HBS EXAM 1 Flashcards
pleural recesses
opposing surfaces of parietal pleura; potential space
costodiaphragmatic recess
btwn costal and diaphragm pleura
how many lobes does the right lung have?
3- superior, middle, inferior
fissures of the right lobe
oblique
horizontal
what does the oblique fissure of the right lung separate?
inferior and middle lobes
what does the horizontal fissure of the right lung separate?
superior and middle lobes
relationship of the pulmonary artery to the main bronchus in the right lung
anterior
lobes of the left lung
2- superior, inferior
relationship of the pulmonary artery to the main bronchus in the left lung
superior
3 main structures in the lung hilum
pulmonary artery
pulmonary vein
main bronchus
borders of the mediastinum
superior thoracic aperture
diaphragm
sternum
vertebral bodies
structures in the superior mediastinum
thymus brachiocephalic veins SVC aortic arch trachea esophagus phrenic nerves vagus nerves thoracic duct
where does the phrenic nerve travel?
superior and middle mediastinum
within the fibrous pericardium
thru diaphragm
where does the vagus nerve travel?
superior and posterior mediastinum
functions of vagus nerve
parasympathetic innervation to viscera
relay visceral info to CNS
what is the left recurrent laryngeal nerve responsible for?
innervates muscles of the larynx- vocalization
how does the left recurrent laryngeal nerve travel?
inferiorly to the aortic arch
posterior to the ligamentum arteriosum
what does the middle mediastinum contain?
pericardium
heart
origins of great vessels
various nerves, vessels
what does the posterior mediastinum contain?
esophagus thoracic aorta azygos veins thoracic veins thoracic duct sympathetic trunk thoracic splanchnic nerves
what does the azygos vein drain?
blood from body wall into SVC
what does the hemiazygos vein drain?
blood from lower body wall into azygos vein
what does the accessory azygos vein drain?
blood from upper body wall into azygos vein
role of thoracic duct
drains lymph from most of body into junction btwn left subclavian and left jugular veins
what do the upper ganglia of the sympathetic trunk innervate?
sympathetic innervation to thoracic vertebra
what do the lower ganglia of the sympathetic trunk innervate?
splanchnic nerves supply the ab and pelvic viscera
what is the first branch of the ascending aorta?
brachiocephalic trunk
what is the second branch of the ascending aorta?
left common carotid artery
what is the third branch of the ascending aorta?
left subclavian artery
fibrous pericardium
tough CT that creates the boundaries of the middle mediastinum
parietal serous pericardium
lines inner surface of the fibrous pericardium
visceral serous pericardium
adheres to the heart
landmarks of the right atrium
auricle
pectinate muscles
crista terminalis
pectinate muscles
ridges that fan out from the crista terminalis in the heart muscle
crista terminalis
smooth muscular ridges that begin on the roof of the RA in front of the opening of the SVC and extends down the wall to the lip of the IVC
where is the tricuspid valve?
btwn RA and RV
landmarks of the right ventricle
trabeculae carnae
3 papillary muscles
chordae tendinae
trabeculae carnae
irregular muscular structures in the heart
chordae tendinae
tough, tendinous strings attached to the AV valve
key features of the pulmonary valve
semilunar cusps
pulmonary sinuses
pulmonary sinus function
recoil of blood fills these and forces the cusps of the pulmonary valve closed; prevents the refilling of the RV
key features of the left atrium
auricle
smooth walls
where is the mitral valve?
btwn LA and LV
key features of the LV
trabeculae carnae
2 papillary muscles
chordae tendinae
key features of the aortic valve
semilunar cusps
aortic sinuses
openings for coronary arteries
semilunar cusps
free edges of the aortic valve that project upward into the lumen of the ascending aorta
aortic sinuses
blood fills these and is then forced into coronary arteries
what does the right coronary artery and its major branches supply?
anterior RA lower LA RV some of LV and septum conducting system
major branches of the right coronary artery
sinu-atrial nodal
right marginal
posterior interventricular
what does the left coronary artery and its major branches supply?
posterior LA
LV
some of RV and septum
major branches of the left coronary artery
anterior interventricular
circumflex
what is the main venous structure of the heart?
coronary sinus
what are the major tributaries of the coronary sinus?
great, middle, and small cardiac veins
what is the parasympathetic innervation of the heart?
fibers from left and right vagus nerve enter the cardiac plexus
what is the sympathetic innervation of the heart?
fibers from the thoracic spinal cord go thru the sympathetic trunk into the cardiac plexus
mesentery
peritoneal folds that connect the viscera to the abdominal wall
mesentery proper associated with ____
small intestine
transverse mesocolon associated with ___
transverse colon
sigmoid mesocolon associated with ____
sigmoid colon
what separates the greater and lesser sacs?
