Thoracic Pleura Flashcards

1
Q

What the atypical and typical ribs?

A

atypical = 1, 2, 10-12
typical = 3-9

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2
Q

What is sternal angle a landmark for?

A

2nd rib, aortic arch, trachea bifurication, pulmonary trunk bifurication

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3
Q

rib and vertebrae connection

A
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4
Q

Where is superior and inferior thoracic aperture?

A

superior is posteriorly T1, laterally rib 1, and anteriorly manubrim
inferior is posteriorly T12, laterally 11-12 ribs, anteriorly xiphoid process

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5
Q

what rib movement occurs during forced inspiration?

A

anterior posterior pump handle movement

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6
Q

What is mechanism of inspiration?

A

ribcage exapnds as rib muscles contract and pressure in lungs decreases while diaphragm also contract

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7
Q

What is mechanism of expiration?

A

this is passive and active. The ribcage gets smaller as rib muscles relax, when pressure in lungs increase air also pushes out and diaphragm relaxes

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8
Q

Anterior rami includes

A

1st-11th: intercostal nerves
12th: subcostal
Thoracoabdominal nerves (7th-11th)
Intercostobrachial nerve (2nd or 3rd)

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9
Q

What are branches of internal thoracic artery and costocervical trunk?

A

Internal thoracic artery becomes 1-6 intercostal arteries, musculophrenic artery, and superior epigastric artery. Costocervical becomes 1 and 2 posterior intercostal

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10
Q

What does thoracic aorta break into?

A

3-11 posterior intercostals and subcostal artery

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11
Q

What does axillary artery break into?

A

superior thoracic artery and lateral thoracic artery

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12
Q

What are the pleura reflections?

A

where the parietal pleura changes direction as it passes from one surface onto another; there’s sternal lines, costal lines, and vertebral lines

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13
Q

what’s importance of lung fissures

A

the short horizontal fissure runs horizontally from the oblique fissure up to the anterior border and separates a wedge-shaped middle lobe from the upper lobe. The fissures facilitate a uniform expansion of whole lung for more air intake during respiration

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14
Q

What is the hilum, root of the lung, and pulmonary ligament?

A

root of lung is where the trachea branches to right and left lungs, the hilum is the middle portion where these roots attach. The pulmonary ligament is at the bottom of the hilum and leads all the way to the diaphragm

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15
Q

What are 3 branches of bronchial tree (trachea)?

A

main bronchi which are at the roots (the right one is wider), lobar bronchi which are smaller branches, and segmental which are even smaller branches (tertiary) that are bronchopulmonary.

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16
Q

Bronchiolymphatics

A
17
Q

This nerve does parietal sensation, refers to dermatomes of thoracic and abdominal walls and innervates the costal pleura and peripheral diaphragmic pleura

A

intercostal nerve

18
Q

this nerve innervates the mediastinal pleura and central diaphragmatic pleura, has referred neck and shoulder pain

A

phrenic nerve

19
Q

Which pleura is sensitive to pain?

A

parietal