The pleura and the lungs Flashcards

1
Q

What does the thoracic cavity contain?

A

The thoracic cavity contains two pulmonary cavities (pleural cavities) and lungs, as well as the mediastinum.

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2
Q

What is the function of the pleura?

A

The pleura is a serous membrane that lines the pulmonary cavity and invests the lungs.

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3
Q

What are the two layers of the pleura?

A

The two layers of the pleura are the parietal pleura and the visceral pleura.

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4
Q

What is the pleural cavity?

A

The pleural cavity is a potential space between the layers of the pleura.

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5
Q

What does the pleural cavity contain?

A

The pleural cavity contains pleural fluid.

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6
Q

What are the different parts of the parietal pleura?

A

The parietal pleura consists of the costal part (lines the thoracic wall), the mediastinal part (lines the mediastinum), the diaphragmatic part (covers the superior surface of the diaphragm), and the cervical pleura (covers the lung apex).

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7
Q

What does the visceral pleura invest?

A

The visceral pleura invests the parenchyma of the lungs.

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8
Q

What are pleural reflections?

A

Pleural reflections refer to the changes in direction of the pleura from one wall of the pleural cavity to another.

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9
Q

What are the different types of pleural reflections?

A

The different types of pleural reflections include sternal, costal, and vertebral reflections.

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10
Q

What are pleural recesses and what is their function?

A

Pleural recesses are larger pleural spaces that allow for lung expansion during forced inspiration. The two main pleural recesses are the costodiaphragmatic recess and the costomediastinal recess.

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11
Q

What is the tracheobronchial tree responsible for?

A

The tracheobronchial tree serves as the passage of air, with the conducting zone/tract responsible for air passage from the nasal cavity to the terminal bronchioles.

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12
Q

What is the function of the respiratory zone/tract in the bronchial tree?

A

The respiratory zone/tract is the functional unit responsible for gas exchange, starting from the respiratory bronchioles and ending at the alveoli.

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13
Q

What are the main components of the bronchial tree?

A

The bronchial tree includes the trachea, primary/main bronchi, secondary/lobar bronchi, tertiary/segmental bronchi, terminal bronchioles, respiratory bronchioles, alveolar ducts and sacs, and alveoli.

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14
Q

Where does the trachea begin and end?

A

The trachea starts at the level of the sixth cervical vertebra (C6).

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15
Q

How many primary/main bronchi are there and what are their characteristics?

A

There are two primary/main bronchi. The right main bronchus is short, wide, and vertical, while the left main bronchus is long, narrow, and inferolateral.

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16
Q

How many secondary/lobar bronchi are present in the bronchial tree?

A

There are two secondary/lobar bronchi on the left side and three on the right side.

17
Q

What are the tertiary/segmental bronchi?

A

Tertiary/segmental bronchi are branches of the secondary bronchi that further divide into bronchopulmonary segments.

18
Q

What are the respiratory bronchioles connected to?

A

The respiratory bronchioles are connected to the alveolar ducts and sacs.

19
Q

How many alveoli are present in the bronchial tree?

A

The bronchial tree contains approximately 300 million alveoli.

20
Q

Where are the lungs located within the body?

A

The lungs are located within each pulmonary cavity and are surrounded by the visceral pleura

21
Q

What are bronchopulmonary segments?

A

Bronchopulmonary segments are pyramidal-shaped segments within the lungs. Their apices face the root of the lung, while their bases face the pleural surface. There are approximately 10 bronchopulmonary segments in the right lung and 8-10 in the left lung. Each segment is named after its corresponding segmental or tertiary bronchus.

22
Q

How are the lungs connected to the mediastinum?

A

The lungs are connected to the mediastinum by the root, which consists of structures entering and exiting the hilum of the lung.

23
Q

What is the hilum of the lung?

A

The hilum of the lung is a wedge-shaped depression where structures enter and exit the lung.

24
Q

What structures are part of the root of the lung?

A

The root of the lung includes the pulmonary artery, pulmonary veins (superior and inferior), bronchial artery (2x left, 1x right) and vein, main bronchus, pulmonary plexus, and lymphatic vessels.

25
Q

What structures are associated with the hilum of the lung?

A

The hilum of the lung includes the pleural sleeve, which is a reflection from the parietal to the visceral pleura surrounding the root of the lung. It also includes the pulmonary ligament, which is the inferior continuation of the pleural sleeve.

26
Q

What is the function of the pulmonary circulation?

A

The pulmonary circulation supplies the lung parenchyma and is involved in gas exchange.

27
Q

What is the function of the bronchial circulation?

A

The bronchial circulation supplies the tracheobronchial tree, the root of the lung, supporting lung tissue, and the visceral pleura.

28
Q

How does the pulmonary circulation differ from the systemic circulation?

A

The pulmonary circulation is the reverse of the systemic circulation as it is responsible for oxygenation instead of oxygen delivery.

29
Q

What are the components of the pulmonary circulation?

A

The pulmonary circulation includes the pulmonary arteries (right and left) and the pulmonary veins (right superior and inferior, left superior and inferior).

30
Q

What are the components of the bronchial circulation?

A

The bronchial circulation consists of the bronchial arteries (2x left, 1x right) and the bronchial veins (right and left).

31
Q

What nerves provide sensory innervation to the parietal pleura?

A

The sensory innervation to the parietal pleura is provided by the phrenic nerve (C3-5) and intercostal nerves.

32
Q

What nerves provide sensory innervation to the visceral pleura?

A

The sensory innervation to the visceral pleura is provided by the sympathetic trunk (T2-6).

33
Q

What are the sensory innervation and autonomic control of the lungs?

A

The lungs receive sensory innervation through visceral afferents and autonomic control through the pulmonary plexus.

Sensory innervation: Vagus nerve (CN X).
Autonomic control:
Sympathetic nervous system (SNS): Sympathetic trunk (T2-6).
Parasympathetic nervous system (PNS): Vagus nerve (CN X).

34
Q

Where is pain from the parietal pleura referred to?

A

Pain from the parietal pleura is referred to the dermatomes C3-5, which includes the cervical and shoulder regions.