Bony Thorax pt. 3 Flashcards
Lines the lungs, has a frosty appearance. Spongy.
-Think like Pia Mater. Directly applied to the lungs
Visceral Pleura
Lines the chest wall anteriorly around the area of the lungs.
Divided into 4 parts:
-Costal Pleura: largest; lines chest wall all the way around the chest.
-Diaphragmatic Pleura: portion underneath the lungs that lines the diaphragm
-Cervical Pleura: Lies on the apex of the lung
-Mediastinal Pleura: Lines medial aspect of the lungs, looks into the space created between the two lungs on either side.
Parietal Pleura
Covered tightly by parietal pleura (derived from scalene fascia)
-Cervical Pleura
Apex of the Lung
Ends above the end of the pleura, creating a space called the costodiaphragmatic recess. Allows room for the lungs to expand, prevents restrictive breathing.
-With inflammation/infection, fluid collects here due to gravity.
-Pleura ends about 2 rib spaces below the end of the lungs.
Base of lungs
Base of lungs: MCL to the 6th rib; MAL to the 8th rib; PVL to the 10th rib
Parietal Pleura: MCL to the 8th rib; MAL to the 10th rib; PVL to the 12th rib
Ending Locations
Where do you insert the needle for a thoracentesis?
At the 10th ICS or below (no lung present)
-Go over the top of the rib to avoid the IC artery, nerve, etc.
-Slide needle over the 11th rib
Healthy lungs should be about ____ in above the clavicle
1 in
-Radiolucent (Dark)
-Normal vessel cloudiness
-Heart shadow
-Aortic Knuckle/Arch of the aorta
-Clavicles
-Lungs above the clavicles by about 1 in
Healthy Lungs CXR
Where the blood vessels and airway come and go.
Hilum
Found below the hilum. Formed by two layers of parietal pleura coming together
Pulmonary Ligament
In the right lung, the bronchus is ______.
-Airway lies behind and slightly above the artery.
Epiarterial
In the left lung, the bronchus is ______.
-Airway lies below the pulmonary artery.
Hypoarterial
Contains:
-Aortic Impression (Groove for the Aortic Arch): Large impression that curves and runs posteriorly.
-Cardiac impression: hole for the heart
-Cardiac notch: Interruption in the impression (on the side)
-Lingula: residual 3rd lobe, projection off of the upper lobe
Left Lung
Contains:
-Esophageal Impression: Indentation for the esophagus
-Impression Arch - Azygos Vein
Right Lung
A large vein that bypasses some of the load of blood volume to get it back to the heart. Terminates in the SVC. Typically found on the right side.
Azygos Vein
Subdivisions of the lungs separated by fissures.
Lobes
Subdivisions of the lobes, each are separated by a fibrous septum.
Bronchopulmonary Segments
Fissure that separates the upper and middle lobes of the right lung
Horizontal fissure