Diaphragm and Breathing Flashcards

1
Q

where does the diaphragm curve down

A

periphery

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2
Q

domes of the diaphragm

A

right and left

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3
Q

which diaphragm dome is higher

A

right

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4
Q

why is one dome higher

A

liver

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5
Q

tendon of diaphragm

A

central tendon

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6
Q

diaphragm attachments (5)

A

xiphoid process, central tendon, costal margin (R6-12, C6-10), lumbar vertebra right crus (L1-3/4), lumbar vertebra left crus (L1-2/3)

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7
Q

arcuate ligaments (3)

A

median, middle (psoas major), lateral (quadratus lumborum)

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8
Q

IVC pierces diaphragm at

A

T8

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9
Q

oesophagus pierces diaphragm at

A

T10

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10
Q

descending aorta pierces diaphragm at

A

T12

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11
Q

diaphragm sling around which opening

A

oesophagus

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12
Q

most anterior opening in diaphragm

A

IVC

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13
Q

most posterior opening in diaphragm

A

Descending aorta

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14
Q

diaphragm innervation (3)

A

left phrenic nerve, right phrenic nerve, sympathetic trunk

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15
Q

vein passing right of the descending aorta

A

azygous vein

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16
Q

vein passing left of the descending aorta

A

hemiazygous vein

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17
Q

what runs in parallel with the sympathetic trunk

A

splanchnic nerves

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18
Q

which nerve refers central diaphragm pain

A

phrenic

19
Q

which dermatomes have referred central diaphragm pain

A

C3-C5

20
Q

which nerves refer peripheral diaphragm pain

A

intercostal nerves

21
Q

where is peripheral diaphragm pain referred to

A

thoracic walls

22
Q

where does the phrenic nerve run

A

anterior to hilum

23
Q

motor innervation of phrenic nerve

A

all of diaphragm

24
Q

sensory innervation of phrenic nerve

A

central diaphragm and pericardium

25
Q

sensory innervation of diaphragm peiphery

A

intercostal nerves

26
Q

in which direction does air flow

A

high pressure to low pressure

27
Q

when is there no movement of air into the lungs

A

when atmospheric pressure = lung pressure

28
Q

when does air move into the lungs

A

when atmospheric pressure is greater than lung pressure

29
Q

how do we breath

A

change the pressure gradient in the lungs

30
Q

when is there no air movement

A

Patm = Plungs

31
Q

inhalation

A

Patm>Plungs

32
Q

expiration

A

Patm<Plungs

33
Q

inhalation features (3)

A

increase volume, decrease pressure, air in

34
Q

exhalation features (3)

A

decrease volume, increase pressure, air out

35
Q

outer pleura

A

parietal

36
Q

inner pleura

A

visceral

37
Q

gap between lung pleura

A

pleural cavity

38
Q

where does parietal pleura firmly attach (2)

A

thoracic cage and diaphragm

39
Q

what makes visceral pleura move with parietal pleura

A

surface tension

40
Q

what is the main determinant in quiet respiration

A

diaphragm

41
Q

diaphragm in inspiration (2)

A

contracts and lungs expand

42
Q

diaphragm in expiration (3)

A

relaxes, lungs collapse, lungs elasticity

43
Q

what controls the diaphragms rhythmic contractions

A

respiratory centre of the brain stem

44
Q

16

A