Pleura Flashcards
The two layers of the pulmonary pleura are continuous along the ……… But it is deficient………..
The root of the lung but deficient along the hilum where the structures enter and are reflected as pulmonary ligament
What is the thoracic fascia
A layer of loose areolar connective tissue that separates the parietal pleura from the thoracic wall.
The visceral pleura is about ——– ribs higher than the lines of pleura reflection
2 ribs
A part of endothoracic fascia called………… also separates the diaphragmatic pleura from the diaphragm
Phrenicopleural fascia
The diaphragmatic pleural reflects upward to join ………….
Mediastinal pleura
An extension of the endothoracic fascia that covers the cervical pleura is called………
Suprapleural
The cervical pleura is about ……….. cm above the medial end of the clavicle and the first rib
2.5 cm
3-4 cm
What is the surface marking of the cervical pleura
A convex line that spans from the sternoclavicular joint to the junction of the middle of the clavicle
Relations of the cervical pleura
Anteriorly: subclavian trunk
Brachiocephalic vein
Laterally:scalene anterior and scalene medius
Posteriorly: neck of the first rib
The scalene muscles send fibres to ……….. Membrane to tense it
Suprapleural membrane
How is thoracocentesis carried out?
By inserting a needle at the mid-axillary line into the 9th intercostal space
Thoracosentesis drains fluid while thoracostomy drains both fluid and air
What is the procedure?
Inserting a needle at the mid axillary into the 5th or 6th intercostal space.
Directed upward to drain air, downward to drain fluid
Pleurodesis vs pleuroctomy
Jk
Mediastinum: what is the sternopericardial ligament?
It connects the xiphoid process to the pericardium
During expiration, the lobes of the diaphragm reach as high as
Left -5th intercostal space
Right -5th rib
