diaphragm Flashcards

1
Q

what is a fibromuscular dome-shaped structure with left and right domes?

A

diaphragm

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2
Q

which dome is higher?

A

right dome is slightly higher because it overlies the liver

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3
Q

what are the 2 parts of the diaphragm?

A

1 muscular part

2 central tendon

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4
Q

how are the muscular part and central tendon connected?

A

the muscular part inserts into the central tendon

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5
Q

what are the 3 points of origin of the muscular part of the diaphragm?

A

sternal- xiphoid process
costal- lower 6 costal cartilages
lumbar- LV 1-3

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6
Q

what are the 3 openings of the diaphragm?

A

Caval opening- TV8
Esophageal hiatus- TV10
Aortic hiatus- TV12

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7
Q

what does the caval opening transmit?

A

inferior vena cava

right phrenic nerve

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8
Q

what does the esophageal hiatus transmit?

A

esophagus

anterior and posterior vagal trunks

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9
Q

what does the aortic hiatus transmit?

A

aorta
thoracic duct
azygos vein

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10
Q

what is the blood supply to the diaphragm?

A

Musculophrenic artery
Pericardiacophrenic artery
Superior phrenic artery
Inferior phrenic artery

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11
Q

what is the innervation of the diaphragm?

A

phrenic nerve- motor, sensory central

intercostal nerve- sensory peripheral

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12
Q

what is caused by a weakness in the diaphragmatic wall around the esophageal hiatus?

A

hiatal hernia

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13
Q

what ages does a hiatal hernia usually occur?

A

over 50

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14
Q

hiatal hernia can also cause what over condition?

A

gastroesophageal reflux

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15
Q

what are the 3 major movements of respiration?

A

Piston movement
Bucket handle movement
Pump handle movement

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16
Q

the elevation of the ribs in both bucket handle and pump handle movements is due to contraction of?

A

external intercostal muscles

17
Q

diaphragm contraction with increase in vertical diameter of thorax is what movement?

A

piston movement

18
Q

elevation of lower ribs about an antero-posterior axis with increase in transverse diameter is what type of movement?

A

bucket handle movement

19
Q

elevation of upper ribs about a transverse axis with an increase in antero-posterior diameter is what type of movement?

A

pump handle movement

20
Q

hiccups are the result of?

A

spasmodic contraction of the diaphragm