Diaphragm and Pleurae Flashcards
What is the mediastinum?
Moveable median partition of the thoracic cavity that extends superiorly to thoracic outlet of the neck and inferiorly to the diaphragm
What are the borders of the diaphragm?
Skeletal muscles lined by pleura superiorly and peritoneum inferiorly
Borders of superior mediastinum
anterior by manubrium and posterior by vertebral bodies T1-T4
Borders of inferior mediastinum
anterior by body of sternum and posterior of vertebral bodies of lower 8 thoracic vertebrae
divisions of inferior mediastinum
anterior mediastinum- space between pericardium and sternum
middle mediastinum- pericardium and heart
posterior mediastinum- between pericardium and vertebral column
most important muscle for breathing
diaphragm
Right crus length
L1-L3/4
Left crus length
L1-L2/3
median acruate ligament
unite the crura and forms the aortic hiatus
Lateral acruate ligament
thickening of fascia (quadratus lumborum)
medial acruate ligament
thickening of fascia (psoas major)
Inferior caval hiatus level
T8
Esophageal hiatus level
T10
Aortic hiatus level
T12
innervation of diaphragm
phrenic nerve
-somatic motor
-sensory (pain and proprioception)
peripheral parts
-lower intercostal nerves (peripheral sides)
Where does diaphragm move during inhalation?
down
where does diaphragm move during exhalation?
up
Arterial supply of diaphragm
superior surface
-musculophrenic
-pericardiacophrenic (br ITA)
-superior phrenic (br thoracic aorta)
inferior surface
-inferior phrenic (br abdominal aorta)
Venous drainage of diaphragm
Superior surface
-musculophrenic
-pericardiacophrenic (drain into ITV)
-Right superior phrenic (IVC)
-some veins from posterior curvature drain into azygos and hemiazygos veins
inferior surface
-right inferior phrenic (IVC)
left inferior phrenic (IVC of left suprarenal vein)
Pleura of thoracic cavity
visceral pleura
-adhere to lung
parietal pleura
-line thoracic cavity
What is the pleural cavity?
potential space between the visceral and parietal pleura
-fluid between to decrease surface area
-allow the layers to slide over one another during respiration
Why do the lungs not fill up the entire pleural cavity?
-allow for some swelling to occur
-do not put too much pressure on the heart
-allow for fluid extraction without hitting the lungs
costodiaphragmatic recess
slit-like space between costal and diaphragmatic pleurae, along the inferior border of the lungs
*entered into during deep inspiration
costomediastinal recess
slit-like space between costal and mediastinal pleurae, along the anterior border of the lung
*entered into during deep inspiration