Thorax 2 Flashcards

1
Q

Where on the spine does the trachea extend to and from.

A

From C6 to T4/5

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2
Q

Where is the division of the upper and lower respiratory tracts?

A

The cricoid cartilage

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3
Q

How is the trachea held open?

A

C-shaped transverse cartilage rings

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4
Q

Why are the cartilaginous rings c-shaped with the open part facing posteriorly?

A

This is where the oesophagus runs therefore the open part allows the bolus of food to pass through

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5
Q

Where does the trachea bifurcate into the main bronchi?

A

At the sternal angle

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6
Q

What structure separates the right and left main bronchi?

A

The carina

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7
Q

What is the hilum and what structures are found there

A

An opening in the lung
The main bronchus, pulmonary arteries and veins

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8
Q

What is the difference in shape between the right main bronchus and the left main bronchus?

A

Right is wider, shorter and more vertical than the left

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9
Q

What does the difference in shape between the right and left main bronchi mean clinically ?

A

Inhaled foreign bodies tend to lodge more frequently on the right side than on the left.

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10
Q

How does the right main bronchus divide?

A

Main bronchus -> superior, middle, and inferior lobar bronchi -> segmental bronchi -> bronchioles -> alveoli

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11
Q

How does the left main bronchus divide?

A

Main bronchus -> superior and inferior lobar bronchi -> segmental bronchi -> bronchioles -> alveoli

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12
Q

What is the bronchopulmonary segment?

A

The smallest functionally independent area of lung supplied by a segmental bronchus and its accompanying pulmonary vessels. It is encased in connective tissue

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13
Q

What are the 3 cavities in the thorax?

A

2 pleural and mediastinal

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14
Q

Where are the lungs attached?

A

At the hila only

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15
Q

What does the oblique fissure do

A

Separates the inferior lobe from the superior lobe laterally and middle lobe medially

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16
Q

Wbat does the horizontal fissure do?

A

Separates the middle lobe from the superior lobe

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17
Q

What are numbers 1-4 on this diagram

A

1) Apex
2) Superior lobe of right lung
3) Middle lobe of right lung
4) Inferior lobe of right lung

18
Q

What are numbers 7-11? not 10

A

7) Superior lobe of left lung
8) Oblique fissure of left lung
9) Inferior lobe of left lung
11) Cardiac notch

19
Q

Name structures 1-5

A

1) Anterior border of right lung
2) Costal surface
3) Apex
4) Hilum
5) Bronchi

20
Q

Name structures 6-12

A

6) Pulmonary artery
7) Inferior and superior pulmonary veins
8) Posterior border
9) Mediastinal surface
10) Inferior border
11) Diaphragmatic surface
12) Pulmonary ligament

21
Q

Which is the outermost pleura? Visceral or parietal?

22
Q

What are the regions of the parietal pleura?

A

Costal, diaphragmatic and Mediastinal

23
Q

How are the parietal and visceral pleura connected?

A

Parietal folds in on itself at the hilum

24
Q

WHat type of fluid is secreted by the pleura and why?

A

Serous fluid so that lung can expand without friction

25
What is the pulmonary ligament
The excess parietal pleura that hangs from hilum of the lung, providing space for hilum to move when diaphrhagm flattens
26
What is the costodiaphragmatic recess?
When costal and diaphragmatic pleura join and form pocket. The recesses are not present during deep inspiration
27
What is the costomediastinal recess?
When costal and mediastinal pleura join and form pocket. The recesses are not present during deep inspiration
28
What are the origins of the diaphragm?
Muscular part of diaphragm POSTERIORLY- L1-3 and RIBS 7-12 LATERALLY - COSTAL CARILAGES OF RIBS 7-10 ANTERIORLY - POSTERIOR SURFACE OF XIPHOID PROCESS
29
What are the insertions of the diaphragm?
Tendinous part of diaphragm
30
What is the significance of the tendinous part of the diaphragm to the heart?
It acts as an attachment site for the pericardium of the heart
31
Name structures 1 and 2 and describe what they are
1) Median arcuate ligaments 2) Lateral arcuate ligaments They are more specific insertions of the diaphragm
32
Name structures 1 and 2 and describe what they are?
1) Right crus 2) Left crus They are more specific insertions of the diaphragm which attach at the lumbar vertebrae
33
Name structures 1 and 2 and describe what they are?
1) Median arcuate ligament - provides hiatus for the abdominal aorta. 2) Suspensory muscle of duodenum - ligament which suspends duodenum in place
34
How is the diaphragm innervated?
By left and right phrenic nerve from C3-5 spinal nerves
35
How is the diaphragm vascularised?
Inferior Phrenic arteries which are the first branches of abdominal aorta
36
Where is the caval hiatus?
At level T8
37
What structures run through the caval hiatus
IVC - abdomen to heart Phrenic nerve - thorax to abdomen where it sits on underside of diaphragm
38
Where is the oesophageal hiatus?
T10
39
What structures in through the oesophageal hiatus?
- Oesophagus - left and right vagus nerves - oesophageal branches of left gastric artery and vein
40
Where is the aortic hiatus?
T12 posterior to diaphragm
41
What structures run through the aortic hiatus?
- Abdominal aorta - throax to abdomen - Thoracic duct - abdomen to thorax - Azygos vein - abdomen to thorax