Lungs and Pleura Flashcards

1
Q

Pleura

A

thin membrane of fibrous tissue

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2
Q

mesothelium

A

layer of flat cells covering the pleura

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3
Q

where is the parietal pleura

A

lines thoracic wall (seperated by endothoracic fascia)

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4
Q

What does the parietal layer of the pleura attach to

A

the inferior surface of the suprapleural membrane, at the thoracic inlet, and to the mediastinal surface of the fibrous pericardium

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5
Q

why does the parietal pleura extend firther than the bottom of the lung

A

to allow for lung expansion

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6
Q

what is the costodiaphragmatic recess

A

the space seperating the costal parietal pleura from the diaphragmatic parietal pleura

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7
Q

what arteries supply the parietal pleura

A

intercostal, internal thoracic and musculophrenic arteries

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8
Q

where is the venous drainage of the pleura

A

to the azygos system of veins.

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9
Q

where do the lynphatics of the pleura drain to

A

the intercostal, parasternal, diaphragmatic and posterior mediastinal nodes

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10
Q

what is parietal pleura senstivie to

A

pain, temperature, touch, and pressure

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11
Q

what nerves supply the costovertebral pleura

A

intercostal nerves

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12
Q

what nerves supply the diaphragmatic pleura

A

the phrenic nerve over the domes, and by the lower six intercostal nerves around its periphery

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13
Q

what nerve supplies the mediastinal pleura

A

phrenic nerve

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14
Q

what supplies the arterial supply and venous drainage of the visceral pleura

A

bronchial vessels

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15
Q

visceral pleura sensitivities

A
  • sensitive to stretch
  • insensitive to pain and touch
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16
Q

where does the visceral pleura recieve nerve supply from

A

autonomic nerve supply from the pulmonary plexus

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17
Q

how many lobes has the left lung got

A

2

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18
Q

how many lobes has the right lung got

A

3

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19
Q

what is the root of the lung

A

The region of the mediastinum where the lung is connected to the trachea and heart

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20
Q

what is the hilum

A

The region of the lung where the bronchi and pulmonary vessels enter or leave

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21
Q

1

A

anterior border

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22
Q

2

A

costal surface

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23
Q

3

24
Q

4

25
5
bronchus
26
6
pulmonary artery
27
7
pulmonary vein
28
8
posterior border
29
9
mediatsinal surface
30
11
inferior border
31
12
diaphragmatic surface (base)
32
what is the oblique fissure
- vertical fissure - divides lung into upper and lower lobes
33
what is the horizontal fissure
- horizontal fissure that makes the third lobe in the right lung
34
how long is the right main bronchus
2.5cm
35
how lung is the left main bronchus
5cm
36
what arteries supply the tissues of the bronchu
the bronchial arteries
37
what do the veins of the right main bronchus drain to
azygos vein
38
what do the veins of the left main bronchus drain to
the accessory hemiazygos vein
39
name three cells present in the tracheobronchial epithelium
- goblet - cilliated - clara
40
goblet cells function
secrete mucus
41
cilliated cells function
sweep debris
42
clara cells function
divide, differentiate, metabolize toxic chemicals
43
arterial supply of bronchial tree
bronchial arteries
44
how many bronchial arteries altogether
3
45
bronchial arteries on the left: amount and origin
two, direct branches of aorta
46
bronchial arteries on the right: amount and origin
one, third right posterior intercostal artery
47
where do the bronchial veins drain
nto the azygos vein on the right and the accessory hemiazygos on the left superficially, and into a main pulmonary vein from the deeper lung where it mixes with oxygenated blood
48
what is the capillary plxus
plexus in walls of alveoli which is fed with deoxygenated blood by the pulmonary artery
49
where do the lymphatic vessels inside the lung originate
a superficial subpleural plexus and a deep submucosal plexus
50
where do the lynphatic vessels inside the lung drain to
bronchopulmonary nodes
51
where do lymphatics from the bronchopulmonary nodes proceed to drain to
Lymphatics from the upper and middle lobes drain to superior, and those from the lower lobes to inferior, tracheobronchial nodes
52
nerve supply inside the lung
autonomic nerves from pulmonary plexus
53
where do the parasympathetic nerves orginate | pulmonary plexus
vagus nerve
54
where do the sympathetic nerves originate from | pulmonary plexus
sympathetic trunk
55
functions of pulmonary plexux
- Parasympathetic: dilate blood vessels/constrict bronchi - Sympathetic: constrict blood vessels/dilate bronchi - Supply visceral pleura