Respiratory Anatomy Flashcards
The left side of the chest drain its lymph into where?
Thoracic duct and then into the left brachiocephalic vein
The right side of the chest drains its lymph into where?
The right lymphatic duct and then into the right brachiocephalic vein
What is the thoracic outlet (anatomical definition)
The inferior aperture of the rib cage
What parts of the body boarder the thoracic outlet (anatomical definition)?
- 12th vertebra posteriorly
- 11th and 12th pairs of ribs laterally
- Costal cartilages of ribs 7-10 and the xiphisternal process anteriorly
What separates the thoracic cavity from the abdominal (peritoneal) cavity?
The thoracic-abdominal diaphragm
What are the nerve roots of the phrenic nerve?
Anterior rami of C3, C4 and C5 spinal nerves
What are the motor functions of the phrenic nerve?
Pierces are innervates the diaphragm from its inferior surface
What are the sensory functions of the phrenic nerve?
Supplies the central part o the diaphragm
What nerves innervate the peripheral parts of the diaphragm?
Intercostal nerves T7-T12
What is the central attachment of the diaphragm?
Central tendon
What are the three peripheral attachments of the diaphragm?
- Lumbar vertebra and acrurate ligaments
- Costal cartilages of ribs 7-10
- Xiphoid process of the sternum
Parts of the diaphragm that arise from the vertebra are known as what?
The crura (left crus and right crus)
Where does the right crus arise from?
L1-L3 vertebra
What feature of the right crus helps prevent gastric reflux?
Some fibres wrap around the oesophageal opening
Where does the left crus arise from?
L1-L2 vertebra
What are hiatuses of the diaphragm?
Openings to allow vessels down into the peritoneal cavity
Where does the caval hiatus occur?
T8 - allows penetration of the inferior vena cava and phrenic nerve through the central tendon of the diaphragm
Where does the oesophageal hiatus occur?
T10 - allows passage of the oesophagus and both the vagus nerves through the sling of the right crus
Where does the aortic hiatus occur?
T12 - transmits the aorta, thoracic duct, azygos and hemiazygos vein between the left and right crura
What kind of shape is the first rib?
Broad and flat
Describe the features of the head of the first rib
Possesses only one facet for articulation with the first thoracic vertebra
Describe the features of the upper surface of the body of the first rib
Marked with two shallow grooves and separated by a scalene tubercle