Gross (04.24) The Superior & Posterior Mediastinum Flashcards

1
Q

prominent and active in childhood prior to puberty

A

thymus gland

t cell maturation

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2
Q

what happens to the thymus gland in adults

A

functionally inactive and atrophies

may appear as fatty mass

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3
Q

where does the aortic arch begin and end?

A

sternal angle or T4-T5

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4
Q

what three arteries does the aortic arch give off before descending?

A
  • brachiocephalic trunk (gives rise to R common crarotid and R subclavian)
  • L common carotid
  • L subclavian a
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5
Q

what three arteries does the aortic arch give off before descending?

A
  • brachiocephalic trunk (gives rise to R common crarotid and R subclavian)
  • L common carotid
  • L subclavian a
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6
Q

vagus nerve gives innervation to where?

A

parasympathetic innervation to thorax (& abdomen)

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7
Q

the vagus n descends ____ to the lungs while the phrenic n descends ____ to the lungs

A
  • posterior

- anterior

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8
Q

what gives somatic innervation to the diaphragm?

A

phrenic nerve

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9
Q

immediately anterior to esophagus

A

trachea

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10
Q

where does the trachea bifurcate?

A

at inferior limit of superior mediastinum (carina)

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11
Q

what are found at the carina?

A

numerous lymph nodes

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12
Q

in reference to the carina, foreign bodies usually are aspirated into the ___ ___ ___

A

right main bronchus

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13
Q

which main bronchi is shorter and wider

A

Right (it is also more vertically oriented)

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14
Q

immediately posterior to trachea

A

esophagus

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15
Q

when the stomach herniates through the esophageal hiatus

A

hiatal (hiatus) hernia

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16
Q

what is a type I hiatal hernia?

A
  • sliding hiatal hernia
  • stomach slides freely into thorax
  • most common
  • asymptomatic
17
Q

what is a type II hiatal hernia?

A
  • paraesophageal hiatal hernia
  • fundus
  • often fixed in position risking gastric blood supply
18
Q

what is a type II hiatal hernia?

A
  • paraesophageal hiatal hernia
  • fundus
  • often fixed in position risking gastric blood supply
19
Q

infection commonly spreads from ____ space to ____ space

A
  • retropharyngeal

- danger

20
Q

which side of the vagus nerve is responsible for the anterior vagal trunk

A

L vagus nerve

21
Q

which side of the vagus nerve is responsible for the posterior vagal trunk?

A

R vagal nerve (due to rotation of gut during development)

22
Q

both trunks of the vagus nerve pass through the ____ with the ____

A
  • diaphragm

- esophagus

23
Q

what does the azygos system of veins do?

A

provides venous drainage for thorax

24
Q

what does the azygos v drain

A

drains intercostal vv from R side of thorax

25
Q

what do the hemiazygos and accessory hemiazygos vv drain?

A

left side of thorax (both drain into azygos v)

26
Q

the thoracic duct is located where?

A

between azygos v and descending aorta (thorax)

27
Q

where does the thoracic duct drain?

A

lymph from entire body below diaphragm

28
Q

accumulation of lymph in the pleural cavity as a result of torn or leaking thoracic duct (usually from lymphoma or trauma during thoracic surgery)

A

chylothorax

29
Q

accumulation of lymph in the pleural cavity as a result of torn or leaking thoracic duct (usually from lymphoma or trauma during thoracic surgery)

A

chylothorax

30
Q

the thoracic duct originates in the _____

A

abdomen

31
Q

the thoracic duct originates in the _____

A

abdomen

32
Q

what are the two main types of branches from the sympathetic chain ganglia?

A
  • postganglionic symps (T1-T5)(supply thoracic viscera via the three plexuses)
  • preganglionic symp ( innevates abdomen, not thorax)
  • –greater splanchnic nn
  • –lesser splanchnic nn
  • –least splanchnic nn

*all heading to abdominal viscera (go right through ganglia)

33
Q

symp innervation of the thorax originates from where?

A

T1-T5

34
Q

para-symp innervation of the thorax originates from where?

A

CN X

35
Q

the symps from T1-T5 and the parasymps from CN X commingle to form what three thoracic plexuses?

A
  • cardiac
  • pulmonary
  • esophageal