Thoracic Wall & Lungs Flashcards

1
Q

What does the breast consist of?

A
  • glandular tissue
  • ducts
  • adipose tissue (fat)
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2
Q

What is the arterial supply for the thoracic wall?

A
  • subclavian -> int. thoracic -> med. mammary
  • axillary -> lat. thoracic -> lat. mammary
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3
Q

What is the lymphatic drainage of the breast?

A

sentinel lymph node

major lymph node is the axillary lymph node

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4
Q

What forms the thoracic wall?

A
  • clavicle
  • scapula
  • sternum
  • thoracic vertebrae
  • ribs
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5
Q

What forms the bony support/thoracic cavity?

A
  • sternum
  • thoracic vertebrae
  • ribs
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6
Q

What structures make of the sternum?

A
  • jugular notch
  • manubrium
  • sternal angle
  • body
  • xiphoid process
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7
Q

What is attached to ribs 1 & 2 of the thoracic wall?

A
  • rid 1 -> manubrium
  • rib 2 -> angle of Louis
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8
Q

What ribs attach directly to the sternum?

A

ribs 1-7 = true ribs

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9
Q

What ribs attach indirectly to the sternum?

A

ribs 8-10 = false ribs

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10
Q

What ribs DO NOT attach to the sternum at all?

A

ribs 11-12 = floating ribs

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11
Q

What does the costal groove contain?

A

intercostal veins, artery, & nerve

b/w internal intercostal & innermost intercostal

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12
Q

What do the superior & inferior facets & tubercle articulate with?

A
  • sup. -> vertebrae above
  • inf. -> same # number vertebrae
  • tubercle -> same # vertebrae
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13
Q

Is the groove for the subclavian vein anterior or posterior?

A

anterior

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14
Q

Is the groove for the subclavian artery anterior or posterior?

A

posterior

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15
Q

What is located between the subclavian vein and artery?

A

ant. scalene muscle which attaches to rib 1

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16
Q

What does the pectoralis major attach to?

A
  • clavicle
  • sternum
  • costal cartilage of ribs 2-6
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17
Q

What does the pectoralis minor attach to?

A

ant. surface of ribs 3-5

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18
Q

What does the serratus anterior attach to?

A

lat. surface of ribs 1-8

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19
Q

Where do the external intercostals run?

A
  • run lat. -> med
  • becomes membranous ant.
20
Q

Where do the internal intercostals run?

A
  • run med. -> lat
  • becomes membranous post.
  • covers outside costal groove
21
Q

What is located mostly laterally and covers the inside costal groove?

A

innermost intercostals

22
Q

What are the transversus thoracic & subcostalis?

A

incomplete layers deep to everything

23
Q

What muscles are responsible for inspiration?

A
  • int. intercostals
  • ext. intercostals
  • diaphragm
24
Q

What muscles are responsible for expiration?

A
  • int. intercostals
  • transversus spinalis
  • subcostalis
25
Q

The diaphragm is responsible for what percentage of breathing?

A

75%

26
Q

What does the phrenic nerve innervate (C 3/4/5)?

A

diaphragm & lungs

27
Q

What does the diaphragm do during inspiration & expiration?

A
  • inspiration -> contracts & lowers
  • expiration -> relaxes & raises
28
Q

What are the structures that pass through the diaphragm?

A
  • IVC -> 8th vertebrae
  • esophagus -> 10th vertebrae
  • aorta -> 12th vertebrae
29
Q

What lines the thoracic cavity?

A

parietal pleura (superficial to visceral pleura)

30
Q

What covers the lungs?

A

visceral pleura (deep to parietal pleura)

31
Q

What is the pulmonary ligament?

A

folded double layer of pleura

32
Q

What are recesses in the lungs?

A

when the pleura extends below the lungs; fluid can pool here

33
Q

What are the 3 lobes of the right lung?

A

superior, middle, & inferior

34
Q

What is the oblique fissure in the right lung?

A

separates sup. & inf. lobe

35
Q

What is the transverse fissure in the right lung?

A

separates upper & middle lobe

36
Q

What is the hilum of the right lung?

A
  • connects the lung to bronchi
  • contains pulmonary art. + veins
37
Q

What are the impressions of the right lung from anterior to posterior?

A
  • brachiocephalic vein
  • trachea
  • esophagus
  • arch of Azygos
38
Q

What is the lingula on the left lung?

A
  • on sup. lobe
  • remnant of missing 3rd lobe
39
Q

What are the 2 lobes of the left lung?

A

sup & inf

40
Q

What is the function of the hilum of the left lung?

A
  • connects the lung to the bronchi
  • contains pulmonary art & veins
41
Q

What are the impressions of the left lung from anterior to posterior?

A
  • cardiac notch
  • subclavian art.
  • aorta
42
Q

How do the pulmonary veins of the lungs enter?

A

via hilium

43
Q

What is the arterial supply of the lung? (RALS)

A
  • right pulmonary art. = ant
  • left pulmonary art. = sup
44
Q

What is the bronchopulmonary segment?

A

where bronchi split with own arterial branch to supply a specific lung area

45
Q

What is the flow of bronchis?

A

trachea -> primary bronchi -> secondary bronchi -> tertiary bronchi