EXAM 4: Thorax and Abdomen Flashcards
What is the anterior boarder of the sternum?
Sternum
What is the posterior boarder of the sternum?
Thoracic vertbrae
What is the lateral boarder of the sternum?
Ribs (12 pairs)
What are the functions of the thoracic cage?
- Protects vital organs (heart and lungs)
- Attachment point for myos
Manubrium
- Most superior portion of sternum
- Articules with clavicle, 1st rib (#1), body of sternum
Body of Sternum
- Middle portion
- Articulates with ribes 2-7, manubrium, ziphoid process, sternal angle
Xiphoid Process
Tip of sternum
What are true ribs?
Ribs 1-7
- 1: Superior
- 7: Inferior
- Connects directly to sternum via their own costal cartilage
Where/What is the sternal angle
Where the body and manubrium meet
What are false Ribs?
Ribs 8-10
- Dont directly connect to sternum, connects via costal cartilage of rib 7
What are floating ribs?
Ribs 11-12
- No anterior connection
What are the rib articulations?
- Head of rib to costal facet body of thoracic vertebrae
- Tubercle of rib to vostal facet transverse process of thoracic vertebrae
Where does gas exchange occur?
Capillaries (capillary bed)
What is the arterial system
- carries blood away from heart
- typically carries oxygenated blood
- myos in walls to pump blood against gravity
What are the largest vessels in the arterial system?
Arteries
What are the smallest vessels in the arterial system?
arterioles
Are capillaries apart of the venous or arterial systems?
Nope!
What is the smallest diameter of the capillaries
1 red blood cell thick
What is the venous system
- Blood is carries to heart, no exceptions
- Typically carries deoxygenated blood
What are the smallest vessels in the venous system?
venules
What are the largest vessels in the venous system?
veins
What has valves to pump against gravity?
Veins
What are the types of circulation?
Systemic and Pulmonary
Systemic Circulation
- Body systems
- Delivers O2 and nutrients to tissues in body
- removes Co2 and waste
- Blood starts at heart and goes to body then back to heart
In Systemic Circulation veins and arteries carry what kind of blood ?
Veins: dO2
Arteries: O2
Pulmonary Circuation
- Brings blood to lungs for gas exchange
- Heart to lungs to heart
In Pulmonary Circulation veins and arteries carry what kind of blood ?
Veins: O2
Arteries: dO2
What happens when you inhale?
- Certain myos contract
- Certain myos relax
- Air moves into lungs
- Lungs expand
What happens when you exhale?
- Certain myos relaxed
- Certain myos contract
- Air moves out of lungs
- Lungs deflate
What is the thoracic cavity
- Spaces that house organs
- Dimensions increase –> inhale
- Dimensions decrease –> exhale
What lines the thoracic cavity
membranes
What surrounds the thoracic cavity
Thoracic cage
What are the muscles of respiration?
- Diaphragm
- Internal intercostals
- External intercostals
- Scalenes
- Transverse Thoracis
What are the primary myos of respiration?
- Diaphragm
- Internal intercostals
- External intercostals
What are the secondary myos of respiration?
- Scalenes
- Transverse Thoracis
When do you use secondary respiration muscles
when your in distress, all of the muscles are used
What does the diaphragm seperate?
Thorax and abdomen
Can you live without a diaphragm?
No, it is vital. If it stops you die.
Its the most important myo for respiration
What does the diaphragm look like when contracted and relaxed
Contracts: Flattens
Relaxed: Dome shape
What nerve innervates the diaphragm?
Phrenic nerve (C3, C4, C5)
Internal Intercostals
- relax during exhalation
- Contract during inhalation
- Scalenes
External Intercostals
- relax during inhalation
- Contract during exhalation
- Transverse Thoracis
What happens to the vertical lung size during inhalation/exhalation?
Inhale: increase
Exhale: Decrease
What happens to the lateral lung size during inhalation/exhalation?
