Superior and Posterior Mediastinum Flashcards

1
Q

T/F: The superior mediastinum consists of the area behind the body of the sternum.

A

FALSE

Manubrium

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2
Q

What creates the superior border of the superior mediastinum?

A

Oblique plane from jugular notch to T1

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3
Q

What structures are found in the superior mediastinum?

A
  1. Thymus
  2. SVC and great veins
  3. Vagus and phrenic nerves
  4. Trachea and esophagus
  5. Thoracic duct
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4
Q

Which brachiocephalic vein crosses trachea anteriorly?

A

Left

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5
Q

The aortic arch ends and begins at this spinal cord level.

A

T4-T5

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6
Q

What three great arteries come off of the aortic arch?

A
  1. Brachiocephalic trunk
  2. L common carotid
  3. L subclavian
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7
Q

The vagus nerves descend _______ to the root of the lung.

A

posterior

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8
Q

Vagus nerves provide _______ innervation to the thorax.

A

parasympathetic

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9
Q

The phrenic nerves descend ______ to the root of the lung.

A

anterior

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10
Q

At what point does the trachea bifurcate?

A

Carina: inferior extent of sup. mediastinum

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11
Q

What is specific about the right main bronchus?

A
  1. Shorter and wider

2. More vertically oriented

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12
Q

What is the difference between a type I and II esophageal hiatus?

A

Type I: sliding

Type II: fixed in position

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13
Q

Retropharyngeal space and danger space are related to what part of the mediastinum?

A

Posterior

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14
Q

What structures are found in the posterior mediastinum?

A
  1. Esophogus
  2. Azygos system of veins
  3. Thoracic duct
  4. Thoracic splanchnic nerves
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15
Q

What happens to the vagus nerves around the esophagus?

A

They form plexuses: L vagus = anterior

R vagus = posterior

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16
Q

What does the azygos vein drain?

A

Intercostal veins from right side

17
Q

What vein drains the left side of the thorax?

A

Hemiazygos

18
Q

Where does the azygos drain into?

A

SVC

19
Q

What is a chylothorax?

A

Accumulation of lymph in pleural cavity

20
Q

What are the two branches of nerves from the symp. trunks?

A
  1. Postganglionic symp. to thoracic viscera

2. Preganglionic symp. to abdomen

21
Q

Describe the ANS in the thorax.

A

Sypm. from T1-T5

Parasymp. from CN X

Form cardiac, pulmonary, and esophageal plexus