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Bounded by the chest wall and below by the diaphragm, it extends upward into the root of the neckabout one fingerbreadth above the clavicle on each side
Chest cavity
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the only structure (apart from the pleura and the peritoneum)that separates the chest from the abdominal viscera
Diaphragm
-
a median partition
mediastinum
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a movable partition that extends superiorly to the thoracic outlet and the root of the neck and inferiorly to the diaphragm
mediastinum
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The mediastinum is divided into
superior and inferior mediastinum
-
The inferior mediastinum is further subdivided into the ________,which consists of the pericardium and heart; the ________, which is a space between the pericardium and the sternum; and the ________, which lies between the pericardium and the vertebral column
- middle mediastinum
- anterior mediastinum
- posterior mediastinum
-
Consist the superior mediastinum
- Thymus
- large veins
- large arteries
- trachea
- esophagus and thoracic duct
- sympathetic trunks.
-
composes the inferior mediastinum
- Thymus
- Heart within the pericardium with the phrenic nerves on each side
- esophagus and thoracic duct
- descending aorta
- sympathetic trunks
-
bounded in front by the manubrium sterni and behind by the first four thoracic vertebrae
superior mediastinum
-
bounded in front by the body of the sternum and behind by the lower eight thoracic vertebrae
inferior mediastinum
-
2 parts of a pleura
- parietal layer
- mediastinal layer
-
lines the thoracic wall, covers the thoracic surface of the diaphragm and the lateral aspect of the mediastinum
parietal layer
-
covers the outer surfaces of the lungs and extends into the depths of the interlobar fissures
visceral layer
-
a loose fold that allow for movement of the pulmonary vessels and large bronchi during respiration
pulmonary ligament
-
a slit like space that separate he parietal and visceral layers of pleura are from one another
pleural cavity/ pleural space
-
covers the surfaces of the pleura as a thin film and permits the two layers to move on each other with the minimum of friction
pleural fluid
-
extends up into the neck, lining the under surface of the suprapleural membrane (see Fig. 2.13). It reaches a level 1 to 1.5 in. (2.5 to 4 cm) above the medial third of the clavicle.
cervical pleura
-
lines the inner surfaces of the ribs, thecostal cartilages, the intercostal spaces, the sides of the vertebralbodies, and the back of the sternum
costal pleura
-
covers the thoracic surface ofthe diaphragm
diaphragmatic pleura
-
This lower area of the pleural cavity into which the lung expands on inspiration is referred to as the ________
costodiaphragmatic recess
-
covers and forms the lateral boundary of the mediastinum
mediastinal pleura
-
where the mediastinal pleura is attached to the blood vessels and bronchi that constitute the lung root
hilum
-
are slitlike spaces between the costal and diaphragmatic parietal pleurae that are separated only by a capillary layer of pleural fluid
Costodiaphragmatic Recesses
-
are situated along the anterior
margins of the pleura
Costomediastinal Recesses
-
They are slitlike spaces between the costal and mediastinal parietal pleurae, which are separated by a capillary layer of pleural fluid
Costomediastinal Recesses
-
The costal pleura is segmentally supplied by what nerve
Intercostal nerve
-
The mediastinal pleura is supplied by the
Phrenic Nerve
-
The diaphragmatic pleura is supplied over the domes by the _____ and around the periphery by the _____
Phrenic Nerve & Lower intercostal nerves
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It is insensitive to common sensations such as pain and touch and it receives an autonomic nerve supply from the pulmonary plexus
Visceral Pleura
-
It is a mobile cartilaginous and membranous tube and It begins in the neck as a continuation of the larynx at the lower border of the cricoid cartilage at the level of the 6th cervical vertebra
trachea
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In the thorax, the trachea ends below at the _____ by dividing into right and left principal bronchi at the level of the sternal angle
carina
-
In adults, the trachea is about _____long and _____ in diameter
4 1/2 in. (11.25cm) & 1 in. (2.5 cm
-
Is kept patent by the presence of U-shaped bars (rings) of hyaline cartilage embedded in its wall
