Heart 1 Flashcards
How does the pericardium sac develop?
head fold
Describe the fibrous layer of pericardium
- tough, inelastic layer that protects against overfilling
- fused to central tendon of diaphragm
- derived from body wall during lateral fold in early development
What are the two layers to the serous portion of the pericardium?
parietal and visceral
Describe the parietal layer of the serous portion of pericardium
fused to internal surface of fibrous layer of the pericardium (outer layer), another words the parietal layer is on the heart wall
The visceral layer of the serous portion of pericardium is also known as what?
epicardium
Describe the visceral layer of the serous portion of pericardium
- on the heart, a very thin, shiny layer, also known as capillary layer
What are the two major outflow vessels of the heart?
pulmonary trunk
ascending aorta
Would you find fluid in the pericardial cavity normally?
NO, visceral and parietal peritoneum should be together, if fluid is found, pericardiocentesis is performed
When performing a pericardiocentesis, where should the needle be inserted?
1) subcostal/ infrasternal area
2) lingual and cardiac notch
If the needle goes too far and hits the heart, EKG will spike. Just back the needle up
What is the apex of the heart?
left ventricle
Where does the apex of the heart sit in relative to everything else?
- sits in cardiac notch with lingula of left lung around it
- 5th intercostal space
What is the dermatome level of the nipple?
T4
What are the surfaces of the heart?
1) sternocostal (anterior)
2) diaphragmatic (inferior)
3) pulmonary (left)
What part of the heart is at the sternocostal surface?
(anterior)
right ventricle
What part of the heart is at the diaphragmatic surface?
(inferior)
both ventricles, primarily left
What part of the heart is at the pulmonary surface?
(left)
left ventricle
What is at the right border of the heart?
- right atrium
- 3rd costal cartilage to 6th costal cartilage
What is at the inferior border of the heart?
- right ventricle and apex of left ventricle
- right 6th costal cartilage to left 5th intercostal space
What is at the left border of the heart?
- left ventricle and left auricle
- left 5th intercostal space to left 2nd costal cartilage
What is at the superior border of the heart?
- right and left auricles, conus arteriosus
- left 2nd costal cartilage to right 3rd costal cartilage