Lower Respiratory tract Flashcards
1
Q
Trachea
A
Location: superior mediastinum; C6⇒ Th4
Bifurfation: right⇒ 35 degrees, left⇒ 40degrees
- 9-15 cm long
- 16-20 cartilage rings
2
Q
Right Bronchus
A
- 2cm long
- shorter, wider, more vertical
- divides into 3 lobar bronchi
3
Q
Left bronchus
A
- 5cm long
- inferolaterally
- divides into 2 bronchi
4
Q
Parietal pleura
A
- Costal part
- Mediastinal part
- Diaphragmatic part
5
Q
Lines of Pleural reflections
A
- sternal line (between costal + mediastinal)
- costal line (between diaphragmatic + costal)
- vertebral line (between costal + mediastinal)
6
Q
Borders of pleura
A
- 2-3 cm above midclavicular line (cupula)
- 2nd intercostal space⇒ parallel down
- 6th rib: sternal line
- 7th rib: midclavicular line
- 8th rib: anterior axillary line
- 9th rib: mid maxillary line
- 10th rib: posterior axillary line
- 11th rib: scapular line
- 12th rib: spinous process of Th11
7
Q
Recesses of pleura
A
Costrodiaphragmatic recess: between diaphragm + costal layer
Phrenicomediastinal recess
Costomediastinal recess
8
Q
Blood supply of Pleura
A
PARIETAL PLEURA:
- internal thoracic, intercostals, musculophrenic artery
VISCERAL PLEURA:
- bronchial arteries
- bronchial veins ⇒pulmonary veins
9
Q
Root of the lungs
A
- bronchi
- pulmonary arteries
- pulmonary veins
- pulmonary plexus + nerves
- bronchial arteries and veins
- lymphatics
10
Q
Surfaces of lungs
A
Costal
Mediastinal
Diaphragmatic
11
Q
Right lung
A
- 3 lobes⇒ upper, middle, lower
- oblique fissure: separates middle + lower, 4th⇒6th rib
- horizontal fissure: separates upper + middle, 4th rib
- 3 lobar bronchi⇒ 10 segmental bronchi
- right hilum:
- sup+inf ant: 2 pulmonary veins
- sup post: pulmonary arteries
- post: pulmonary bronchi
12
Q
Impressions of Right lung
A
- azygos vein
- SVC
- esophagus
- cardiac impression
- costal impression
13
Q
Left lung
A
- 2 lobes ⇒ upper, lower
- oblique fissure: 6th rib
- lingula + cardiac notch: 4th⇒6th rib
- 2 lobar bronchi ⇒ 8 segmental bronchi
- left hilum:
- ant inf: 2 pulmonary veins
- sup post: 1 pulmonary artery
- post inf: bronchus
14
Q
Impressions of left lung
A
- cardiac impression
- left subclavian artery groove
- aortic impression
15
Q
Borders of lungs
A
- apex: 2 cm above clavicle, midclavicular line
- 6th rib: sternal line
- 6th rib: midclavicular line
- 7th rib: anterior axillary line
- 8th rib: midaxillary line
- 9th rib: posterior axillary line
- 10th rib: scapular line
- 11th rib: paravertebral line