Fibroelastic tube
-
The posterior free ends of the cartilage are connected by smooth muscle
trachealis muscle
-
The relations of the trachea in the superior mediastinum of the thorax anteriorly:
The sternum, the thymus, the left brachiocephalic vein, the origins of the brachiocephalic, left common carotid arteries, the arch of the aorta
-
The relations of the trachea in the superior mediastinum of the thorax posteriorly:
The esophagus, the left recurrent laryngeal nerve
-
The relations of the trachea in the superior mediastinum of the thorax right side;
The azygos vein, the right vagus nerve, the pleura
-
The relations of the trachea in the superior mediastinum of the
thorax left side:
The arch of the aorta, the left common carotid, left subclavian arteries,the left vagus and left phrenic nerves, and the pleura
-
The upper two thirds of the trachea are supplied by the
inferior thyroid arteries
-
the lower third of the trachea is supplied by the
bronchial arteries
-
The sensory nerve supply is from the
Vagi and Recurrent laryngeal nerves
-
Sympathetic nerves supply the
trachealis muscle
-
The trachea bifurcates behind the arch of the aorta into the
right and left principal (primary or main) bronchi
-
Each respiratory bronchiole divides into ______ alveolar ducts that enter the alveolar sacs
2 to 11
-
The right principal (main) bronchus is
wider, shorter, and more vertical and is about 1 in (2.5 cm) long
-
The left principal (main) bronchus is
narrower, longer, and more horizontal than the right and is about 2 in. (5 cm) long
-
During life, the right and left lungs are:
soft, spongy,\very elastic
-
If the thoracic cavity were opened, the lungs would immediately shrink to
one third or less in volume
-
Each lung has a ________, which projects upward into the neck for about 1 in. (2.5 cm) above the clavicle
blunt apex
-
Concave base of the lungs sits on the
diaphragm
-
Part of the lungs which corresponds to the concave chest wall
convex costal surface
-
Part of the lungs which is molded to the pericardium and other mediastinal
structures
concave mediastinal surface
-
depression in which the bronchi, vessels, and nerves that form the root enter and leave the lung
hilum
-
The _______ runs from the inferior border upward and backward across the medial and costal surfaces until it cuts the posterior
border about 2.5 in. (6.25 cm)below the apex
oblique fissure
-
Runs horizontally across the costal surface at the level of the 4th costal cartilage to meet the oblique fissure in the mid axillary line
Horizontal Fissure
-
the anatomic, functional,and surgical units of the lungs
Bronchopulmonary segment
-
structurally and functionally independent unit of a lung lobe
bronchopulmonary segment
-
smallest bronchi, <1 mm in diameter
Bronchioles
-
possess no cartilage in their walls and are lined with columnar ciliated epithelium. The submucosa possesses a complete layer of circularly arranged smooth muscle fibers
Bronchioles
-
bronchioles then divide and give rise to
terminal bronchioles
-
Gaseous exchange between blood and air takes place in the walls of these outpouchings
Respiratory bronchioles
-
main characteristics of a bronchopulmonary segment
- It is a subdivision of a lung lobe
- It is pyramid shaped, with its apex toward the lung root
- It is surrounded by connective tissue
- It has a segmental bronchus, a segmental artery, lymph vessels, and autonomic nerves
- The segmental vein lies in the connective tissue between adjacent bronchopulmonary segments
- Because it is a structural unit, a diseased segment can beremoved surgically
-
formed of structures that are entering or leaving the lung (made up of the bronchi,pulmonary artery and veins, lymph vessels, bronchial vessels, and nerves)
root of the lung
-
The bronchi, the connective tissue of the lung, and the visceral pleura receive their blood supply from the bronchial arteries, which are branches of the ________
descending aorta
-
The bronchial veins (which communicate with the pulmonary veins) drain into the ________
azygos and hemiazygos veins
-
lies beneath the visceral pleura and drains over the surface of the lung toward the hilum, where the lymph vessels enter the bronchopulmonary nodes
superficial (subpleural) plexus
-
All the lymph from the lung leaves the hilum and drains into the ______ and then into the ______
tracheobronchial nodes & bronchomediastinal lymph trunks
-
Nerve Supply of the Lungs
pulmonary plexus
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