lungs Flashcards

1
Q

what is pluera

A

continuous serous sac which surrounds the lung

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2
Q

parietal pleura lines

A

thoracic cavity inside endothoracic fascia.

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3
Q

visceral pleura surrounds

A

lung and enters fissures

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4
Q

pluera cavity contains

A

5-10 ml. of serous fluid

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5
Q

costal pluera lines

A

ribs, costal cartilages, intercostal muscles and

back of the sternum

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6
Q

the phrenicopleural fascia connects

A

diaphragmatic pleura with

the muscular fibers of the diaphragm and moves with it during respiration

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7
Q

At the hilum of the lung, the mediastinal pleura reflects

A

laterally onto the root of the lung to

become continuous with the visceral pleura

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8
Q

to form a tubular sheath (pleural

cuff)

A

The 2- layers (mediastinal parietal pleura &
visceral pleura) are continuous with each other

this sheath surrounds root of lung in the hilum

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9
Q

what is pleuritis (pleurisy)

A

Inflammation of the parietal pleura

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10
Q

how is pleuritis (pleurisy) caused

A

viral infections, pneumonia, lung cancer, TB, autoimmune

conditions such as Lupus

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11
Q

clinical signs of Pleuritis (pleurisy)

A

shortness of breath and pleuritic chest pain

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12
Q

Pleurisy may cause

A

build-up of excess fluid around the lungs = pleural effusion

– leads to worse shortness of breath

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13
Q

Nerve Supply of Pleura : parietal pluera

A

-Costal = intercostal nerves
-Mediastinal = phrenic nerve
-Diaphragmatic
1) Medially by phrenic nerve.
2) Peripheral part by lower 6
intercostal nerves

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14
Q

Nerve Supply of Pleura : visceral pluera

A

-Sympathetic N.S. from pulmonary
plexus =Pulmonary branches of vagus and
sympathetic chain

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15
Q

Blood supply of Parietal Pleura

A
  • intercostal, internal

thoracic & musculophrenic vessels

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16
Q

Blood supply of visceral Pleura

A

bronchial vessels

17
Q

Lymphatic Drainage Parietal pleura

A

intercostal, mediastinal & diaphragmatic lymph nodes.

18
Q

Lymphatic Drainage visceral pleura

A

broncho-pulmonary lymph nodes in hilum

19
Q

Anterior border of lung is

A

sharp, thin and overlaps the heart

20
Q

The hilums of both
lungs lie at the
level of

A

2nd,3rd, and 4th costal cartilages

T4-T6

21
Q

blood supply of lung , bronchial arteries

A

(branches of descending thoracic aorta) supply oxygenated blood to
bronchi, lung tissue & visceral pleura (1% of total blood to the lung).

22
Q

bronchial veins drain into

A

azygos & hemiazygos veins

23
Q

Pulmonary artery carries

A

non-oxygenated blood from right ventricle to the lung alveoli

24
Q

2 pulmonary veins carry

A

oxygenated blood from lung alveoli to the left atrium.

25
Q

Nerve Supply of the lung

A

Pulmonary plexus at the root of lung -

26
Q

Sympathetic

  1. derives from…
  2. stimulate…
A
  1. sympathetic trunks

2. Broncho-dilation &vasoconstriction – increase BP.

27
Q

Parasympathetic

  1. derived from
  2. stimulate..
A
  1. vagus nerve

2. Bronchoconstriction and secretomotor to bronchial mucous glands and vasodilatation.

28
Q

Lymph drainage of the lungs

2 lymphatic plexuses

A

1) Superficial plexus

2) deep plexus

29
Q

1) Superficial plexus
lies. ..
drauns. ..

A

lies under the visceral pleura and

drain to bronchopulmonary nodes

30
Q

2) Deep plexus… where

A

Lies along the bronchial tree &

pulmonary blood vessels

31
Q

2) Deep plexus…drains into

A
  1. pulmonary nodes
  2. bronchopulmonary nodes in the hilum
  3. tracheo-bronchial nodes at the bifurcation of trachea
  4. bronchomediastinal lymph trunks
32
Q

Right main bronchus gives off

A

superior lobar (secondary) bronchus .. when it enters hilum it divides into middle & inferior lobar bronchi.

33
Q

Left main bronchus

A

On entering hilum, it divides

into superior & inferior lobar bronchi