Mediastinum Flashcards

1
Q

What is the border of the superior mediastinum?

A

from thoracic inlet to the level of the sternal angle and the T4/5 intervertebral disc

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2
Q

What is the transverse thoracic plane of Ludwig?

A

the plane at the sternal angle, 2nd rib ala Angle of Louie, and vertebral level T4/5 where the mediastinum is separated into superior and inferior divisions

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3
Q

what is in the anterior mediastinum?

A

fat, remnants of thymus

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4
Q

whats in the middle mediastinum?

A

heart, great veseels, pericardium

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5
Q

whats in the posterior mediastinum?

A

esophagus, trachea, descending aorta, thoracic duct, azygous v., hemizygous v., sympathetic trunks, and splancnic n.

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6
Q

what structures run on posterior sternum?

A

internal throacic veins arteries and lymph

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7
Q

which side of the heart is usually anterior?

A

Right

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8
Q

which side of the heart is usually posterior?

A

Left

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9
Q

where is the phrenic n. in relation to the hilum of the lungs?

A

anterior - between fibrous pericardium and mediastinal pleura

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10
Q

where does the vagus n. in relationship to the hilum of the lungs?

A

posterior

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11
Q

what is different between the left and right vagus nerves?

A

left - anterior surface of esophagus right - posterior surface of esophagus

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12
Q

Know recurrent laryngeal n.

A
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13
Q

What gives the heart sympathetics?

A

cardiac autonomic plexus

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14
Q

what are the openings in the diaphragm and what are the vertebral levels?

A

IVC T8

esophagus T10

Abdominal aorta T 12

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15
Q

What do the visceral afferent n. (Vagus n.) supply?

A

normal physiological processes and reflex activities

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16
Q

what do the visceral afferents that pass through the sympathetic trunks and the splanchnic nerves providing?

A

detection of esophageal pain

17
Q

Where does motor inneravation of the esophagus come from?

A

branchial efferent of vagus - striated

visceral efferent of vagus - smooth

18
Q

where does the thoracic duct dump?

A

venous systems at the junction of the left internal jugular and left subclavial veins

19
Q

at what levels are the great, lesser and least splancnic nerves found?

A

T5-T9

T10-11

T12