Week 8 Lecture 16 Flashcards

(37 cards)

1
Q

Upper respiratory system parts

A

Nasal cavity, Larynx, pharynx,

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2
Q

Lower respiratory system parts

A

Trachea, bronchioles, alveoli

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3
Q

Pleural Cavity

A
  • occupies space within the thoracic cavity (where we find structures associated with the heart
  • two pleural cavitites on each side
  • houses lungs and associated structures
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4
Q

What is the pleura

A

The pleura are two thin layers of tissue that wrap around each lung, like a protective covering.
- fluid filled membrane
- lungs develop into the pleural sac
- it surrounds the lungs during development, those lung buds grow towards the pleural membrane

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5
Q

Parietal pleura

A
  • ## superficial on body wall against the thoracic wall
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6
Q

Visceral pleura

A
  • deep directly on lungs
  • continuous on hilum (where the blood vessels and tubes come in and out)
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7
Q

Pleural cavity purpose

A
  • maintain surface tension so our lungs are extanding with each inhalation
  • lungs are very elastic and they the tendency to recoil
  • the parietal and visceral layer is continuous at the hilum
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8
Q

Pleural cavities vs pleural space

A

Pleural cavitites are the physical spaces to the right and left of the mediastinum that houses the lungs.

Pleura space fluid filled space before the two layers of pleura.

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9
Q

General features of the lungs:

A
  • Pyramidal (apex more superiorly and then widens out into a base inferiorly)
  • Diaphragmatic surface (along the inferior border of both lungs in contact with the respiratory system)
  • costal surface (anterior, lateral and posterior surface, all in contact with the ribs)
  • Mediastinal surface (in contact with the mediastinum)
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10
Q

Lobes of the lung

A
  • lungs are not symmetrical, left lung only has two lobes
  • right lobe has three: superior, middle and inferior
    -less space for the left lung because the heart apex is there
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11
Q

What are Fissues

A
  • fissues are lines between each lobe (naturally)

Blue = oblique fissue
Green = horizontal fissue (only on right side)

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12
Q

Specific Features of the Right Lung

A
  • there are grooves on the lungs bc of surrounding structures
  • costal grooves all along the lungs
    dark blue = esophagus
    teal = superior vena cava
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13
Q

Specific Features of the Left Lung:

A
  • costal impression (from the ribs)
  • lingula (red) (on the medial and inferior lip)
  • you can see the cardiac notch (pink) on the posterior side due to the heart
  • the loop on the posterior side is due to the aorta (green)
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14
Q

Hilum

A
  • root of the lung
  • ## this is where the parietal pleura is reflecting on itself to become continuous with the visceral pleura
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15
Q

Vessels in the Hilum

A
  • pulmonary arteries (superior), deoxygenated blood
  • pulmonary veins (inferior/anterior)
  • bronchi (posterior), very cartilaginous, a lot toughter than the rest of the structures
  • pleura reflects on itself
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16
Q

Trachelobronchial tree

A

Nasal cavity –> pharynx –> larnyx –> trachea –> primary bronchi –> secondary bronchi (lobular) –> tertiary bronchi (segmental) –> terminal bronchioles –> respiratory bronchioles –> alevoli

  • the ones above is the conducting portion (carry air in and out of the lungs but don’t actually do gas exchange)
  • respiratory bronchioles and alevoli are special because of gas exchange
17
Q

Label these and talk about them

A
  • Trachea (teal): large and has cartilaginous rings. Descending from the larynx and going to bifurcate into two primary bronchi.
  • Secondary bronchi (purple) (lobular bronchi): one to each lobe, 5 lobes
  • Tertiary bronchioles (go to each segment of the lobes, more than 20)
18
Q

What are alveoli for?

