2. Anatomy Flashcards
chest pain the results from transient ischemia brought on by exertion
Angina pectoris
angina pectoris is due to
reduced blood flow because of narrowing of artery
angina pectoris
is substernal pain that may be referred over the ___
dermatomes
T1 -T5
T1 dermatome int he medial aspect of the left arm and forearm may be felt over the
cervical dermatomes in the neck up to level of the angle of the mandible
results from localized avascular necrosis of cardiac cells caused by prolonged ischemia
myocardial infarction
common site of occlusion for MI
anterior interventricular artery
difference of angina pectoris and MI
angina pectoris - tightness/ squeezing pain precipitated by stress or exertion
MI- more severe pain, not relieved by rest
Nerve supply of the heart
ANS via the cardiac plexuses
Sympathetic - cervical and upper thoracic
Parasympathetic - vagus nerve
As a pathologist, you are examining the heart of a victim of fatal trauma and note a tear at the junction of SVC and right atrium. This tear would likely damage the
Sinoatrial node
pacemaker of the heart
SA node
SA node is located
within atrial wall on right side of its junction with Superior vena cava
right/left bundle branches are located at
muscular portion of interventricular septum
V1 placement
4th ICS just to the right of sternum
V2 placement
4th ICS just to the left of the sternum
V3 placement
midway between V2 and V4
V4 placement
midclavicular line, 5th ICS
V5 placemement
anterior axillary line, 5th ICS
V6 placement
midaxillary line, 5th ICS
right atrium receives blood from
SVC, IVC, coronary sinus, anterior cardiac vein, vena cordis minimae
The following veins drain into right atrium EXCEPT? A. coronay sinus B. Superior vena cava C. Anterior cardiac D. Great cardiac
D.Great cardiac
internal wall of right atrium is composed of
sinus venarum (posterior) musculi pectinati (anterior)
fossa ovalis is remnant of
foramen ovale
if foramen ovale persists after birth it leads to
ASD
Atrial septal defect
internal surface of right ventricle has irregular muscular ridges called
trabeculae carnae
trabeculae carne is where this muscle originates
papillar muscle
apices of right ventrice are connected by fibrous strands called
choradae tendinae
modified trabeculae carnae that crosses the interventricular septum
moderator band
has thicker wall than right atrium
right ventricle
left atrium
left ventricle
this heart chamber receives 4 pulmonary veins on its posterior wall
left atrium
most posterior of 4 chambers
left atrium
walls twice as thick as right ventricle
left ventricle
how many papillary muscles does right and left ventricle have
3 papillary muscles (anterior, posterior, septal) - RV
2 papillary muscles (anterior, posterior) LV
presence of moderator band
RV
LV
RV- present
LV - absent
crescenteric cavity
chamber of heart
RV
circular cavity
heart chamber
left ventricle
The heart tube continues to elongate and bend on day
23
This bending, which may be due to cell shape changes, creates cardiac loop completed at day
28
primitive atrium forms the
left atrium
sinus venosis forms the
right horn -> right atrium
left horn -> coronary sinus
primitive ventricle forms
all of the left ventricle
bulbus cordis forms
all of the right ventricle
truncus arteriosus becomes partitioned to form the
root of aorta and pulmonary trunk
most common formof congenital heart diseases
Atrial septal defect
ASD is due to
most common form is due to patent foramen ovale
shunts blood from left atrium to right atrium
Atrial septal defect results in this adaptation
hypertrophy of right atrium, right ventricle, and pulmonary trunk
most common type of CHD 25%
Ventricular septal defect
ventricular septal defect is more common in this gender
males
membranous VSD is due to
incomplete closure of the IV foramen results from failure of the membranou part of IV septum to develop
left to right shunting of blood, increase blood flow to lungs and cause pulmonary hypertension
The anatomic description of this CHD
consists of an outlet ventricular septal defect (VSD), a single semilunar valve, and a common great artery that overrides the VSD.
