Abdomen Lecture Notes Pt. 5 Flashcards
Where can we hear a tricuspid stenosis?
Left 5th intercostal space at sternal border
Where can we hear aortic stenosis?
Right second intercostal space at sternal border
Where can we hear aortic regurgitation?
Left 5th intercostal space at midclavicular line
Where can we hear pulmonic stenosis?
Left 2nd intercostal space at sternal border
Where can we hear pulmonary regurgitation?
Left 5th intercostal space at sternal border
Where can we hear mitral valve stenosis?
Left 5th intercostal space at midclavicular line
Where can we hear mitral valve regurgitation
Left axilla
Separates rough and smoothed walled parts of RIGHT atrium on anterior wall
Crista terminalis
The back wall of the right atrium is the
Atrial septum
The atrial septum contains the
-Oval shaped depression
Fossa ovalis
Contains the body of the tricuspid
Right ventricle
The smooth walled portion of the right ventricle is called the
Infundibulum
Attach AV valves to papillary muscle, but DO NOT pull valves open. Rather, they are involved in closure of the valves
Chordae tendinea
The septomarginal trabeculae plays an important role in conduction of the heart. It is located in the
Right ventricle
Each AV valve cusp is attached to more than one papillary muscle, and each papillary muscle is attached to more than one cusp. This helps maintain
Proper geometry of cusp
Opposite from the rest of our bodies, blood flows into the coronary arteries during
Diastole
Blood is pushed into the coronary arteries by way of the
Aortic recoil
When your posterior interventricular artery is a branch of the right coronary artery you are called
Right dominant (80% of population)
If you are ‘Left dominant” than you do not have an anastomosis between the
Left and right coronary arteries (because LAD and RPD both come from left coronary)
Visceral and parietal pleura are continuous at the
Hilum of the lungs
Continous where the 8 vessels of the heart enter the heart
Visceral and parietal pericardium
Bound by the pulmonary veins and inferior vena cava
-accessible by placing hand behind heart
Oblique sinus
Superficial to the SVC but then deep to the aorta and pulmonary trunk
Transverse sinus
Whenever one cardiac muscle cell depolarizes,
All cardiac muscle cells depolarize
Group of specialized cardiac muscle cells that depolarize faster than the rest of the heart
-acts as the pacemaker
SA node
Separates atrial muscle cells from ventricular muscle cells so that they do not communicate
-Layer of dense collagenous connective tissue
Fibrous skeleton
Bundle of muscle cells from atrial septum to ventricular septum
-electrical conduction between atrium and ventricle
Atrioventricuar (AV) Bundle
Located in the atrial septum where it retards/slows depolarization allowing the atria to contract before the ventricles
Atrioventricular (AV) Node
Once the signal is passed from the AV node to the AV bundle, it
Speeds up again
Gives off a branch that travels through the septomarginal trabeculae and into the anterior papillary muscle
Right bundle branch
This branch allows the anterior papillary muscle to contract before the
Apex of the heart
Shows atrial depolarization
P-wave
Shows ventricular depolarization
QRS complex
What will we see in an ECG if the V node is slowing the signal down more than it should?
Longer P-R interval
The sympathetic and parasympathetic innervation of the heart tells the heart when to
Speed up or slow down