Final Exam Flashcards
3 major thoracic spaces
Mediastinum
Right Pulmonary Cavity
Left Pulmonary Cavity
Thoracic wall includes
thoracic cage, muscles between ribs, skin, subcutaneous tissue, muscles, fascia
Thoracic wall functions
protects vital organs, provide attachment for and support of upper limb and muscles, respiration, conduit for GI tract
Internal thoracic arteries
arise from the first part of the subclavian arteries, branches include Superior Epigastric and Musculophrenic
Anterior intercostal artery
arise from internal thoracic
supplies intercostal muscles
Posterior intercostal artery
arise from thoracic aorta
runs with intercostal nerve and vein
Subcostal Artery
same as intercostal but below 12th rib
Internal thoracic vein
empties into Brachiocephalic vein
Anterior intercostal vein
empties into the internal thoracic vein
Posterior intercostal vein
empties into Azygos vein
Subcostal vein
empties into Azygos vein
Intercostal nerve
ventral rami T1-T11
between internal and innermost intercostals
Subcostal nerve
ventral rami T12
between abdominal muscles
Superior Thoracic Aperture Boundaries
Posterior: T1 vertebrae
Lateral: 1st pair of ribs and costal cartilages
Anterior: Manubrium
Superior Thoracic Aperture Contents
Trachea. Esophagus, Nerves and Vessels that supple and drain the head, neck, and upper limb
Inferior Thoracic Aperture Boundaries
Posterior: T12 vertebrae
Lateral: Ribs 11 and 12, costal cartilages of ribs 7-10
Anterior: Xiphisternal joint
Inferior Thoracic Aperture Contents
Aorta, Inferior Vena Cava, Esophagus, Thoracic duct, Nerves
Visceral Pleura
closely covers the lung and adheres to all its surfaces
Parietal Pleura
lines the pulmonary cavity
Lines of Pleural Reflection
sternal line, costal line, vertebral line
Potential Pleural Spaces
costodiaphragmatic recess, costomediastinal recess
Pleural Cavity
potential spaces between layers of the pleura
contains serous pleural fluid
Lung Surfaces
costal, mediastinal, diaphragmatic
Lung Borders
anterior, posterior, inferior
Root and Hilum
Root contains vessels, nerves, bronchi
Hilum penetrated by root
Right Lung
3 lobes
oblique and horizontal fissures
Left Lung
2 lobes
oblique fissure
Upper Respiratory Tract
nose, nasal cavity, pharynx, larynx
Lower Respiratory Tract
trachea, bronchi, bronchopulmonary segments
Pulmonary Circulation
to oxygenate blood (pulmonary arteries and veins)
Bronchial Circulation
blood supply to the lungs (bronchial arteries from thoracic aorta) [systemic circulation]
Nerves of Parietal Pleura
sensation of touch and pain by intercostal and phrenic nerves
Nerves of Visceral Pleura and Lung
Pulmonary Plexus (ANS)
Parasympathetic (Vagus) nerves
bronchoconstriction
vasodilation
secretomotor
Sympathetic (sympathetic trunk) nerves
bronchodilation
vasoconstriction
inhibit secretomotor
Relaxed breathing is a (blank) process
PASSIVE process
Forced berating is a (blank) process
ACTIVE process
Movements of the thoracic wall
to increase thoracic cavity volume
Vertical Dimension
diaphragm depression
Lateral Dimension
ribs elevate (bucket handle movement)
Anteroposterior Dimension
sternum moves anteriorly (pump handle movement)
Principle muscle of respiration
diaphragm
Accessory muscle of respiration
any muscle that attaches to thoracic wall
Mediastinum
Central compartment of thoracic cavity. Extends from superior thoracic aperture to diaphragm, and from sternum and costal cartilages to bodies of thoracic vertebrae
Superior Mediastinum
transverse thoracic plane division between superior and inferior mediastinum
Inferior Mediastinum
anterior, middle, and posterior parts
Superior Division of Mediastinum Boundaries
Superior: continuous with neck Inferior: pericardium Anterior: manubrium Posterior: bodies of T1-T4 vertebrae Lateral: mediastinal pleura
Thymus
lymphoid organ, maturation of T-cells
found in superior mediastinum
Great vessels in Superior Mediastinum
Brachiocephalic Veins, Superior Vena Cava, Arch of Aorta, Brachiocephalic trunk, Left Common Carotid, Left Subclavian Artery
Vagus Nerve
most anteriorly/medial [CN X]; posterior to brachiocephalic vein and root of lung
found in Superior Mediastinum
Phrenic Nerve
more lateral, lies on surface of pericardium, runs anterior to root of the lung
found in Superior Mediastinum
Nerves of Sympathetic Trunk
lie along vertebral bodies
found in Superior Mediastinum
Trachea
posterior to vessels, end at sternal angle
found in Superior Mediastinum
Esophagus
between Trachea and vertebral bodies, extends to stomach
found in Superior Mediastinum
Thoracic Duct
lies on vertebral bodies; largest lymph vessel in the body (between azygos vein and thoracic aorta)
found in Superior Mediastinum
Inferior Division (Anterior) of Mediastinum Boundaries
Superior: transverse thoracic plane
Inferior: sternum
Posterior: pericardium
Lateral: parietal pleura
Inferior Division (Anterior) of Mediastinum Contents
Thymus, Internal Thoracic Vessels, Fat, Connective Tissue, and Lymph Nodes
Inferior Division (Middle) of Mediastinum includes