Persistent Truncus Arteriosus
most common cause of cyanotic heart disease
Transposition of the Great Arteries
The anatomic description of this CHD is
aorta lies anterior to the right of he pulmonary trunk and arises anteriorly from the morphological RV and pulmonary trunk arises from the morphological LV
TGA
Transposition of Great Arteries
TGA is associated with
ASD and VSD
right to left shunting of blood and cyanosis
Tetralogy of Fallot
components of tetralogy of fallot
pulmonary stenosis
VSD
dextropositio of aorta/ overriding aorta
right ventricular hypertrophy
before birth, the respiratory function of the lungs are performed by
placenta
these vasculature carry oxygenated blood back to the heart
umbilical veins
pathway for oxygenated blood in fetus
umbilical vein -> ductus venosus -> Inferior vena cava -> right atrium -> foramen ovale -> left atrium -> left ventricle -> aorta
pathyway for unoxygenated blood in fetus
superior vena cava -> right atrium -> right ventricle -> pulmonary trunk -> ductus arteriosus -> aorta
these shunts close when the baby is born
foramen ovale
ductus arteriosus
ductus venosus
anatomical closure of foramen ovale occurs by
3rd month ]
foramen ovale -> fossa ovalis
remnant of umbilical vein
ligamentum teres
remnant of umbilical arteries
medial umbilical ligaments
remnant of ductus venosus
ligamentum venosum
remnant of foramen ovale
fossa ovalis
remnant of ductus arteriosus
ligamentum arteriosum
when does ductus arteriosus close
close immediately after burth
complete obliteration and fibrosis by 3-4 weeks
remains patent and may be used for exchange transfusions of blood during early infancy
umbilical vein and ligamentum teres
Patent ductus arteriosus is more common in this gender
females
most common congenital anomaly associated with maternal rubella infection during early pregnancy
patent ductus arteriosus
failure of the ductus arteriosus to involute after birth and form the ligamentum arteriosum
Patent ductus arteriosus
This congenital defect will result in aortic blood shunted
Patent ductus arteriosus
the pharyngeal arches develop during
4th week
returning blood from the placenta; involutes after birth
umbilical/allantoic or placental veins
returning blood from the splanchopleura (yolk sac and gut derivatives ) become the portal system
vitelline or omphalomesenteric veins
returning blood from the somatopleura of embryo; be come the caval system
cardinal veins
carry well oxygenated blood from the placenta to the sinus venosus
umbilical veins
2 parts of pleura
visceral
parietal
4 subdivisions of the lungs
costal pleura
mediastinal pleura
diaphragmatic pleura
cervical pleura/ cupula
What is the inferior limit of the parietal pleura in the Midaxillary line
rib 10
A thoracentesis is performed to aspirate an abnormal accumulation of fluid with pleural effusion. A needle should be inserted at the midaxillary line between whihc of the following two ribs as to avoid puncturing the lung
ribs 8 and 10
Costal line of pleural reflection passes OBLIQUELY across the
MCL- 8th rib
MAL- 10th ib
Rib sides of vertebral column -12th rib
Lower margin of lungs
MCL- 6th rib
MAL - 8th rib
rib sides of verterbal column - 10th rib
Parietal pleura is sensitive to
pain, touch
temperature
presure
visceral pleura is sensitive to
stretch
nerve supply of parietal pleura
costal - intercostal nerve
mediastinal - phrenic nerve
diaphragmatic - phrenic and intercostal
nerve supply of visceral pleura
pulmonary plexus
The following are characteristics of left lung except
a. deep cardiac notch
b. provided with middle lobe
c. with oblique fissure
d. provided with lingula
b. provided with middle lobe
vital organ of respiration
lungs
this lung is larger, heavier, shorter and wider
right lung
each lung has
apex
hilum of the lung
root of the lung
3 surfaces of the lung
costal
mediastinal
diaphragmatic
3 borders of the lung
anterior
inferior
posterior
where parietal and visceral pleura meet
root of the lung
contains bronchi, pulmonary artery
pulmonary veins
lymph vessels
and bronchial vessels
root of the lung
type/s of bronchi present in right lung
eparterial and hyparterial
type of bronchi present in left lung
hyparterial
which of the following forms the lower division of the upper lobe of the left lung
superior and inferior lingular
largest subdivision of a lobe
bronchopulmonary segment
bronchopulmonary segment are named according to
the segmental bronchus supplying it