Thoracic Viscera Lab Flashcards
Heart location
lies between IC spaces 2 and 6; apex opposite last segment sternum and cr to sternal attachment diaphragm; distance apex to base usually 2/3 dorsoventral diameter of thorax
relationship of heart to ribs in thorax
medial
relationship of heart to lungs in thorax
ventro cd to cr lung lobe, ventro cr to cd lung lobe
relationship of heart to diaphragm in thorax
cr
relationship of heart to basal border of lung in thorax
cr
relationship of heart to cr vena cava in thorax
cd
PALT
Pulmonary valave- L side low 3rd IC space
Aortic valve- L side high 4th IC space just below horizontal line through shoulder jt
Left AV valve- L side low 5th IC space; caudodorsal to olecranon
Right AV valve (tricuspid)- R side low in 3rd or 4th IC space
cardiac notch
divides cr and cd lobes bilaterally; in theory cardiac notch provides access to heart that does not require piercing lungs so in theory go through L side bc L side larger and no accessory lobe
L cardiac notch
between 3rd and 6th ribs
R cardiac notch
between 3rd rib and 4th IC space
accessory lobe
On r lung, wraps around cd VC
course of the blood supply as it enters the heart, circulates to the lungs, and then is pumped to
the systemic circulation
Cr or Cd VC -> RA -> R AV valve -> RV -> pulomary artery -> lungs -> pulmonary vein -> LA -> L AV valve -> LV -> aorta -> brachiocephalic trunk
intervenous tubercle
prevents blood from cr and cd VC draining back into heart from crashing into each other and beocming turbulent
branches brachiocephalic trunk
L subclavian, bicarotid trunk, R subclavian arteries
branches of subclavian artery
costocervical trunk, deep cervical trunk, vertebral artery, superficial cervical artery, internal thoracic artery
Cd vena cava relationship to aorta
cd vc v to aorta
pleura
parietal and visceral
parietal pleura
costal- lines ribs
diaphragmatic pleura
mediastinal pleura