Thorax Flashcards
Where does the trachea bifurcate ?
T4
Where does the respiratory diverticulum arise?
Forgut - endoderm
When are Type I and type II pneumocytes formed?
25th week
What brings the cardiac tube together?
Lateral folding
How does the heart migrate to the thoracic region?
by head to tail body folding
What does the right sinus venosus give rise to?
Sinus centrum - right atrium
What does the left sinus venous give rise to ?
coronary sinus & veins
What are the postnatal remnants?
Umbilical vein–> ligamentum teres of liver
Formen ovale–> fossa ovalis
Ductus arteriosus-> ligamentum arteriosum
umbilical arteries–>medial umbilical ligaments
When is the heart complete in formation?
8th week
What type of murmur is heard with a PDA?
machine like
What can give rise to PDA?
premature babies
rubella infections
What is the defect that occurs with coarctation?
Turner syndrome
What is distinguishable with a post ductal coarctation?
costal notching
What are the characteristics of tetralogy of fallout ?
- Pulmonary stenosis
- RV hypertrophy
- VSD
- Overriding Aorta
What is the congenital heart defect in diabetic mothers?
Transposition of the great arteries
What is a persistent trunks arteriosus associated with ?
DiGeorge syndrome
What allows transposition of the arteries to survive?
VSD or ASD
What nerve crosses over the heart ?
Phrenic nerve
What part of the heart is located above the 3 rib ?
Superior Vena cava
What would be puncture on the ride side of the sternum ?
Right atrium
What is the border of the right atrium?
3rd rib to 6th rib
What would be punctured midline between 3, 4, 5 intercostal space ?
Right ventricle
What is located at the 2nd rib on the left sternal border ?
Left atrium
Where is the apex of the heart located ?
5th intercostal space
What determines heart dominance ?
the origin of the Posterior descending artery
What is border of the superior mediastinum?
above T4
What the contents of the superior mediastinum?
arch of the aorta brachiocephalic veins SVC trachea & esophagus Phrenic & vagus nerves
What is the border of the middle mediastinum?
below T4 to T8
What is located in the middle mediastinum
heart
great vessels
pericardium
What is located in the posterior mediastinum?
descending aorta
esophagus
thoracic duct
azygous veing
Wheat is the located of the posterior mediastinum ?
T8
What is the order from ventral to dorsal of superior mediastinum contents?
- sternum
- thymus
- brachiocephalic veins
- Aortic rah and branches
- Trachea
- Esophagus
- Vertebra
Where does the esophagus, Thoracic aorta and the thoracic duct enter the diaphragm?
esophagus- T10
thoracic Aorta- T12
thoracic duct -T12
At what location do you locate the bulls eye on heart CT?
T6