Mediastinum Flashcards

1
Q

Boundaries of the mediastinum

A

Anterior : sternum
Posterior : vertebral column
Superior : superior thoracic aperture
Inferior : diaphragm
On each side : mediastinal pleura

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2
Q

Major contents of mediastinum

A

Thymus
Heart enclosed in pericardial sac
Major arteries and veins such as thoracic aorta , pulmonary trunk
Trachea
Esophagus
Thoracic duct
Neural structures (sympathetic trunks , vagus nerves , phrenic nerve )
Lymph nodes

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3
Q

Where does the imaginary line dividing the the mediastinum pass through

A

Sternal angle anteriorly and lower border of the body of fourth thoracic vertebra / intervertebral disc T4T5

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4
Q

The inferior mediastinum is further divided into three parts by

A

The pericardium

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5
Q

The middle mediastinum consists of

A

The pericardium and the components of it like the heart and the roots of its great vessels

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6
Q

Boundaries of the superior mediastinum

A

Anterior : manubrium sterni
Posterior : bodies of the upper four thoracic vertebra
Superior :plane of the superior thoracic aperture
Inferior :imaginary line passing through eternal angle and vertebra
Side :mediastinal pleura

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7
Q

Arterial contents of the superior mediastinum

A

Arch of aorta
Brochiocephalic artery
Left common carotid artery
Left subclavian artery

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8
Q

Veins in the superior mediastinum

A

Right and left brachiocephalic
Upper half of superior vena cava (SVC )
Left superior intercostal vein

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9
Q

Nerves in the superior mediastinum

A

Phrenic
and vagus (left and right )
Sympathetic trunk and cardiac nerves (right and left )
Left recurrent laryngeal nerves

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10
Q

Lymphoid organs and lymphatic in the superior mediastinum

A

Lymph nodes
Thoracic duct
Thymus

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11
Q

Tubes in the superior mediastinum

A

Trachea , esophagus

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12
Q

Muscles in the mediastinum

A

Sternohyoid
Sternothyroid
Longus colli

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13
Q

Structure of the superior mediastinum anterior to posteriorly

A

Thymus , large veins , large arteries , trachea , esophagus and thoracic duct
Sympathetic trunks

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14
Q

Length of the esophagus

A

25 cm

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15
Q

Esophagus full answer

A

Measurement
Course
Relation
Curve
Constrictions
Blood supply
Nerve supply

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16
Q

Where does the oesophagus begin and end

A

In the neck , lower border of cricoid cartilage , lower border or C6 vertebrae
Descends in front of vertebral column , pass thro superior and posterior mediastinum, pierces diaphragm (T10 vertebrae )
Ends : in the abdomen , cardiac orifice of stomach (T11 )