Practical Exam 3- Thoracic Cavity Flashcards
Jugular Notch
Notch at the top of the Manubrium
Sternal Angle
In between the Manubrium and Body of the Sternum
Manubrium
Top part of the Sternum Middle of the chest
Xiphoid Process
Bottom Part of the Sternum
Identify Intercostal Spaces by #
Filled with three layers of Muscles
11 total Intercostal Spaces
Each is numbered according to the Rib that forms its superior boundary
External Intercostal Muscle
The most Superfical of the Intercostals
Elevates the rib that lies inferiority
Diagonal Fibers that run from Lateral at the top to Medial at the Bottom
Internal Intercostal Muscle
Middle of the Intercostals
Depresses the rib above
Fibers run perpendicular to the external fibers- Medial at the top to Lateral at the bottom
Innermost Intercostal Muscle
Identify Inner Surface of Chest
Deepest of the Intercostal Muscles
Same attachments, fiber directions, and action as the Internal Intercostal Muscle
Right and Left internal Thoracic Arteries and Veins
Anterior Intercostal Branch: Supplies Anterior Intercostal Space
Located Between the transversus thoracis muscle and the costal cartilages
They are the Vessels that run vertically along the edges of the sternum.
Transversus Thoracis
Attaches to the sternum and the costal cartilages 2-6
This muscle depresses the ribs.
Lies deep to the Innermost Intercostal costal Muscle and Superficial to the lungs.
Parietal Pluras
If air enters the Pleural Cavity (pneumothorax), the lung will collapse due to elasticity of its tissue
Excess Fluid (serous fluid or blood from trauma) may accumulate in the Plueral Cavity and Compress the lungs.
Four parts- Costal, Mediastinal, Diaphragmatic, and Cervical
Costal pleura lines the inner surface of the thoracic wall
Mediastinal pluera lines the Heart
Diaphragmatic Pleura lines the superior surface of the Diaphragm
Cervical Pleura extends Superior to the first rib
Then there is a Plueral Cavity deep to the Parietal Pleuras
The Visceral Pleura lies deep to the Pleural Cavity and covers the surface of the lungs
Left Lung Lobes
Split in to two: Superior, Inferior
Right Lung Lobes
Split into three: Superior, Middle, Inferior
Oblique Fissures
It exists on both lungs
Lies deep to the fifth rib
Referred to as the Major Fissure.
Separates the Inferior Lobe from the other lobes and runs all of the way around
Horizontal (Right Only) Fissures
Fissure in between the Superior and Middle Lobes
Does not run all of the way around
Referred to as the Minor or Transverse Fissure
Lies deep to the 4th Rib
Cardiac Notch (Left Only)
Superior Lobe of the Left Lung on the Anterior side
Anterior to the heart
Surfaces
Costal, Mediastinal, Diaphragmatic
These are the surfaces that touch the Ribs (Costal), Mediastinal (Heart), and Diaphragm (Diaphramatic)
The ribs will often leave a Cardiac Impression. The portion of the lungs that are touched by the Ribs
Lingula (Left Lung)
The little “Lip” part of the left lung inferior to the Cardiac Notch
Pulmonary Ligament
Ligament that is on the medialaspect of the lungs where different structures entrance the lungs: in the Hilum.
Hilum
The root of the Lung
The Hilum are all of the structures on the inside of the border of the Pulmonary Ligament. This structures include Bronchi, Pulmonary Artery, Bronchial Artery, Bronchopulmonary Lymph Nodes, and Superior and Inferior Pulmonary Veins.
Pulmonary Artery
The large artery in the Hilum.
Carries blood from the heart to the Lungs to oxygenate the blood.
This lies superior to the other vessels in the lungs
External Intercostal Membrane
Anterior Between Costal Cartilages
The membrane that replaces the external intercostal muscle anteriorly, between costal cartilages.
