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what are the compartments of the thoracic cavity?
2 lateral compartments which contain the lungs and pleurae
1 central compartment that is called the mediastinum that contain heart, pericardium and great vessels
what does the 2 lateral compartments of the thoracic cavity contain?
lungs and pleurae
what does the central compartment of the thoracic cavity contain?
called the mediastinum and contains heart, pericardium and great vessels
where is visceral pleura?
adheres to the lung surface
where is parietal pleura?
adheres to the walls of the pulmonary cavities
parts are named to correspond to the parts of the wall with which they are associated with (ex. costal, diaphragmatic, and mediastinal parts)
what makes up the root of the lung?
a tubular sleeve like covering that is made up of mediastinal pleura
connects each lung into heart and trachea
what is the pleural cavity?
the potential space btwn the visceral and the parietal layers that contain a very thin layer of serous fluid
what is the fluid in btwn the visceral and parietal pleura?
serous fluid
what is the job of the serous fluid?
lubricates and allows the surfaces to slide over each other during breathing. also provides surface tension that keeps the lung surface in contact w the thoracic wall
where is the apex of the lungs?
proximal, above the level of 1st rib (into root of the neck)
where is the base of the lungs?
distal, level of 6th rib anteriorly, 8th rib laterally, and 10/11th rib posteriorly
how many lobes does the right lung have?
3
how many lobes does the left lung have?
2
what are the 3 lobes of the right lung called?
superior, middle, and inferior lobes
what are the 2 lobes of the left long called?
superior and inferior
what are the 2 fissures of the right lung called?
horizontal and oblique fissures
what is the fissure of the left lung called?
oblique
which lung has the lingula?
the left lung
which lung has the cardiac notch?
left lung
what are the 3 surfaces of the lungs?
costal, mediastinal, diaphragmatic
the trachea bifurcates at the level of the sternal angle into what?
the 2 main bronchi (right and left)
the trachea is held open by what?
c- shaped rings of hyaline cartilage
after the trachea bifurcates, which bronchi is shorter, wider and more vertical?
the right main bronchus
which bronchus is more likely to aspirate through? why?
the right
more vertical
after the bronchi, you enter where?
the root of the lung
what carries well-oxygenated blood away from lungs?
pulmonary veins
what brings poorly oxygenated blood towards the lungs?
pulmonary arteries
which nerve is the one that travels from brainstem and carries parasympathetic supply to bronchoconstrict, vasoconstrict and secretomotor (glands)?
the vagus nerve (CN 10)
in regards to the lungs, what part of the autonomic nervous system controls bronchoconstricting, vasoconstriction and secretomotor (glands)?
the parasympathetic nervous system
n regards to the lungs, what part of the autonomic nervous system controls bronchodilating, vasodilating and inhibiting glands?
sympathetic nervous system
what innervates the diaphragm?
the phrenic nerve c3, c4, c5
what is the mediastinum?
the central thoracic compartment that contains the heart, vessels, trachea, esophagus ect (everything but the lungs)
separates the right and left pleural cavities that contain the lungs
what is the pericardium?
a double walled sac around the heart that protects
what are the 2 parts of the pericardium?
the fibrous pericardium and the serous pericardium
where is the fibrous pericardium located?
outer external sac of the heart
where is the serous pericardium located?
inner layer of the heart sac
has parietal layer (inner) and visceral layer (outer)
what are the 3 layers of the heart muscles?
epicardium, myocardium, and endocardium
in regards to the heart muscles, the thin outer layer is called the
epicardium
in regards to the heart muscles, the middle layer is called the
myocardium
in regards to the heart muscles, the thin internal layer is called the
endocardium
the fibrous skeleton of the heart is dense collagen forming 4 rings that do what?
support the valves
the majority of the heart is located where?
2/3 of the heart is located to the left of the sternum
the base of the heart is located where?
at the level of the 3rd costal cartilages
the apex of the heart is located where?
at the level of the 5th intercostal space
the apex of the heart is formed by what?
the left ventricle
what are the 4 surfaces of the heart?
the sternocostal surface (anterior)
the diaphrgmatic surface (inferior)
left pulmonary surface (left ventricle lil left atrium)
right pulmonary surface (right atrium)
in regards to the pumping of the heart, diastole is when…
ventricles fill w blood
in regards to the pumping of the heart, systole is when…
ventricles contract and discharge blood
in regards to heart sounds, lub is
the closing of semilunar valves
in regards to heart sounds, dub is
closing of tricuspid and mitral valves
in regards to the vascular supply of the heart, the right and left coronary aa supplies what part of the heart?
the epicardium and myocardium
in regards to the vascular supply of the heart, what supplies blood to the endocardium?
blood in the heart
the right coronary artery (RCA) typically supplies what structures?
right atrium
most of right ventricle
SA node (60% people)
AV node (80% people)
and part of left ventricle and interventricular septum
the left coronary artery (LCA) typically supplies what?
left atrium
most of left ventricle
SA node (40% people)
AV node (20% people)
and part of the right ventricle
in regards to the venous flow of the heart, what is the main vein of the heart?
the coronary sinus which runs in the posterior coronary groove and empties into the right atrium
the sympathetic nerve fibers that innervate the heart, enter the spinal cord btwn t1-t4 levels, at t1-t4, somatic afferent nerves also enter from their respective dermatomes. if the brain misinterprets these signals, this is called…
referred pain
the SA node is aka what?
the widow maker
the SA node does what?
initiates and regulates the impulses for contraction
the AV node does what?
receives impulses from SA node