Pleural Cavity, Mediastinum, Trachea, Lungs, Diaphragm Flashcards
______ is the removal of pleural fluid. What is the clinical relevance of this?
- Thoracocentesis
- A needle is inserted into the costodiaphragmatic recess at the 7th or 8th intercostal space and ventral to the costochondral junction
______ is an invasive procedure that involves using a needle and catheter to remove fluid (called a pericardial effusion) from the sac around the heart (the pericardium).
Pericardiocentesis
The _____ ______ is the oval opening into the cranial part of the thoracic cavity. What are its boundaries?
-Thoracic Inlet
-Bilaterally: The first pair of ribs
Dorsally: The first thoracic vertebra
Ventrally: The manubrim of the sternum
What organs traverse the aperture of the thoracic inlet?
- Trachea
- Espohagus
- Vagosympathetic nerve trunks
- Recurrent laryngeal nerves
- Phrenic nerves
- First two thoracic spinal nerves
- Several vessels
The walls of the ____ ____ are formed by the muscles, bones, and ligaments of the thoracic wall. It is bounded by the subserous ______ _____.
- Thoracic cavity
- Endothoracic fascia
What is endothoracic fascia?
Areolar tissue that attaches the muscles, ligaments, and bones to the underlying costal and diaphragmatic pleurae
____ are serous membranes that line the wall of the thorax and cover the lungs. They form right and left sacs that enclose the ____ ____.
- Pleura
- Pleural cavities
What are the two kinds of pleura?
- Parietal
2. Pulmonary (visceral)
____ pleura for the walls of pleural cavities. What are the three parts?
- Parietal
1. Costal
2. Mediastinal
3. Diaphragmatic
The _____ pleurae is the cranial extent of the parietal pleura in the pleural cavity extending through the thoracic inlet. Which side is bigger?
- Cupula
- Left
What is the clinical relevance of the cupula pleurae?
It can be mistakenly opened during caudal neck surgery or neck injury causing pneumothorax, which is air in the pleural cavity
The visceral portion of the pleura is called the ____ pleura. What does it adhere to?
- Pulmonary
- Adheres tightly to the surface of the lungs and follows all of their irregularity
What are pleural recesses and why do they occur?
- They are spaces where regions of parietal pleura are directly applied to each other
- This occurs because the parietal pleura forming the pleural sac is larger than the space the lungs occupy, or the pulmonary pleura
What are the two pleural recesses?
- Costodiaphragmatic
2. Costomediastinal
The _____ is the space between the right and left pleural sacs.
Mediastinum
What organs are enclosed in the mediastinum?
- Thymus
- Heart
- Aorta
- Trachea
- Esophagus
- Vagus nerves
- Other nerves and vessels
The mediastinum is divided into three parts by the heart. What are they?
- Cranial mediastinum
- Middle mediastinum (occupied by the heart)
- Caudal mediastinum
The roots of the lungs divide the mediastinum into two parts. What are they?
- Dorsal mediastinum
2. Ventral mediastinum
What is unique about the mediastinal pleura in the dog, horse, and sheep? What is the clinical relevance of this?
-The mediastinal pleura has fenestrations or perforations. Because of these holes, if pneumothorax occurs, it is most often bilateral.
What are the two parts of the respiratory tract? What is in each part?
- Upper respiratory: Respiratory structures between the nares and lungs including the nasal cavity, pharynx, larynx, and trachea
- Lower respiratory: Lungs
What is the main function of the upper respiratory tract, and what are its other functions?
- Main: conducting air to and from the lungs
- Other: modification of inspired air, thermoregulation, defense against harmful substances, olfaction
What is the main function of the lower respiratory tract? Where does this function occur?
- Main function: Gas exchange- exchange of oxygen from the atmosphere with carbon dioxide from the blood
- Occurs in respiratory bronchioles, alveolar ducts, and alveoli
What are the two parts of the trachea? Where does the trachea start and end?
- Cervical part- starts from the cricoid cartilage of the larynx
- Thoracic part- ends at the bronchi
The trachea enters the thoracic cavity to the ____ of the esophagus, then turns ____ to the esophagus. It ends at the ____ of the ____.
