lung segments and movement Flashcards

1
Q

where are the lungs anatomically located?

A

on either side of the mediastinum

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2
Q

what structure is each lung surrounded by?

A

-plueral cavity - which is formed by the visceral & parietal pleura

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3
Q

what is the fluid in the plural cavity?

A

a fluid which acts as a lubricant and also acts to maintain a negative pressure in the cavity to prevent lung collapse

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4
Q

what is pneumothorax?

A

air in the plueral cavity

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5
Q

what does each lung consist of?

A

-apex - the superior end of the lung
-base - inferior surface which sits on diaphragm
-lobes - 2 or 3
-3 surfaces - costal, mediastinal and diaphragmatic
-borders - the edges of the lung anterior, inferior, posterior

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6
Q

how many lobes does the right lung vs the left lung have?

A

-right lung - 3 lobes - superior, middle and inferior
-left lung - 2 lobes

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7
Q

how are the lobes in the lungs divided from eachother?

A

by fissures

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8
Q

what is the oblique fissure?

A

-present in both lungs
-separates lower lobe

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9
Q

what is the horizontal fissure?

A

-present in right lung only
-separates upper and middle lobes

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10
Q

what is the mediastinal surface of the lung?

A
  • the surface that faces the lateral aspect of the middle mediastinum
    -contains the lung hilum
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11
Q

what is the diaphragmatic surface of the lung?

A
  • the surface that rests on the dome of the diaphragm
    -it has a concave shape
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12
Q

what are the surface anatomy markings on the body for the oblique fissure?

A

T4 to costal cartilage 6

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13
Q

what is the hilum of the lung?

A

-region on each lung where structures such as blood vessels, bronchi, lymph vessels, and nerves enter and exit the organ
-serves as a point of connection between mediastinum & lung

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14
Q

Briefly describe the bronchial tree

A

-trachea divides into left and right bronchus
-each bronchus enters the root of the lung, passing through the hilum, and then they divide to form lobar bronchi - one supplying each lobe
-each lobar bronchus then further divides into several tertiary segmental bronchi- which provides air to a bronchopulmonary segment
- the segmental bronchi give rise to terminal bronchioles which gives off a response bronchiole - which give off alveoli

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15
Q

what is a bronchopulmonary segment?

A

an area of the lung that is supplied by a segmental bronchus and branch of pulmonary artery

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16
Q

how many segments are there in the right lung vs the left lung?

A

-10 segments in right lung
-8-10 segments in right lung

17
Q

what are alveoli and what is their function?

A

-thin walled sacs
-function - gas exchange

18
Q

Describe the vasculature of the lungs

A

-lungs supplied with deox blood by the pulmonary arteries, once this blood is oxygenated it leaves the lungs via 4 pulmonary veins (2 for each lung)
-bronchi, visceral pleura and supporting tissues supplied by bronchial arteries which arise from the descending aorta
-bronchial veins provide venous drainage - and they drain into the azygos and accessory hemiazygos veins

19
Q

Describe the nerve supply of the lungs

A

-derived from the pulmonary plexus
-sympathetic, parasympathetic and visceral afferent fibres
-parasym derived from vagus nerve
-symp derived from sympathetic trunks
-visceral afferent - conduct pain impulses to sensory ganglion of vagus

20
Q

what does the parasympathetic vs sympathetic system do to the bronchial smooth muscle?

A
  • parasympathetic- bronchoconstriction
    -symp- bronchodilation
21
Q

what mvts occur to the lungs, diaphragm, ribs etc during inspiration?

A

-diaphragm moves downwards
-ribs are lifting up - bucket handle movement (think of how the handle moves when u lift it)
-size of thoracic cavity increases
-lungs increase in size

22
Q

what happens to the sternum during inspiration?

A

the sternum moves forward during inspiration because of rib elevation

23
Q

Describe normal vs forced expiration

A
  1. Normal
    -passive
    -intercostal muscles relax and ribcage falls
    -diaphragm recoils and elevates
  2. Forced
    -active
    -internal intercostals contract
    -abdominal wall muscles contract which causes the diaphragm to rise