dissection lungs Flashcards

1
Q

where does the mediastinum exist

A

thoracic inlet to diaphragm

contains heart, trachea, oesophagus, thoracic duct ,vagus/phernic nerve, sympathetic chain, lymph nodes

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2
Q

lungs difference

A
right - 3 lobes
hriziontal fisse -4th 
oblique 
left -2 lobes
oblique -6th 
lobes receive own segmental bronchus
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3
Q

hilum

A
site of entry to lung for
bronchial artery 
pulomayr artery/vein
nerves
lympatics

sruuoudned by plural health where pleura becomes continous

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4
Q

where do the apex of the lungs expand to

A

3cm above clavical

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5
Q

pleura and fluid

A

visceral inner
pariteal outer
pleural fluid - adherence between layers, attatchement to thorax wall

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6
Q

what happens if pleural cavity fills with air (name )

A

pnemothorax
lung collapse
- chest tube for evacuation

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7
Q

blood supply to the lungs

A

pulmonary arteries from the heart (1)
pulmonary veins back to heart (2)
bronchial arteries (branches of decending thoracic aorta) supply pulmonary tissues, bronchi, bronchioles CT of lungs and visceral pleura

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8
Q

bronchial tree right and left

A

enter at hilium
right - more vertical, shorter, fatter
left - more angled
lumbar bronchi, segmental bronchi, terminal bronchi

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9
Q

counting ribs from

A

second rib
sternal angle
level of 4th vertebrae

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10
Q

what is the surface marking for the oblique fissure

A

6th rib

inferior border of the lung in a superioposterior direction

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11
Q

surface markings horzontal fissure

A

4th rib horizontal frem sterum to meet oblique fissure

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12
Q

lower border of the lungs

A
right 6th rib mid claviclualr
8th mid aux
10th rib VC
left
same but at 4th coastal cartilage border runs left then to mid clav 6th
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13
Q

listening for upper lobe sounds

A

anterior 2nd IC mid clav space

posterior C7-T3

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14
Q

sounds of middle lobe right

A

anterior 4th mid clav

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15
Q

lower lobes sounds

A

bilaterally anterior 6th IC mid aux line

posterior T3-T10

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16
Q

upper and lower lobe sounds

A

6th rib oblique

17
Q

phrenic nerve

A

mixed nerve
innervates diaphragm
snsory to pleura, peritoneum, pericardium, diaphragm

18
Q

orgination of phrenic nerve

A

anterior rami C3,4,5