Pericardial sac, fibrous pericardium, serious pericardium
Pericardial Sac
fibrous membrane that covers the heart and the beginning of the great vessels
Fibrous Pericardium
tough external layer that is continuous with the central tendon of the diaphragm
Serous Pericardium
internal surface of the fibrous pericardium; composed of mainly mesothelium, a single cell layer of flattened cells forming an epithelium
Parietal Layer
internal surface of the fibrous pericardium is lined with a glistening serous membrane
Visceral Layer
layer is reflected onto the heart at the great vessels
Pericardial Cavity
space between opposing layers of the parietal and visceral layers of serous pericardium; normally contains fluid that enables the heart to beat in a frictionless environment
Sinuses
form during development of the heart as a consequence of the folding of the primordial heart tube
Oblique Pericardial Sinus
the reflection of the serous pericardium around the SVC, IVC, and Pulmonary Veins; a wide pocket-like recess in the pericardial cavity posterior to the base of the heart; formed by the left atrium
Transverse Pericardial Sinus
a transversely running passage within the pericardial cavity between the aorta and pulmonary trunk and the SVC anteriorly, and the reflections of the serous pericardium around them
Pulmonary Circulation
right heart returns blood to the lungs to get oxygenated
Systemic Circulation
left heart pumps blood to the body
Epicardium
outermost layer, formed by visceral layer of serous pericardium
Myocardium
middle layer; cardiac muscle
Endocardium
innermost layer; lines cavity (lumen) by a layer of endothelium
External Form of Heart
appears trapezoidal, but in 3D is shaped like a tipped over pyramid
Apex of Heart
formed by the inferolateral part of the left ventricle, likes posteriorly to the left 5th intercostal space; where sounds of mitral valve closure are maximal
Base of Heart
heart’s posterior aspect; formed mainly by left atrium; faces posteriorly towards the bodies of vertebrae T6-T9
Sternocostal surface of Heart
anterior, formed by right ventricle
Diaphragmatic surface of Heart
inferior, formed by the left ventricle and partly by the right ventricle; related mainly to central tendon of the Diaphragm
Pulmonary surface of Heart
right: formed by the right atrium
left: formed by the left ventricle; forms the cardiac impression in the left lung
Right border of the Heart
formed by the right atrium and extending between the SVC and IVC
Left border of the Heart
formed mainly by the left ventricle and slight by the left auricle
Superior border of the Heart
formed but the right and left atria and auricles in an anterior view; this border forms the inferior boundary of the transverse pericardial sinus
Inferior border of the Heart
formed mainly by the right ventricle and slightly by the left ventricle
Coronary Sulcus
externally demarcates the atria from the ventricles
Anterior & Posterior Interventricular Sulci
demarcates the left and right ventricles from each other
Sulcus Terminalis
terminal groove which separate smooth and rough parts of the atrial wall externally
Right Atrium
receives blood from the SVC, IVC, and coronary sinus
Interatrial Septum
wall between atria
Sinus Venarum
opening in which the SVC, IVC, and coronary sinus open into; found in right atrium
Crista Terminalis
where pectinate muscle ends and smooth muscle being; found in right atrium
Fossa Oval
depression in intra-atrial wall; open, flat in fetal heart to allow blood flow from one side of heart to the other; found in right atrium
Opening for Coronary Sinus
where coronary sinus enters the right atrium
Atroventricular Septum
wall between the atria and the ventricle; valve found here
Right Ventricle
forms the largest part of the heart
Conus Arteriosus
opening into the pulmonary truck; found in right ventricle
Trabeculae Carnae
rough muscular wall; found in both right and left ventricle
Papillary Muscles
projecting from trabeculae; attach to chordae tendinae; found in both right and left ventricle
Chordae Tendineae
attach to valves; hold valves closed; found in both right and left ventricle
Left Atrium
forms most of the base of the heart
Pectinate Muscles
only exist in the left auricle of left atria
Left Ventricle
forms the apex of the heart; walls are 2-3x thicker than the right ventricle
Aortic Vestibule
opening into ascending aorta; found in left ventricle
Tricuspid Valve
guards the right AV orifice
Pulmonary Valve
semilunar valve; to pulmonary trunk
Bicuspid (mitral) valve
valve between left atrium and left ventricle
Aortic Valve
semilunar valve; to aorta
Fibrous Skeleton
anchors the muscle fibers of the heart; is a complex framework of dense collagen forming four fibrous rings
Functions of the Fibrous Skeleton
keeps valces patent and prevents them from being overly distended by the blood going through
provides attachments for the cusps of the valves
provides attachment for the myocardium
forms and electrical “insulator”