Lungs Flashcards

1
Q

Costal Line of Pleural Reflection

A

8th rib MCL
10th rib MAL
12th rib sides of vertebral column

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2
Q

Lower Margin of the lung

A

6th rib MCL
8th rib MAL
10th rib sides of the vertebral column

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3
Q

Parietal Pleura Nerve Supply

A

Sensitive to pain, touch, temperature, and pressure

  1. Costal - intercostal nerve
  2. Mediastinal - phrenic nerve
  3. Diaphragmatic - phrenic and intercostal
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4
Q

Visceral Plerua Nerve Supply

A

Sensitive to stretch

Pulmonary Plexus

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5
Q

Right Lung

A
3 lobes
Horizontal and Oblique fissure
Larger, Heavier, Shorter and Wider
Epiarterial Bronchi - superior
Hyparterial  Bronchi - middle and inferior
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6
Q

Left Lung

A

2 Lobes
Obliqure fissure
Hyparterial Bronchi - superior and inferior

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7
Q

Lobes of right ling

A
  1. superior
  2. middle
  3. inferior

Horizontal fissure
Oblique fissure

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8
Q

Lobes of left lung

A
  1. superior
  2. inferior

Oblique fissure
Deep cardiac notch
Liingula

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9
Q

Anatomical and surgical units of the lung

A

bronchopulmonary segments

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10
Q

Superior bronchopulmonary segment of the right lung

A
  1. apical
  2. posterior
  3. anterior
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11
Q

Middle bronchopulmonary segment of the right lung

A
  1. lateral

2. medial

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12
Q

Inferior bronchopulmonary segment of the right lung

A
  1. superior
  2. anterior basal
  3. medial basal
  4. lateral basal
  5. posterior basal
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13
Q

Superior bronchopulmonary segment of the left lung

A
  1. apico posterior
  2. anterior
  3. superior
    4, inferior
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14
Q

Inferior bronchopulmonary segment of the left lung

A
  1. superior
  2. anterior basal
  3. medial basal
  4. lateral basal
  5. posterior basal
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15
Q

Superior Lobe Breath sound

A

anterior and superior aspect of thoracic wall

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16
Q

Inferior Lobe Breath sound

A

posterior and inferior aspect of the back

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17
Q

Middle Lobe Breath sound

A

anterior chest wall near the sternum, inferior to the right 4th costal cartilage

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18
Q

Epirarterial Bronchus

A

Right Superior Bronchus

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19
Q

Hyparterial

A

Right Middle and Inferior Bronchus

Left Superior and Inferior Bronchus

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20
Q

Location of Cardiac Notch

A

Superior Lobe of Left Lung

21
Q

Foreign Body in the Lungs (sitting/standing)

A
  1. Right Inferior Lobe - posterior basal segment
22
Q

Foreign Body in the Lungs (supine)

A
  1. Right inferior lobe - superior sgement
23
Q

Foreign Body in the Lungs (lying on the right side)

A

Right superior lobe - posterior segment

24
Q

Foreign Body in the Lungs (lying on the left side)

A

Left superior lobe - inferior lingular segment

25
Q

Aspiration pneumonia location

A

Superior Segment of the lower lobes

26
Q

Blood supply of lungs

A
  1. bronchial arteries - descending thoracic aorta

2. pulmonary arteries - pulmonary trunk

27
Q

Venous supply of lungs

A
  1. bronchial veins - drains into azygous and hemiazygous veins
  2. pulmonary veins - empty into left atrium
28
Q

Causes of Lower Trunk Brachial Injury

A
  1. thoracic outlet obstruction
  2. fracture of 1st rib
  3. pancoast tumor
29
Q

Superior pulonary sulcus tumor; involves apex of lung

A

Pancoast Tumor

30
Q

Pancoast Syndrome

A
  1. lower trunk brachial injury

2. lesion of cervical sympathetic ganglia (horner syndrome)

31
Q

Lymph drainage of Lung

Lies deep in visceral pleura and drains lymph from the surface to the hilum of lung

A

Superficail/ Subpleural plexus

32
Q

Lymph drainage of Lung

Lies in the lung

A

Deep plexus

33
Q

Lymph drainage of Lung

Tracheobronchial Lymph nodes

A

Drain into bronchopulmonary/ Hilar Lymph nodes

34
Q

Nerve Supply of the lung

A
  1. Sympathetic - bronchodilation and vasoconstriction

2. Parasympathetic - bronchoconstriction and vasodilation and increased glandular secretion

35
Q

Intercostal Arteries

A
  1. Posterior IC - branch of thoracic aorta

2. Anterior IC - branch of internal thoracic and musculophrenic artery

36
Q

Intercostal Veins

A
  1. Posterior IC - drains to azygous/hemiazygous veins

2. Anterior IC - drains to internal thoracic vein

37
Q

Posterior Intercostal Arteries

A

First two - superior intercostal of the costocervical trunk

Remaining Branches - descending aorta

38
Q

Anterior Intercostal Arteries

A

Upper 6 - internal thoracic artery

Remaining - musculophrenic

39
Q

Thoracentesis

A

MAL 8th ICS

withdraw fluid from costodiaphragmatic recess

40
Q

Branches of Ascending Aorta

A
  1. left coronary artery

2. right coronary artery

41
Q

Branches of Arch of Aorta

A
  1. left subclavian artery
  2. left common carotid artery
  3. right brachiocephalic artery
42
Q

Branches of the descending Aorta

A
  1. bronchial artery
  2. mediastinal artery
  3. esophageal artery
  4. posterior intercostal artery
  5. pericardial artery
  6. subcostal artery
43
Q

Continuation of Sigmoid Sinus

A

Internal Jugular Vein

44
Q

Tributaries of IJV

A
  1. inferior petrosal sinus
  2. pharyngeal
  3. superior thyroid
  4. facial vein
  5. lingual vein
  6. middle thyroid vein
45
Q

Sites of Central Venous Catheter

A
  1. Internal Jugular Vein
  2. Femoral Vein
  3. Subclavian Vein
46
Q

Brachiocephalic Vein

A

Union of IJV and Subclavian Vein

At the level of inerior border of the 1st right costal cartilage

47
Q

Tributaries of Brachiocephalic Vein

A
  1. Internal Thoracic
  2. Vertebral
  3. Inerior Thyroid
  4. Superior Intercostal
48
Q

Superior vena cava drains to right atrium at what level?

A

3rd right costal cartilage