“VAN”
Intercostal Vein, Artery, Nerve
Run in the plain between the Internal and Innermost Intercostal Muscle
Supply the Intercostal muscles, skin of the thoracic wall, and the parietal pleura
From superior to inferior is Vein, Artery, Nerve- VAN
Collateral Vessels
Superior Border Inferior Rib
Lies between the Ribs like “VAN”, but “VAN” is next to the Superior Rib while the Collateral Vessels are near the Inferior Rib
Costomediastinal Recess
The space of the pleural cavity between the costal cartilages and the mediastinum
Only Medial to the Left Lung
Costodiaphragmatic Recess
The cleftlike extension of the pleural cavity between the diaphragm and the rib cage
Pleural effusions collect here when in the upright position
Inferior to both the Right and the Left Lung
Surfaces of the Lungs
Each lung has three surfaces: Costal, Mediastinal, and Diaphragmatic Surfaces
Phrenic Nerve
*Anterior to Root, Crosses Pericardium
The phrenic nerve is a bilateral, mixed nerve that originates in the neck and descends through the thorax to reach the diaphragm. As the only source of motor innervation to the diaphragm, this nerve has an important role in breathing
Passes Medial to the Lungs
Innervates the central part of the diaphragm, the pericardium and the mediastinal part of the parietal pleura.
1.5 cm anterior to root of lung
Vagus Nerve
*Posterior to Lung Root
Extending from the brain stem to the abdomen by way of multiple organs including the heart, esophagus, and lungs
Known as Cranial Nerve X, the vagus forms part of the involuntary nervous system and commands unconscious body procedures, such as keeping the heart rate constant and controlling food digestion.
Pulmonary Vein
They are the most inferior vessels of the Hilum
These contain oxygen rich RBC’s and are returning them to the heart to be pumped to the rest of the body
A Superior and Inferior one
Feed into the Left Atrium
These Right and Left Pulmonary Veins come out of the posterior side of the Heart and appear horizontal shooting Left and Right
Trachea, Bronchopulmonary Lymph Node
Lymph Nodes are also in the Hilum
Lymph Nodes are between the Main Bronchus and Pulmonary Veins
Trachea is the rough, vaccum-tube-like structure that breaks into the Main, or Primary, Bronchus
Primary Bronchus
Also known as Main Bronchus
The main bronchus arising at the tracheal bifurcation and extending into the developing lung of the embryo.
This is the part that enters the Hilum
Left one is more at an angle and the Right one shoots straight down.
Secondary Bronchus
The next section following the Primary Bronchus
There are 2 in the Left Lung and 3 in the Right Lung
Tertiary Bronchus
The last section of the Bronchi and follows the Secondary Bronchus
Also called the Segmental Bronchi
Lower in the lung, they become smaller and break up into the Primary Bronchioles
The Left Lung has 9 and the Right Lung has 10
Bronchial Artery
The smallest of the vessels in the Hilum
The bronchial arteries are responsible for the majority of the oxygenated blood supply to the lung
Arise from the thoracic aorta
Supplies the Trachea, Bronchi, Lymph Nodes, Visceral Pleura, Esophagus (middle-third), Posterior Mediastinum, Vagus Nerve, and Vaso Vasorum
Fibrous Pericardium
The fibroserous sac enclosing the heart and the roots of the great vessels, composed of external (fibrous) and internal (serous) layers.
Fibrous Pericardium is the External Layer of the Pericardium, consisting of dense fibrous tissue.
Serous Pericardium
Parietal Layer
Visceral Layer
Serous Pericardium is the inner, serous portion of Pericardium, consisting of two layers, visceral and parietal
The Parietal Pericardium the Parietal Layer of the Serous Pericardium, which is in contact with the Fibrous Pericardium.
The Visceral Pericardium the inner layer of the Serous Pericardium, which is in contact with the heart and roots of the great vessels. Also called the Epicardium
Order from Superficial to deep is Fibrous, Serous (Parietal, Visceral)
Pericardial Cavity
The space between the layers of the pericardium that contains fluid that lubricates the membrane surfaces and allows easy heart movement
Right and Left Pericardiacophrenic Vessels
The Pericardiacophrenic artery is a branch of the Internal thoracic artery.
Supplies the Pericardium and Thoracic diaphragm
Arises from the Internal thoracic artery behind the First rib and descends along the Phrenic Nerve, between the pleura and the pericardium toward the diaphragm.
