FDN2_SM_BodyWall+Cavity Flashcards
List the layers of the body wall from superficial to deep
- Skin
- Superficial Fascia
- Skeletal Muscle/Associated investing fascia
- Celomic lining
What is celomic lining in the thorax called?
Parietal pleura
What is parietal pleura?
The celomic lining in the thorax
What is visceral pleura?
Part of the celomic lining that directly adheres to each lung
What is investing fascia over muscle called?
Epimysium
What is investing fascia over bone called?
Periosteum
What is investing fascia in the thoracic cavity (deep to the ribs) called?
Endothoracic fascia
What are epaxial muscles?
Back muscles (part of the typcial body segment)
What are hypaxial muscles?
Muscles that extend aroudn the celom and form the body wall
Organized into 3 concentric layers
What are the 3 concentric layers of hypaxial muscles, as they present in the thorax?
Which direction do they go?
External intercostal muscles \//
Internal intercostal muscles //\
Transversus muscles (innermost intercostal + transversus thoracis) //\ (similar to intercostal muscles)
Note: Transversus thoracis is deep to the innermost intercostal muscles
What are the 3 concentric layers of hypaxial muscles, as they present in the abodomen?
Which direction do they go?
External abdominal oblique \//
Internal abdominal oblique //\
Transverse abdominis ==
How is the rectus layer of muscle different in the abdomen and thorax?
Abdomen: || (form the 6-pack)
Thorax: absent or vestigial
What is the function of the external intercostal muscles?
Elevate ribs in forced inspiration
Maintain rigidity of intercostal space
What is the function of the internal intercostal muscles?
Depress ribs in forced expiration
Maintain rigidity of the intercostal space
Where does innervation of the external intercostal muscles come from?
Ventral rami
What is the purpose of the rectus abdominus?
Flexes the trunk (like when you do a sit-up)
What is the function of the external abdominal oblique?
Both sides together flex the trunk
Lateral bend and flex
Rotation to the opposite side of the contracting muscle
What is the function of the internal abominal oblique?
Both sides together flex the trunk
Bend or rotate to the same side as the contracting muscle
What is the function of the transverse abdominis?
Compress abdominal viscera
What is the neuromuscular bundle?
Where is it found?
The intercostal nerve, artery, and vein that belong to each intercostal space
The bundle sits in the costal groove, which is sheltered by the distal edge of the upper rib of the intercostal space
When you need to access the parietal pleura, why would you insert the needle just above the rib inferior to the intercostal space?
You want to avoid the neuromuscular bundle, which is associated with the rib superior to the intercostal space
What are the relevant components of the intercostal space?
Boundaries: upper and lower rib
3 concentric layers of muscle (external, internal, innermost)
Each space is associate with a neuromuscular bundle (intercostal nerve, vein, artery)
Describe the path of an intercostal nerve
The intercostal nerve is a spinal nerve
Presynaptic: in CNS
Synapse: in sympathetic trunk
Postsynaptic: Leaves trunk, follows ventral ramus, innervates muscles in the thoracic body wall
Between which two layers of muscle would you find an intercostal nerve?
Between the internal and innermost intercostal muscles
What are the components of a typical body segment? (10 things)
Spinal cord
Vertabra
Dorsal Ramus
Ventral Ramus
Cutaneous nerves
Intercostal nerve
Epaxial (back) and Hypaxial (celomic) muscles
Celomic cavity (pleural or peritoneal)
Gut
Associated blood vessles
Which layers make up the superficial body wall?
Skin, fat, superficial fascia
Which nerves carry sensory information from the breast to the brain?
Anterior cutaneous nerves
What is the muscle immediately deep to the breast?
Pectoralis major
What is the function of the celom?
It allows for mobility of the organs inside of the body and the organism itself
How does the pericardial cavity form?
Pleurocardial folds unit behind the heart to form the fibrous pericardium.
This separates the pleural cavities from the pericardial cavity
What is inside of the pleural cavity?
Serous fluid
(The lungs are pressed against the pleural cavity, but not inside of it!)
Describe the layers of coelom covering the heart
From superficial to deep:
Fibrous pericardium (outside of the pericardial sac)
Parietal serous pericardium
Visceral serous pericardium aka epicardium
Where does the visceral layer of coelom come from?
Splanchnopleure, which is derived from the lateral plate
Where does the parietal layer of coelom come from?
Somatopleure, which comes from the lateral plate
Describe the innervation of the parietal coelom
Somatosensory neurons (sharp pain sensation!)
Describe the innervation of the visceral coelom
Visceral sensory neurons
We don’t feel localized or sharp pain in this layer
How does the coelom form?
The intraembryonic coelom forms as a cavitation in the mesoderm that separates the somatopleure and the splanchnopleure
After the trilaminar disc becomes a cylinder, organs grow and push against it, shaping it into its eventual adult form
What is the mediastinum?
The area between the two lungs that contains the heart, part of the trachea and esophagus, thymus gland, nerves, the great vessels, and lymph nodes
In a pneumothorax, where does air accumulate?
In the pleural cavity
If food “goes down the wrong tube,” which side does it go down? Why?
Right; the heart kind of pushes it that way
What structures are contained in the root of the lung?
Pulmonary arteries and veins, primary bronchi, bronchial arteries, pulmonary nerve plexus and lymphatics
What is the name for the place on the lung where there root enters?
Hilum
Describe the path of the phrenic nerve
The prhenic nerve is a somatic nerve
Cell body: in the brain
Path out of the CNS: Ventral Rami of C3-5
The right and left phrenic nerves travel anterior to the root of the lung, between the mediastinum and the mediastinal pleura to the diaphragm.
What are the arrows pointing to?
Right (lower arrow) and left (upper arrow) phrenic nerves
What does it mean when they say that the pleural cavity is a “potential space?”
There is normally nothing inside of it except for a thin film of serous fluid
For it to become an actual space, the surface tension between visceral and parietal pleura must be broken for the membranes to separate
What is the structure labeled by #1?
The apex of the lung
What is the structure labeled by #2?
Superior Lobe
What is the structure labeled by #3?
Horizontal fissure
What is the structure labeled by #4?
Middle lobe
What is the structure labeled by #5?
Oblique fissure
What is the structure labeled by #6?
Inferior lobe
What structure is this?
Right lung
What structure is this?
Left Lung
What structure is labeled by #1?
Apex
What structure is labeled by #2?
Superior Lobe
What structure is labeled by #3?
Oblique Fissure
What structure is labeled by #4?
Inferior Lobe
What structure is labeled by #5?
Lingula
What structure is labeled by #6?
Cardiac Notch
What structure is labeled by #1?
Mediastinal pleura
What structure is labeled by #2?
Costal Pleura