mediastinum Flashcards

1
Q

mediastinum borders

A

superiorly tghoracoc outlet
inferiorly diapghram
anteriorly sternum
posteriorly vc

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2
Q

at the sternal angle

A

mediastinum division
tracheal bifurication
pulmonary trunk divsion
arch of the azygous vein
the end of the ascending aorta
the beginning and end of the arch of aorta
the beginning of teh descending thoracic aorta

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3
Q

superior mediastinum contents

A

eso, trachea, large arteries and veins, thoracic duct, remenant of thymus, sympathetic trunks

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4
Q

anteri0or mediatsinum contents

A

few lymph nodes , loose connective tissue, sternopericardial ligaments , mediastinal bramches of internal thoracic artery, sometimes degenerated or remains of thymus gland

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5
Q

middle mediastinum contenst

A

1 - T h e p e r i c a r d i u m
2 - T h e h e a r t
3 - T h e a s c e n d i n g a o r t a
4 - T h e l o w e r h a l f o f t h e s u p e r i o r v e n a c a v a
5 - T h e t r a c h e a l b i f u r c a t i o n a n d b o t h m a i n b r o n c h i
6 - T h e p u l m o n a r y t r u n k a n d r i g h t a n d l e f t p u l m o n a r y
a r t e r i e s a n d v e i n s
7 - T h e r i g h t a n d l e f t p h r e n i c n e r v e s
8 - T h e d e e p p a r t o f t h e c a r d i a c p l e x u s
9 - T h e t r a c h e o b r o n c h i a l l y m p h n o d e s .

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6
Q

posterior mediastiunum contents

A

1-The descending thoracic aorta
2-Hemiazygos
3-Accessory azygos veins
4-sympathetic chains
5-splanchnic nerves
6-Vagus nerves
7-The azygos
8-The esophagus
9-The thoracic duct
10-lymph nodes

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7
Q

right brachiocephalis is formed by

A

right subclavion and right internal jugular

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8
Q

rbv begins at the

A

posteriro to the right clavicle at the medial end

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9
Q

rbv compared to the lbv is more

A

shorter and more vertical

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10
Q

lbv journey

A

it moves towards the right side passing in an inferior direction to form the superior vena cava posteriro to the lower edge of the first cc ont the right side

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11
Q

the lbv is more ehat compared to the rbv

A

longer and more horizantal

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12
Q

superior vena cava carries blood from the

A

head neck upper limbs

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13
Q

superior vena cava journey

A

begins at the posteriro lower edge of the right first cc
penetrates teh pericardium posterior to the lower edge of the 2nd right cc
and it terminates and penetrates the heart at the level of the 3rd right cc

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14
Q

azygous vein formation

A

right ascending lumbar vein and right subcostal

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15
Q

azygous vein passes from the

A

aotic opening

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16
Q

azygous vein journey

A

goes up to T5 arches forward on the root of the right lung at the level of teh sternal angle and empties into the superior vena cava posteriorly before the superiro vena cava penetrates the pericardium

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17
Q

azygous vein tributaries

A

lower eight righjt intercostal veins
mediastinal veins
right superiro intercostal veins
superior and inferior hemiazygous bveins

18
Q

inferiro hemiazygous formatons

A

left ascending lumbar vein and left subcostal vein

19
Q

inferior hemiazygous ascends through what structure

A

left crus of diaghpram

20
Q

inferior hemiazygous journey

A

at the leevl of T8 it joins teh azygious vein

21
Q

tributariesof inferiro hemiazygous

A

mediastinal veins
lower left intercostal veins
posterior intercostal 9,10,11

22
Q

superiro hemiazygous union

A

posteriro intercostal veins 4-8
joins teh azygous vein at tehlevel of T7

23
Q

aorta parts

A

ascending descending arch abdominal aorta

24
Q

ascending aorta begins at the

A

base of the LT

25
Q

the ascending aorta ends at the

A

level of sternal angle

26
Q

the ascending aorta is enclosed by

A

fiborous pericardium

27
Q

ascending aorta branches

A

right and left coronary arteries

28
Q

arch of aorta ending and begiining

A

sternal angle

29
Q

branches of arch of aorta

A

brachiocephalic trunk

30
Q

arch of the aorta i present to the lft or right of trachea

A

left

31
Q

brachiocephalic trunk ks present to teh left or right of trachea

A

right

32
Q

behind what joint to the right does the brachiocephalic trunk divide ino

A

right sternocalvicular joint

33
Q

branches of brachiocephalic trunk

A

right common carotid right subclavion artery

34
Q

arch of aorta left common carotid artery journey

A

upwrad to the left of trchea and enters teh neck at the left sternoclavicular joint

35
Q

arch of aorta left subclavion

A

upwrad to thelaft of tracha and esophagus enters teh root of the nck and arches over the apex of the left lung

36
Q

descendibng thoracic aorta

A
  • Begins: sternal angle
  • Runs downward in the posterior
    mediastinum
  • Then forward and medially to reach
    the anterior surface of the vertebral
    column
  • Ends: 12th thoracic vertebra
    through the aortic opening
37
Q

descending aorta branches

A
  • Posterior intercostal arteries:
    to the lower nine intercostal
    spaces
  • Subcostal artery
  • Pericardial arteries
  • Esophageal arteries
  • Bronchial arteries
38
Q

pulnmoary trunk descriotion

A

Begins: upper part of
the right ventricle and
runs upward,
backward, to the left
* about 2 inches
* Ends: concavity of the
aortic arch

39
Q

pulmonary trunk branches

A
  • Right pulmonary
    artery
  • Right behind the
    ascending aorta
    and superior vena
    cava to enter the
    root of the right
    lung
    ⚫ Left pulmonary artery
    ⚫ left in front of the descending aorta to enter the root
    of the left lung
40
Q

ligamentum arteriosum vonnects what two things

A

aortic arch to the left pulmonary trunk
in emvryo ductus arteriosus

41
Q

right vagus nerve info

A

posterior to the eso
posterolateral to the brachiocephalic artey
lateral to trachea
posterior to the huglim of the lung
vagys nerve penetrates tehdiaphragm
phreniuc nerve stiops at it
left vgaus nerve anterior to the esophagyus
phrenic nerve anterior to the highlim of the lung
right recurrent laryngeal will hook over the right subclavion artery
left recurrent will hook over the aortic arch under he ligamentum arteriosium