Lecture 3 - Pleura and Lungs Flashcards

1
Q

The trachea begains at the

A

cricoid cartliage

Surroudned by incomplete posterior rings

The incomplete section is bridged by the trachealis muscle - keep sthe trachea open

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The right main bronchus is…

A

more vertical
wider
shorter

things more likely to get stuck in the Right lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

There can be 2 or 3 lobar bronchi at the …

A

Right Hilum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Bifurcation is at the ..

A

Plane of louis - T4/5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

trachea is an _____ positioned tube

A

anteriorly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

There is a very defined braching pattern - up to about __ orders of branching

A

25

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The bronchi themselves are also supported by _____ which runs all the way down the branches

A

Cartilage

Becomes the bronchioles when the cartilage is lost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is Athsma?

A

Spasm of smooth muscle in particular around the bronchioes

common triggers cause smooth muscle to contract - exacerbated in the cold (cold air makes smooth muscle spasm and constrict)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

WHere does the apex of the 2 lungs lie?

A

2-3cm about the 1st rib - prone to damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where does the base of the lung sit?

A

diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The Right lung has how many lobes?

A

3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the fissures of the Right lung?

A

Horizontal and oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which lung has the caridac notch?

A

Left lung - also only has one fissue (oblique fissure)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

At the hilum of lungs where at the pulmonary arteries?

A

posterior and superior - relative to the veins

veins are inferior and anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the Bronchial arteries and where they come from

A

Really small

Derived from the descending aorta, follow the bronchi into the hilum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Venous drainage of the bronchioles goes where?

A

to the azygous system of veins

17
Q

The Vagus nerve is always found..

A

posterior to the hilum

18
Q

The phrenic nerve runs …

A

anterior to the root of the lung

19
Q

Parsymapthetic innervation to lungs is from from the __cranial ___ nerve (runs through _____ sheath)

A

Parsymapthetic innervation to lungs is from from the 10th cranial vagus nerve (runs through carotid sheath)

20
Q

Ps wil make the lungs..

21
Q

What does Sympathetic nerves to the lung do and where are they from?

A

Inhibits smooth muscle contraction to dilate

derived from spinal cord - sympathetic ganglion T1-T4

22
Q

The autonomic vesssels plexuses where/

A

around the bifurcation of the trachea

23
Q

The Lymphatics of the lung all drain through ____nodes up to the right ______duct

or the ____duct for the left lung

A

The Lymphatics of the lung all drain through hilar nodes up to the right lympathetic duct or the thoracic duct (for the left lung)

24
Q

The pleura is a double layered _____membrane that has developed around each lung. Has a ____layer which lines the wall and a ______layer which lines the lung. There is potential space which contains ______ ______ to provide surface tension that keeps them togeher (think glass water analogy)

A

The pleura is a double layered serous membrane that has developed around each lung. Has a parietal layer which lines the wall and a visceral layer which lines the lung. There is potential space which contains serous fluid to provide surface tension that keeps them togeher (think glass water analogy)

25
Where is the pleural recess?
between the ribs and diaphragm = costodiaphragmatic
26
The reflection of the pleura (towards the hilum) is called the ...
Pulmonary ligament
27
In development, the viscera tends to...
Grab the serous membrane and drag behind it The viscera will then grow to site of cavity You end up with viscera surrounded by a double lined membrane - the parietal and visceral membrane
28
What supplies sensory to the parietal layer?
adjacent intercostal nerve and phrenic nerve
29
What supplies sensory to the visceral layer?
Sympathetics (same as lung)
30
Parietal pleura pain will be ..
.sharp and localised pain - somatic
31
Visceral pleura pain will be..
Dull - visceral type pain
32
If the surface tension between parietal and visceral layers is lost, what will happen? What are some ways in which this can happen?
The lung will collapse can be caused by pneumthorac (from stab wound - air seperates membranes) Or hemothorax - bleed will push the membrances apart
33
The apex of the lung is particularly prone to...
injury