Pulmonology Flashcards

1
Q

Superior and middle lobe is separated from the inferior lobe by the ___.

A

oblique

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2
Q

What separates the left superior and inferior lobes?

A

oblique fissure

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3
Q

what does the horizontal fissue do?

A

separates superior and middle lobe in the right lung

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4
Q

What four structures are part of the hilum?

A
  • Pulmonary artery (superiorly located, large)
  • Pulmonary vein (anteroinferiorly located, smaller and thinner than vein)
  • Main bronchi (posteriorinferior thickest wall w/ cartilage)
  • Pulmonary ligament
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5
Q

Grooves to know

A
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6
Q

left grooves to know

A
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7
Q

Which lung is the cardiac impression more pronounced on?

A

Left

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8
Q

Where is the cardiac notch and lingula located?

A

On the superior lobe of the left lung

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9
Q

where can lung cancer be derived from and what nerves could be involved?

A

Lung tissue or bronchi, it can also involve phrenic vagus and recurrent laryngeal nerves

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10
Q

Lobectomy and segmentectomy?

A
  • Removal of lobe
  • removal of segments within lobes
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11
Q

What is pleuritis?

A
  • inflammation of pleura producing roughness on lungs making breathing difficult
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12
Q

How does pulmonary collapse occur?

A
  • enough air enters pleural cavity to break surface tension btw two layers of pleura, and the elasticity of the lung causes them to collapse
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13
Q

Pneumothorax?

A
  • entry of air into pleural cavity fromo penetrating would to thoracic wall or rupture of pulmonary lesion into pleural cavity resulting in collapse
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14
Q

Hydrothorax?

A
  • Accumuluation of excess fluid in pleural cacity usually result of fluid escape into pleural cavity or pleural effusion
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15
Q

What is the sternal line?

A

Costal parietal pleura turns into the mediastinal pleura at this point

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16
Q
A
17
Q

Costal line of pleural reflection?

A
  • costal pleura becomes diaphragmatic pleura
18
Q

Vertebral line of pleural reflection?

A

Costal pleua becomes mediastinal pleura posteriorly

19
Q

What is the clinical significance of the right main bronchus?

A
  • It is wider shorter and more verticle
  • It is a common site for foreign body aspirations
20
Q

why are bronchi and bronchioles not the same?

A

Bronchi have cartilage in the wall bronchioles do not have cartilage in the walls

21
Q

Where in the bronchi/bronchiole system is the first site where gas exchange can occur?

A

Respiratory bronchiole

22
Q

what is the primary site of gas exchange?

A

Alveolar duct, also the functional unit of the lung

23
Q

Bronchial asthma?

A

widespread narrowin of the airways produced by contraction of smooth musclce edema of the mucosa and mucus in the lumen of bronchi and bronchioles

24
Q

What is bronchoscopy?

A
  • Insertion of bronchoscope into the trachea to visualize the main bronchi
    • goes down nose and into trachea to see split of trachea into left and right main bronchus
      • carina is the ridge at the split
25
Q

What are the three bronchopulmonary segments in the right superior lobe?

A
  • Apical
  • Posterior
  • Anterior
26
Q

What are the bronchopulmonary segments in the right middle lobe?

A
  • Lateral
  • Medial
27
Q

What are the bronchopulmonary segments in the right inferior lobe?

A
  • Superior
  • Anterior basal
  • Medial basal
  • Posterior basal
  • Lateral basal

SAMPL(e)

28
Q

What are the left lung superior lobe bronchopuolmonary segments?

A
  • Apical (usually ccombined with post. to give Apicoposterior)
  • Posterior (combine with ant to give Apicoposterior)
  • Superior (lingular)
  • Inferior (lingual)
29
Q

What are the left lobe inferior lobe bronchopulmonary segments?

A
  • Superior
  • Anterior basal (combine with medial for Anteromedial basal)
  • Medial basal (combine with above)
  • Lateral basal
  • Posterior basal