BMS10-1012 Mediastinum Flashcards

1
Q

What is the sternal angle?

A

Between the sternal body and the manubrium

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2
Q

Superior mediastinum

A

Manubrium

RIbs 2-4

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3
Q

Inferior mediastinum

A

Ribs 5-12
Diaphragm
Heart
Sternum

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4
Q

Anterior mediastinum contents and boundaries

A

Fat which used to be the thymus when young

Sternum and pericardium

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5
Q

Posterior mediastinum contents and boundaries

A
Sympathetic chain
Azygos vein
Descending aorta 
Thoracic duct
Oesophagus 
Between pericardium and posterior thorax
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6
Q

Middle mediastinum

A

Heart

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7
Q

Transverse thoracic plane

A

Between T4 and T5 dividing the thorax into superior and inferior

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8
Q

Contents of the superior mediastinum

A
Aortic arch
Sympathetic chain
Vagus nerve
Cardiac plexus
Phrenic nerves 
Thoracic duct 
Superior vena cava 
Branchiocephalic vein
Lymph nodes 
Left recurrent laryngeal
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9
Q

Where does the vagus nerve go

A

Hooks under the aortic arch to head back upwards

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10
Q

What joins to form the vena cava?

A

Branchiocephalic
Subclavian
Internal jugular

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11
Q

Where does the sympathetic chain arise?

A

T1-L2

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12
Q

Left recurrent laryngeal

A

Where the vagus nerve curves under to go back to the larynx

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13
Q

Which is in front, the oesophagus or trachea?

A

Trachea

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14
Q

Which nerve travels with the oesophagus?

A

Vagus

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15
Q

Which is the largest lymphatic vessel?

A

Thoracic duct

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16
Q

Contents of posterior mediastinum

A
Descending aorta
Thoracic duct
Azygos vein system
Oesophagus
Trachae 
Bronchi 
Sympathetic nerve chain 
Intercostal arteries
17
Q

Where does the aorta descend?

A

Left of vertebral bodies

18
Q

Where does the aorta emerge?

A

Behind the diaphragm at T12

19
Q

Key branches off the descending thoracic aorta

A
Bronchial 
Aortic arch 
Common carotid
Branchiocephalic
Left subclavian 
Bronchial 
Pericardiophrenic
Intercostal
Internal thoracic 
Costocervical trunk
20
Q

When does the oesophagus pass through the diaphragm?

A

T10

21
Q

Where do the azygos vein system and thoracic duct lie in regards to the aorta?

A

Posterior

22
Q

How do azygos and hemiazygos veins join?

A

Hemiazygos travels across the vertebrae to join

23
Q

Which side is the azygos system on?

A

Right

24
Q

What do azygos and hemiazygos nerves join?

A

Superior vena cava

25
Q

What does the thoracic duct do?

A

Collect lymph from the intestines and lower limbs

26
Q

Where does the thoracic duct run?

A

Between the descending aorta and oesophagus

27
Q

Where does it empty?

A

Where the left internal jugular and subclavian veins meet

28
Q

Cisterna chyli

A

Holds lymph while it wait to travel up the body

29
Q

What protects intercostal nerves?

A

Costal groove

30
Q

Which nerves innervate the diaphragm?

A

Phrenic nerves C3, 4 and 5

31
Q

What does the pulmonary trunk from the heart divide into

A

Left and right pulmonary arteries