Diaphragm muscles Flashcards

1
Q

what is the diaphragm?

A

The diaphragm is a double-domed sheet of skeletal muscle

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2
Q

where is the diaphragm located?

A

located at the inferior-most aspect of the rib cage

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3
Q

what are the functions of the diaphragm?

A
  1. Separates the thoracic cavity from the abdominal cavity

2. Undergoes contraction and relaxation

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4
Q

why does the diaphragm need to undergo contraction and relaxation?

A

altering the volume of the thoracic cavity and the lungs, producing inspiration and expiration

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5
Q

where is the diaphragm located?

A

at the inferior-most aspect of the ribcage

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6
Q

what does the diaphragm fill?

A

the inferior thoracic aperture

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7
Q

what does the diaphragm act as?

A

the floor of the thoracic cavity and the roof of the abdominal cavity

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8
Q

what can the attachments of the diaphragm be divided into?

A

peripheral and central attachments

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9
Q

how many peripheral attachments does the diaphragm have? what are they?

A

3 peripheral attachments:
Lumbar vertebrae and arcuate ligaments
Costal cartilages of ribs 7-12
Xiphoid process of the sternum

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10
Q

which are parts of the diaphragm that arise from the vertebrae like in structure?

A

tendinous in structure

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11
Q

which are parts of the diaphragm that arise from the vertebrae known as?

A

right and left crura

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12
Q

where does the right crus arise from?

A

Arises from L1-L3 and their intervertebral discs

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13
Q

what do some fibres from the right crus surround? what does it act as?

A

the oesophageal opening, acting as a physiological sphincter to prevent reflux of gastric contents into the oesophagus

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14
Q

where does left crus arise from?

A

L1-L2 and their intervertebral discs

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15
Q

what do the muscle fibres of the diaphragm combine to form?

A

combine to form a central tendon

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16
Q

what does the tendon ascend to fuse with?

A

This tendon ascends to fuse with the inferior surface of the fibrous pericardium

17
Q

what does the diaphragm form either side of the pericardium?

A

Either side of the pericardium, the diaphragm ascends to form left and right domes

18
Q

at rest, which dome lies slightly higher? why>

A

At rest, the right dome lies slightly higher than the left – this is thought to be due to the presence of the liver

19
Q

what does the diaphragm divide?

A

The diaphragm divides the thoracic and abdominal cavities

20
Q

what happens to vessels that pass between the thoracic and abdominal cavities?

A

any vessels that pass between the two cavities will pierce the diaphragm

21
Q

how many openings are there in the diaphragm for vessels that pass between the 2 cavities? what are they?

A
three openings that act as conduit:
Oesophageal opening (T10 level)
Aortic opening (T12 level)
Caval opening (T8 level)
22
Q

what does the oesophageal opening at T10 transmit?

A

the oesophagus, vagus nerves, and oesophageal branches of the left gastric vessels

23
Q

what does the aortic opening at T12 transmit?

A

the aorta, thoracic duct (a large lymphatic vessel) and azygous vein

24
Q

what does the Caval opening (T8 level) transmit?

A

the inferior vena cava

25
what is the diaphragm's main function?
The diaphragm is the primary muscle of respiration
26
what happens to the diaphragm during inspiration?
it contracts and flattens, increasing the vertical diameter of the thoracic cavity
27
what does contraction of the diaphragm produce?
This produces lung expansion, and air is drawn in
28
what happens to the diaphragm during expiration?
the diaphragm passively relaxes and returns to its original dome shape
29
what does relaxation of the diaphragm produce?
reduces the volume of the thoracic cavity
30
what do the halves of the diaphragm receive motor innervation from?
from a phrenic nerve
31
what is the left half of the diaphragm known as?
a hemidiaphragm
32
what is the different halves of the diaphragm innervated by?
the left phrenic nerve, and right phrenic nerve for right diaphragm
33
where is each phrenic nerve formed?
in the neck within the cervical plexus
34
what does each phrenic nerve contain?
contains fibres from spinal roots C3-C5
35
where is the majority of the arterial supply to the diaphragm delivered via?
the inferior phrenic arteries
36
where do the inferior phrenic arteries arise from?
directly from the abdominal aorta
37
where is the remaining blood supply to the diaphragm from?
from the superior phrenic, pericardiacophrenic, and musculophrenic arteries
38
what are the draining veins of the diaphragm?
The draining veins follow the arteries which supply the diaphragm