Thorax 3: Pleura and Lungs Flashcards

(59 cards)

1
Q

What pulmonary covering will sense pain

A

parietal pleura

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2
Q

Will visceral pleura experience pain

A

no

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3
Q

What are the two pleural coverings on the lungs

A

visceral pleura

parietal pleura

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4
Q

What is between the pleura of the lungs

A

potential space= pleural cavity

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5
Q

What are the different parts of parietal pleura around the lungs

A

costal
diaphragmatic
mediastinal
Cervical

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6
Q

What is the costal pleura of the lungs innervated by

A

intercostal nerves

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7
Q

What is the diaphragmatic pleura of the lungs innervated by

A

central portion: phrenic

peripheral portion: intercostal

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8
Q

What is the mediastinal pleura innervated by

A

phrenic

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9
Q

What is the pulmonary ligament

A

thin fold of reflected pleura that extends inferiorly from the root of the lung

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10
Q

What does the pulmonary ligament allow for

A

accommodates expansion

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11
Q

What is Sibson’s fascia

A

supra pleural membrane

thickening of the endothoracic fascia that protects the cupola of the lung

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12
Q

What are the different pleural reflections

A

sternal
costal
vertebral

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13
Q

What are the two pleural recesses

A

costomediastinal

costodiaphragmatic

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14
Q

What is the costodiaphragmatic recess

A

diaphragmatic pleura turning back to costal pleura

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15
Q

Where is the costomediastinal recess found

A

over the heart

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16
Q

what do the pleural recesses contain

A

fluid accumulation

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17
Q

What space will most likely collect fluid from the lungs

A

costodiaphramatic recess

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18
Q

What levels will the visceral and parietal pleura be seen in the mid axillary line

A

visceral 8

parietal 10

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19
Q

What levels will the visceral and parietal pleura be seen in the mid clavicular line

A

visceral 6

parietal 8

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20
Q

What levels will the visceral and parietal pleura be seen in the scapular line

A

visceral 10

parietal 12

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21
Q

How many lobes are in the left lung

A

3

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22
Q

How many loves are in the right lung

A

2

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23
Q

What level will the oblique fissures of the lungs be found

A

midclavicular: 6th rib
Midaxillary: 5th rib
Scapular: 4th

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24
Q

What lung has a horizontal fissure and where is it found

A

right lung

4th rib

25
Where do you auscultate the right superior love
above 3rd rib midclavicular line
26
Where do you auscultate the middle lobe
below 4th rib, midclavicular line
27
Where do you auscultate the inferior lobe of the right lung
below 5th rib on scapular line of posterior chest wall
28
Where do you auscultate the left superior lobe
above 5th rib midclavicular line
29
Where do you auscultate the left inferior lob
below 5th rib on posterior chest wall
30
What structures leave an impression on the left lungs
cardiac impression | aorta
31
What structures leave an impression on the right lungs
cardiac impression SVC IVC esophagus
32
What lung will have a cardiac notch
left lung
33
What does the trachea branch into
right and left primary bronchi
34
What will the right primary bronchus branch into
3 secondary bronchi
35
What will the 3 right secondary bronchi branch into
10 tertiary bronchi
36
What will the left primary bronchus branch into
2 secondary bronchi
37
What will the 2 left secondary bronchi branch into
10 tertiary bronchi
38
What portion of the lung does TB typically target
apical segments
39
What main bronchus is most commonly aspirated into
right
40
How can you orient yourself when looking at a trachea
flat aspect where cartilage is absent is posterior
41
What is the cough reflex efferent
vagus, phrenic, and intercostals
42
What is the cough reflex afferent
vagus
43
What is the function of pulmonary arteries and veins
gas exchange (carry blood to and from the heart to the lungs and back)
44
What is the function of bronchial arteries and veins
supply the lung tissue with nutrients and drain the lungs
45
What are the lymph nodes of the lungs
pulmonary bonchiopulmonary inferior and superior trachiobronchial paratrachial
46
Where are pulmonary lymph nodes found
in the lung
47
Where are bronchipulmonavry lymph nodes found
in the hilum
48
Where are inferior trachiobronchial lymph nodes found
under carina
49
Where are superior tracheobronchial lymph nodes found
above carina
50
Where are paratracheal lymph nodes found
along the sides of trachea
51
Where does the right lung drain lymph wise
to right jugulovenous angle
52
Where does the left inferior lung drain lymph wise
carinal nodes to right jugulovenous angle
53
Where does the left superior lung drain lymph wise
left jugulovenous angle
54
What is suggested by enlarged paratracheal lymph nodes on the left
infection or cancer in left upper lobe
55
What layers are traversed in thoracocentesis
``` skin superficial fascia external intercostals internal intercostals innermost intercostals endothoracic fascia parietal pleura ```
56
What structures are at risk during thoracocentesis
VAN complex intercostals lung liver diaphragm
57
What space is thoracocentesis done at
8-9th intercostal space in mid-axillary line
58
What is pneumothorax
disruption of parietal pleura leading to disruption of vacuum
59
What is spontaneous penumothorax
pneumothorax with no associated trauma