Lungs Flashcards
The trachea bifurcates at the level of?
T4 to T5
Trace the costal line of Pleural reflection
or the limit of the parietal pleura
- 8th rib in MCL
- 10th rib in MAL
- 12th rib sides of vertebral column
Trace the lower margin of the lungs
or the limit of the visceral pleura
- 6th rib in MCL
- 8th rib in MAL
- 10th rib sides of vertebral column
In thoracentesis, you should not puncture at the site lower than this intercostal space
9th ICS
what are the ideal sites for thoracentesis?
7th ICS
8th ICS
9th ICS
{Visceral/Parietal Pleura]
sensitive to pain, touch, temp pressure
Parietal pleura
{Visceral/Parietal Pleura]
sensitive to stretch only
visceral pleura
What are the fissures of the right lung
- Oblique fissure
2. Horizontal fissure
What are the fissures of the left lung
- Oblique fissure
The apex of both lung is located ___ cm above the clavicle
2.5cm
[Right/Left lung]
larger, heavier, but shorter and wider
right lung
[Right/Left lung]
has 3 lobar bronchi
10 segmental bronchi
right lung
What are the grooves located in the right lung
- SVC
- Arch of azygous vein
- Esophagus
[Right/Left lung]
2 lobar bronchi
8 to 10 segmental bronchi
left lung
[Right/Left lung]
contains the lingula
lef lung
What are the grooves located in the left lung
- Aortic arch
2. Descending aorta
___ is where the parietal and visceral pleura meet
root of the lung
[Right/Left lung]
contains epiarterial bronchi
right lung
the right hyparterial bronchi is part of what lobe
middle and inferior
[Right/Left lung]
The apicoposterior segment is found in what lung?
left lung
[Breath sounds]
what lobe is auscultated at the posterior and inferior aspects of the back
inferior lobe
[Breath sounds]
what lobe is auscultated in the anterior chest wall near the sternum
middle lobe
[PE of classic respiratory disease]
vocal fremitus increased
tactile fremitus increased
consolidation
[PE of classic respiratory disease]
vocal fremitus decreased
tactile fremitus decreased
pleural effusion or COPD
How many secondary bronchi are there in the left lung
2
On the right pulmonary hilum, the superior structure is the ____
eparterial bronchus
On the left pulmonary hilum, the superior structure is the ___
pulmonary artery
[Right/Left Bronchus]
shorter, wider, more vertical
right main bronchus
[Foreign body aspiration]
If patient is standing or sitting
posterobasal segment of the inferior lobe of the right lung
[Foreign body aspiration]
if the patient is supine
superior BPS of the right lower lob
[Foreign body aspiration]
if the patient is lying on the right
posterior BPS of the right upper lobe
[Foreign body aspiration]
if the patient is lying on the left side
inferior lingular BPS on the left upper lobe
The bronchial arteries suppling the trachea is a branch of?
descending thoracic aorta
[Right vs left pulmonary artery]
shorter, narrower
right pulmonary artery
the right pulmonary artery runs __ (above or below) the arch of the aorta
below
the left pulmonary artery runs over the ____
left primary bronchus
the bronchial veins drain to what structire
azygous and hemiazygous veins
____ tumor is a malignant neoplasm involving the apex of the lung
superior pulmonary sulcus tumor
___ syndrome
pain radiating to the shoulder and medial aspect of the arm; notable atrophy of the muscles of the forearm and hand
pancoast syndrome
___ syndrome
ptosis, enophtalmos, miosis, anhidrosis, vasodilation
horner syndrome
What LN drains the lymph from the surface to the hilum of the lung
subpleural plexus
What LN drain into bronchopulmonary or hilar LN
tracheobronchial LN
Trace the lymphatic drainage of the lungs
- Bronchopulmonary nodes
- Tracheobronchial nodes
- Paratracheal nodes
- bronchomediastinal trunks
The thymus and pericardium drain to what LN
Anterior mediastinal
then to the tracheomediastinal trunk
The esophagus and sternal LN drain to what LN
posterior mediastinal
then to the thoracic duct
The trachea, bronchi, lungs, heart drain to the
tracheobronchial LN
then to the tracheomediastinal tunk
the LN in the right lung drains to the
right lymphatic duct
The sympathetic efferent fiber of the pulmonary plexus produce what to the bronchioles and blood vessels
- Bronchodilation
2. Vasoconstriction
The parasympathetic efferent fiber of the pulmonary plexus produce what to the bronchioles and blood vessels
- Bronchoconstriction
- Vasodilation
- Increased glandular secretion
In chest tube insertion, the incision is made on the ____
5th or 6th ICS, MAL
The posterior intercostal artery for rib 1 and 2 are branches of
Superior intercostal of the costovertebral trunk
Anterior intercostal artery of the first six ribs is a branch of
internal thoracic artery
In thoracentesis, the needle is pierced through
8th ICS, MAL