Inhale: Widening
Exhale: Narrows
What happens to the anterior/posterior surfaces during inhalation/exhalation?
Inhale: Sternum moves anteriorly
Exhale: Sternum moves posteriorly
What is the pathway of the respiratory tract when you breathe in?
- Nasal cavity
- Pharynx
- Larynx
- Trachea
- Bronchi
- Lungs
What is the job of the respiratory tract?
Carry air in or out of lungs
What is the pathway of the respiratory tract when you breathe out?
- Lungs
- Bronchi
- Trachea
- Larynx
- Pharynx
- Nasal cavity
What is the nose/nasal cavity supported by?
Nasal bones and cartilage
What divides the nose into left and right
nasal septum
What is the nasal conchae?
Seperates the cavity into passageways
increases temp and humidity
What does air conditioning in the nose do?
makes the air warmer and slows it down
What are the three regions of the pharynx
- Nasapharynx
- Oropharynx
- Laryngopharynx
where/ what is the pharynx
posterior to the nasal and oral cavities
Common space for air/food
Nasopharynx
- Posterior to nasal cavity
- Passage way for air
- Eustachian tube connects here (middle ear)
Oropharynx
- Posterior to oral cavity
- Passage for air and food
Laryngopharynx
- Most inferior portion of pharynx
- Continuous with larynx and esophagus
- Passage for air and food
What are the structures of the larynx
- Thyroid cartilage (A)
- Cricoid Cartilage (A)
- Epiglottis (P)
- Arytoynoid Cartilage (P)
What is the function of the larynx
sound production
What are vestibular folds
- Folds; false vocal cords
- No sound production from them
- Job is to protect and support the vocal cords
Vocal folds
- Involved with sound production
- True vocal cods
- Adducted during sound production
Trachea
- C shaped rings of cartilage
- Provide rigidity
- Remains patent: Open
What does Bifurates mean and what does it
- Splits in two at the sternal angle
- Trachea
Spits into 2 primary bronchi: L and R
How many degree of bronchi are there?
3 (primary, secondary, third)
Alveoli
Wrapped with capillaries
Hilum
Entry/ exit from an organ
What structures are located at the bronchi hilum?
1° bronchi
Pulmonary artery
Pulmonary Vein
What are the lungs lined with
Pleural Membranes: Visceral and Parietal membranes
Parietal pleural membrane
Lines/touches the thoracic cavity
Visceral pleural membrane
touches/lines the lungs
What are the components of the pericardium?
- Fibrous pericardium
- Serous pericardium
What is the function of the Pleural Membranes
Produces fluid to reduce friction
What terms can be used to describe the hearts position?
-Anterior medial Chest
- Deep to thoracic cage, thoracic cavity, pericardium
- Superior to diaphragm
- Intermediate to L/R lung
What is between the visceral and parietal pleural membranes
pleural cavity
Fibrous Pericardium
- Tough dense connective tissue
- Attached to diaphragm and great vessels, aorta, vena cava
- Secures heart
What are the functions of the pericardium?
- keeps heart in place; secure
- Reduce friction when heart is beating
Serous pericardium
- Deep to fibrous layer
- Double layered membrane
What does the visceral pericardium line
lines heart
What is between the visceral and parietal pericardiums
Pericardial Cavity
Parietal Pericardium
- Superficial to visceral pericardium
- Touches fibrous pericardium
Right Atrium
- dO2
- Recieves blood from inferior and superior vena cava
Blood that goes into the right atrium from the IVC comes from where?
Inferior to the diaphragm dumps into the IVC
Blood that goes into the right atrium from the SVC comes from where?
Superior to the diaphragm dumps into the SVC
Tricuspid valve
- 3 cusps
- Anchored by papillary myo
- Chorde tendone
- Opens inferiorly
What is the job of the tricuspid valve
Prevent blood from going back to atrium
How does blood get from the R Ventricle to the pulmonary trunk?
