tubercle, short neck, no angle or costal groove

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22
Q

Borders heart

A

R - RA
Sup - RA + LA
L - LV + small amount LA
Inf - RV + small amount LV

23
Q

Heart surfaces

A

Ant - RV
Diaphragmatic - LV + a bit RV
R - RA
L - LV

24
Q

Pulmonary trunk

A

5cm long
3cm wide

25
Rib movement
3-5 pump handle 6-10 bucket handle 11-12 calliper
26
Muscle types
Smooth - non striated, 1 nucleus Cardiac - straited, 1-2 nuclei Skeletal - striated, multiple nuclei, T1 aerobic
27
Thoracic vertebrae
Typical T2-9 Bilateral costal demi facets paired Costal facets on transverse processes Long down sloping spinous process Atypical 1 sup vert body facet not demi 10 only one pair facets on body/ pedicle 11 & 12 only one pair facets on pedicles
28
Sterno costal joint Costovert/transverse
ScJ - 1 primary cartilagenous 2-7 synovial plane Synovial plane
29
Accessory muscles breathing
Pec major Pec minor Serratus anterior Scalene
30
Atypical thoracic nerves
T1 - brachial plexus, no ant cut 1+2 - internal surfave not sc groove 2+-3 - large ant cut, suplies axilla and arm, com medial brachial cutaneous T7-11 - innervate parietal peritoneum
31
Post IC arteries
1-2 - supreme/ superior branch costocervical trunk from Subclav 3-11 from aorta S cost from aorta Between internal and innermost intercostal s
32
Anterior arterial intercostal
Internal thoracic 1-6 (branch subclav) 7-9 musculophrenic (branch internal thoracic 10-12 absent
33
Internal thoracic
Sc 1-6 6th ic space becomes musculophrenic and sup epigastric Also gives rise pericardiophrenic
34
SC Vein drainage posterior thoracic wall
1 bcv bilat L 2,3 become sup ic go to bcv 4-8 accessory hemiazygous 9-11 sc and asc lumbar hemiazygous R 2-4 become sup IC got to svc with azygois Rest azygous
35
Breasts
Bed - sternum to MAL rib 2-6, on pec major and serratus ant 15-20 lobules Each lobule drained by lactiferous duct FSH &LH cause increased size
36
Breast blood supply
Med - internal thoracic Lat - lat thoracic from axillary and lat cut 2-4 Drain axillary and intern thoracic veins
37
Lymph drainage breast
75% lat - axillary +- pectoral to clavicle to sc trunk Med to parasternal lymph or abdo lymph or other breast to bronchomediastinal trunk All end thoracic duct/ r lymoatic duct or venous angle Skin might also drain to deep cervical
38
Intercostal nerve
Ventral rami upper 11 thoracic nerves
39
Alveoli
Alveolar duct becomes alveolar sac (5-6) and alveoli come from this. Interconnecting passages pores of Kohn
40
Top of lung root
Right - upper lobe bronchus and artery Left - pulmonary artery
41
Bronchi cells
Wall - smooth muscle and hyaline cartilage, pseudostratified columnar ciliates Terminal bronchioles no alveoli T1 and 2 pneumocytes Phospholipid reduces surface tension
42
Oesophagus vasc
Oesophageal inferior thyroid Bronchial Aortic branches oesophageal Left gastric art from coeliac and l inf phrenic Veins left gastric to portal or oesophageal to azygous Lymph left gastric to coeliac
43
Oesophagus constrictions
Cervical at cricopharyngeus Thoracic aorta then left main bronchus Diaphragmatic
44
Coronary sinus receives
Great, middle, small cardiac veins Post vein left ventricle Oblique vein left atrium (5 total)
45
Sternal angle
2nd costal cartilage T4 Begining and end aortic arch Bifurcation trachea
46
location Thoracic sympathetic trunk
On necks of ribs just lateral to heads Anterior to vascular bundle
47
Separation trachea from lung
Right right vagus and right pleural apex Left left common carotid and subclavian
48
Cardiac plexus
Superficial in arch of aorta From left vagus and left cervical symp ganglion Deep between trachea and aorta Right cervic branches, vagal, cardiac nerves
49
Trachea blood supply
Inferior thyroid Sup mid and inf bronchial
50
Epithelium trachea and bronchi
Ciliated columnar
51
Examples secondary cartilaginous joints (symphysis)
IV discs Manubrosternal Pubic symphysis Saccrococcygeal symphysis
52
Examples primary cartilagenous joints - synchondrosis
Costochondral 1st sternocostal Xiphisternal
53
Location lung hila
T4-5 3-4th ccs
54
Layer of pericardium no sensory
Visceral of serous pericardium (no innervation phrenic) Visceral peritoneum never sensory