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Thorax
PP 3
51
Anatomy
Graduate
10/24/2011

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Term
Supraclavicular lymph nodes
Definition
What lymph nodes are known as the sister mary's lymph nodes?
Term
cardiac tamponade.
Definition
Associated bleeding into the pericardial cavity that compresses the heart is known as?
Term
pericarditis
Definition
Inflammation of the pericardium is known as..
Term
transverse pericardial sinus
Definition
This space lies posteriorly to the ascending aorta and the pulmonary trunk and anteriorly to the SVC and superior to the left atrium.
Term
C4, but also can come from C3 and C5
Definition
The phrenic nerves that supply motor and sensory innervation to diaphragm arise from what cervical region?
Term
Thoracic aorta, azygos system of veins, thoracic duct, sympathetic trunks, thoracic splanchnic nerves.
Definition
List major structures in posterior mediastinum
Term
1. serous exudate filling the pericardial cavity (pericardial effusion)
2. Fibrous scar tissue making the pericardium stick to the heart (constrictive pericarditis)
Definition
Pericarditis can restrict heart's movement by what 2 things.
Term
Directed anteriorly, inferiorly and to the left, peristinally in the 6th intercostal space
Definition
The apex of the heart lies where with respect to the ribs and intercostal spaces.
Term
aortic valve
Definition
When auscultating the 2nd right intercostal space you are hearing what?
Term
pulmonary valve
Definition
When auscultating the 2nd left intercostal space you are hearing..
Term
tricuspid valve
Definition
when auscultating the 3rd and 4th left intercostal spaces you are hearing?
Term
Mitral valve...PMI
Definition
when auscultating the 5th intercostal space on the left side, you are hearing?
Term
The duct extends from vertebra L2 to the root of the neck. It crosses at level T5
Definition
Where does the thoracic duct extend from? and when does it move to the left across the midline?
Term
coronary sulcus
Definition
This encircles the heart and marks the boundary b/t the atria and the ventricles.
Term
1. rt coronary artery
2. cardiac vein
3. coronary sinus
4. circumflex branch of left coronary artery
Definition
List the structures the coronary sulcus contains.
Term
anterior interventricular sulcus
Definition
This sulcus of the heart is where the widowmaker travels (LAD), and marks the boundary b/t the ventricles anteriorly
Term
anterior interventricular artery, and great cardiac veins.
Definition
What structures do the anterior interventricular sulcus contain?
Term
posterior interventricular sulcus
Definition
This sulcus of the heart marks the boundary b/t the ventricles posteriorly..
Term
1. posterior interventricular artery
2. middle cardiac vein
Definition
What structures does the posterior interventricular sulcus contain?
Term
1. superior vena cava
2. inferior vena cava
3. coronary sinus
Definition
List the three sources the right atrium...
Term
blood flows thru into right ventricle, and it has 3 cusps of dense CT covered by endocardium.
Definition
Describe the tricuspid valve...
Term
pulmonary semilunar valve
Definition
what valve does the blood flow through from right ventricle to pulmonary trunk?
Term
trabeculae carneae (cone shaped)
Definition
Papillary muscles raised bundles of cardiac muscle called?
Term
contraction causes valves to open, and relaxation they close
Definition
Contraction of chordae tendineae causes what? relaxation?
Term
lungs via the 4 pulmonary veins.
Definition
Left atrium receives blood from?
Term
located on the left side, has two cusps.
Definition
Describe the bicuspid valve..
Term
just above the aortic semilunar valve.
Definition
Where are the openings to the coronary arteries located?
Term
When ventricular pressure is lower than atrial pressure...ventricles are relaxed, chordae tendineae are slack and papillary muscles are relaxed.
Definition
When do the AV valves open?
Term
sweat gland
Definition
Mammary glands are modified what?
Term
fat
Definition
The predominant component of the breast in non-lactating women is?
Term
glandular tissue
Definition
What is more abundant in lactating women?
Term
anterior and lateral cutaneous branches of the 2-6th intercostal nerves
Definition
What nerves are the breasts innervated by?
Term
Axillary, which dumps into subclavian trunk and parasternal nodes, which enters the brochomedistinal lymphatic trunk
Definition
75% of lymphatic drainage from breast occurs in which node?
Term
Colostrum
It is rich in protein, and immune agents and growth factors
Definition
What is the white to yellowish premilk fluid that may secrete from the nipples during the last trimester of pregnancy? what is it rich in?
Term
During menstrual periods and pregnancy
Definition
When does the branching of lactiferous ducts occur?
Term
Get to the right side of the body (left has to cross midline), because all blood drains into the right atrium
Definition
All blood must do what before it goes back to the heart?
Term
brachiocephalic
Definition
What vein in adults crosses the midline of the body posterior to the manubrium?
Term
By means of the lymphatic vessels, which carry cancer cells to from the breast to the lymph nodes of the axilla.
Definition
How does breast cancer normally spread?
Term
The vagus nerve
Definition
The parasympathic fibers that innervate the brochial tree, pulmonary vessels, and secretory glands of brochial tree are from?
Term
1. Motor to the sm. muscle of the brochial tree (brochoconstrictor)
2. Inhibitory to the pulmonary vessels (vasodilator)
3. secretory to the glands of the brochial tree (secretomotor).
Definition
List three functions of the parasympathetic fibers from vagus nerve.
Term
phrenic nerves
Definition
The central part of the diaphragmatic pleura and mediastinal pleura are innervated by?
Term
Involvement and obstruction of subcutaneous lymphatic by tumor results in lymphatic dialation lymph accumulation in the skin. Resultant edema creates "orange peel" appearance due to prominence of skin gland orifices
Definition
Describe peau d'orange.
Term
suspensory ligaments.
Definition
Invasive carcinoma may involve these and can lead to retraction of the ligaments and dimpling of the overlying skin..
Term
Mediastinum
Definition
Midline partition that extends from the sternum anteriorly to the thoracic vertebrae posteriorly
Term
sternal angle and the IV disc b/t vertebrae TIV-TV
Definition
Where is the horizontal plane located to divide the mediastinum into superior and inferior parts?
Term
1. Middle - pericardium and heart
2. Anterior - b/t the sternum and the pericardium
3. posterior - b/t pericardium and T vertebrae
Definition
What three parts is the inferior mediastinum is divided into?
Term
heart, thoracic parts of the great vessels, thoracic part of the trachea, esophagus, thymus, and lymph nodes
Definition
List the body parts found in the central mediastinum.
Term
Pericardium, heart, and roots of the great vessels (asc. aorta, pulmonary trunk and SVC)
Definition
What does the middle mediastinum contain?
Term
fibrous pericardium
Definition
The tough connective tissue outer layer that defines the boundaries of the middle mediastinum.
Term
1. parietal layer - lines inner surface of the fibrous
2. visceral layer - adheres to the heart and forms the outer layer or epicardium.
Definition
Serious pericardium is thin and has two layers, what are they?
Term
Base - central tendon of the diaphragm
Anterior - the posterior surface of the sternum by sternopericardial ligaments
Definition
The base of the fibrous pericardium is atteached to? Anteriorly it is attached to?
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