Anatomy Of Breathing Flashcards
What make up the Upper Respiratory Tract?
Right and left nasal cavities
Oral cavity
Naso, Oro and Laryngo pharynx
Larynx
What makes up the Lower Respiratory Tract?
Trachea Left and Right main bronchi Lobar Bronchi Segmental Bronchi Bronchioles Alveoli
Where can the trachea be palpated?
At the Jugular Notch
What is the importance of C6?
It is where the larynx becomes the Trachea.
Divided URT and LRT
What are the 2 parts of the Thorax?
Chest wall and chest cavity
Roles of the Chest Wall
Protects heart and lungs
Makes movements of breathing
Breaths tissue- lactation
Where is the chest cavity and what does it contain?
Within the chest walls
Contains vital organs
Contains major organs and nerves
Consists of mediastinum and pleural cavities
Where do lung buds develop?
In the pleural cavity
What is parietal pleura?
Pleura touching chest walls
What is visceral pleura?
Touches the lung
Where do the pleura reflect?
At the lung root
What is the space between the pleura and what is found in it?
The pleural cavity filled with pleural fluid
What is a lung line?
Area of lung that each lobar Bronchi supplies.
What is a bronchopulmonary segment?
Area that each segmental Bronchi supply.
How many bronchopulmonary segments does each lung have?
10
What are the lines of the Right lung?
Upper, middle and lower
What are the fissures of the right lung?
Horizontal and oblique
What are the lobes of the left lung?
Upper and lower
Also lingula
What fissure is found in the left lung?
Horizontal
How many ribs are there?
12
What ribs are true ribs?
1-7
What ribs are false?
8-10
What ribs are floating?
11 and 12
Where does rib 2 attach?
At the sternal angle
What is in a neurovascular bundle?
Artery, vein and nerve
Where does the intercostal NVB sit?
In the costal groove
What does the head of the rib articulate with?
The body of the vertebrae of the same number and the vertebrae superiorly
Why does the rib tubercle articulate with?
The transverse process of the vertebrae of the same number
What is a Sternocostal Joint?
Synovial with limited movement
Between sternum and costal cartilage
What is a costochondral joint?
Not synovial.
Junction between bone and cartilage
What is a costovertebral joint?
Synovial- limited movement
Between ribs and vertebrae
What are the muscles of normal breathing?
External, internal and innermost intercostal muscles
The diaphragm
How many pairs of intercostal spaces?
11
Where is the nerve supply of the intercostal muscles?
Anterior Ramus of spinal nerve (intercostal nerve)
What is the anterior blood supply of the intercostal muscles?
Arterial- internal thoracic artery
Venous- internal thoracic vein
What is the posterior blood supply of the intercostal muscles?
Arterial- Thoracic aorta
Venous- Azygous vein
What do the bronchial arteries supply?
Lung tissue
What does the diaphragm form?
Floor of chest cavity and roof of abdominal cavity
What is unusual about the diaphragm?
Central tendon
Why is the diaphragms right done higher?
Presence of the liver
What are the muscular attachments of the diaphragm?
Sternum
Lower 6 ribs and costal cartilages
L1-L6 vertebral bodies
What nerve supplies the diaphragm?
The phrenic nerve
Where is the phrenic nerve found?
In the neck on the anterior surface of the scalenus anterior
In the chest descending over the lateral surfaces of the heart
What does the phrenic nerve do?
Primarily supplies motor innervation but also supplies sensory and sympathetic nerves
Excellent lain the process of inspiration
Diaphragm contracts and descends and the intercostal muscles contract to elevate the ribs. These increases the chest dimensions.
Chest wall pulls out and air flows in due to the negative pressure.
Explain the process of Expiration
Diaphragm rises and relaxes and the intercostal muscles relax and the lower ribs fall. Decreases the chest dimensions.
The elastic of the lungs recoil and the air flows out.
What are the four quadrants of the breast?
Superolateral Quadrant
Infereolateral Quadrant
Superomedial Quadrant
Infereedial Quadrant
Describe the unilateral drainage of the breast lymph nodes
Drains from the lateral quadrants to axillary nodes.
Describe the bilateral drainage of the breast lymph
Drainage from medial quadrants to par aster all nodes.
What is the supply and drainage of the breast?
Internal thoracic artery (branch of subclavian artery)
Internal thoracic artery (drains into subclavian vein)
Describe the superficial fascia
Adipose tissue- provides insulation
Describe the deep fascia
Tough fibrous layer- provides protection
Where is the cephalic vein situated?
In the delta pectoral groove
What is the role of the Serratus Anterior?
Anchors the scapula to ribs
What nerve supplies the serratus anterior?
The long thoracic nerve
How to winged scapula occur?
Paralysis of the serratus anterior- usually through damage to the long thoracic nerve
What are the 4 sections of the parietal pleura?
Cervical
Costal
Visceral
Mediastinal
What is the costodiaphramatic recesses?
Most inferior part of the lung upright. Abnormal fluid can drain into recesses causing blunting of the angles on the CXR
What surface markings are found in the right lung?
Heart, ribs, diaphragm, SVC and azygous vein
What surface markings are found on the left lung?
Ribs, diaphragm , big heart marking, Aorta