Body Cavities Flashcards

1
Q

How do you look at a CT or MRI

A
  • As if standing by the bedside at feet

- Right is to the left and left is to the right

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2
Q

describe the varying colours in CT and MRI

A
  • There are varying colours,
  • Air and fat are dark
  • Soft tissues are grey including blood
  • Bone is light grey
  • Metal is white
  • Can use a contrast media such as barium and iodine, these are taken into the tissues and help to enhancer overall picture
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3
Q

Name the connective tissue membranes

A
  • superficial fascia
  • deep fascia
  • periosteum
  • pericardium
  • synovium (synovial membrane)
  • fibrous pericardium
  • meninges
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4
Q

describe superficial fascia

A
  • Under skin
  • Protection
  • Has fats which function as surface protections
  • Has some blood vessels
  • Also called the subcutaneous layer
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5
Q

Describe deep fascia

A
  • Wrapping and picking are functions
  • Dense CT
  • Surrounds and separates individual muscle compartments (intermuscular septum) and neurovascular bundles
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6
Q

what are the two types of compartment syndrome you can get due to deep fascia

A
  • acute compartment syndrome

- chronic compartment syndrome

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7
Q

describe acute compartment syndrome and how you treat it

A
  • Fascia is not elastic so there is no room for movement
  • If you get trauma then inflammation then this results in acute compartment syndrome – this is a medical emergency
  • Have to cut open fasciotomy to release the fascia – surgeon cuts through the fascia to release pressure
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8
Q

what is chronic compartment syndrome due to

A

– due to exercise, over use of the muscles

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9
Q

what is the periosteum

A
  • Periosteum are fibrous connective tissue this surrounded the bone, fascia of the tendon continuous with the fascia of the bone, the periosteum is continued here
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10
Q

what is the structure of the periosteum

A

This is the basis for fractures as the periosteum is pulled away and the bone is fractured underneath.

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11
Q

what causes a fracture in the bone

A

has an outer fibrous layer

has an inner layer that produces cells when neededd

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12
Q

what does the perichondrium do

A
  • Perichondrium surrounds the cartilage, expect at articulating joints
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13
Q

describe the structure of the perichondrium

A

inner and outer layer

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14
Q

what happens as there is no perichondrium at the joints

A

if there is no perichondrium at the joints therefore when the cartilage wears there is no cells to repair it and replace it and causes osteogenesis arthritis

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15
Q

what does the synovium do

A

lines joint cavities

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16
Q

describe the structure of the synovium

A

outer fibrous layer

inner layer - this secretes synovial fluid in the joints including sugars and proteins

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17
Q

what does the fibrous pericardium do

A

forms a sac around the heart

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18
Q

Describe the structure fo the fibrous pericardium

A
  • It has 3 layers
  • Outer fibrous layers – attaches to the diagram and the great vessels this is called the fibrous pericardium
  • Then there is an inner layer called the serous pericardium which is divided into two this is the parietal and visceral pericardium
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19
Q

what is the inner serous layer of the pericardium divided into

A
  • the parietal layer

- the visceral layer

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20
Q

what does the parietal layer adhere to

A

attaches to the pericardium

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21
Q

what does the visceral layer adhere to

A
  • the visceral fibres adhere to the organ, so therefore it attaches to the organ itself
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22
Q

What do the meninges do

A

– covers the brain and spinal cord and contains cerebrospinal fluid

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23
Q

What are the 3 layers of the meninges in the brain and spinal cord

A
  • Dura mater
  • arachnid mater
  • pia mater
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24
Q

what does the dura mater divide into

A
  • the periosteal layer - adheres to the bone
  • the meningeal layer - adheres to the archnoid layer underneath
  • these give rise fo the sinus
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25
Q

what stops the brain from spinning around

A

the cerebry

26
Q

what are the body cavities

A
  • cranial
  • vertebral
  • thoracic
  • abdominoplevic
27
Q

what is the membranes of the cranial body cavity

A
  • Brain – meninges (Connective Tissue)
28
Q

what is the membrane of the vertebral canal body cavity

A
  • Spinal cord meninges (Connective Tissue)
29
Q

what is the membrane of the

thoracic cavity

A
  • Lungs – pleura (Serous connective tissue)

- Heart – pericardium (Connective Tissue and Serous connective tissue)

