middle mediastinum Flashcards
the pericardium is a ______ sac that encloses the heart and roots of the great vessels
fibroserous
where does the pericardium lie
middle mediastinum
anterior boundary of the middle mediastinum
body of sternum and 2-6th costal cartilage
posterior boundary of the mid mediastinum
5-8th TV
superior bound of mid medias
great bld vessels
inf bound of mid medias
diaphragm
function of mid mediastinum
restrict excesive movements
lubricated container
strong fibrous art of the sac
fibrous ericardium
where is the fibrous pericard firmly attached below
central tendon via pericardio-phernic ligament
where is the fibrous pericard attached anteriorly
sternum via sternopericardial ligaments
great bld vessels that pass thru the mid medias
aorta
pulmo trunk
sup inf vena cava
pulmo veins
lines the fibrous pericardium and coats the heart
serous pericardium
the serous pericardium is divided into
parietal and visceral layers
lines the fibrous pericardium and is reflected around the roots of the great vessels and becomes continuous with the other layer at the base of the heart
parietal layer
where does the parietal and visceral layer unite
base of the heart
layer closely applied to the heart
visceral layer
slitlike space between the parietal and visceral layers
pericardial cavity
amount of pericardial fluid
around 50 mL
purpose of pericardial fluid
lubricant
formed as a consequence of the way the heart bends during dev’t
pericardial sinus
recess due to reflection of the serous pericardium around large veins; at the posterior surface
oblique sinus
short passage between the reflection of serous pericardium around the aorta and pulmo trunks and around large veins
transverse sinus
NS of firbous and parietal layer of the serous pericardium
phrenic nerve
NS of visceral layer
sympa trunks and vagus nerve
hollow organ somewhat pyramidal in shape
heart
the ehart lies freely where
in pericardium
the heart is connected to the heart vessels only where
base
the hearts rests on its what
diaphragmatic surface
surfaces of the heart
sternocostal
diaphragmatic
base
the apex of the heart is directed where
downward forward to the left
right and left border of the sternocostal surface
right atrium and left ventricle
right ventricle and left ventricle is separated by
posterior and anterior interventricular groove
right atrium and left ventricle is separated by
atrioventricular groove
formed by the right and left ventricle
diaphragmatic surface
kelan kasama ang right atrium sa diaphragmatic surface
kpag bukas ung inferior vena cava
where does 4 pulmonary veins open
base (posterior)
surface formed by left atrium
base (posterior)
surface formed by the left ventricle
apex
sang level ang apex
5th left ICS 3.5 inches from midline
clinical auscultation of pulmonary valve
medial end of 2nd left ICS
clinical auscultation of aortic valve
medial end of 2nd right ICS
clinical auscultation of mitral valve
apex (5th left midclavicular ICS)
clinical auscultation of tricuspid valve
6th ICS (lower end of sternum body)
surface anatomy of pulmonary valve
3rd left rib medial end
surface anatomy of aortic valve
3rd left parasternal ICS
surface anatomy of mitral valve
4th left parasternal rib
surface anatomy of tricuspid valve
4th right parasternal ICS
right border of the heart
formed by the right atrium
3rd to 6th ICS
3cm and 1.5cm resp. from midternal line
left border of the heart
formed by the left auricle and left ventricle
2nd-5th left ICS
superior border fo the heart
formed by the great vessels of the heart
3rd right costal and 2nd left costal