Topic 6- Lungs Flashcards
What separates lungs
Mediastinum with hesrt, vessels and trachea
Where do lungs extend from and inferior end
Apex Above first rib at T1
Ends at ispiretion at t12 diaphragm
Where does lung attach to heart and trachea
At the roots/hilum
What enters at hilum of lungs (inner middle) and leaves
Pulmonary artery and pulmonary veins leave with oxygenated
What else is wt roots of lungs
Bronchus, lymphatic bessels, nerves
What is the area surrounding where pulmonarh vessels enter hilum
Pulmonary ligament
What divides loves of lungs
Fissures horizontal and oblique
Which fissure divises the superior and inferior left lobes and middle and inferior of right
Oblqiue
What does horizontal separate
Superior from middle in right lung
Which lung is latger and heavier
Right
Why is it shorter and wider then
Because right dome of duaphragm is much bigger
Where does carsiac notch indent
Anterio inferior of superior lobe in left lung
Which anterior margin of which lung is straighter
Rught because no cardiac notch
Where is mediastinum surface, dipahragmatic surfsce and costal
Middle lining of lungs for mediastinum,
Outside for costal surface , bottom for diaphragmatic
What are the 3 borders of lungs
Anterior, posterior and inferior (down)
What does the visceral pleurs cover and adhere to
Covers lung (inner lining of pleura) and adheres to lung surfaces like fissures. Doesnt remove from lung
What does parietal pleura line and adhere to
Lines pulmonary cavities,
adheres to throacic wall, mediastinum and diaphragm
Ehere does visceral pleura reflect to become parietal vice versa
Hilum of lung
What is the parietal pleura called seen covering apec of lungs extending through superior thoracic aperture
Cervical pleura
What does costal parietal pleura cover
Internal surfaces of thoracic walls
What does mediastinal pleura cover
Lateral surface of mediastinum
What does dipahragmatic cover
Superior of diaphhragm on voth sides
Ehat does pleural csvity do
Allows lubrication and smooth sldiijg of lungs in respiration
Also provides rhe surface tbesion to allow ahderenacr of lung lining to thoracic wall so when lung expands; chest expands too
Ehat is included in upper resp tract
Nose to top of trachea
So nasal cavities, pharynx, larynx, sinuses
What is its function
Warm, humidify and remove debris form air
What are rue 2 basal sinuses at top of nose (front and bsck) called
Sphenoid sinus (top of nose at back of head) and frontal sinus
What arw rhe 3 nasal conchae within rhe nose/nasal cavity (look like steps )
Superior
Middle
Inferior
Where are rhe hsrd and soft plaate of the mouth
Hard palate is at top of mouth/ roof of mouth
Soft palate is at rhe back roof of mouth
What are the 3 pharynxes
Nasophsrynx (back of nasal cavity)
Oropharynx (back of mouth)
Laryngopharynx (space behind larynx which is the epiglottis, glottis etc at front of trschea)
Which part of larynx is highest/ start of trachea
Epiglottis then glottis under it
What are the 3 bronchi
Primary/main where they enter lungs
Secondary/lobar
Tertiary/segmental
What is rhe function of lower resp tract
Conduct inspired air and remove small particulates
What resp centre in brain controls bresthing
Medulla oblongata
Whoch neurones in MO are for insp and exp
Insp = DRG eg dpahragm and external exp= vrg is external and accesory myscles
What centre in PRG activates drg and vrg resprctively
Apneustic centre
Wht is apneustic centre controlled by
Pneumotaxic prg in pons
Which accesory mudcle in insirpation elevstes sternum
Sternocleidomastoid muscles
Which accesory muscles elecate rivs in inspiration (below sternocleidomastoid)
Scalenes
Which part of external intefcostal also elevates ribs in inspiretion
Interchondral part
How does diaphragm affect ribs in insirpation
Elevates lower ribs
In active expiretion which part of internal intercostal is not involved in phllung ribs down
Interchondral area
Which abdominal muscle pulls ribs down in rxpiration
Quadratus lumborum
Apart from pull ribs down what does abdominal muscles do in expiretion
Squeeze abdomen which allows diaprhagm to dome
What does dipahragm attsch to
Lowet ribs by thr parietal pleura
What is it innergated by and at what level do these ectenr from
Phrenic nerves from c3-c5 (cervical plexus)
What level is jt at rest vs insp
T9-T12(last rib)
Where fors it get bloof and how is it frained
From intercostal arteries. Drained bsck to inferior vena cava
Where is the hiatus from oesphagus and diaphragm (where they stop meeting)
T10
Where is the aortic histus
T12 (lowest on the diaphragm)