- Right
- Ventral
- Base
Describe the structure of the trachea.
- Tracheal cartilage made of hyaline cartilage composed of 35 incomplete rings
- Tracheal muscle made of smooth muscle that connects the tracheal cartilage dorsally
- Annular ligaments of the trachea made of fibroelastic tissue that connects consecutive tracheal rings
At what vertebra does tracheal bifurcation occur? What does it bifurcate into? Is it dorsal or ventral to the base of the heart?
- T4 to T5
- Left and right primary bronchi
- Dorsal
The _____ ____ is the crest inside the bifurcation of the trachea.
Tracheal carina
The lungs serve a _____ function in the mechanical act of breathing or respiration. What does this mean?
- Passive
- It expands according to the volume of the thoracic cavity
Each lung contains a concave ____ that lies adjacent to the diaphragm and an ____ that lies in the thoracic inlet.
- Base
- Apex
What are the four surfaces of the lungs and where are they located?
- Costal- lateral, against the ribs
- mediastinal- face the opposite lung
- Diaphragmatic- Against the diaphragm
- Interlobar- Contact adjacent lobes of the same lung
What are the lobes and parts of the lobes of the left lung?
- Cranial lobe
- cranial part
- caudal part - Caudal lobe
What are the lobes of the right lung?
- Cranial lobe
- Middle lobe
- Caudal lobe
- Accessory lobe
From the right and left sides, how can you see the accessory lobe of the right lung?
- Left side: Seen through the caudal mediastinum
- Right side: Seen through the plica venae cavae
The _____ ____ ___ is a fold of pleura from the right caudal mediastinum that surrounds the caudal vena cava.
Plica venae cavae
The ____ lobe of the right lung passes dorsal to the caudal vena cava.
accessory
What is the cardiac notch, where is it located, and what is its clinical relevance?
- It is a tissue between the cranial and middle lobes of the right lung, located at the 4th and 5th intercostal spaces.
- It exposes the right ventricle of the heart so that a cardia puncture can be performed here
True or False: Both the left and right lungs have a cardiac notch, but it is not obvious on the left lung.
True
What is the duel blood supply of the lungs and what are their functions?
- Pulmonary vessels that function as the lungs and perform gas exchange
- Bronchial vessels that supply nutrients for the lungs by providing a regular systemic blood supply to the lower respiratory tract
Pulmonary vessels transport ____ blood to the lungs and return ____ blood from the lungs.
- Deoxygenated
- Oxygenated
What is the path of blood flow through pulmonary vessels?
Deoxygenated blood in the right ventricle: 1. pulmonary trunk 2. Left and right pulmonary arteries 3. Pulmonary veins Left atrium
What is the path of blood flow through the bronchial vessels to supply the lungs with blood?
Left ventricle–> aorta–>
- Right 5th or 6th intercostal artery
- Bronchoesophageal arteries
- Bronchial arteries
The _____ of the lung are the area where vessels and bronchi enter the lungs.
Hilus
The ____ of the lung is the aggregation of structures which enter the lungs.
Root
The ______ is a musculotendious plate between the thoracic and abdominal cavities. What are its functions and how is it innervated?
- Diaphragm
- Functions: aids in respiration, separates the thoracic and abdominal cavities
- Nerve supply: Right and left phrenic nerves
What are the four parts of the diaphragm?
- Central tendon
- Sternal part
- Costal part
- Lumbar part (Right crus and left crus)
There are three openings in the diaphragm that serve as a passage of structures from the thoracic to abdominal cavities. What are they and what passes through each?
- Aortic hiatus (aorta, azygos vein, thoracic duct)
- Esophageal hiatus (esophagus and vagal nerve trunks)
- Foramen vena cava (caudal vena cava)
Where can lung auscultation and percussion be performed?
Triangular area of auscultation and percussion
- Cranial: triceps and teres major muscliest the 5th rib
- Dorsal: Back muscles at ribs 5-11
- Basal Border (caudoventral)- 6th rib at the costochondral junction, to mid 8th rib, to dorsal 11th rib