Mediastinum Heart and Lungs Flashcards

1
Q

Right Lung Features

A

3 lobes (superior, middle, and inferior)
oblique and horizontal fissure
apex

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2
Q

Left Lung Features

A

2 lobes (superior and inferior)
oblique fissure
apex
lingula

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3
Q

R. Lung Medial

A

superior vena cava– where BCV come together
esophagus impression
azygos vein-arches over roof of R. lung
heart impression

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4
Q

L. Lung Medial

A
aortic arch 
thoracic aorta
esophagus in midline
heart impression 
lingula
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5
Q

Visceral Pleura

A

inner lining on lung, smooth slippery surface to freely move on the parietal pleura

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6
Q

Parietal Pleura

A
outer layer, adjacent to thoracic wall
cervical part
costal part
diaphragmatic part
mediastinal
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7
Q

Lung Recesses

A

site of fluid accumulation
costodiaphragmatic
costomediastinal

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8
Q

Lung Root

A
pulmonary arteries
pulmonary veins
bronchi
hilum
pleura covering
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9
Q

hilum

A

passageway of doorway

includes: pulmonary artery, pulmonary vein, primary bronchus

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10
Q

Pulmonary Ligament

A

extension of pleura covering, allows for expansion and keeps everything together

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11
Q

Right Lung Root

A

pulmonary artery are anterior to primary bronchu

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12
Q

Left Lung Root

A

pulmonary artery are superior

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13
Q

Trachea

A

rings

carina– internal feature, at point of main bifurcation

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14
Q

bronchi

A

right primary (larger) –more vertical
left primary
secondary bronchi– each will serve a respective lobe

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15
Q

tertiary

A

bronchopulmonary segments, 10 different segments

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16
Q

Reflections

A

costodiaphragmatic
costomediastinal
costovertebral

17
Q

Right Atrium

A

crista terminalis
septum (fossa ovalis)
opening of AV valve, coronary sinus, inferior vena cava, superior vena cava
pectinate muscle

18
Q

Fossa ovalis

A

remnant of fetal foramen ovale that connected right and left atria

19
Q

Left Atrium

A

valve of foramen ovale
opening of the AV valve
4 pulmonary veins

20
Q

Right Ventricle

A

right AV valve (tricuspid)– three cusps, chordae tendineae, and 3 papillary muscles
conus arteriosus
opening of AV and pulmonary trunk
pulmonary valve
wall– trabeculae carneae and septomarginal trabecula (moderator band)

21
Q

Left Ventricle

A
aortic valve
opening of aortic valve and AV valve
left AV valve (bicuspid)-- two cusps, chordae tendinease, 2 papillary muscles 
interventricular septum 
wall-trabeculae carneae
22
Q

Ligamentum Arteriosum

A

Ductus Arteriosus fetal remnant–

pulmonary trunk to arch of aorta

23
Q

Chordae Tendinae

A

oriented to papillary muscles, prevents reflux of blood into atria

24
Q

Ascultation Sites

A

Aortic
pulmonary
R AV tricupsid
L AV, mitral

25
Cardiac Referred Pain
brain interprets pain from skin over L pectoral, L shoulder and medial skin of upper extremity pain receptors are in myocardium visceral afferent axons cell bodies in DRG
26
Conduction System
connection of interconnected cardiac cells
27
Costal part of parietal pleura
internal surfaces of the thoracic wall, separated from internal surface by endothoracic fascia
28
mediastinal part of parietal pleura
covers lateral aspect of mediastinum, continues as cervical pleura into the root of the neck
29
diaphragmatic part of parietal pleura
covers superior thoracic surface of the diaphragm on each side of the medistinum, except on costal attatchments and where diaphragm is fused to periardium
30
cervical pleura
covers apex of lung extending superiorly into root of the neck, forms a cup like dome over the apex