PRELIMS - THORAX: CONCEPTUAL OVERVIEW Flashcards
Ain irregularly shaped cylinder that is composed of two apertures
THORAX
An aperture of the thorax that has a narrow opening and lies superiorly.
It is open and allows continuity with the neck
SUPERIORTHORACIC APERTURE
An aperture of the thorax that has a relatively large opening and lies inferiorly.
closed by the Diaphragm
INFERIOR THORACIC APERTURE
Part of the thorax that is flexible and consists of segmentally arranged vertebrae, ribs, muscles and sternum.
MUSCULOSKELETAL WALL OF THORAX
Part of the thorax that is enclosed by the thoracic wall and the Diaphragm
THORACIC WALL
What are the 3 major compartments of the thoracic cavity
~LEFT PLEURAL CAVITY
~RIGHT PLEURAL CAVITY
~MEDIASTINUM
A compartment of the thoracic cavity that is thick, flexible soft tissue partition oriented longitudinally in a median sagittal position.
It can also be entered surgically without opening the pleural cavities.
MEDIASTINUM
Organs contained by the mediastinum
~HEART ~ESOPHAGUS ~TRACHEA ~MAJOR NERVES ~MAJOR SYSTEMIC BLOOD VESSELS
The mediastinum separates this into two equal parts
PLEURAL CAVITIES
the pleural cavity can extend up to what part of the rib?
ABOVE THE LEVEL OF RIB 1
What are the functions of the thorax?
~BREATHING
~PROTECTION OF VITAL ORGANS
~CONDUIT
What is the most important function of the thorax?
BREATHING
What are the machineries necessary for breathing that are used in effectively moving air into and out of the lungs
~DIAPHRAGM
~THORACIC WALL
~RIBS
What are the results that happen because of the movements of the ribs
UP AND DOWN MOVEMENT OF THE DIAPHRAGM
CHANGES IN LATERAL AND ANTERIOR DIMENSIONS OF THE THORACIC WALL
Key elements in breathing
ALTERATION OF THE VOLUME OF THE THORACIC CAVITY
What are the organs that are housed and protected by the thorax?
~HEART
~LUNGS
~GREAT VESSELS
What is the shape of the diaphragm?
UPWARD DOME SHAPED DIAPHRAGM
Where does most of the liver lies in the thorax?
UNDER THE RIGHT DOME OF THE DIAPHRAGM
Where does the stomach and spleen lies in the thorax?
UNDER THE LEFT DOME OF THE DIAPHRAGM
Where does the posterior aspects of the superior poles of the kidneys lie on the thorax?
DIAPHRAGM AND IS ANTERIOR TO THE RIB 12 ON THE RIGHT AND RIB 11 AND 12 ON THE LEFT
It acts as a conduit for structures that pass completely through the thorax from one body region to another, and for structures that connect organs in the thorax to other body regions
MEDIASTINUM
Passes through the mediastinum as they course between the abdomen and neck
~ESOPHAGUS
~VAGUS NERVE
~THORACIC DUCT
Passes through the mediastinum to penetrate and supply the diaphragm
PHRENIC NERVES
Where does phrenic nerves originate from?
NECK
Structures that courses within the mediastinum to and from major visceral organs in the thorax
~TRACHEA
~THORACIC AORTA
~SUPERIOR VENA CAVA
What are the component parts of the thorax?
~THORACIC WALL ~SUPERIORTHORACIC APERTURE ~INFERIOR THORACIC APERTURE ~DIAPHRAGM ~MEDIASTINUM
A component part of the thorax that is composed of skeletal elements and muscles
THORACIC WALL
What is the thoracic wall made up of posteriorly?
~12 THORACIC VERTEBRAE
INTERVENING ~INTERVERTEBRAL DISCS
What is the thoracic wall made up of laterally?
~12 PAIRS OF RIBS
~3 LAYERS OF FLAT MUSCLES
What is the thoracic wall made up of anteriorly?
