MIKE RES Flashcards
List of hyoid bones
Thyrohyoid bone Keratohyoid bone Epihyoid bone Stylohyoid bone Tympanohyoid cartilage Basihyoid bone
Hierarchy of words for larynx area
Cricoid Thyroid Arytenoid Hyoid Epiglottis
Cats Tripped At Happy Easter
List the four main cartilages
Epiglottis
Thyroid
Cricoid
Arytenoid
List the four main processes of the Arytenoid cartilage
Cuneiform proces
Corniculate process
Muscular process
Vocal Process
List the three articulations of the thyroid cartilage and explain movement
Cricothyroid
Cricoarytenoid
Thyrohyoid
List the 4 main ligaments of the larynx
Vestibular ligament
Vocal ligament
Cricothyroid ligament
Cricotracheal ligament
Name the 3 folds and ventricle of the larynx
Aryepiglottic fold
Vestibular fold
Lat.ventricle
vocal fold
List the 4 sections of the larynx
Aditus laryngis
Vestibule
Rima glottidis
Infraglottic cavity
List the three extrinsic muscles and what the overall fx is
Overall fx = deglutition
Thyrohyoid m
Hypoepiglottic m
Geniohyoid m
List the five intrinsic muscles
Adductors (close glottis) Cricothyroid Lateral cricoartenoid Transverse arytenoid Thyroarytenoid
Abductors (open glottis)
- Dorsal cricoarytenoid
Cricothyroid m
Intrinsic adductor
Ori- lat cricoid
Ins- lat thyroid
Fx- tenses vocal fold preventing abduction
Lateral cricoartenoid m
Intrinsic adductor
Ori- lat ros cricoid
Ins- muscular process arytenoid
Fx- ventral edge arytenoid = adduct vocal cords
Transverse arytehoid m
Intrinsic adductor
Ori + ins = strap over dorsally, arytenoid mus process to bus process
Fx= close/fine tunes
Thyroarytenoid m
Intrinsic adductor
Dog/horse = divided into ventricular (ros) and vocalis (caud)
Ori = epiglottis + thyroid (midline)
Dorsal cricoarytenoid m
Intrinsic abductors
Ori - on cricoid
Ins - muscular process of arytenoid
Which cranial nerve does innervation of the larynx come from and the two main branches
Vagus n. —> cranial laryngeal n and caudal laryngeal n (arises from recurrent laryngeal n).
Recurrent laryngeal pathway, left vs right
L = around the aortic arch, goes up ventral groove between trachea and oesophagus
R = around R subclavian a. Continues up the dorsalateral trachea
Roaring in horses
Left recurrent laryngeal hemiplegia
dorsal cricoarytenoid m. (Only abductor)
Surgery correction
Caudal laryngeal n. Fx
Motor innervation for all intrinsic mm except cricothyroid Lateral cricoartenoid m Transverse arytenoid m Thyroarytenoid m Dorsal cricoarytenoid m
Cranial laryngeal n. Fx
And branches
Internal Cranial Laryngeal n
sensory to mucosa
External canal laryngeal n
- motor to cricothyroid
Microanatomy of trachea
Mucosa ( epi= pseudostratified columnar ciliated + goblet cells) (lamina propria = loose, vascular connective tissue) (mucosa cilia elevator)
Submucosa (seromucous tracheal glands)
Musculo - cartilaginous
Adventitia
Two sectioning of larynx
Cervical
oesophagus Dorsal to trachea rostral 2/3 then on left side caudal 1/3
Thoracic
- Dorsal to cranial vena cava
- bifurcates dorsal to base heart level 4th - 6th intercostal space
Tracheal stx 3 parts
C shaped hyaline cartilage Open dorsal Annular ligaments (fibre-elastic) Trachealis m Dorsal aspect in gap of rings Smooth m Carnivores = external, herbivores = opposite Shaped different
Pleura Stx
Serous membrane
simple squamous
Thin lamina propria
Serous fluid/ exudate (fluid leaks out of blood vessels) = lubrication
Formation of the pleura including “pulmonary visceral pleura”
As lung grows out from principle bronchi it pulls pulmonary visceral pleura with it
List the three layers of the pleura
Pulmonary visceral pleura
Parietal pleura
Pleural space
Importance and fx of pleura cavity
Fx - make lungs + pulmonary visceral pleura stick
Achieved =
- Slight vacuum in pleural space
- Innate surface tension of fluid
Mediastinum definition
Contains everything in the thoracic cavity except
lungs, caudal vena cava, right phenric artery
Cranial mediastinum
Pre cardiac Tracheal Oesophagus Blood vessels Sympathetic trunk Vagus Recurrent laryngeal Phenric
Middle mediastinum
Cardiac region heart ❤️ (pericardium) Descending aorta Oesophagus Bifurcation of tracheal Vagus n. Phrenic n.
