CPR 08 - Mediastinum Flashcards

1
Q

What imaginary plane is used to divide the mediastinum? What are the borders of this plane?

A
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2
Q

List the major structures found at the transthoracic plane.

A
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3
Q

At what level is this? Label all the structures

A

T4

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4
Q
A
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5
Q

List the boundaries if the superior mediastinum.

A
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6
Q

List the contents of the superior mediastinum.

A
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7
Q
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8
Q
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9
Q
A
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10
Q

Describe the divisions of the subclavian artery.

A
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11
Q
A
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12
Q

What vessel does the vagus nerve follow down into the mediastinum?

A

The common carotid artery

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13
Q
A
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14
Q
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15
Q
A
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16
Q

Where does the trachea begin and end and what does it consist of? What is unique about the tracheal bifurcation

A
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17
Q

What are the boundaries and divisions of the inferior mediastinum?

A
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18
Q

What are the borders and contents of the anterior mediastinum?

A
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19
Q

What are the borders and contents of the middle mediastinum?

A
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20
Q

What are the borders and contents of the posterior mediastinum?

A
21
Q

Where does the esophagus start? Where does it enter the thorax? Where does it exit the thorax? Does it maintain a straight path throughout its course?

A
22
Q

What neurovasculature supplies the thoracic portion of the esophagus?

A
23
Q

What neurovasculature supplies the abdominal portion of the esophagus?

A
24
Q

What/where are the esophageal constrictions?

A
25
Q

What structure does the descending thoracic aorta travel along?

A

Esophagus

26
Q

At what level does the descending thoracic aorta become the descending abdominal aorta? What occurs here?

A

Pierces the diapharagm at the T12 level

27
Q

What branches does the thoracic aorta give off as it descends?

A
28
Q

What is the largest and most prominent lymphatic vessel in the body?

A

Thoracic duct

29
Q

From where does the thoracic duct receive lymph?

A
30
Q

Where does the thoracic duct begin and end? Where does it pass from the abdomen to thorax?

A
31
Q

Describe the positioning and route of the thoracic duct?

A
32
Q

What are some common ways the thoracic duct can be injured?

A
33
Q

What can occur from a damaged or blocked thoracic duct?

A

Chylothorax - a type of pleural effusion. It results from lymph formed in the digestive system (chyle) accumulating in the pleural cavity.

Chylomediastinum - chyle accumulation in the mediastinum

Chylopericardium - chyle accumulation in the pericardium

34
Q
A
35
Q

What does the azygos system of veins consist of? What do these vessels arise from? What areas of the body do they drain? What other veins do they meet up with?

A
36
Q

Describe the route of the azygos vein.

A
37
Q

From what regions of the body do the hemiazygos and accessory hemiazygos veins arise? What vein do they eventually drain into?

A
38
Q

Name the splanchnic nerves and state what they arise from.

A
39
Q

What is the diaphragmatic crura?

A

The crus of diaphragm (pl. crura), refers to one of two tendinous structures that extends below the diaphragm to the vertebral column. There is a right crus and a left crus, which together form a tether for muscular contraction.

40
Q

From which levels do the greater splanchnic nerves arise? how do they enter the abdomen? What nervous structure do they join?

A
41
Q

From which levels do the lesser splanchnic nerves arise? How do they enter the abdomen? What nervous structure do they join?

A
42
Q

From which levels do the least splanchnic nerves arise? Which nervous structure do they join?

A
43
Q

Describe the location and what passes through the diaphragmatic openings.

A
44
Q
A

X - the caval opening (for the IVC)

45
Q

What is thoracic outlet syndrome?

A

A condition in which there is compression of the nerves, arteries, or veins in the passageway from the lower neck to the armpit

46
Q

What are the common causes of thoracic outlet syndrome?

A
47
Q

What vein, artery, and nerve are most commonly affected by thoracic outlet syndrome? How are they affected?

A
48
Q

What are the most common symptoms of thoracic outlet syndrome?

A