Mediastinum Flashcards

1
Q

What are the structures superior mediastinum?

A

Thymus, brachiocephalic veins, superior vena cava, arch azygous vein, arch of aorta and branches

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2
Q

The _________ gland is replaced by adipose tissue following puberty

A

thymus

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3
Q

The union of the right and left internal _________ and _______veins that drains upper limbs and head and neck, right ________ angle receives lymph from right lymphatic duct, left venous angle receives lymph from _______ duct

A

jugular, subclavian, venous, thoracic

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4
Q

The union of the right and left _________ veins returns oxygen _______ blood to right atrium from all structures superior to _______ except for heart and lungs

A

Branchiocephalic, poor, diaphragm

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5
Q

The arch of the azygous vein provide collateral blood flow from the lower half of the body to the superior ______ _____ (bypassing inferior vena cava)

A

vena cava

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6
Q

the _________ trunk, left common _______ artery, and left _________ artery, supplies head and neck and __________ limbs

A

brachiocephalic, carotid, subclavian, upper

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7
Q

ligamentum __________ attaches aorta to the left _________ artery, the left recurrent ________ nerve passes lateral to the ligamentum arteriosum and ascends towards the _______ between the trachea and esophagus

A

arteriosum, pulmonary, laryngeal, larynx

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8
Q

The aortic arch ascends at the level of the ______ angle anterior to the right _______ artery and ______ of the trachea, then passes superoposteriorly and to the left of the ________ and esophagus and arches over left main _______ and left pulmonary artery and reaches the left side of the T4 vertebral body (to become the descending aorta)

A

sternal, pulmonary, bifurcation, trachea, bronchus

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9
Q

The _______ nerves pass posterior to branchiocephalic veins and root of the lungs (parasympathetic)

A

vagus

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10
Q

the left recurrent ________ nerve of vagus loops under the arch of the aorta lateral to the ligamentum arteriosum and ascends towards the larynx between the trachea and ___________

A

laryngeal, esophagus

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11
Q

________ nerves contribute to the __________ and esophageal plexuses

A

vagus, pulmonary

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12
Q

________ nerves pass anterior to root of lungs (innervate diaphragm)

A

phrenic

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13
Q

the _______ extends into thorax from neck via the _______ ________ aperture anterior to the esophagus, consists of incomplete cartilaginous rings, ends at level of sternal angle where it bifurcates into main bronchi

A

trachea, superior thoracic

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14
Q

the ________ extends into thorax from neck via superior thoracic aperture anterior to T1-4 vertebrae

A

esophagus

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15
Q

The _____ duct is a lymphatic duct between the esophagus and left _______ nerve, drains lymph at left venous angle

A

thoracic, vagus

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16
Q

In the posterior mediastinum, the _______ passes posterior to the pericardium and antrior to the descending aorta, passes into the abdomen via the esophageal hiatus of the ______

A

esophagus, diapraghm

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17
Q

The esophageal plexus consists of ________ axons of the vagus nerves that innervate smooth muscle of the inferior esophageal wall and inferior esophageal sphincter

A

preganglionic

18
Q

the thoracic aorta is a continuation of the arch of the aorta, descends on the left side of T5-12 and lies posterior to the root of the left lung, pericardium, and esophagus, passes into the abdomen via the aortic _______ of the diaphragm, and is surrounded by the thoracic aortic __________

A

hiatus, plexus

19
Q

what are the branches of the thoracic aorta

A

bronchial arteries, mediastinal arteries, esophageal arteries, pericardial arteries, posterior intercostal arteries, superior phrenic arteries, and subcostal arteries

20
Q

what do the bronchial arteries supply?

A

trachea, bromchi, lung tissue, lymoh nodes

21
Q

what do the mediastinal arteries supply?

A

the lymph nodes of the posterior mediastinum

22
Q

what do the esophageal arteries supply?

A

unpaired, supply esophagus

23
Q

what do the pericardial arteries supply?

A

unpaired, supplies pericardium

24
Q

what fo the posterior intercostal arteries anastomose with? where do they pass through?

A

pass into 3rd-11th intercostal spaces, anastomose with anterior intercostal arteries from the internal thoracic arteries

25
What do the superior phrenic arteries supply? what do they anastamose with
supply superior surface of the diaphragm, anastamose with the musculophrenic arteries of the internal thoracic arteries
26
What do the subcostal arteries supply?
abdominal muscles
27
Where does the thoracic duct begin in the abdomen, where does it pass through?
cisterna chyli, passes through aortic hiatus
28
The thoracic duct ascends on T__-___ vertebral bodies into the superior ______
T5-12, mediastinum
29
Where does the thoracic duct drain lymph from?
lower limbs, pelvic cavity, abdominal cavity, left side of thorax, left side of head and neck, and left upper limb
30
The hemi azygous and accessory azygous drain into _________ vein
azygous
31
The left superior _____ vein receives superior left posterior ________ veins and drain into left branchiocephalic vein
intercostal, intercostal
32
the azygous vein drains into superior _______ _______ but also communicates with inferior _____ _________
azygous, vena cava, vena cava
33
The azygous vein receives right _____ intercostal veins and drains the right posterior _____ wall
posterior, thoracic
34
the hemi-azygous vein recieves inferior left posterior ______, _______, and _______ veins
intercostal, mediastinal, esophageal
35
the accessory hemi-azygous vein receives left middle posterior _______ veins and drains left posterior _________ wall
interocstal, thoracic
36
What are the thoracic splanchnic nerved?
preganglionic sympathetic nerves that arise from the lateral horn of the spinal cord, pierce the diaphragm, and synapse with postganglionic nerves located in ganglia within the abdominal cavity
37
the thoracic splanchnic nerves innervate the
abdominal viscera and vasculature
38
The thoracic splanchnic nerve includes the greater splanchnic nerve T_-T_, lesser splanchnic nerve T_-T_, least splanchnic nerve T_
6-9, 10-11, 12
39
What are the adjacent structures to the mediastinum that are not considered part of the mediastinum?
inferior vena cava, thoracic sympathetic trunk
40
Where does the thoracic sympathetic trunk lie?
thoracic vertebral bodies
41
Where does the inferior vena cava enter? what does it drain?
enters thorax through vena caval foramen of diaphragm, drains abdomen, pelvis, and lower extremeties
42