2 - Splanchnology Flashcards
1
Q
- Layers of the thoracic wall
A
- Skin
- Superficial + deep fascia
- Intercostal m.
- external
- internal
- innermost
- Endo•thoracic fascia
- Parietal pleura
- Pleural cavity
- Visceral pleura
2
Q
- Intercostal space - Structure, items
A
- intercostal muscles:
- external
- internal
- innermost
- intercostal art. and veins
- intercostal lymph nodes
- intercostal nerves
3
Q
- Mediastinum - Definition, Borders, Divisions
A
Definition: visceral department in the middle of the thoracic cavity, between right and left pleural cavity
Borders:
- Anterior: Sternum
- Posterior: Vertebral Column
- Lateral: Mediastinal pleura (Lungs)
- Superior: Thoracic inlet (to neck)
- Inferior: Diaphragm
Divisions:
- superior mediastinum → 6 layers
- inferior mediastinum
- anterior, middle and posterior
→ dividing plane: “transthorscal plane”, from sternal angle to T4 and T5 vertebral discs
4
Q
- Layers of the superior mediastinum (6x)
A
Definition:
lies superior to the horizontal plane between the sternal angle and approximately the T4-T5 intervertebral disc
Layer 1:
- Thymus (retrosternal adipose body)
Layer 2:
- Superior vena cava
- brachiocephalic veins
between: Phrenic + Vagus nerves
Layer 3:
- Aortic arch
- brachiocephalic trunk
- left common carotid- + left subclavian artery
- recurrent Laryngeal nerves
Layer 4:
- Trachea
between: Esophageotracheal groove: recurrent laryngeal nerves
Layer 5:
- Esophagus: Thoracic duct
Layer 6:
- Posterior Thoracic wall: veins, sympathetic trunk
5
Q
- Layers of the inferior mediastinum
A
Anterior
- sternopericardiac ligaments
- internal thoracic vessels
- parasternal lymph nodes
Middle
- heart + pericardium
- initial parts of great vessels: ascending aorta, pulmonary trunk
- last parts of great vessels: superior + inferior vena cava, pulmonary + azygos veins
- phrenic nerves
- pericardiophrenic vessels
- root of lung
- bronchopericardiac membrane
Posterior
- Esophagus (C4-T11)
- vagus nerves
- thoracic aorta + parietal and viceral branches
- azygous + hemiazygous vein w/ tributaries
- thoracic duct
- symphathetic trunk
- thoracic splanchnic nerves
6
Q
- Chest X-ray: Identification of the contours of the heart
A
7
Q
- Anatomy of the heart valves
A
Semilunar valves
- Pulmonary valves
- Aortic valves
Cuspid valves (w/ chorda tendinae)
- Right atrio•ventricular valve → Tricuspid valve
- Left atrio•ventricular valve → Bicuspid valve
8
Q
- Impulse generating and conducting system of the heart
A
Intrinsic:
- SA node → AV node → bundle of HIS → right + left bundle branches → Purkinje fibers
Extrinsic: innervate nodes + coronary vessels
- Vagus nerve - parasympathetic innervation
- Sympathetic nerve
9
Q
- Branches and supply area of the right coronary artery
A
- SA nodal art.
- AV nodal art.
- right marginal art.
- post. interventricular art.
10
Q
- Branches and supply area of the left coronary artery
A
- ant. interventricular art.
- anastomosis with post. interventricular art.
- circumflex art.
- anastomosis with right coronary art.
11
Q
- Proper veins of the heart
A
- Coronary sinus (collecting point)
- cardiac veins:
- great
- middle
- small
- smallest
- oblique
- anterior
12
Q
- Anatomical parts of the aorta
A
-
ascending aorta
- right + left coronary art.
- aortic arch
-
descending aorta
- thoracic aorta
- abdominal aorta
13
Q
- Branches of the aortic arch
A
- brachiocephalic trunk
- right common carotid art.
- right subclavian art.
- left common carotid art.
- left subclavian art.
14
Q
- Tributaries of the SVC
A
- right brachiocephalic vein
- left brachiocephalic vein
- azygous vein
- → hemiazygous vein
15
Q
- Unpaired visceral branches of the abdominal aorta
A
- Celiac trunk
- Sup. + inf. mesenteric artery
16
Q
- Paired visceral branches of the abdominal aorta
A
- middle suprarenal art.
- renal art.
- gonadal art.
- testicular/ovarian art.