trachea and oesophagus Flashcards

1
Q

what is in the root of the neck

A

subclavian vessels, common carotid, trunks of the brachial plexus (sympathetic trunk, phrenic, vagus, recurrent laryngeal nerves), right thoracic duct , right lymphatic duct, oesophagus and trachea.

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2
Q

what is connected to the trachea superiorly and inferiorly

A

the larynx superiorly and the main bronchi inferiorly

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3
Q

where does the trachea begin

A

border of cricoid cartilage / C6

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4
Q

what is the trachea lined by

A

ciliated columnar epithelium

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5
Q

what is the carina

A

ridge of cartilage at bottom of trachea, where it splits into right and left bronchi

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6
Q

where is the carina

A

T5
T4 on expiration
T6 on inspiration

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7
Q

how many rings of hyaline cartilage are there

A

18-22

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8
Q

what branch of the subclavian artery also gives pharyngeal, tracheal and esophageal branches

A

thyrocervical trunk

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9
Q

what supplies the cervical trachea

A

the tracheoesophageal branch of the inferior thyroid artery which is a brach of the thyrocervical trunk

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10
Q

what is the venous drainage of the trachea

A

inferior thyroid venous plexus

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11
Q

what is the thoracic trachea supplied by

A

Superior, middle and inferior bronchial arteries arising from the aorta

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12
Q

what is the oesophagus supplied by

A

Superior, middle and inferior bronchial arteries arising from the aorta

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13
Q

where does a tracheotomy take place

A

between cricoid cartilage and suprasternal notch
2nd, 3rd and 4 th tracheal rings

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14
Q

where does the oesophagus begin

A

level of cricoid cartilage

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15
Q

what are the attachments of the oesophagus

A

Lamina of cricoid cartilage in the cervical region by the cricopharyngeal tendon
Attached to the trachea, pleura and prevertebral fascia by fibrous tissue
Attached to the diaphragm by phrenoesophageal ligament

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16
Q

where is the cervical division of the oesophagus

A

cricopharyngeus C6 to suprasternal notch

17
Q

where is the thoracic division of the oesophagus

A

suprasternal notch to diaphragm

18
Q

where is the abdominal division of the oesophagus

A

diaphragm to stomach

19
Q

what condition results from damage to the oesophagus

A

GERD causes inflammation, damage and narrowing leading to oesophageal stricture

20
Q

what is the function of oesophageal sphincters

A

prevent backflow of food, control rate of food passage, vomiting, and gag reflex

21
Q

wht is the cervical oesophagus supplied by

A

inferior thyroid artery

22
Q

what is the thoracic oesophagus suplied by

A

the aortic esophageal arteries which are at the terminal branches of the bronchial arteries.

23
Q

what is the abdominal oesophagus supplied by

A

left gastric artery and a left phrenic artery branch.

24
Q

what provides drainage for the distal and proximal segmnets of the oesophagus

A

azygous vein/system

25
Q

what provides drainage for the midsection of the oesophagus

A

auxiliaries of the left gastric vein which branches from the portal vein.

26
Q

what does the vagus nerve innervate in the oesophagus

A

The vagus nerve is primarily responsible for the parasympathetic motor functions of the oesophageal muscles i.e. peristalsis.

27
Q

what does the thoracic and cervical chain nerves innervate in the oesophagus

A

constitute the sympathetic innervation and serve to assist in the constriction of blood vessels, contractions of the sphincters, muscle wall relaxation, along with gland and peristaltic activity increases.

28
Q

what forms the only complete cartilaginous ring in the larynx

A

cricoid

29
Q

WHERE IS THE OPTIMUM SITE FOR PERFORMING AN EMERGENCY AIRWAY AS A BYSTANDER?

A

Cricothyroid membrane

30
Q
A