Diaphragm Flashcards

1
Q

What seperates the thorax from the abdomen

A

Diaphragm

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2
Q

What side of the diaphragm is slightly higher, Why?

A

The right side, because of the liver

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3
Q

What are the two parts of the diaphragm

A

Muscular par

Central tendont

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4
Q

What are the 3 points of origin of the diaphragm

A
Sternal = xyphoid process
Costal = Lower 6 costal cartilages
Lumber = Lumbar vertebra 1-3
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5
Q

What are the 3 openings in the diaphragm

A

Caval opening
Esophageal hiatus
Aortic Hiatus

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6
Q

Where is the caval opening located and what does it transmit

A

Located T8

Transmits inferior vena cava

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7
Q

Why is the vena cava firmly attached to the caval opening of the diaphragm

A

helps dilate vein during inspiration/ facilitates venous return

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8
Q

Where is the esophageal hiatus located. What does it transmit

A

Location: T10
Transmits: Esophagus, anterior + posteior vagal trunks

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9
Q

Where is the aortic hiatus located and what does it transmit

A

Location: T12
Transmits: Aorta, thoracic duct, azygos vein

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10
Q

What gives blood supply to the diaphragm

A

Musculophranic artery (from internal thoracic)
Pericardiacophrenic artery (from internal thoracic)
superior phrenic artery (from aorta)
inferior phrenic artery (from aorta)

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11
Q

What nerves give motor to the diaphragm

A

Phrenic nerve

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12
Q

What nerve gives sensory supply to the peripheral part of the diaphragm

A

Intercostal nerves

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13
Q

What are the three major events during respiration (inspiration)

A

Piston movement
Bucket handle movement
Pump Handle Movement

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14
Q

What happens during the piston movement

A

Diaphragm contracts, moving it down into the abdomen

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15
Q

What happens during the Bucket handle movement

A

the 7th to 10th ribs elevate to increase transverse diameter of the thorax

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16
Q

What happens during the pump handle movement

A

Elevation of 2nd to 6th ribs to increase antero-posterior diameter of the thorax

17
Q

What causes the ribs to elevate during inspiration

A

Contraction of external intercostal muscles

18
Q

How does expiration occur

A

muscles relax and air is expelled passivly

19
Q

What muscles are involved in forced expiration

A

Intercostal muscles
Innermost innercostal muscles
anterior abdominal wall muslces

20
Q

What are hiccups caused by

A

irritation of the phrenic nerve
Brain lesion that stimulates phrenic nerve
Pleuritis
Peritonitis