Lungs Flashcards
Where does the trachea start?
C6
What surrounds the trachea?
Cricoid cartilage
signifies the end of the larynx
Where does the trachea bifurcate?
sternal angle
What does the trachea bifurcate into?
Left Primary Bronchi
Right Primary Bronchi
Left Primary Bronchi
Long
Thinner
Horizontally directed
Right Primary Bronchi
Shorter
Wider
Vertically directed
Particles stuck in trachea will go towards the right due to its orientation
Carina
Ridge that divides the 2 primary bronchi
Located internally
What is the Carina innervated with?
irritant receptors to cause a cough reflex which will close the rima glottidis
Order of branching for the bronchi
Trachea- R. and L. primary bronchi - secondary bronchi - secondary branches - segmental/3rd order branches
How many secondary branches are on the left and right side?
Right has 3 branches
Left has 2 branches
How many segmental branches are on each side?
Each side has 10 segmental branches
Have an apex off the secondary branches
each has its own blood supply, nerve, and lymphatics
What surrounds each segmental branch and why?
Enclosed in a connective tissue
This protects the lung and can wall off certain sections that are infected
Blood supply to Bronchi
Right and left bronchial arteries
Blood supply around Trachea
Vein- Azygos arch with 2 branches
Artery- Aortic arch
Azygos system
Azygos arch: off the superior vena cava
Becomes the azygos vein which branches to the left as the hemiazygos vein
What does the aorta become?
Descending aorta changes names for cavity it’s located within
Thoracic aorta
Abdominal aorta
What nerves are located around the trachea?
Vagus plexus
Right pulmonary plexus on right pulmonary bronchus
Left and Right recurrent layrngeal
Right Lung Lobes
3 lobes
- upper/superior
- Middle- separated from upper by oblique fissure
- Lower/inferior- separated by horizontal fissure
Left lung lobes
2 lobes
- upper/superior
- lower/ inferior- separated by oblique fissure
Cervical Surface of the Lung
Apex of the lung (superior)
Costal Surface of the Lung
Faces the ribs (anterior)
Mediastinal Surface of the Lung
Faces the mediastinum
Diaphragmatic Surface of the Lung
base (inferior)
sits on top of the diaphragm
Hilum of the Lung
pit where blood vessels and bronchi enter
Where is the cardiac notch?
left lung
where the heart imprints
Pulmonary artery
Thicker than the vein b/c it’s under pressure from the heart
Carries deoxygenated blood
Pulmonary Vein
Carries oxygenated blood
Sits inferior to other structures at the hilum
Bronchi
Thickest and have cartilage
Sit mid-root
Pulmonary Ligament
When visceral pleura becomes parietal pleura
Pulmonary plexus contents
- vagus
- sympathetic branches
- visceral afferents
- Anterior and Posterior plexi related to carina
Vagus roll
controls parasympathetics
- secretomotor fibers to secrete mucus to catch irritants and cough/swallow irritants out
- bronchial constriction and vessel dilation
Sympathetic branches roll
Cause bronchial dilation and blood vessel constriction
allows more oxygen to get to the blood
Parts of Parietal Pleura Innervation
- costal and cervical pleura- intercostal nerves
- Mediastinal Pleura and Diaphragmatic Pleura- phrenic nerve
- Peripheral Part of Diaphragmatic Pleura- local intercostal nerves
Visceral Pleura Innervation
Insensitive to pain and pressure
Do alveoli have lymphatics?
No
Deep Lymphatics Order of Drainage
Deep Lymphatic Plexus
- Pulmonary
- Bronchopulmonary
- Superior/ Inferior Bronchial Nodes
- Bronchialmediastinal
- Right lymphatic trunk
- Left Thoracic Duct
Bronchopulmonary Nodes
Deep Lymphatic Plexus
Also called the hilar nodes
Where the bronchi enter the lung
Superior/ Inferior Bronchial Nodes
Deep Lymphatic Plexus
Also called Carinal Nodes
Where the trachea bifurcates
Allow the spreading of cancer to the other lung
Bronchialmediastinal Lymph Trunk
Deep Lymphatic Plexus
Formed from many vessels
Right Lymphatic Duct
Deep Lymphatic Plexus
smaller most drain to the left thoracic duct
Left Thoracic Duct
Deep Lymphatic Plexus
Larger duct
Does 2/3 of the drainage
Takes it up to the left subclavian onto the left internal jugular vein