Lungs Flashcards
Costal Line of Pleural Reflection
8th rib MCL
10th rib MAL
12th rib sides of vertebral column
Lower Margin of the lung
6th rib MCL
8th rib MAL
10th rib sides of the vertebral column
Parietal Pleura Nerve Supply
Sensitive to pain, touch, temperature, and pressure
- Costal - intercostal nerve
- Mediastinal - phrenic nerve
- Diaphragmatic - phrenic and intercostal
Visceral Plerua Nerve Supply
Sensitive to stretch
Pulmonary Plexus
Right Lung
3 lobes Horizontal and Oblique fissure Larger, Heavier, Shorter and Wider Epiarterial Bronchi - superior Hyparterial Bronchi - middle and inferior
Left Lung
2 Lobes
Obliqure fissure
Hyparterial Bronchi - superior and inferior
Lobes of right ling
- superior
- middle
- inferior
Horizontal fissure
Oblique fissure
Lobes of left lung
- superior
- inferior
Oblique fissure
Deep cardiac notch
Liingula
Anatomical and surgical units of the lung
bronchopulmonary segments
Superior bronchopulmonary segment of the right lung
- apical
- posterior
- anterior
Middle bronchopulmonary segment of the right lung
- lateral
2. medial
Inferior bronchopulmonary segment of the right lung
- superior
- anterior basal
- medial basal
- lateral basal
- posterior basal
Superior bronchopulmonary segment of the left lung
- apico posterior
- anterior
- superior
4, inferior
Inferior bronchopulmonary segment of the left lung
- superior
- anterior basal
- medial basal
- lateral basal
- posterior basal
Superior Lobe Breath sound
anterior and superior aspect of thoracic wall
Inferior Lobe Breath sound
posterior and inferior aspect of the back
Middle Lobe Breath sound
anterior chest wall near the sternum, inferior to the right 4th costal cartilage
Epirarterial Bronchus
Right Superior Bronchus
Hyparterial
Right Middle and Inferior Bronchus
Left Superior and Inferior Bronchus
Location of Cardiac Notch
Superior Lobe of Left Lung
Foreign Body in the Lungs (sitting/standing)
- Right Inferior Lobe - posterior basal segment
Foreign Body in the Lungs (supine)
- Right inferior lobe - superior sgement
Foreign Body in the Lungs (lying on the right side)
Right superior lobe - posterior segment
Foreign Body in the Lungs (lying on the left side)
Left superior lobe - inferior lingular segment
Aspiration pneumonia location
Superior Segment of the lower lobes
Blood supply of lungs
- bronchial arteries - descending thoracic aorta
2. pulmonary arteries - pulmonary trunk
Venous supply of lungs
- bronchial veins - drains into azygous and hemiazygous veins
- pulmonary veins - empty into left atrium
Causes of Lower Trunk Brachial Injury
- thoracic outlet obstruction
- fracture of 1st rib
- pancoast tumor
Superior pulonary sulcus tumor; involves apex of lung
Pancoast Tumor
Pancoast Syndrome
- lower trunk brachial injury
2. lesion of cervical sympathetic ganglia (horner syndrome)
Lymph drainage of Lung
Lies deep in visceral pleura and drains lymph from the surface to the hilum of lung
Superficail/ Subpleural plexus
Lymph drainage of Lung
Lies in the lung
Deep plexus
Lymph drainage of Lung
Tracheobronchial Lymph nodes
Drain into bronchopulmonary/ Hilar Lymph nodes
Nerve Supply of the lung
- Sympathetic - bronchodilation and vasoconstriction
2. Parasympathetic - bronchoconstriction and vasodilation and increased glandular secretion
Intercostal Arteries
- Posterior IC - branch of thoracic aorta
2. Anterior IC - branch of internal thoracic and musculophrenic artery
Intercostal Veins
- Posterior IC - drains to azygous/hemiazygous veins
2. Anterior IC - drains to internal thoracic vein
Posterior Intercostal Arteries
First two - superior intercostal of the costocervical trunk
Remaining Branches - descending aorta
Anterior Intercostal Arteries
Upper 6 - internal thoracic artery
Remaining - musculophrenic
Thoracentesis
MAL 8th ICS
withdraw fluid from costodiaphragmatic recess
Branches of Ascending Aorta
- left coronary artery
2. right coronary artery
Branches of Arch of Aorta
- left subclavian artery
- left common carotid artery
- right brachiocephalic artery
Branches of the descending Aorta
- bronchial artery
- mediastinal artery
- esophageal artery
- posterior intercostal artery
- pericardial artery
- subcostal artery
Continuation of Sigmoid Sinus
Internal Jugular Vein
Tributaries of IJV
- inferior petrosal sinus
- pharyngeal
- superior thyroid
- facial vein
- lingual vein
- middle thyroid vein
Sites of Central Venous Catheter
- Internal Jugular Vein
- Femoral Vein
- Subclavian Vein
Brachiocephalic Vein
Union of IJV and Subclavian Vein
At the level of inerior border of the 1st right costal cartilage
Tributaries of Brachiocephalic Vein
- Internal Thoracic
- Vertebral
- Inerior Thyroid
- Superior Intercostal
Superior vena cava drains to right atrium at what level?
3rd right costal cartilage