diaphragm Flashcards
what is a fibromuscular dome-shaped structure with left and right domes?
diaphragm
which dome is higher?
right dome is slightly higher because it overlies the liver
what are the 2 parts of the diaphragm?
1 muscular part
2 central tendon
how are the muscular part and central tendon connected?
the muscular part inserts into the central tendon
what are the 3 points of origin of the muscular part of the diaphragm?
sternal- xiphoid process
costal- lower 6 costal cartilages
lumbar- LV 1-3
what are the 3 openings of the diaphragm?
Caval opening- TV8
Esophageal hiatus- TV10
Aortic hiatus- TV12
what does the caval opening transmit?
inferior vena cava
right phrenic nerve
what does the esophageal hiatus transmit?
esophagus
anterior and posterior vagal trunks
what does the aortic hiatus transmit?
aorta
thoracic duct
azygos vein
what is the blood supply to the diaphragm?
Musculophrenic artery
Pericardiacophrenic artery
Superior phrenic artery
Inferior phrenic artery
what is the innervation of the diaphragm?
phrenic nerve- motor, sensory central
intercostal nerve- sensory peripheral
what is caused by a weakness in the diaphragmatic wall around the esophageal hiatus?
hiatal hernia
what ages does a hiatal hernia usually occur?
over 50
hiatal hernia can also cause what over condition?
gastroesophageal reflux
what are the 3 major movements of respiration?
Piston movement
Bucket handle movement
Pump handle movement