pleural cavities, lungs, mediastinum Flashcards

1
Q

what is the origin and insertion of the diaphram

A

origin: sternal slips from xiphoid, costal slips from lower 6 costal cartilages and 12th ribs , lumbar L1-L3, a right crus from bodies of L2/L3 and a left crus from bodies of L1/L2 (forms median arcuate lig)
insertion: fibers converge and insert into the central tendon

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2
Q

what is the :function, blood supply and innervation of the diaphram

A

function: respiration
blood supply: internal thoracic artery (branches via intercostal and phrenic areries)

innervation: embryological origin is cervical region, so motor and sensory innervation is from anterior rami of C3, C4, C5 via the phrenic nerve

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3
Q

what cells make up visceral pleura - what is a special function / for what?

A

flattened cuboidal mesothelium w/long microvilli

-microvilli trap hyaluronic acid - a mucopolysaccharide that binds w/water to provide lubrication of pleural surfaces

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4
Q

what is the blood supply/innervation to parietal pleura?

A

blood: visceral and intercostal branches of descending aorta
innervation: to each component it is th esame as adjacent structures (phrenic, intercostal etc)

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5
Q

what are pleural recesses

A

spaces b/w reflected layers of pleura that arent filled on quiet respiration.
-can be area of fluid accumulation

costodiaphragmatic (inferior/lateral) and costomediastinal (mediastinum inferior region)

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6
Q

what are the 4 surfaces of lungs

A

apex, costal surface (lateral), mediastinal surface (medial) and diaphragmatic surface (inferior)

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7
Q

what is distinct about the left lung (depression) whats it called

A

cardiac notch and lingula (tongue like extension)

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8
Q

how many segments are lungs divided into?

A

10 each, diseased segments can be removed

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9
Q

on the medial view of the left/right lung, what type of bronchi do you see? on which does the pulmonary veini look larger /smaller

A
  • on left; primary bronchi. on right; intermediate bronchi

- on left; pulmonary vein appears smaller , on right, pulm vein looks larger

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10
Q

which bronchus is foreign object likely to go to

A

right

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11
Q

whats it called to take fluid from lung

A

aspiration/effusion

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12
Q

what rib does lung end at

A

about 8?

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13
Q

which lung can u see inferior/superior vena cava marks

A

right lung

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14
Q

how many lobes does each lung have

A

left 2, right 3

sup/inf

sup/middle,inf

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15
Q

how many cartilagenous rings are theere in trachea

A

20

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16
Q

what changes to support bronchiole walls

A

more smooth muscle! increase to support their walls

17
Q

how do bronchiles end

A

terminal respiratory bronchioles from which ductules lead to blind sacs and alveoli

18
Q

what supplies lung tissue with blood?

A

bronchial arteries, branches from descending aorta

-unpaired!

19
Q

what is the parasympathetic innervation to lungs? which cranial nerve? what does it do

(efferent)

A
  • vagus nerve
  • CNX
  • bronchodilators
  • secretomotor (lubricaton?)
20
Q

what is the sympathetic efferent innervation to lungs origin? what does it cause

A

derived from 3rd and 4th ganglia of sympathetic trunk mainly. bronchodilators

21
Q

what are the somatic afferent innervation from lung through

A

via vagus and sympathetic trunk

22
Q

how is transverse diameter increasd for lungs resp, where are ribs raised?

A

via intercostals! raises ribs at costovertebral and costosternal joints!!

23
Q

how is anteroposterior diamter increased for lung respiration? which bones move ?

A

right/left rib pairs rise as a unit= rise at costovertebral joints and lift sternum

24
Q

how is vertical plane increased for lung resp

A

enlarged by diaphram contracting downwards

25
what are accessory muscles for inspiration & what each do
sternocleidomastoid (elevates sternum), scalene group (elevate upper ribs), pectoralis minor
26
what are the principal muscles for inspiration?
external intercostals, interchondral part of internal intercostals (elevate ribs) -diaphram (dome descends, thus increasing verttical dimension of thoracic cavity and elevates lower ribs
27
what causes quiet breathing expiration? mechanics | -same for active breathing expiration? what do each muscle do exactly?
quiet : expiration from passive, elastic recoil of lungs, rib cage and diaphram active: internal intercostals , EXCEPTT interchondral part, pulls ribs down. abdominals (pulls ribs down, compress abdominal contents thus pushing diaphram up) also quadratus lumborum pulls ribs down
28
what is forced expiration called (CPR)
heimlich maneuver