Pulmonary Semilunar valve
Right ventricle
Papillary myos in the walls
- Blood is pumped to pulmonary trunk (R/L Pulmonary Artery) then to lungs
Pulmonary Semilunar Valve
- Forced open wen ventricles contract
- Prevent blood from staying in ventricle
- Opens superiorly
Gastrointestinal Tract
- One giant tube of smooth myo
- Involuntary motor nerves
- Parasympathetic
Biscuspid Valve
- 2 cusps
- Anchored by papillary myo
- Chorde tendone
- Opens inferiorly
- AKA Mitral Valve
Does the left ventricle contain papillary myo?
Yes!
Left atrium
Recieves blood from the pulmonary vein
Stomach
- Has Rugae
- Cardiac Sphincter:
Opens to allow passage; closes to prevent passage
Esophagus
- Passageway for bolus
- Flat when empty
What are rugae?
Folds seen in an empty stomach wall
What are the regions of the stomach from superior to inferior
- Cardiac Sphincter- entry
- Fundus
- Body
- Pyloris/Pyloric Region- exit
Pyloric sphincter
What does the blous exit the stomach as
Chyme
What are the regions of the small intestine
- Duodenum
- Jejunum
- Ileum
What types of digestion are in the stomach?
- Mechanical Digestion
- Chemical Digestion: acid, enzymes break down bolus)
Duodenum
- Initial portion of small intestines
- Originates at pyloric sphincter
Duodenal Papilla
- C shaped portion
- Opening for bile (liver and gallbladder) and pancreatic (enzymes from panc juice)
Jejunum
- Primary site for chemical digestion and nutrient absorption occurs (moves from SI to blood)
Illeum
- Final Portion of small intestine
- Iliocecal Valve
What are the internal structures of the small intestine
Pilica circulares
Large intestine
- Chyme enters LI via ileocecal valve
- Job: Absorb water and ions (Chyme turns to feces)
Pilica circulares
Job: to slow chyme done
- Allows for more nutrient absorption to occur
- Highest in jejunum
What happens if chyme moves too fast/slow through large intestine?
Slow: Too much water is taken out (Constipation)
Fast: Not enough water is taken out (Diherra)
Regions of Large Intestine
- Cecum
- Appendix
- Ascending Colon
- Transverse colon
- Descending colon
- Sigmoid Colon
- Rectum
- Anus
Ascending colon
hepatic flexure/right colic flexure
Transverse colon
splenic flexure/left colic flexure
Rectum
- Chyme becomes fully feces
- Storage area for feces
What are the accessory digestive organs
- Liver
- Gallbladder
- Pancreas
- They aid digestine but food doesn’t travel through
Anus
- Passage way out of body
What are the sphincters of the anus
Internal Anal Sphincter: involuntary myo
External Anal Sphincter: voluntary myo
what are the functions of the liver
- Produces bile to digest fat
- Detoxify blood
- Store excess nutrients
What are the basic structures of the liver
- Right lobe:
Caudate and Quadrate - Left Lobe
What does the Quadrate liver interact with
Gallbladder
Porta Hepatis
- Door to liver
- Bile ducts
- Arteries and veins
What does the Caudate liver interact with
Inferior vena cava
Hilum
Entry/exit
Gallbladder
- Stores bile
Pancreas Structure
- Head (tucked into duodenum)
- Body
- Tail (tickles spleen)
Pancreas Function
- Need to live
- Function: produces enzymes
Abdomen
Superior:
Thoracic Cavity
Diaphragm
Absominal cavity
——ASIS——–
Pelvic
What are the two membranes of the peritoneum and what do they touch
- Visceral peritoneum: touches organs
- Parietal peritoneum: touches body cavity wall
Omentum
- Greater momentum: Stomach
- Mesentery proper: small intestine
- Mesocolon: Large Intestines
Transverse and sigmoid mesocolon
Function of peritoneum
Produces fluid to reduce friction
Mesenteries
- Special Folds
- Blood supply and immunity