30
Q

what is the membrane of the abdominopelvic

A
  • Digestive and urogenital organs, spleen – peritoneum (serous connective tissue)
31
Q

whats the difference between serous connective tissue and connective tissue

A

serous connective tissue allows fluid to be secreted into the cavities

32
Q

what are the two parts of the serous membrane

A
  • parietal

- visceral

33
Q

describe the serous membrane function

A

prevents adhesions

34
Q

where is the serous membranes located

A
  • Pleurae – surround the lungs
  • Pericardium - surround the heart
  • Peritoneum – surrounds abdominopelvic cavity
35
Q

describe the structure of the serous membrane

A
  • Serous membrane double layered serous sac
  • Filled with small amount of serious fluid
  • Potential space
  • Visceral layer is next to organ so it is inner
  • Parietal layer lines the body cavity, attaches on the surface and lines surfaces
36
Q

describe the strucuture of the serous membrane in the pleurae

A
  • Visceral pleura is tight too the lungs
  • Parietal pleura
  • Cavity in-between were serous fluid is secreted this allows for the lungs to expand and reduces friction
37
Q

why is the visceral pleurae not sensitive to pain

A

– innervation from vagus nerve, visceral nerves, only sensitive to stretch no map

38
Q

why is the parietal pleura sensitive to pain

A

– very sensitive to pain – inneravation from the intercostal nerve that expand out from spinal segment – innervated by somatic nerves, has a map

39
Q

what is the diaphragm innervated by

A
  • innervated by the phrenic nerve - C3, C4, C5
40
Q

what is the mediastinum

A

– area in the chest in the thoracic cavity between the lungs, everything in-between apart from the lungs, such as the heart, the pericardium, the thymus, the great vessel

41
Q

what happens when there is irritation from the intercostal nerve

A

then there is localised pain

42
Q

what happens if there is irritation in the phrenic nerve

A
  • Irritation in the phrenic nerve then you get pain that is referred, diaphragm get pain in shoulder as it passes back through the roots, c3, c4, c5
43
Q

what happens in a pneumothorax

A
  • This is where there is a penetrating wound that burst through the two layers of the pleurae (visceral and parietal) and the air will expand inside the lungs and inside the pleural cavity
  • This compresses the lung
  • Every time you breath in air if there is a breach in the visceral pleural then this makes air escape and this compresses the lung more
  • causes a drop in blood volume which is deathly
44
Q

what does a pneumothorax look like in a CT scan

A
  • radio opaque
45
Q

what is a spontaneous pneumothorax due to

A

without injury due to asthma, COPD, smokers

46
Q

what happens when you have a build up of blood in the heart

A
  • If you have a cause of build- up in the cavity then you are going to be restricted and this causes problems in terms of expansion and the pumping functions of the heart
  • So when that happens this can breach the pericardium and this can cause fluid leaking out
  • If you have damage to heart blood and fluid goes into the cavity and causes fluid build up, cannot prevent heart from expanding, ventricles can no longer beat
  • Would require needle inserted into the heart to drain the fluid that is trapped
  • Most common cause is injury and trauma, can get rupture of the heart muscle – this can happen if you have MI, and this can cause the bleed, viral infections can cause inflammation of the cardial
47
Q

why do you have to breath in and out during an x ray

A
  • The fibrous pericardium is inelastic, it attaches to the diaphragm, important in x rays when you breath in an out the heart will be in a different position, when the diaphragm moves down the heart elongates as the fibrous pericardium is attached to the diaphragm
48
Q

9 quadrant picture

A

Right hypochondrium/epigastrium/left hypochondrium
Left lumbar/ umbilical region/ left lumbar
Right iliac region/ hypogastric region/left iliac region

49
Q

describe the peritoneum in the abdominopelvic cavity

A
  • Fatty substance that helps hold everything in place and protects the organs,
  • Fatty areas that hold the organs in place
50
Q

Describe the alimentary system

A

this is the mouth to the anus

51
Q

describe the gastrointesintal system

A

mouth to anus but includes organs like liver and gallbladder

52
Q

what does the mesentery proper do

A

holds the small intestine to the posterior abdominal wall

53
Q

omental bursa

A

lesser sac

54
Q

wat does the transverse mesocolon do

A

– attaches transverse colon to posterior abdominal wall

55
Q

what does the lesser omentum do

A

attaches stomach to liver

56
Q

what does the greater omentum do

A

attaches the transverse colon to the stomach

57
Q

describe the coronary ligament

A

reflexion is when something reflects back, these are reflections and folds, it folds back on itself, made up of the left and right coronary ligament

58
Q

what are the structures that are outside the peritoneum (retroperitoneal)

A

– rectum, pancreas and urinary bladder and the duodenum and spleen – only have partial peritoneum on inside

59
Q

what is the greater sac

A
  • peritoneal cavity outside the lesser sac
60
Q

when does the oesophagus, vena cava and aorta penetrate the diaphragm

A

Oesophagus at T10, for vena cava T8, aorta T12 penetrate the diaphragm