Heart Flashcards
the roof of the right diaphragm and the right lobe of the liver are ______ to both the lower and part of the middle lobe of the right lung.
posterior
Congestion in the right side (right side CHF) leads to:
systemic venous hypertension and systemic edema.
Congestion in the left side (Left side CHF) leads to:
Pulmonary venous hypertension and pulmonary edema
The mediastinum is divided into the superior mediastinum and inferior mediastinum by a horizontal plane through the ______ on the anterior surface and intersecting through the vertebral column at the ______ intervertebral disc.
sternal angle of Louis, T4-T5 intervertebral disc.
The superior mediastinum contains:
The superior mediastinum contains portions of the great vessels, trachea and esophagus as well as major nerves that enter or exit the mediastinum from the neck and upper extremity.
The inferior mediastinum is further subdivided into:
The inferior mediastinum is further subdivided into anterior, middle and posterior regions.
The anterior mediastinum lies between the:
The anterior mediastinum lies between the sternum and pericardial sac
The anterior mediastinum contains:
The anterior mediastinum contains blood vessels, lymphatic structures, and the thymus gland.
the _____ regresses after the juvenile period.
the thymus gland
The middle mediastinum contains the:
The middle mediastinum contains the heart as well as phrenic nerves and pericardiophrenic vessels.
The posterior mediastinum contains
the thoracic portion of the esophagus, descending aorta, and thoracic duct as well as the thoracic sympathetic chain and segmental vessels and nerves.
Note the border between the superior and inferior mediastinum through the:
sternal angle of Louis
The vertebral level is at the T4/5 intervertebral disc
bifurcation of the trachea (and therefore the carina) is approximately in this plane:
sternal angle of Louis
The vertebral level is at the T4/5 intervertebral disc
the left ________ (behind the manubrium) merges with the right _______ vein at the right margin of the _______ in the first intercostal space to form the ________ .
the left brachiocephalic vein (behind the manubrium) merges with the right brachiocephalic vein at the right margin of the manubrium in the first intercostal space to form the SVC.
the arch of the aorta is found at the:
the sternal angle (intervertebral level T4/5)
the branches off the arch of the aorta:
innominate (brachiocephalic trunk) to the right and the left common carotid and left subclavian arteries to the left
the nipple ____ intercostal space in the midclavicular line – dermatome of the ____ thoracic spinal nerve
the nipple (4th intercostal space) in the midclavicular line – dermatome of the 4th thoracic spinal nerve
the right hemidiaphragm can arise as high as:
the nipple (4th intercostal space) in the midclavicular line – therefore a penetrating trauma as high as the nipple or below on the right side can result in abdominal injuries due to the dome shape of the diaphragm
the apex of the _____ of each lung arises in the ___ and is surrounded by the ______ of the pleura
the apex of the superior lobe of each lung arises in the neck and is surrounded by the cupula of the pleura
the border between the _____and ______mediastinum is through the articulation between the manubrium of the sternum and the body of the sternum at the:
the border between the superior and inferior mediastinum is through the articulation between the manubrium of the sternum a nd the body of the sternum at the sternal angle of Louis
On radiographic examination the sternal angle of Louis is found at the vertebral level of the ________
On radiographic examination this landmark is found at the vertebral level of the intervertebral disc between T4 and T5
the left ______ or _______ vein crosses directly behind the ________. It is so superficial that it is runs against the inner surface of the bone.
the left brachiocephalic or innominate vein crosses directly behind the manubrium. It is so superficial that it is runs against the inner surface of the bone.
The _________ merges with the________ at the right margin of the manubrium to form the________ in the _____ intercostal space.
The left brachiocephalic merges with the right brachiocephalic vein at the right margin of the manubrium to form the superior vena cava in the first intercostal space.
the arch of the aorta arises from the ascending aorta at:
the arch of the aorta arises from the ascending aorta at the sternal angle
The 3 great vessels that branch off the arch of the aorta arise posterior to the _________ and posterior to the manubrium.
