Mediastinum Flashcards

1
Q

Contents of the superior mediastinum

A

Remains of thymus

Large arteries:
Arch of aorta
brachiocephalic
left common carotid
Left subclavian arteries

Nerves:
Phrenic
Vagus
Left recurrent laryngeal nerve

Trachea, lymph nodes, Oesophagus, thoracic duct, Sympathetic trunks

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2
Q

Points at the sternal angel

A

The separation between superior and inferior mediastina

Beginning and end of the aortic arch

Bifurcation of the trachea

Azygos vein arches over the root of the Rt lung and drains into SVC

Thoracic duct crosses from right to left

The upper limit of the base of the heart

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3
Q

what border the trachea anteriorly

A

➢Sternum + sternohyoid and sternothyroid muscles attached

➢Thymus

➢Lt. Brachiocephalic V

➢Brachiocephalic and left common carotid arteries.

➢Arch of Aorta.

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4
Q

Right relations to trachea:

A

➢AzygosVein.

➢Right Vagus

➢Rt Brachiocephalic vein + SVC (Anterolateral)

All veins and one nerVe just memorize them

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5
Q

Trachea Left Side relations:

A

➢Arch of Aorta.

➢Left common carotid A.

➢Left SubclavianA.

➢Left Vagus Nerve

➢Left Phrenic Nerve

➢Pleura.

Adorable Curved Sissies Value Puny Porn

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6
Q

Posterior relations with trachea

A

➢Esophagus.

➢Left recurrent laryngeal nerve.

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7
Q

Anterior relations of esophagus:

A

trachea

the left vagus

left recurrent laryngeal nerve

the left principal bronchus

the pericardium

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8
Q

Posterior relations with esophagus

A
  • T1-T12
    -thoracic duct
    -azygus vein
  • rt vagus nerve
  • posterior intercostal arteries
    -descending aorta (lower end)
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9
Q

What structures pass the diaphragm through Aortic opening and at what level

A

Aorta (becomes abdominal aorta)
Azygos vein
Thoracic duct

At T12

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10
Q

What structures pass the diaphragm through Esophageal opening and at what level

A

-esophagus
- lt/rt vegus nerves
- gastric lynphatics

At T10

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11
Q

What structures pass the diaphragm through caval opening and at what level

A

-inferior vena cava
- rt phrenic nerve

At T8

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12
Q

What veins form the azygos vein

A
  • rt subcostal vein
  • rt ascending lumbar vein
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13
Q

What veins form the inferior hemizygous vein

A
  • Lt subcostal vein
  • Lt ascending lumbar vein
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14
Q

Branches of vagus nerve

A
  • Recurrent laryngeal nerve
  • cardia branches
  • Esophageal branches
  • Pulmonary branches
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