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what is the thoracic inlet
the superior opening of the thorax
contains...
- first rib
- first thoracic vertebrae
- superior end of the manubrium
location of thorocentsisis
midscapular line at intercostal space between ribs 10-12
How many ribs are there in total?
12 pairs of ribs
number of true ribs
7
number of false ribs
ribs 8-10
number of floating ribs
11-12
external intercostals
Elevates rib cage during inspiration
internal intercostals
depresses the ribs and decreases the thoracic volume
transversus thoracis
depresses the ribs
movement of the central tendon during inspiration and expiration
inspiration : the central tendon contracts and the fibers pull it down which increases the volume of the thoracic cavity
expiration: the central tendon relaxes and is pulled upward to decrease the volume of the thoracic cavity
Layers of the abdominal wall (superficial to deep)
skin, campers fascia, scarpas fascia, external oblique, internal oblique, transversus abdominus, transversalis fascia
all three abdominal muscular layers are innervated by what
intercostal nerves 7-11
costal recesses
during exhalation, the lungs shrink and part of the thoracic cavity folds upon itself
level of the costodiaphragmatic recess
ribs 10-12
lungs can be reinflated after a lung collapse at what rib level
intercostal space between ribs 5-6
bronchopulmonary segments in the right lung
10 segments
bronchopulmonary segments in the left lung
8
pathway of the bronchioles
main primary bronchus, terminal bronchioles, respiratory bronchioles, acinus, capillary networks, pulmonary venules, hilum
cardiac notch surface anatomy
ribs 4-8
surface anatomy of the lung
ribs 6-8-10
surface anatomy of the pleura
ribs 8-10-12
right side of heart
- recieves deoxygenated blood
- pumps blood to the lungs through the pulmonary trunk
left side of heart
- recieves oxygenated blood
- pumps blood into the aorta to the systemic circulation to supply all tissues of the body
auscultation point for the aortic valve
2nd right intercostal space
auscultation point for the pulmonary valve
2nd left intercostal space
layers/tissues of the heart wall
Superficial to deep
1) epicardium (visceral pleura)
2) myocardium
3) endocardium
4) fibrous skeleton
histology of endocardium
simple squamous epithelium
During embryological development, what is the foregut, midgut, and hindgut supplied by
the celiac trunk, the superior mesenteric artery, and the inferior mesenteric artery
layers of the muscularis layer
- smooth muscle
- inner circular layer that contracts proximally
- outer longitudinal layer that contracts distally
histology of esophagus
- non keratinized stratified squamous epithelium
- upper 1/3 skeletal muscle and lower 1/3 smooth muscle
- autonomic contractions move ingested material down into the esophagus
Jejunum characteristics
- thicker walls
- less extensive arcades
- longer vasa recta
Ileum characteristics
- extensive arcades
- shorter vasa recta
contents of portal triad
common bile duct, proper hepatic artery, and the portal vein
the hepatic artery supplies what to the liver
the hepatic artery delivers oxygenated blood to the hepatocytes
the portal vein supplies what to the liver
nutrient rich blood
pancreas functions
1) exocrine cells release digestive enzymes
2) endocrine cells to send signals to parts of the body for different functions
beta cells of pancreas
produce insulin and signals the liver to uptake glucose from the blood
alpha cells of pancreas
produce glucagon which signals the liver to release glucose into the blood
psoas major action
primary hip flexor
Quadratus Lumborum action
lateral flexion of the trunk
level of the caval foramen
T8
level of the esophageal hiatus
T10
level of aortic hiatus
T12
what does the vagus nerve run in between
common carotid artery and the internal jugular vein
Borders of the posterior cervical triangle
sternocleidomastoid, trapezius, clavicle
What splits the posterior cervical triangle?
the inferior belly of the omohyoid muscle
borders of anterior cervical triangle
the sternocleidomastoid, midline, and the inferior border of the mandible
anterior and posterior border of the infratemporal fossa
anterior : infratemporal surface of the maxilla
posterior: sphenoid and temporal bone
superior and inferior border of the infratemporal fossa
greater wing of sphenoid
medial pterygoid
lateral and medial border of the infratemporal fossa
lateral pterygoid plate
zygomatic arch and the ramus of the mandible
temporalis muscle
- elevates the jaw
- innervated by temporal branches of v3
masseter muscle
- originates on the inferior border of the zygomatic arch and inserts on the external surface of the mandible
- elevates the jaw
- innervated by v3
lateral pterygoid
- moving the jaw from side to side
- jaw depressor and protruder
- innervated by nerve to lateral pterygoid branch of v3
medial pterygoid
- elevates the jaw
- innervated by nerve to medial pterygoid
principal blood supply to the infratemporal fossa
maxillary artery
artery that branches from the maxillary artery into the cranial fossa
- middle meningeal artery
- enters through the foramen spinosum
arteries of the pterygomaxillary portion of the maxillary artery
posterior superior alveolar artery, infraorbital a., descending palatine a., sphenopalatine a. , artery of the pterygoid canal
pterygopalatine ganglion
located in the pterygopalatine fossa
sensory branch of pterygopalatine ganglia
- from v2
- join greater and lesser palatine nerves to enter the roof of the mouth
parasympathetic branch of the pterygopalatine ganglia
- greater petrosal nerve
- parasympathetics to lacrimal gland, nasal and oral mucousa
sympathetic branch of the pterygopalatine fossa
- deep petrosal nerve
- sympathetics to lacrimal gland, nasal and oral mucosa
nerves of the opthalmic division of trigeminal
frontal, nasociliary, and lacrimal branches
function of the cililary muscle and how it is affected during looking at something far sighted vs near sighted
- the ciliary muscle is for focusing of the eye
- far sightedness : muscle relaxes
- near sightedness : muscle contracts
cricothyroid m.
- pulls the thyroid cartilage taught
- high pitched noises
- innervated by the superior laryngeal nerve
thyroarytenoid m.
- pulls the thyroid backward
- low pitched noises
posterior cricoarytenoid
abducts vocal folds
lateral cricoarytenoid
adducts vocal folds
neurovasculature for the pharynx and larynx
blood supply:
superior and inferior laryngeal arteries off of the superior and inferior thyroid branches
nerves:
superior and inferior laryngeal nerves
superior gives off external and internal laryngeal nerves