Thorax 2 Flashcards

1
Q

What is the mediastinum?

A

Central compartment of the thoracic cavity

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2
Q

What is the mediastinum subdivided into?

A

-Superior mediastinum
-Inferior mediastinum

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3
Q

What is the inferior mediastinum divided into?

A

-Anterior mediastinum
-Middle mediastinum
-Posterior mediastinum

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4
Q

Where is the superior mediastinum located?

A

-The area posterior to the manubrium of sternum and anterior to the thoracic vertebrae 1-4

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5
Q

What are the major content of the superior mediastinum?

A
  1. Aortic arch and distal parts of its branches
  2. Trachea
  3. Superior vena cava and brachiocephalic veins
  4. Esophagus
  5. Thymus
  6. Cranial nerve 10
  7. Phrenic nerves
    8.Thoracic duct
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6
Q

What area is the anterior mediastinum located?

A

Area anterior to the pericardial
sac and posterior to the body of
the sternum

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7
Q

What are the contents of the anterior mediastinum?

A

-Part of the thymus
-Mediastinal branches of internal thoracic vessels
-Fat, connective tissue, lymphatics and sternopericardial ligaments

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8
Q

What are the contents of the middle mediastinum?

A

-Heart
-Pericardium
-Origins of the greater vessels of the heart
-Phrenic nerves

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9
Q

What are the contents of the posterior mediastinum?

A
  • Esophagus and esophageal plexus
  • Descending thoracic aorta and its
    branches
  • Azygos vein
  • Hemi-azygos vein
  • Accessory hemi-azygos vein
  • CNX
  • Thoracic ganglia of sympathetic trunk
  • Thoracic splanchnic nerves
  • Thoracic duct
  • Lymphatics
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10
Q

Where does the apex of the lung extend to?

A

Apex extends superior to thoracic inlet

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11
Q

Where are the bases of each lung placed on?

A

Bases are placed on diaphragmatic domes

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12
Q

What are the lobes present in the right lung?

A

-Superior
-Middle
-Inferior

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13
Q

What fissures are present in the right lung?

A

-Transverse
-Oblique

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14
Q

What are the lobes of the left lung

A

-Superior
-Inferior

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15
Q

What are the fissures present in the left lung?

A

Oblique

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16
Q

How many surfaces does each lung have and what are they called?

A

Each lung has 3 surfaces:
-Costal
-Mediastinal
-Diaphragmatic

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17
Q

What part is the diaphragmatic surface?

A

Part of lung that sits superior to a diaphragmatic dome

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18
Q

Where does the mediastinal surface of the lung lie?

A

Lies against the mediastinum
(anteriorly) and the vertebral column
(posteriorly)

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19
Q

What structures does the mediastinal surface of the lung contain?

A

Contains the lung hilar structures

20
Q

Where does the costal surface of the lung lie?

A

Lies adjacent to the ribs and intercostal spaces of thoracic wall

21
Q

What are the components of each lungs hilum?

A

-Main bronchus
-Pulmonary artery
-Pulmonary veins
-Bronchial vessels
-Nerves
-Lymphatics

22
Q

What does the main bronchi branch in the root of the lung into?

A

Main bronchus branches in the root of lung
into a secondary (lobar) bronchus

23
Q

What is usually the most supero-posterior structure in the right lung?

A

Usually, the right bronchus will be the
most supero-posterior hilar structure.

24
Q

Where does the right pulmonary artery pass in the right lung?

A

The right pulmonary artery passes anterior
to the right main bronchus and posterior to the
right upper pulmonary vein.

25
What is the most antero-inferior hilar structure?
The right pulmonary veins will be the most antero-inferior hilar structure from all three
26
Where does the main bronchus branch in the left lung?
Main bronchus branches within the lung itself
27
What is the main bronchus inferior to in the left lung?
Main bronchus is inferior to the pulmonary artery
28
What is usually the most superior hilar structure in the left lung?
Usually, the left pulmonary artery will be the most superior hilar structure.
29
Where does the left pulmonary artery pass in the left lung?
The left pulmonary artery passes posterior to the left upper pulmonary vein.
30
What is the most anteroinferior hilar structure in the left lung?
The left pulmonary vein(s) will be the most anteroinferior hilar structures in the left lung.
31
What is each pleural cavity in the lung lined by?
Each pleural cavity is lined by a pleural membrane (pleura)
32
What is the pleura?
A single layer of mesothelial cells (squamous cells) + a layer of supportive connective tissue
33
What does the parietal pleura line?
Lines walls of pleural cavity
34
What does visceral pleura adhere?
Adheres on lungs' surfaces
35
What is pleural cavity and what does it normally contain?
-Potential space enclosed between the visceral and parietal pleura -Normally contains a bit of serous
36
What are the different parts that the parietal pleura consists of?
1. Cervical pleura 2. Costal pleura 3. Mediastinal pleura 4. Diaphragmatic pleura
37
What are pleural recesses?
Spaces where the pleural cavity is not totally filled by the lung parenchyma
38
What are the 2 pleural recesses?
1. Costomediastinal recessesses 2. Costodiaphragmatic recesses
39
Where do costomediastinal recesses occur?
Occur anteriorly, particularly on the left side in relationship to the heart bulge
40
Where do costodiaphragmatic recesses occur?
Occur inferiorly between the lower lung margin and the lower margin of the pleural cavity.
41
What is the location of the trachea?
C6-T4/T5
42
What is the trachea held open by?
Held open by C-shaped transverse tracheal cartilaginous rings
43
Where are tracheal cartilages incomplete?
Tracheal cartilages are incomplete posteriorly
44
What is the carina?
Where the trachea bifurcates
45
What is the muscle on the posterior wall of trachea?
Posterior wall of trachea consists of smooth muscle (trachealis)
46
What is the bronchial tree made up of?
1. Main bronchi divide into lobar bronchi 2. Lobar bronchi divide into segmental bronchi 3. Segmental bronchi divide and eventually give rise to the bronchioles