respiratory system Flashcards
Describe the anatomy of the thorax
There are 2 apertures:
-superior thoracic aperture (above the manubrium)
-inferior thoracic aperture
What blood vessels are present in the superior thoracic aperture ?
the blood vessels included within the superior thoracic aperture are:
- Common carotid arteries (and their bifurcation into internal and external carotid arteries)
- Subclavian arteries (and their continuation into the axillary arteries)
- Brachiocephalic veins (which form the superior vena cava by their union)
List the contents of the superior thoracic aperture. (11)
- Trachea
- Esophagus
- Thoracic duct
- Sympathetic trunk
- Phrenic nerves
- Vagus nerves
- Common carotid arteries (and their bifurcation into internal and external carotid arteries)
- Subclavian arteries (and their continuation into the axillary arteries)
- Brachiocephalic veins (superior vena cava formed by their union)
- Thoracic part of the sympathetic chain
- Lymphatic vessels and nodes
List the contents of the inferior thoracic aperture
- Esophagus
- Inferior vena cava
- Azygos vein
- Thoracic duct
- Vagus nerves
- Sympathetic trunk
- Greater splanchnic nerves
- Abdominal aorta
- Thoracic part of the diaphragm
- Inferior phrenic arteries and veins
- Lymphatic vessels and nodes
- Lymphatic trunks (e.g., cisterna chyli)
What are the differences between the superior and inferior margins ?
Superior is smooth and the inferior is sharp
Thoracic vertebrae
There are 12
What are the atypical ribs?
1, 2, 10, 11, 12
What is the significance of rib 1 ?
It has a close relationship to lower nerves of the brachial plexus and the main vessels of the arm
List the true, false and floating ribs.
True: 1-7
False: 8-10
Floating: 11, 12
All ribs articulate posteriorly with the thoracic vertebrae
Give the origin and insertion of the external intercostal muscle
Origin- inferior border of ribs
Insertion- superior border of immediate rib below
Give the origin and insertion of the internal intercostal muscle ?
Origin - costal groove of ribs
Intsertion - superior border of immediate rib below
Give the origin and insertion of the innermost intercostal muscle
Origin - costal groove of ribs
Insertion - superior border of immediate rib below
Give the layering of the intercostals in order
Innermost, internal, external
What does the sternocleidomastoid do ?
Pulls the collarbone (clavicle) and sternum up to enlarge upper chest cavity.
What do the external intercostals do?
Narrow the gaps between the ribs making them swing up and out
What do the internal intercostals do ?
Pull ribs down for forced exhalation
What causes there to be a change in the vertical diameter of the thoracic cage ?
- diaphragm
What changes the anteroposterior diameter in the thoracic cage ?
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- downward sloping ribs raised at sternal end
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What causes change in the transverse diameter in the thoracic cage ?
- ribs articulate in front with the sternum and behind with vertebral column
- curve downward and resemble bucket handles
Where is the diaphragm ?
-Attached to xiphisternum, costal margin (ribs 11-12), lumbar vertebrae
-separates the thoracic cavity above and the abdominal cavity below