Thoracic Cavity I: Mediastinum Flashcards

1
Q

Mediastinum

A

Space b/w the lungs

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2
Q

The Sup and Inf mediastinum are separated on the horizontal plane b/w what sections?

A
  • Sternal Angle

&

  • IV disc T4-T5
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3
Q

Subdivisions of the Sup. Mediastinum

A
  1. Retrosternal

2. Prevertebral

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4
Q

Subdivisions of the Inf. Mediastinum

A
  1. Anterior
  2. Middle
  3. Posterior
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5
Q

The Contents of the RETROSTERNAL portion of the Sup. Mediastinum?

A
  • The Great VESSELS and branches

- Thymus

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6
Q

The Contents of the PREVERTEBRAL portion of the Sup. Mediastinum?

A
  • Trachea
  • Esophagus
  • Thoracic duct
  • Sympathetic trunks
  • Vagus Nerves
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7
Q

The Contents of the ANTERIOR portion of the Inf. Mediastinum?

A
  • Thymus
  • Fat
  • Lymph nodes
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8
Q

The Contents of the MIDDLE portion of the Inf. Mediastinum?

A
  • Pericardium
  • Phrenic nerves
  • Heart and vessels
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9
Q

The Contents of the POSTERIOR portion of the Inf. Mediastinum?

A
  • Esophagus
  • Thoracic duct
  • Aorta and branches
  • Vagus nerve
  • Sympathetic trunk
  • Azygous system of veins
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10
Q

Innervation for the Thymus

A

Parasympathetic:
- Vagus nerve

Sympathetic:
- Cardiac plexus

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11
Q

Pericardium

A

Encloses the heart

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12
Q

Transverse Sinus

A

Space b/w ARTERIAL and VENOUS Mesocardium

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13
Q

Oblique Sinus

A

Space b/e Right and Left Pulmonary Veins

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14
Q

The pericardium is fused with what?

A

The Central Tendon of the DIAPHRAGM

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15
Q

Nerve supple of the Pericardium?

A
  • CN X
  • Phrenic Nerve
  • Sympathetic trunk
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16
Q

Positioning of the Esophagus

A
  • BEHIND the trachea
  • In FRONT of the Vertebral Column
  • To the RIGHT of the Thoracic aorta
17
Q

The Esophagus passes through the diaphragm at what level of the spinal cord?

18
Q

Thoracic Aorta

A
  • Continuation of the Aortic Arch
  • Begins at T4
  • Ends at DIAPHRAGM (T12)
19
Q

Azygous Vein

A
  • Formed BELOW the Diaphragm
  • Ascends along RIGHT side of the Thoracic vertebral column
  • Enters the SUPERIOR Vena Cava
20
Q

Azygous vein is formed by what?

A

The Union of the R. Ascending LUMBAR Vein and the R. SUBCOSTAL vein

21
Q

Hemiazygos Vein

A
  • Formed BELOW the Diaphragm
  • Pierces the Diaphragm
  • Ascends along LEFT side to T9
  • CROSSES vertebral body and dumps into he Azygos vein
22
Q

Diaphragmatic lymph nodes

A
  • Lie along the upper surface of the diaphragm

- receives lymph from the diaphragm, pericardium, and liver

23
Q

Post. Mediastinal Node

A

Lie along the esophagus and descending thoracic aorta

24
Q

Left Thoracic Duct

A
  1. Receives most of the Lymph from the body BELOW the Diaphragm
  2. Enters venous system at the jxn of
    - Left Int Jugular Vein
    - Left Subclavian
25
Right Thoracic Duct
1. Drains UPPER right thoracic Cavity, Extremity, Right side of the head and neck 2. Empties into the jxn of - Right Int Jugular vein - Right Subclavian vein
26
Tracheobronchial Lymph nodes
- ~50 | - Some of the LARGEST lymph nodes in the body
27
The Vagus nerve runs parallel to the _____ as well as ____ it?
- Esophagus | - Innervates
28
The vagus nerves will eventually turn into what nerve?
Gastric nerve
29
The R. Vagus Nerve goes to the ____ and the L. Vagus Nerve goes to the _____.
- POSTERIOR Vagus Trunk (RP) - ANTERIOR Vagus Trunk (LA)
30
Phrenic Nerves
Control the Diaphragm
31
Crura
“Legs” - Muscular pillars of diaphragm - Right from L1 -L3 - Left from L1 - L2
32
Median Arcuate
- Tendon around the OPENING of the AORTA | - Bridges the Ends the of the crura
33
Sup. Fascia of the Diaphragm is known as what?
PARIETAL Fascia
34
Inf. Fascia of the Diaphragm is known as what?
TRANSVERSALIS fascia ‘IT’
35
Origins of the Diaphragm 1. Sternal 2. Costal 3. Lumbar
1. Xiphoid process 2. Lower 6 RIBS and Cartialge 3. Lumbar vertebra and Crura
36
The three openings of the Diaphragm?
1. Caval foramen (T8) 2. Esopahgeal Hiatus (T10) 3. Aortic Hiatus (T12)