Anatomy: Practical 1 - Mediastinum Flashcards
what are the divisions of the mediastinum?
superior
anterior
middle
posterior
label xo
At which vertebral level does the trans-thoracic plane lie?
T4/5 - identified at sternal angle
is thymus in inferior or superior mediastinum?
is heart in inferior or superior mediastinum?
is trachea in inferior or superior mediastinum?
thymus: both
heart: inferior
trachea: superior
where do you find the apex of the heart?
5th intercostal space in the mid-clavicular line
where are the ascultation points of the heart valves?
The aortic area is found in the 2nd intercostal space to the right of the sternum.
The pulmonic area is found in the 2nd intercostal space to the left of the sternum.
The tricuspid area is found in the 4th intercostal space to the left of the sternum, where other right heart sounds will also be heard.
Finally, the mitral area is found in the 5th intercostal space along the mid-clavicular line, where left heart sounds can also be heard.
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what does the superior mediastinum mostly contain?
mainly contains the great vessels
&
- *nerves:**
- vagus nerves descends down the neck through the carotid sheath into the thorax
- Here, it gives off the recurrent laryngeal nerves (motor to vocal cords)
- The right recurrent laryngeal nerve loops underneath the right subclavian artery and travels back up to the larynx
- The left recurrent laryngeal nerve branches off to hook under the arch of the aorta next to the ligamentum arteriosum and ascends to the larynx
- phrenic nerve
where does the phrenic nerve enter the superior mediastinum?
between the subclavian artery and the origin of the subclavian vein
label 1-6 xo
1: azygous vein
2: right subclavian artery
3: left brachiocephalic vein
4: left internal jugular vein
5: left common carotid artery
6: right common carotid artery
match these xo
which nerves are 1-4?
1 = **right vagus nerve** (gives rise to.. the right recurrent laryngeal nerve) 2 = **right recurrent laryngeal nerve** - branches from the vagus nerve and loops under the right subclavian artery before travelling to layrnx 3 = **right recurrent laryngeal nerve** - 4 = **left vagus nerve**
describe the path of innervation from vagus nerve to right recurrent laryngeal nerve
vagus nerve -> branches and loops under the right subclavian artery - > before travelling to layrnx
label A-E
A = Right brachiocephalic vein B = Left common carotid artery C = right phrenic nerve D = right subclavian vein E = left vagus nerve
what type of cartilage makes the trachea?
the trachea starts and finishes at which vertebrae levels ?
hyaline cartilage
starts: C6
ends: T4
What is the bifurcation into the left and right main bronchi called?
what vert level?
carina
t4/5