heart and mediastinum Flashcards

1
Q

sytole

A

contraction of ventricles

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2
Q

diastole

A

relaxation of ventricles

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3
Q

pulmonary circulation pressure and distance

A

low and short

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4
Q

systemic circulation pressure and distance

A

high and long

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5
Q

origin of systemic circulation

A

left ventricle

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6
Q

termination of systemic circulation

A

right atrium

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7
Q

origin of pulmonary circulation

A

right ventricle

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8
Q

termination of pulmonary circulation

A

left atrium

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9
Q

thoracic cage composed of __

A

ribs, costal cartilage, sternum, thoracic vertebrae

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10
Q

regions of the thoracic cavity

A

right pleural cavity, mediastinum, left pleural cavity

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11
Q

mediastinum contains __

A

all thoracic structures except the lungs

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12
Q

how is the mediastinum so mobile

A

consists of hallow visceral structures joined by loose connective tissue

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13
Q

sternal angle

A

joint between the manubrium (top) and the body oil the sternum

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14
Q

thorax plane is at what level in the vertebrae

A

between T 4 and 5

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15
Q

mediastinum sub sections

A

superior and inferior (anterior, middle, posterior)

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16
Q

superior mediastinum contains __

A

oesophagus, trachea, neurovasculature

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17
Q

anterior mediastinum contains __

A

fat and the thymus

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18
Q

middle mediastinum contains __

A

heart and pericardium

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19
Q

posterior mediastinum contains __

A

descending aorta and branches, oesophagus, thoracic duct, Sympathetic chains

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20
Q

Azygos system of veins

A

drains the posterior thoracic wall

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21
Q

thoracic duct

A

main lymphatic vessel for return of lymph to systemic venous system,

22
Q

thymus

A

T cell producing lymphoid organ

23
Q

phrenic nerve

A

paired nerve, one left one right, supplies the diagphram

24
Q

vagus nerve

A

paired nerve one left one right, parasympathetic input to the gastrointestinal system and to the heart

25
Q

pericardium

A

membrane covering the heart (middle mediastinum)

26
Q

pericardial layers

A

outer fibrous, inner thin serous

27
Q

fibrous pericardium

A

Blended inferiorly with central tendon of diaphragm, rigid,

28
Q

serous pericardium

A

Contained within the fibrous pericardial sac, double layer, Analogous to pleural membrane (respiratory)

29
Q

2 layers of the serous pericardium

A

visceral (inner), parietal (outer)

30
Q

pericardium functions

A

protect from infection, limits the hearts motion, lubrication, prevents rapid overfilling of the heart

31
Q

superior vena cava

A

right - de-oxygenated blood to the right atrium from the systemic circulation superior to the heart

32
Q

inferior vena cava

A

right - brings de-oxygenated blood to the right atrium from the systemic circulation inferior to the hear

33
Q

pulmonary trunk (arteries)

A

right - exits the right ventricle, taking deoxygenated blood to the lungs.

34
Q

pulmonary veins

A

left - enter the left atrium on the posterior aspect of the heart, carrying oxygenated blood from the pulmonary circulation.

35
Q

aorta

A

left - carries high pressure, oxygenated blood to the body in the systemic circulation

36
Q

base of the heart is directed towards which vertebrae

37
Q

apex of the heart

A

Antero-inferiorly, forwards and down

38
Q

anterior surface formed mostly from __

A

right ventricle

39
Q

inferior surface formed mostly from __

A

left ventricle

40
Q

3 layers that make up the wall of the heart

A

epicardium, myocardium, endocardium

41
Q

epicardium

A

layer of connective tissue, protecting layer

42
Q

myocardium

A

muscular component of the wall, myocytes and cardiac muscle cells

43
Q

endocardium

A

epithelium and connective tissue, covers the valves

44
Q

cardiac muscle

A

striated, not under voluntary control, rules on sliding filament mechanism, branched fibre network

45
Q

what does functional syncytium mean

A

one stimulus can contract the whole myocardium

46
Q

intercalated discs

A

separate sarcoplasms of adjacent muscle cells, action via desmosomes, allow excitation to pass via gap junctions

47
Q

fibrous skeleton

A

cardiac muscle anchored to this more structural support, dense collagen, four fibrous rings around the valves

48
Q

purpose of the fibrous skeleton

A

prevent valves collapsing, provides base for attachment form leaflets and cusps of valves, electrical barrier between atria and ventricles

49
Q

what separates the chambers

A

interatrial/interventricular septum

50
Q

right atrium fills with __

A

de-oxygenated blood from the systemic circulation

51
Q

left atrium fills with __

A

oxygenated blood from the pulmonary circulation