Lungs and Bronchi Flashcards

0
Q

What is the root of the lung and what are its contents

A
Formed by the bronchi, vessels and bronchi
Contents:
main bronchus
pulmonary a and v
bronchial a and v
lymphatic vessels
autonomic nerves
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1
Q

What is the Hilum

A

Depression in the medial surface of the lung
Allows for the entrance and exit of vessels and bronchi
Enclosed by pleura

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2
Q

How far does the apex of the lung extend superiorly

A

above R1 into base of neck

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3
Q

What are the right and left apices adjacent to respectively

A

Right: Trachea and esophagus
Left: Common carotid and left subclavian a

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4
Q

Why does the left mediastinal surface have a larger concavity

A

to accommodate the presence of the heart

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5
Q

Why does the diaphragmatic surface of the lung have a deeper concavity on the right

A

To accommodate the presence of the liver

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6
Q

How do the two lungs compare to one another in size and shape

A

Right: Larger, but shorter and wider
Left: Smaller, but longer and thinner

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7
Q

What are the names of the lobes and fissures of the right lung

A

Lobes: Superior, middle, and inferior
Fissures: Horizontal and oblique

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8
Q

What impressions are present on the right lung

A
heart
esophagus
superior vena cava
brachiocephalic v
arch of the azygos
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9
Q

What are the lobe and fissures of the left lung

A

Lobes: Superior and inferior
Fissure: oblique

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10
Q

What are the two major landmarks on the left lung

A

cardiac notch on anterior margin

lingula– formed from cardiac notch

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11
Q

What impressions can be found on the left lung

A

cardiac
arch of the aorta
esophagus

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12
Q

What is the Carina

A

internal ridge separating the opening of the left and right main bronchus
– Sensitive to the cough reflex

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13
Q

What vertebral level is the carina found at

A

T4

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14
Q

What are the characteristics of the Right Main Bronchus

A

Wider, shorter, and more vertical that the left

Branches into three 2˚ bronchi at the lung root

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15
Q

What is clinically significant about the right main bronchus

A

since it is straighter it is more likely to be the location of aspirated bodies

16
Q

What are the characteristics of the left main bonchi

A

narrower, longer, and more horizontal
passes inferior to aortic arch and anterior to esophagus
branches into two 2˚ bronchi at root of lung

17
Q

What serves each bronchopulmonary segment of the lungs

A

One segmental bronchus
One 3˚ branch of pulmonary artery
One Autonomic nerve

18
Q

What surrounds each bronchopulmonary segment and what is in it

A

connective tissue seam with segmental vv running in each seam

19
Q

What does the segmentation of the lung allow the physician

A

Surgical removal of diseased portion only

Postural drainage with use of gravity