A
  • air filled sacs (look like grapes), go back to bigger branches backwards
19
Q

Trachea

A
  • cartilaginous rings: not a complete full circle,
  • smooth muscle (posterior), on the back, the cartilage is replaced by smooth muscle
  • the digestive system (esophagous is going to be posterior to the trachea. The esophagous needs to have food pass in it so the behind of the trachea can’t be too rigid.
20
Q

Trachea Bifurcate

A
  • R/L Primary Brochi
  • Carina (division site)
  • T4 and T5 (start of the aorta)
  • Right primary brochi is wider and it has a more vertical slope to it compared to the left one
  • if someone were to choke, it is more likely to go to the right lung than the left lung
21
Q

Gas exchange 3 structures

A
  • structure from the respiratory system interacting with the cardiovascular system
    Alveoli: air filled sacs, bunches of grapes. Is where gas exchange occurs and red blood cells become deoxygenated.
    Pulmonary arteries: deoxygenated blood away from the heart
    Pulmonary veins: oxygenated blood towards the heart
22
Q

What do alveoli interact with?

A
  • capillary network around them
  • close contact with endothelial cells and RBC within vessels
23
Q

Mechanism of gas exchange:

A
  • gas relies on the ability concentration gradient
  • the capilary network has deoxygenated blood
  • O2 diffuses from alveolus space into capillary –> bonds to RBC
  • O2 on RBC travels through pulmonary vein to heart to systemic circulation
  • carbon dioxide passively travels from the deoxygenated blood into the alveolus space
24
Q

Innervation fo Respiratory System: Sympathetic Innervation

A

Sympathetic Innervation
- spinal nerves T2-T5
- post synaptic fibers from sympathetic chain where they will synapse
- postsynaptic fibers are going to travel directly to innervate teh trachea and bronchi tissues
- cause the smooth muscle to relax in bronchi
- bronchodilation (increase so we have as much air as possible)

25
Innervation of Respiratory System Parasympathetic Innervation
- cranial nerve X (vagus) - contract smooth muscle in bronchi - Bronchoconstriction - mucus production - all the nerves even including the sympathetic ones are called the pulmonary plexus
26
Asthma
- narrowing of airways and excessive mucus production symptoms include shortness of breath, wheezing, coughing - can be brought by exercise, irritant, allergy induced reactions - treated with medication that is inhaled
27
Respiration Diapragm
- Separates thorax from abdomen - skeletal muscle - right and left dome - inferior thoracic aperature --> central tendon
28
Respiration openings
- Caval Opening (T8): allows the inferior vena cava to pass from the abdomen up to the thorax - T10 esophageal hiatus. esophagus to pass from the thorax down into the abdomen. - T12 aortic hiatus, where the thoracic aorta is passing through to become the abdominal aorta
29
Diaphragm
- Phrenic Nerve - Fibers from spinal nerve and not cranial nerve - C3, C4, C5 keeps the diagram alive - Between pericardium and pleura (refers to the space or area located between the pericardium (the membrane around the heart) and the pleura (the membrane around the lungs) - Sensory and motor fibers - typically skeletal muscle is under unvoluntary control but we do have voluntary control over your breath
30
Overall Mechanism of the Diaphragm
- main muscle of respiration (contraction and relaxation) - creates a pressure gradient
31
Specific Mechanism of Diaphagm
- Diaphragm contracts (flattens) - thoracic cavity volume expands - creates low pressure environment - air rushes into the lungs - Diaphragm relaxes (domes) - Thoracic cavity volume decreases creates a high pressure environment - air rushes out of lungs
32
Thoracic Wall Muscles Function
- assist in forced respiration. When you're taking a bigger breath than normal or forcing out air, harder than normal.
33
External Intercostal muscle Function
- found laterally and superficially along the thoracic cage - originat on a superior rib and insert on a inferior rib - helps with inhalation - elvation of ribs
34
Internal costal muscle Function
- found more medially and slightly deeper - orginate on an inferior rib and inserting on a superior rib - depress the ribs and helps with exhalation
35
Intermost Intercostal Function
- posteriorly and laterally along the inside of the thoracic wall - depress the ribs and help with exhalation
36
Innervation of the thoracic wall muscles
- Intercostal vein (superior) - Intercostal artery - Intercostal nerve (inferior) - found between the internal intercostal muscles and the innermost costal muscles
37