Caudal mediastinum
Post-cardiac
plica venae cava (Caudal vena cava, R phenric n.)
Mediastinal recess (accessory lobe-horses)
Pulmonary ‘ligament’ (pleural fold)
Costo-diaphragmatic recess
no lung
3 surfaces of the lung
Costal
Mediastinal
Diaphragmatic
3 borders of the lung
Dorsal
Ventral (with cardiac notch)
Basal
List lung lobes L and R
L = Cranial (cranial + caudal) R = Cranial, intermediate, caudal, accessory
Tracheal bronchus
Extra tracheal bronchus (pigs + ruminants) on the right
Horse called the primary bronchus
Cardiac notch
The heart pokes out
Hilus explained an list the things coming out
Anchors lungs to trachea and heart Contains principal bronchus Pulmonary vessels Bronchial vessels Lymphatic vessels and nodes Nerves
The two divisions of internal structure and the parts in it
Conducting = branching bronchi Respiratory = respiratory bronchioles down
1 bronchi principal
1.Mucosa
longitudinal fold, epi = pseudo, lamina propria = loose connective (lymphocytes, capillary)
2. Smooth muscle = (circular to spiral)
3. Submucosa = (sero-mucous bronchial glands, elastic fibres BV)
4. Fibroelastic/cartilage (cartilage plates —> less continuous, them trachea)
2 secondary bronchus
ciliated epithelium bronchial glands elastic fibres smooth muscle (circular) cartilage
3 secondary bronchus
smooth muscle is spiral, bronchial glands and cartilage
Bronchioles
But muscle v important in controlling resistance to air flow and distribution of air to alveoli
- Bronchioles small but many of them = largest cross-sectional area of airway
have smooth muscle (spiral) and mucous around
Terminal bronchioles
Usually Respiratory bronchioles
2 from each term. Bronchioles
Occasional alveoli
CLUB CELLS
Explain the levels of the trachea
Club cells
(Formerly ‘Clara cells’)
Replace goblet cells of respiratory bronchioles and onwards
Secrete = “lipoprotein surfactant”
List the alveoli cells
Pneumocyte
Endothelial cell
Capillary
Alveolar space
Explain Blood-gas barrier
Type 1 epithelial cells
Basement membrane
Endothelial cells of capillaries
Explain the 3 factors which the lung has to combat and the 3 adaptions they have
Alveoli = delicate
Exposed to air
Smooth muscles = control rate
So air is humidified, warmed and filtered
Superficial lymphatics
Lx = sub-pleural connective tissue
Deep lymphatics
Lx follows bronchial tree Follows bronchial tree Tracheal-bronchial Pulmonary Mediastinal Lymph nodes
Innervation of lungs
Vagus (parasympathetic) -broncho-constriction Sympathetic -broncho-dilation -vasoconstriction bronchial aa
Explain the two divisions of the blood system
Functional Oxygenation Relatively simple Pulmonary arteries and veins Provide nutrition to alveoli (O2)
Nutritional
Supply (pleura, stroma
List the phases of embryology larynx, trachea and lungs
Starts at pharyngeal region laryngotracheal groove in floor foregut Pseudo glandular Canaliculi - Repiratory bronchioles, air sacs, blood supply Terminal sac - epithelium differentiates type I and II Alveolar stage - alveoli
Explain the pump mechanism
Lung have elasticity which helps with contraction
Inspiration (expansion) based on thoracic wall and diaphragm
Thoracic cavity bounded by
first 2 ribs cranially Thoracic vertebrae dorsally Sternum ventrally Ribs laterally Diaphragm caudally IMPORTANT = a sealed cavity by costal and diaphragmatic pleura
Thoracic cage
Ribs, vertebrae and sternum
Thoracic inlet
Cranial end of thoracic cage Bound by 1st vertebrae 1st pair of ribs laterally Manubrium sterni ventrally