Mediastinum Flashcards

1
Q

What is the mediastinum and what is contained in it

A

separates pleural cavities, central part of thorax. contains thymus gland, pericardial sac, heart, tracheae, major arteries and veins

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2
Q

what are the boundaries of the superior mediastinum:
1-anteriorly
2- posteriorly
3- superiorly
4- inferiority

A

1 - manubrium
2 - thoraci vertebrae T1-T4
3 - thoracic inlet and first rib
4 - sternal angle

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3
Q

describe the layers of the pericardium

A

fibrous pericardium is the tough connective outer layer
then there’s the thinner serous pericardium which is split into two layers:
- parietal = lines the inner surface of the fibrous
- visceral = attaches to the heart and forms the outer cover (epicardium)

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4
Q

what is contained in the superior mediastinum (BATS TENT)

A

Brachiocephalic veins
Arch of aorta branches
Thymus
Superior vena cava
Thoracic duct
Esophagus
Nerves (vagus, phrenic, recurrent laryngeal)
Trachea

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5
Q

what is the function of the thymus

A

present in children, produces T lymphocytes

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6
Q

draw the branch of the aorta with the respective arteries coming off

A

check notes

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7
Q

draw the superior vena cava with the respective veins coming off

A

check notes

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8
Q

what is the function of the azygous and hemiazygous veins

A

azygous = recieves blood from intercostal posterior veins from the right side of body
hemiazygous = receive blood from posterior intercostal veins from left side of body and drain them into azygous

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9
Q

what is the function of the ligamentum arteriosum

A

connects the pulmonary trunk with the arch of the aorta so that blood can bypass the lungs in development

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10
Q

what is the function of the vagus nerves

A

arise from cranial nerve 10, parasympathetic control

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11
Q

what is the difference in structure between the right and let recurrent laryngeal nerves

A

right winds around the subclavian artery
left winds around the arch of the aorta

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12
Q

what do the left and right vagus nerves further divide into

A

the oesophageal plexus, which forms the anterior and posterior vagal trunk

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13
Q

what is the function of the phrenic nerves

A

arise from C3,C4,C5 and supplies the diaphragm

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14
Q

what is the function of the recurrent laryngeal nerves

A

motor function to the larynx, trachea and oesophagus to allow swallowing, breathing and speaking, and communicate sensory information to the brain

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15
Q

What is the carina and what vertebral level is it at

A

ridge of cartilage in the windpipe that is at the bifurcation of the trachea. occurs at T4/5 - same level as the sternal angle

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16
Q

At what vertebral level does the trachea begin

A

C6