Lecture 16: Anatomy of the Thorax and Breathing Flashcards
What lines our body’s cavities?
serous membranes
What are serous membranes?
double layer of secretory tissue with fluid between the layers
What are the two layers of serous membranes and where are they?
- visceral layer on the organ
- parietal layer on the body wall
What are the two serous membranes in the thoracic cavity?
pericardium
pleura
What is the mediastinum?
where the heart, pericardium and major vessels are found
Inside the pleural cavities there are the
lungs
What bones indicate the boundaries of the thoracic cavity?
- anterior
- posterior
- inferior
- superior
- lateral
- anterior: sternum
- posterior: 12 thoracic vertebrae
- lateral: ribs
- superior: base of neck
- inferior: diaphragm
What is inside the thoracic cavity?
the left and right pleural cavity
What is inside the pleura?
pleural fluid
Where does the visceral pleura sit?
On the lung itself
Where does the parietal pleura sit?
against the ribs
What is the purpose of the pleural fluid?
to create frictionless movement so the lungs don’t get damaged when they expand and rub against the ribs
Breathing is driven by
pressure changes within the thoracic cavity
Inspiration causes the volume to _____ and the pressure to ________
increase
decrease
Expiration causes the volume to _____ and the pressure to ________
decrease
increase
What is Boyle’s Law
P = 1/V
Pressure is measured by
the number of collisions
How does the number of collisions affect the pressure?
the increased number of collisions, the higher the pressure
Air moves to the ____ pressure space
lower
By changing the volume fo the thorax, we can change the
pressure
In between breathing, there is no
pressure gradient
Describe the flow of air when breathing in and why
When breathing in, the volume of the thoracic cavity increases so pressure decreases so air flows in
Describe the flow of air when breathing out and why
When breathing out, the volume of the thoracic cavity decreases so pressure increases so air flows out
How do the ribs attach to the costocartilage?
Via costochondral joints
What type of joint are costochondral joints?
Cartilaginous joints
What is the name of the joints attaching the sternum to the ribs?
sternocostal joints
Are sternocostal joints cartilaginous or synovial?
The first one is cartilginous and the others are synovial
What is the name of the joints that attach the cartilages of neighbouring ribs?
interchondral joints
What type of joint are interchondral joints?
synovial
How do the ribs articulate with the vertebrae?
through costotransverse and costovertebral joints
Where are the costotransverse joints?
between the rib and the transverse process of vertebrae
Where are the costovertebral joints?
between the ribs and the body of the vertebrae
What sort of joints are costotransverse and costovertebral joints?
synovial joints
What is used to change the volume of the ribcage?
respiratory muscles
What are the primary inspiratory muscles?
disphragm
intercostals
When are the accessory structures active?
Only when they are needed
Where are the intercostal muscles?
In between the ribs
What sort of muscle is the diagragm?
skeletal muscle
What shape is the diaphragm when it is relaxed?
dome shaped
What shape is the diaphragm when it is contracted?
it is flat
How does the diaphragm affect the inflow of air?
Contraction of the diaphragm flattens it and expands the thoracic cavity. This means the pressure decreases so air flows in
Where do the intercostal muscles attach?
diagonally between neighbouring ribs
What are the two layers of the intercostal muscles?
- external intercostals
2. internal intercostals
What happens when external intercostal muscles contract?
It pulls the ribcage upwards to increase the depth of the cavity
External and internal intercostal muscles run in
opposite directions
What happens when internal intercostal muscles contract?
it pulls the ribcage down and inwards
Which intercostal muscles are used for inspiration?
external
Which intercostal muscles are used for expiration?
internal
What is quiet breathing?
everyday breathing without thinking about it
What is forced breathing?
Doing exercise, needing more air in and out
Which intercostals are only involved in forced expiration?
internal intercostals
What are the functions of the accessory muscles?
- increase cavity volume for forced inspiration
- decrease cavity volume for forced expiration
What happens during quiet inspiration with regards to the diaphragm and the intercostal ribs?
the diaphragm contracts and it flattens which enables air to enter
the external intercostal ribs lift the ribs upwards
What happens during forced inspiration with regards to the diaphragm and the intercostal ribs? Is there anything else that is used?
- the diaphragm contracts and it flattens which enables air to enter
- the external intercostal ribs lift the ribs upwards
- the accessory muscles contract to further expand the thoracic cavity
What happens during quiet expiration with regards to the diaphragm and the intercostal ribs?
- it is a passive process
- the diaphragm relaxes and becomes dome shaped
- the external intercostals relax so the ribs are no longer raised
What happens during forced expiration with regards to the diaphragm and the intercostal ribs? Is there anything else that is used?
- the diaphragm relaxes and becomes dome shaped
- the external intercostals relax so the ribs are no longer raised
- the internal intercostals contract to depress ribs
- accessory structures contract to further decrease the cavity volume
Lung tissue is very ______ and is always trying to _____
elastic
recoil to a smaller shape
Why do we need the lungs to expand?
Because otherwise we would not get the pressure difference
What is the role of the pleura with regards to expanding the lungs?
It makes the lungs stick to the thoracic wall so when walls do, the lungs do to
Lungs expand during
inspiration
Lungs decrease during
expiration
The pleural fluid forms a
fluid bond with the lungs
What is the significance of the fluid bond?
When the thoracic wall expands, the lungs is pulled with it
How does airflow relate to the lungs?
When the ribcage expands, the lungs go with it which increases the volume which decreases the pressure and means that air flows in
What are the anatomical features of the thoracic cavity?
Bones, joints and muscles form the thoracic wall
Inside the cavity there is the mediastinum, plus the lungs within a double layer of pleura
How does the anatomical features change the thoracic volume?
Inspiration: diaphragm and external intercostals contract. Accessory muscles contract for forced breathing
Expiration: diaphragm relaxes. Internal intercostals and accessory muscles contract for forced breathing
How does our anatomy facilitate breathing?
Muscles move bones at joints to increase and decrease pressure for inspiration and to decrease volume and increase pressure for expiration. Pleural fluid adheres lungs to thoracic wall to ensure lungs expand and recoil as the cavity volume changes.