unknown anatomy 103 Flashcards

(38 cards)

1
Q

Layers of the pericardium

A

Fibrous and serous (parietal and visceral form serous)

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2
Q

What forms the lateral border of all mediastinum

A

Mediastinal pleura

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3
Q

Atypical/floating/false ribs

A

Atypical: 1,2,10,11,12
Floating: 11 and 12
False rise: 8,9,10,11,12 (not attached to sternum

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4
Q

What forms the hemiazygos vein

A

Lumbar and left subcostal veins joining together

Intercostal veins 9, 10 and 11 join hemiazygos vein

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5
Q

What forms the accessory hemiazygos vein

A

Intercostal veins T5, 6, 7 and 8

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6
Q

What veins join to superior vena cava

A

Oesophageal veins
Mediastinal veins
Pericardial veins

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7
Q

What joins to form each bracheocephalic vein

A

Subclavian vein and internal jugular

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8
Q

Pleural cavity recesses

A

Costomediastinal and costodiaphragmatic
Not symmetrical (due to heart)
Can be occupied by lung during forced inspiration

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9
Q

Innervation of parietal pleura regions

A

Cervical: 1st intercostal
Costal: intercostals
Mediastinal: phrenic
Diaphragmatic: lower ics and phrenic

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10
Q

What enters through the hilum (root)

A
Bronchi
Pulmonary arteries and veins
Bronchial arteries and veins
Pulmonary plexus
Lymph nodes and vessels
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11
Q

How does lymph drain towards the hilum

A

Bronchopulmonary nodes (Hilar)
Tracheobronchial nodes
Paratracheal nodes

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12
Q

What are secondary and tertiary bronchi called

A

lobar

segmental

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13
Q

How many bronchopulmonary segments are there

A
10 in right lung
8-10 in left lung
Each supplied by a single tertiary bronchus
Separated by connective tissue
Can remove one in isolation
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14
Q

Where does the trachea run from and to?

A

C6-T4/5

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15
Q

Fissures of left and right lung

A

Left: oblique (inferior and superior); there is a lingula
Right: oblique and horizontal (inferior, superior and middle)

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16
Q

Visceral pleural innervation

A

Autonomic from pulmonary plexuses

17
Q

Branches off the descending aorta

A
Paired
- Posterior intercostal
- Subcostal
- Bronchial
- Superior phrenic
Unpaired
- Pericardial
- Oesophageal
- Mediastinal
18
Q

What does the thoracic duct do

A

Transports lymph to venous system

19
Q

Where do the phrenic nerves enter the superior mediastinum

A

Between bracheocephalic veins and subclavian arteries

Pass anterior to main bronchi

20
Q

Vagus nerve (what type of nerve, where they enter superior and posterior mediastinum, what they supply)

A

Cranial nerves
Enter superior mediastinum medial to phrenic nerve
Go into posterior mediastinum posterior to main bronchi
Parasympathetic supply via pulmonary, cardiac and oesophageal plexi

21
Q

What form early blood vessels (embryology)

A

Angiogenic clusters form in the mesoderm

Two large blood vessels (heart tubes)form in cardiogenic area

22
Q

When do heart tubes fuse

23
Q

What regions is the heart tube divided into

A

Sinus venosus
Primordial atrium
Primordial ventricle
Truncus arteriosus

24
Q

When does the heart tube start to fold

25
2 regions of the right atrium of the heart
Sinus centrum (smooth walled) Pectinate muscle Also crista terminalis is the ridge of myocardium under the pectinate muscle
26
What does the papillary muscle do
It attaches the chordae tendineae to the wall of the ventricles Trabeculae carneae is the ridged wall of the ventricles
27
Names of the tricuspid and mitral cusps
Anterior, posterior septal | Anterior and posterior
28
Where is the oblique sinus located
Between pulmonary veins
29
How many people are RCA dominant
67% (15% left and 8% both)
30
In what percentage of people does the SA nodal branch come off the circumflex
40%
31
Location of SA node
close to crista terminalis at junction between SVC and right atrium
32
Location of AV node
interatrial septum close to coronary sinus opening
33
How do parasympathetic fibres reach the SA node
Enter cardiac plexus from Vagus nerve
34
How do sympathetic fibres react eh SA node
From sympathetic trunk levels T1-5 enter cardiac plexus
35
Where does the thoracic duct originate/where does it travel
Cisterna chyli in abdomen (L2) Ascends through aortic hiatus anterior to thoracic vertebrae Drains into venous system at the left venous angle
36
Lymph drainage fro which trunks
Right and left jugular trunk Right and left subclavian trunk Right and left bronchomediastinal trunk
37
Where does the oesophagus travel
Posterior to trachea Posterior and to right of aorta Veers slightly left before piercing diaphragm Passes anterior to aorta before entering stomach Innervation: CNX and sympathetic trunk via oesophageal plexus
38
Phrenic nerve in relation to the vagus
Phrenic is more lateral and anterior than the vagus in the thorax