Chapter 289 - Disorders of the Mediastinum Flashcards
Borders of the anterior mediastinum
Manubrium and sternum anteriorly, pericardium, aorta, and brachiocephalic vessels posteriorly
Borders of the middle compartment
Anterior mediastinum anteriorly, posterior mediastinum posteriorly
Borders of the Posterior mediastinum
Pericardium and trachea anteriorly; vertebral column posteriorly
Pericardium & heart,
Middle Mediastinum
ascending and transverse arch of aorta
Middle Mediastinum
superior and inferior vena cavae
Middle Mediastinum
brachiocephalic arteries and veins
Middle Mediastinum
phrenic nerves
Middle Mediastinum
trachea and main bronchi
Middle Mediastinum
pulmonary arteries, and veins
Middle Mediastinum
Thymoma
Anterior Mediastinum
lymphomas
Anterior Mediastinum
teratomatous neoplasms
Anterior Mediastinum
thyroid masses
Anterior Mediastinum
parathyroid masses
Anterior Mediastinum
mesenchymal tumors
Anterior Mediastinum
giant lymph node hyperplasia,
Anterior Mediastinum
hernia through foramen of Morgagni
Anterior Mediastinum
Metastatic lymph node enlargement
Middle Mediastinum
granulomatous lymph node enlargement
Middle Mediastinum
pleuropericardial cysts
Middle Mediastinum
bronchogenic cysts
Middle Mediastinum
masses of vascular origin
Middle Mediastinum
Thymus gland
Anterior Mediastinum
anterior mediastinal LN
Anterior Mediastinum
internal mammary arteries, and veins
Anterior Mediastinum
Descending thoracic aorta,
Posterior Mediastinum
esophagus
Posterior Mediastinum
thoracic duct
Posterior Mediastinum
azygos and hemiazygos veins
Posterior Mediastinum
sympathetic chains
Posterior Mediastinum
posterior group of mediastinal lymph nodes
Posterior Mediastinum
Neurogenic tumors
Posterior Mediastinum
meningocele
Posterior Mediastinum
meningomyelocele
Posterior Mediastinum
gastroenteric cysts
Posterior Mediastinum
esophageal diverticula
Posterior Mediastinum
hernia through foramen of Bochdalek
Posterior Mediastinum
extramedullary hematopoiesis
Posterior Mediastinum
Most valuable imaging technique in evaluating mediastinal masses
CT scan
incidence of mediastinitis after median sternotomy
0.4-5%
3 usual causes of acute mediastinitis
- esophageal perforation
- after median sternotomy for cardiac surgery
- infections descending from the neck, oral cavity, or facial area
Most cases of Chronic Mediastinitis are due to
Histoplasmosis
TB
3 main causes of pneumomediastinum
- Alveolar rupture with dissection of air into the mediastinum
- Perforation or rupture of the esophagus, trachea, main bronchi
- dissection of air from the neck to abdomen into the mediastinum
Crunching or clicking noise synchronous with the heart beat best heard in the left lateral decubitus position
Hamman’s sign