Anatomy Topic 2 Case 4 Flashcards
The right margin of the heart extends between which landmarks?
- Third Costal Cartilage
- Sixth Costal Cartilage
The left margin of the heart extends between which landmarks?
- Second Intercostal Space
- Fifth Intercostal Space
Where would one place the stethoscope in order to listen to the tricuspid valve?
- Left hand side
- Fifth Intercostal Space
- Medially
Where would one place the stethoscope in order to listen to the mitral valve?
- Left hand side
- Fifth Intercostal Space
- Laterally (midclavicular line)
Where would one place the stethoscope in order to listen to the pulmonary valve?
- Left hand side
- Second Intercostal Space
Where would one place the stethoscope in order to listen to the aortic valve?
- Right hand side
- Second Intercostal Space
Identify the two components of the pericardium
- Fibrous pericardium
- Serous pericardium
The base of the fibrous pericardium is attached to which structure?
- Central tendon of the diaphragm
Anteriorly the fibrous pericardium is attached to the sternum by which structure?
- Sternopericardial ligaments
Which nerve pass through and innervate the fibrous pericardium?
- Phrenic Nerves
Which vessels pass through and supply the fibrous pericardium?
- Pericardiacophrenic Vessels
Identify the two layers of the serous pericardium
- Visceral layer
- Parietal layer
What is the oblique pericardial sinus?
- Reflection of serous pericardium
- Located posterior to the left atrium
What is the transverse pericardial sinus?
- Reflection of serous pericardium
- Located superior to the left atrium
Identify five arteries that supply the pericardium
- Pericardiacophrenic
- Musculophrenic
- Inferior Phrenic
- Internal Thoracic
- Thoracic Aorta
Identify three veins that supply the pericardium
- Azygos system
- Superior phrenic
- Internal thoracic
Identify three nerves that supply the pericardium
- Vagus Nerve
- Phrenic Nerve
- Sympathetic Trunk
What is the source of pain from the parietal pericardium?
- Somatic afferent fibres
Where may pain from the parietal pericardium be referred to and why?
- Shoulder and lateral neck
- Share the same dermatomes
- C3,C4,C5
Identify the three layers of the heart, from deep to superficialand provide a brief description of each
- Endocardium consisting of a single layer of simple squamous epithelia
- Myocardium consisting of cardiac muscle cells
- Epicardium, which is synonymous with the visceral pericardium
Identify four structures that are located on the base of the heart?
- Left atrium
- Small portion of right atrium
- Superior vena cava
- Pulmonary veins