Thoracic Cavity Flashcards

1
Q

The superior cavity is divided by what landmark?

A

T4-T5 and sternal angle

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2
Q

Superior mediastinum can be divided into ____(2) while the inferior mediastinum can be divided into ___(3)____

A

Retrosternal and prevertebral

Anterior, middle and posterior

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3
Q

Great vessels/branches and thymus are in what part of superior mediastinum?

A

Retrosternal

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4
Q

Prevertebral subdivision of superior mediastinum includes

A
trachea
esophagus
thoracic duct
sympathetic trunks
vagus nerves
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5
Q

The anterior portion of the inferior mediastinum has contents including

A

thymus
fat
lymph nodes

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6
Q

The middle portion of the inferior mediastinum has contents including

A

pericardium
phrenic nerves
pericardiophrenic artery
heart and great vessels

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7
Q

The posterior portion of the inferior mediastinum has contents including

A
esophagus
thoracic duct
aorta and branches
vagus nerves
sympathetic trunks
azygos system of veins
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8
Q

Thymus is vascularized by (2)

A

anterior mediastinal arteries from internal thoracic artery

inferior thyroid arteries from subclavian artery

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9
Q

Thymus is innervated by

A

Parasympathetically via vagus

Sympathetically via cardiac sympathetic plexus

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10
Q

The thymus venous drainage is

A

left brachiocephalic vein

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11
Q

What is ligaments of the pericardium?

A

Pericardiaphrenic ligament

Superior/inferior sternopercardial ligament

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12
Q

What is the blood supply of the pericardium?

A

pericardial arteries
pericardiacophrenic arteries
musculophrenic arteries

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13
Q

Nerve supply of the pericardium

A

CN X
Phrenic nerve
Sympathetic trunk

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14
Q

The esophagus starts at ____ located behind ___ then passes in front of the___then to the right of the ___ and finally passes through the diaphragm at ____ level

A
base of the neck
trachea
vertebral column
thoracic aorta
T10
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15
Q

The esophagus is vascularized by

A

bronchial artery
thoracic aorta
left gastric artery
left inferior phrenic artery

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16
Q

The esophagus is innervated by

A

esophageal plexus

17
Q

The upper third of the esophagus is ____ and ____

A

voluntary and sympathetic

recurrent laryngeal nerve

18
Q

The lower two thirds is ____ and ____

A

Involuntary and paraympathetic

vagus and sympathetic chain

19
Q

Thoracic aorta direction

A

Continuation of aortic arch

Begins at lower border of t4 at sternal angle and ends at diaphragm along T12.

20
Q

Where does the azygos vein form?

A

below of the level of the diaphragm by union of right ascending lumber vein and right subcostal vein

21
Q

Azygos vein direction

A

ascends along RIGHT side of thoracic vertebral column

arches over root of right lung and enters superior vena cava

22
Q

The hemiazygos and accessory hemiazygos vein both stem from ____ and end at ____. But hemiazygos, travels on the ___ side of vertebral bodies and crosses at level___. The accessory hemiazygos runs on the ____ and ___ of vertebral bodies.

A
diaphragm, piercing it
azygos vein
Left 
T9
Left and upper thoracic
23
Q

What are the five main lymph nodes?

A
Parasternal nodes
Posterior intercostal nodes
diaphragmatic nodes
posterior mediastinal nodes
brachiocephalic nodes

(Please Pick Dr. Pepper Beta)

24
Q

Where does the parasternal node receive lymph?

A

thoracic wall
upper anterior abdominal wall
Diaphragm
Mammary Gland

25
Where does the posterior intercostal node receive lymph?
thoracic wall | Paravertebral region
26
Where does the diaphragmatic node receive lymph?
diaphragm pericardium upper surface of liver
27
Left thoracic duct
receives fluid from body below diaphragm specifically from left internal jugular lymph trunk and left subclavian jugular lymph trunk Drains left side of thoracic cavity and part of right
28
Right thoracic duct
Drains upper right thoracic cavity, RUE and right side of head/neck
29
The right vagus nerve passes ____
posteriorly to vagus trunk
30
The left vagus nerve passes
anterior to vagus trunk
31
What are the attachments of the respiratory diaphragm?
Ribs TV 12 Distal end of sternum Central Tendon
32
Describe the central tendon and its relation to the crura and openings of the diaphragm
The central tendon is Y shaped, attaching to the lumbar vertebrae via crura while pulling the radiating fibers of the diaphragm together to form a dome-shaped muscle.
33
The inferior vena cava pierces the diaphragm at what level and accompanied by what nerve?
T-8 or Caval foramen | with right phrenic nerve
34
Diaphragm has two fascias called the
superior and inferior fascia
35
The diaphragm originates @ ____ continuing to ___ and ends at _____
Xiphoid process costal part Lumbar vertebrae and crura
36
The esophagus pierces the diaphragm at what level and accompanied by what nerve?
T-10 esophageal hiatus | With vagus nerve
37
The aorta pierces the diaphragm at what level and accompanied by what nerve?
T-12 Aortic Hiatus | Greater splanchnic nerve