Posterior Mediastinum Flashcards

1
Q

Which vertebrae make up the posterior border of the posterior mediastinum?

A

T5-T12

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2
Q

What are the contents of the posterior mediastinum?

A

thoracic aorta, oesophagus, thoracic duct, azygous system of veins, sympathetic trunk

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3
Q

At what level does the thoracic aorta pass through the aortic hiatus in the diaphragm?

A

T12

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4
Q

What are the major branches of the thoracic aorta?

A

posterior intercostal arteries, bronchial arteries, oesophageal arteries, superior phrenic arteries

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5
Q

How many pairs of posterior intercostal arteries are there?

A

nine

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6
Q

How many pairs of bronchial arteries are there?

A

one or two, left bronchial arteries always arise directly from the thoracic aorta, while those on the right usually branch indirectly from a right posterior intercostal artery

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7
Q

Are the oesophageal arteries paired or unpaired?

A

unpaired

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8
Q

How many oesophageal arteries are there?

A

normally 2, but can be up to 5

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9
Q

Where do the superior phrenic arteries arise?

A

anterior aspect of the thoracic aorta at the aortic hiatu

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10
Q

What do the superior phrenic arteries supply?

A

superior aspect of diaphragm

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11
Q

Which is the posterior one, the aorta or the oesophagus?

A

oesophagus

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12
Q

What is the thoracic duct?

A

the largest lymphatic vessel in the body, allowing return of lymph from most of the body (all but the right superior quadrant) into the venous system

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13
Q

Where does the thoracic duct originate?

A

cisterna chyli in the abdomen

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14
Q

How does the thoracic duct enter the thorax?

A

aortic hiatus

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15
Q

While in the posterior mediastinum, the thoracic duct receives drainage from the ________

A

intercostal spaces

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16
Q

Describe the azygous system of veins

A

This venous network drains blood from the body walls and mediastinal viscera, and empties into the superior vena cava.

17
Q

What are the three main veins of the azygous system?

A

azygous vein, hemiazygous vein, accessory hemiazygous vein

18
Q

Which vein of the azygous system crosses the diaphragm through the left crus?

A

hemiazygous vein

19
Q

which vein of the azygous system crosses the diaphragm through the aortic hiatus?

A

azygous vein

20
Q

Which vein of the azygous system if formed by the union of the fourth to eighth intercostal veins?

A

accessory hemiazygous vein

21
Q

At what level does the accessory hemiazygous vein drain into the azygous vein?

A

T7

22
Q

How is the hemiazygous vein formed?

A

Formed by the union of the left lumbar vein and left subcostal vein.

23
Q

At what level does the hemiazygous vein join the azygous vein?

A

T8

24
Q

Which veins form the azygous vein?

A

right lumbar vein, right subcostal vein

25
Q

Which vein does the azygous vein drain into?

A

superior vena cava

26
Q

The sympathetic trunks are paired bundles of nerves that extend from the base of the skull to the ______

A

coccyx

27
Q

Which nerves arise from the thoracic sympathetic trunks?

A

lower thoracic splanchnic nerves