The 3 great vessels that branch off the arch of the aorta arise posterior to the left brachiocephalic vein posterior to the manubrium.
the innominate artery branching above the right sternoclavicular joint to form the _______ and the _______
the innominate artery branching above the right sternoclavicular joint to form the right common carotid and the right subclavian artery,
The trachea will lie between the two common carotid arteries at the _________
The trachea will lie between the two common carotid arteries at the suprasternal or jugular notch.
The base of the heart is composed largely of the_____
The base of the heart is composed largely of the left atrium
the apex of the heart is where the _______ reaches its termination in the _____ intercostal space near the _______ line.
the apex of the heart is where the interventricular sulcus reaches its termination in the fifth intercostal space near the midclavicular line
The _______ or ______ margin of the heart is formed by the right atrium and right ventricle along the
The right or acute margin of the heart is formed by the right atrium and right ventricle along the
as the heart grows into the mediastinum it invaginates into a ______ sac as seen for the lungs.
serous sac as seen for the lungs.
That portion of the serous membrane intimate with the surface of the heart and a portion of the great vessels is the _________
That portion of the serous membrane intimate with the surface of the heart and a portion of the great vessels is the serous pericardium.
Together with fatty tissue this visceral pericardium constitutes the ______
Together with fatty tissue this visceral pericardium constitutes the epicardium of the heart.
The muscular walls of the chambers are the _______
The muscular walls of the chambers are the myocardium
The remainder of the serous sac is part of the_______ and a thin layer of ______ between the visceral and parietal layer permit movement during beating of the heart
The remainder of the serous sac is part of the parietal pericardium and a thin layer of serous fluid between the visceral and parietal layer permit movement during beating of the heart
The ________ includes an outer, dense fibrous layer as well as the thin serous membrane.
The parietal pericardium includes an outer, dense fibrous layer as well as the thin serous membrane.
Note how the parietal pericardium reflects over_____
Note how the parietal pericardium reflects over the great vessels.
There are spaces in the pericardium where serous fluid can accumulate during _________
There are spaces in the pericardium where serous fluid can accumulate during a pericardial effusion.
_______ is deep to the aorta and pulmonary trunks
Transverse sinus is deep to the aorta and pulmonary trunks
______ is under the apex of the heart and extends to the junction of the parietal and visceral pericardium formed around the pulmonary veins
Oblique sinus is under the apex of the heart and extends to the junction of the parietal and visceral pericardium formed around the pulmonary veins
Manubrium covers the confluence of the ______ to form the _______, the Arch of the Aorta / 3 branches
Manubrium covers the confluence of the Brachiocephalic veins to form the SVC, the Arch of the Aorta / 3 branches
Heart ______side is ______ beneath the sternum
Heart right side is anterior beneath the sternum
Heart ____ side is posterior, left atrium is base - esophagus
Heart left side is posterior, left atrium is base - esophagus
______ divides atria from ventricles
Coronary sulcus divides atria from ventricles
_______ or ______ margin of heart - right sternum
Right or Acute margin of heart - right sternum
______ margin - left side of the heart
Oblique margin - left side of the heart
Valve Auscultation (S2) 2nd intercostal space – \_\_\_\_– \_\_\_\_\_right – \_\_\_\_\_\_\_left
Semilunar – Aorta right – Pulmonary left
Valve Auscultation (S1) 5th intercostal space Atrioventricular – \_\_\_\_\_\_\_\_ midclavicular (Apex) – \_\_\_\_\_\_\_left of Xiphoid
Valve Auscultation (S1) 5th intercostal space Atrioventricular – Mitral midclavicular (Apex) – Tricuspid left of Xiphoid
Pericardial Effusion can produce _______
Pericardial Effusion can produce Cardiac Tamponade
Manubrium covers the confluence of the _______ to form the _____ , the Arch of the Aorta / 3 branches
Manubrium covers the confluence of the Brachiocephalic veins to form the SVC, the Arch of the Aorta / 3 branches