Thorax Flashcards

1
Q

Limits of thoracic cavity

A

Dorsal - veterbral column
Ventral - sternum
Caudal - costal arch
Cranial - thoracic inlet, T1, manubrium (1st sternebrae)

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2
Q

Name the components of the ribs

A
Bony vertebral part
Cartilaginous (costal) sterna part
Costochondral junction 
Asternal ribs
Sternal ribs
Costal arch = border where of the rib cage where the asternal ribs fuse
Floating rib
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3
Q

Name the articulations of the ribs

A

Thoracic vertebrae dorsally
Junction of two sternebrae ventrally
Both articulations comprise synovial joints
Movement is like a bucket handle
As ribs move cranially, they move laterally

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4
Q

Name the components of the sternum

A
Sternal ribs
Manubrium
Sternebrae
Xipisternum
Xiphoid cartilage (caudal to the sternum)
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5
Q

What is the inter capital ligament

A

2 fibular heads are attached by inter capital fusion
To keep them in that position and prevent disc protrusion
If nucleus purposes expands it will protrude through annulus fibrosis and affect spinal cord by prolapse

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6
Q

What are the roles of muscles during inspiration

A

Increase in volume of thoracic cavity, diaphragm has convex protection doming up, external intercostal muscles and minor muscled are involved

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7
Q

Role of muscles during expiration

A

Decrease in volume of thoracic cavity, elastic recoil of lungs, relaxation and re-doming of diaphragm, internal intercostrals, abdominal muscles contract to pus the viscera up for forced expiration, minor muscles bring ribs back to resting position

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8
Q

External intercostals

A

Most superficial, fibres run dorso-cranially to ventral-caudally same direction as EAO

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9
Q

Action of external intercostal

A

Longer lever arm allows greater movement
Leverage on rib B greater than rib A
Rib b moves forward relative to rib A
Net result is whole rib cage is levered cranially and laterally
Increase in volume of thoracic cavity
Allows inspiration

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10
Q

What are the components of internal intercostal

A

Deep, fibres run dorso-caudally to ventral-cranially

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11
Q

Action of internal intercostal

A
Longer lever arm allows greater movement
Leverage on rib A greater than rib B
Rib A moves backwards relative to rib B 
Net result is whole rib cage levered caudally and medially 
Decreases volume of thoracic cavity 
Expiration
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12
Q

Components diaphragm

A

Muscular partition between thoracic and abdominal cavities

Consists of muscular periphery and Y shaped tendinous centre

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13
Q

Name the components of the diaphragm

A

Lumbar = right and left crura originate from lumbar vertebrae 3 and 4 via strong tendons
Costal = originates from medial surface of caudal ribs 8-13 in dogs
Sternal = dorsal surface of caudal sternum
All parts insert on the central tendon y shape centre

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14
Q

Passageways through the diaphragm

A

Oesophageal hiatus: oesophagus and vagus run through
Aortic hiatus: between 2 crura allows passage through diaphragm containing aorta, thoracic duct and azygous vein
Caval hiatus contains caudal vena cava

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15
Q

Clinical hiatal hernia

A
  • stomach herniates through the oesophagus hiatus
  • the stomach therefore protrudes out of the diaphragm
  • more common in brachycephalic breeds or breeds hit by cars due to rapid increase in pressure in the thorax
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16
Q

What is the arterial blood supply

A
Aorta
Left subclavian artery 
Left internal thoracic artery
Intercostal artery 
Epigastric artery 
Musculophrenic artery supplies blood to muscle of diaphragm
17
Q

Venous blood drainage

A
Cranial vena cava 
Left internal thoracic vein 
Intercostal vein 
Azygous vein
Musculophrenic vein
Epigastric vein
18
Q

Nervous supply

A

Intercostal nerve

Lateral cutaneous

19
Q

Embryology of diaphragm

A
  1. Mesoesophagus cranial
  2. Septum transversum/develops in cephalic region of embryo and migrates caudally
  3. Plemroperitoneal membranes (divides abdominal and pleural cavities in embryo)
  4. Ingrowths of body wall from muscular periphery
20
Q

Innervation of thorax

A

Left and right phrenic nerves follow septum transversum as it migrates from cephalic region
Cervical nerves 567 in domestics, 3-5 in man