Vena Cava
Inferior Vena Cava
Superior Vena Cava
Large vein carrying deoxygenated blood into the heart into the Right Atria
Inferior vena cava carries blood from the lower body (Massive one coming out the back
Superior vena cava carries blood from the head, arms, and upper body (Massive one coming out the base of the heart in front) (Farthest to the Right side of the Base)
Pulmonary Trunk
Farthest to the Left side of the Base
Originates from the Right Ventricle and branches into the Right and Left Pulmonary Arteries, which lead to the lungs
Ascending Aorta
In between the Superior Vena Cava and the Pulmonary Trunk
The first part of the aorta begins at the aortic valve
It terminates as it exits the fibrous pericarium where it becomes the aortic arch
Ligamentum Ateriosum
Remnant of the ductus arteriosus formed within three weeks after birth
Between the Aortic Arch and the Pulmonary Trunk
Looks like a tiny connective Branch between the two
Left Recurrent Laryngeal Nerve
Branch of Vagus to Larynx
Posterior to Ligamentum Arteriosum
Innervates the Larynx
Apex of Heart
Bottom tip of the Heart
Part of the Left Ventricle
Base of Heart
The Left and part of the Right Atrium
Where the emergence of the Great Vessels of the Heart occurs
Coronary Sulcus
Groove, Houses, Coronary Artery
A groove on the outer surface of the Heart marking the division between the Atria and the Ventricles.
Interventricular Sulcus
Shallow Groove
Has blood vessels and marks the separation between Ventricles on the Anterior and Posterior sides
The Anterior Interventricular Sulcus contains a branch of the left coronary artery and is on the anterior surface of the Heart
The Posterior Interventricular Sulcus contains another branch of a coronary artery and is on the Diaphragmatic Surface of the Heart
Crux of Heart
The area on the lower back side of the heart where the coronary sulcus and the posterior interventricular sulcus meet
Right and Left Atrium and Auricles
Auricles are attached to the Atrium
Both at the Superior end of the Heart
Auricle is a small, cone-shaped pouch which comes out from the upper and front part of the Atrium and overlaps the root of the Aorta
Atrium receive blood from the Body and the Lungs
Right and Left Ventricles
In charge of pumping blood to the Lungs and the Body
The larger parts of the heart (Significantly larger than the Artia)
Aortic Semilunar Valve
All valves function to prevent blood backflow into the heart, acting like doors between the chambers.
A Semilunar Valve between the Aorta and the Left Ventricle
Pulmonary Semilar Valve
A Semilunar Valve between the Right Ventricle and the Pulmonary Artery
Nodules and Lunules
On Pulmonary and Aortic Semilunar Valves
Helps seal the valves
Nodule is essentially the tip of it while the Lunules are along the edges to the Cusps.
Coronary Sinus
Back of Heart
A wide venous channel about 2.25 centimeters in length that receives blood from the Coronary Veins and empties into the Right Atrium of the Heart
Runs horizontally along the posterior side of the heart just inferior to the Left Atrium
It serves as the primary collector of cardiac venous blood
Great Cardiac Vein
In the Anterior Interventricular Sulcus
It’s the Distal Portion of the Coronary Sinus
Returns the deoxygenated blood from the Anterior side of the Heart to the Coronary Sulcus
Middle Cardiac Vein
In the Posterior Interventricular Sulcus
The Vein that begins at the Apex of the Heart and Ascends within the Posterior Interventricular Sulcus to the Coronary Sinus.
Small Cardiac Vein
It accompanies the Right Coronary Artery in the Coronary Sulcus, from the right margin of the Right Ventricle, and emptying into the Coronary Sinus or the Middle Cardiac Vein.
Openings of Left Coronary Artery
Find in Aorta
Provides blood to the left side of the Heart
Splits in the Left Anterior Descending Artery and the Circumflex Artery
Anterior Interventricular branch
Also known as left anterior descending of LCA
The Left Anterior Descending Artery is known as the widowmaker
This branch sits in the Anterior Interventricular Sulcus
Runs with the Great Cardiac Vein
Circumflex Branch of LCA
Runs along side of the Coronary Sulcus
Supplies most of the Left Atrium