omental foramen
omenta
2 layers of peritoneum
greater omentum
apron like structure suspended from the stomach and the duodenum
what is the greater omentum derived from?
dorsal mesentery
what is the lesser omentum derived from?
ventral mesentery
where is the hepatoduodenal ligament?
in the lesser omentum
passes btwn duodenum and liver
what does the hepatoduodenal ligament contain?
portal vein and other structures
peritoneum
layer of fascia that stretches around the inside of the ab wall
intraperitoneal
suspended within the peritoneal cavity
retroperitoneal
outside the peritoneal cavity
secondarily retroperitoneal
pushed against body wall, appears to be retroperitoneal
what is the blood supply of the foregut?
celiac trunk
what is the blood supply of the lesser curvature of the stomach ?
left gastric artery (from celiac trunk)
right gastric artery (from proper hepatic artery)
what is the blood supply of the greater curvature of the stomach?
right gatro-omental artery (from gastroduodenal artery)
left gastro-omental artery (from splenic artery)
what is the blood supply of the body of the stomach?
posterior gastric artery (from splenic artery)
what is part of the foregut?
abdominal esophagus
stomach
prox duodenum
what is the blood supply of the midgut?
superior mesenteric artery
what is the blood supply of the distal duodenum?
gastroduodenal artery (from celiac trunk) pancreaticoduodenal artery (from SMA) other branches of SMA
what is the blood supply of the jejunum?
intestinal branches of the SMA
what is the blood supply of the ileum?
intestinal branches of the SMA
ileal branches of the ileocolic artery (from SMA)
what is the blood supply of the hindgut?
inferior mesenteric artery
what is the blood supply of the cecum?
ileocolic artery
what is the blood supply of the ascending colon?
right colic and ileocolic arteries
what is the blood supply of the transverse colon?
right and middle colic arteries
what ensures consistent blood flow to the colon?
SMA and IMA anastomosis
what is the blood supply of the rectum and superior 2/3 of the anal canal?
superior rectal artery from the IMA
middle rectal artery from the internal iliac artery
inferior rectal artery from the internal pudendal artery
4 regions of the stomach
cardia
fundus
body
pyloric region
4 parts of the duodenum
superior
descending
inferior
ascending
features of jejunum
thicker wall
plicae circulares
long vasa recta
features of ileum
thinner walls
prominent arterial arcades
short vasa recta
epiploic/omental appendages
appendages of fat that hang from the body of the intestine
teniae coli
3 longitudinal bands of smooth muscles that contract to form haustra in colon
liver location
right hypochondrium and epigastric region
RUQ & LUQ
liver function
process nutrients
detox
storage
liver arterial supply
common hepatic artery
gallbladder location
on the visceral surface of the liver btwn right and quadrate lobes
gallbladder function
stores & conc bile
transfers bile from liver to duodenum
arterial supply of gallbladder
cystic artery from the right hepatic artery
pancreas location
posterior to stomach
head is nested in crook of stomach
pancreas function
pancreatic NZ enter duodenum
insulin and glucagon enter blood
arterial supply of the pancreas
extensive branches of the celiac artery and SMA
spleen location
LUQ
left hypochondrium
arterial supply of the spleen
splenic artery from the ab aorta
4 lobes of the liver
right
left
caudate
quadrate
falciform ligament
separates right and left lobes
attaches liver to ab wall
3 major structures of the portal triad
portal vein
proper hepatic artery
common bile duct
what houses the portal triad?
hepatoduodenal ligament
10 branches of the ab aorta
inferior phrenic arteries celiac trunk SMA middle suprarenal arteries renal arteries testicular/ovarian arteries lumbar arteries IMA median sacral artery common iliac artery
what do the inferior phrenic arteries supply?
suprarenal glands
what does the celiac trunk supply?
foregut
what does the SMA supply?
midgut
what do the middle suprarenal arteries supply?
suprarenal glands
what do the renal arteries supply?
kidneys
what do the lumbar arteries supply?
spinal cord
what does the IMA supply?
hindgut
what drains the foregut?
splenic vein
what drains the hindgut?
inferior mesenteric vein
what does the inferior mesenteric vein drain into?
splenic vein
what drains the midgut?
superior mesenteric vein
portal vein
final common pathway for the transport of venous blood from the spleen, pancreas, gallbladder, GI tract
4 muscles of the posterior ab wall
transversus abdominis
quadratus laborum
psoas major
iliacus
motor function of iliohypogastric nerve
internal oblique
transversus abdominis
motor function of ilioinguinal
interal oblique
transversus abdominis
motor function of genitofemoral
cremasteric muscle
motor function of obturator
medial compartment of thigh muscles
motor function of femoral nerve
iliacus
anterior compartment of thigh muscles