STERNUM
What are the parts of the sternum?
~MANUBRIUM OFTHESTERNUM
~BODY OF STERNUM
~XIPHOID PROCESS
A part of the sternum that is angled posteriorly on the body of the sternum at the manubriosternal joint
MANUBRIUM OF STERNUM
It forms the sternal angle
MANUBRIOSTERNAL JOINTS
A major surface landmark used by clinicians in performing physical examinations of the thorax
STERNAL ANGLE
The anterior end of each rib is composed of what type of cartilage?
it also contributes to the mobility and elasticity of the thoracic wall
COSTAL CARTILAGE
These articulates with the thoracic vertebrae posteriorly
ALL RIBS
Have 3 articulations with the vertebral column
RIB 2 TO RIB 9
Articulates with the body of its own vertebra and with the body of the vertebra above
HEAD OF RIBS
Anteriorly, these articulates with the sternum
COSTAL CARTILAGE OF RIBS 1 TO 7
They articulate with the inferior margins of the costal cartilages above them
COSTAL CARTILAGES OF RIBS 8 TO 10
Known as the floating ribs because they do not articulate with other ribs, costal cartilages, or the sternum
RIB 11 AND RIB 12
True or False:
The costal cartilages of rib 11 and 12 are small, covering only their tips
TRUE
Provides extensive attachment site for muscles of the neck, abdomen, back, and upper limbs
SKELETAL FRAMEWORK OF THE THORACIC WALL
What surrounds the superior thoracic aperture
SKELETAL ELEMENTS
Consists of the body of vertebra T1, medial margin of rib 1, and the manubrium
SUPERIOR THORACIC APERTURE
The vertebra T1 is located where?
POSTERIORLY
The medial margin of rib 1 is located where?
EACH SIDE
The manubrium is located where?
ANTERIORLY
True or False:
the superior margin of the manubrium is in approximately the different horizontal plane as the intervertebral disc between vertebrae T2 and T3
FALSE, ITIS IN APPROXIMATELY THE SAME HORIZONTAL PLANE
The aperture that is large and expandable
INFERIOR THORACIC APERTURE
What are the structures that forms the margin of the Inferior thoracic aperture?
~BONE
~CARTILAGE
~LIGAMENTS
What closes the inferior thoracic aperture
DIAPHRAGM
TRUE OR FALSE:
The structures that passes between the abdomen and the thorax need to pierce or pass posteriorly to the diaphragm
TRUE
What are the skeletal elements of the inferior thoracic aperture?
~BODY OF VERTEBRA T12(POSTERIORLY)
~RIB 12 AND THE DISTAL END OF RIB 11(POSTEROLATERALLY)
~DISTAL CARTILAGINOUS ENDS OF RIBS 7 TO 10, WHICH UNITE TO FORM THE COSTAL MARGIN (ANTEROLATERALLY)
~XIPHOID PROCESS (ANTERIORLY)
TRUE OR FALSE:
The joint between the costal margin and the sternum lies roughly in a different plane as the intervertebral disc between vertebrae T9 and T10.
FALSE, IT LIES ROUGHLY IN THE SAME HORIZONTAL PLANE AS THE INTERVERTEBRAL DISC BEYWEEN VERTEBRAE T9 AND T10
TRUE OR FALSE:
The posterior margin of the inferior thoracic aperture is inferior to the anterior margin
TRUE
It seals the inferior thoracic aperture
DIAPHRAGM
How does the muscle fibers of the diaphragm arises? From the margins of the inferior thoracic aperture, and converge into a large central tendon.
RADIALLY
TRUE OR FALSE:
Because of the oblique angle of the inferior thoracic aperture, the posterior attachment of the diaphragm is superior to the anterior attachment
FALSE, THE POSTERIOR ATTACHMENT IS INFERIOR TO THE ANTERIOR ATTACHMENT