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Anatomy
N/A
56
Health Care
Graduate
02/27/2013

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Term
Annuli Fibrosi
Definition
Fibrous coronet of pulmonary valve
Fibrous coronet of aortic valve
Left fibrous ring: mitral valve
Right fibrous ring: tricuspid valve
Term
Base
Definition
posterior aspect of heart
left atrium
narrow portion of right atrium
Term
Apex
Definition
blunt descending projection
left ventricle
Term
Diaphragmatic Surface
Definition
left ventricle
narrow portion of right ventricle
Term
Sternocostal Surface
Definition
right atrium
right ventricle
narrow portion of left ventricle
Term
Annuli Fibrosi Function
Definition
separates myocardial fibers of the atria and ventricles
Term
Obtuse Margin
Definition
Term
Left Margin
Definition
left ventricle
small extent by left auricle
Term
Acute Margin
Definition
inferior border
sternocostal and diaphragmatic surfaces meet
right ventricle
Term
Right Margin
Definition
superior vena cava
right atrium
Term
Coronary Sulcus
Definition
between left atrium and left ventricle
Term
Right Atrium
Definition
Thinner and larger walls than left atrium
auricle: primitive embryonic heart
crista terminalis
fossa ovalis
opening of coronary sinus
valve of inferior vena cava
superior and inferior vena cave
R atrioventricular valve
Term
Crista Terminalis
Definition
Junction of rough pectinate muscles vs smooth interior of the sinus venarum
superior end marks location of sinoatrial node
Term
valve of inferior vena cava
Definition
In embryonic heart, directs blood from inferior vena cava through foramen ovale and into left atrium (also call eustachian valve)
Term
Tricuspid Valve
Definition
3 cusps
anterior, posterior, septal
Term
Papillary Muscles
Definition
keep leaflets from prolapsing into the atria, contraction holds leaflets in place as pressure builds
ruptures: prolapse, leaflet is not held in place
distance runner might make papillary muscles too strong=quivering
Term
Right Ventricle
Definition
cusps of tricuspid valve
trabeculae carneae
papillary muscles
chordae tendineae
septomarginal trabecula (moderator band)
Term
Left Atria
Definition
2 pulmonary veins
smooth-walled part
fossa ovale
atrioventricular valve (mitral)
Term
Mitral Valve
Definition
anterior and posterior cusps
closes at beginning of systole
part of lub sound
Term
Mitral Valve Prolapse
Definition
Everts into the left atrium when the left ventricle contracts during systole.
Although relatively common and often benign, it may produce chest pain, shortness of breath, and cardiac arrhythmia.
Mitral valve (systemic) prolapse is more common than tricuspid valve (pulmonary) prolapse
Term
Left Ventricle
Definition
wall 2-3x's thicker than right
mitral valve cusps
trabeculae carneae
papillary muscles
chordae tendineae
aortic valve
Term
Pulmonary Valve
Definition
right, left, anterior
part of the S2 "dub" sound
Forced closed by pressure and the elastic recoil in pulmonary trunk during relaxation of right ventricle
Term
Aortic Valve
Definition
right, left, posterior
Right and left coronary arteries open into right and left aortic sinuses
S2 "dub" sound
Term
Pericardium
Definition
Fibrous
Serous
Visceral
Term
Pericardial Rub
Definition
secondary to viral infections
sounds like squeaky leather and may be widespread
Term
Pericardiophrenic a. & v.
Definition
with the phrenic nerve on the external surface of the fibrous pericardium
Term
Phrenic N
Definition
innervation of the pericaridum
carry afferents from the pericardium
sympathetic innervation
strength and rate of contractions
pain signals from the heart
Term
R Coronary A
Definition
origin: r aortic sinus
distribution: r atrium, SA and AV nodes, posterior portion of IV septum
Term
Artery to SA node
Definition
origin:60% r coronary a., 40% l coronary a
distribution: SA node and pulmonary trunk
Term
R Marginal A
Definition
origin: R coronary a
distribution: R ventricle and apex of heart
Term
Post. Interventricular
Definition
origin: R coronary a (post. descending)
distribution: R and L ventricles and IV septum
Term
Atrioventricular node
Definition
origin: R coronary a 80%
distribution: AV node
Term
L Coronary A.
Definition
origin: L aortic sinus
distribution:L atrium and ventricle, IV septum, AV bundle and AV node (40%)
Term
Circumflex
Definition
origin: L coronary a
distribution: L atrium and ventricle
Term
L Marginal
Definition
origin: L circumflex
distribution: L border of L ventricle (if present)
Term
R Coronary Artery Supplies
Definition
Right atrium
Most of right ventricle
Diaphragmatic surface of left ventricle
Posterior 1/3 of AV septum
SA node in 60% of people
AV node in 80% of people
Term
Left Coronary Artery Supplies
Definition
Left atrium
Most of left ventricle
Anterior 2/3 of AV septum (including AV bundles)
SA node in 40% of people
Term
Variations in Arterial Supply
Definition
(1) Right dominant distribution (70%) is most common, with posterior interventricular artery arising from the right coronary artery.
(2) Left dominant distribution (10%) is present when circumflex branch of left coronary gives off the posterior interventricular artery.
(3) Balanced distribution (20%) occurs when both right and left coronary arteries supply the posterior interventricular arteries.
Term
Where does most of the blood from coronary circulation return to the R atrium through?
Definition
coronary sinus
pair of small anterior cardiac veins
Term
Coronary Sinus
Definition
direct continuation of great cardiac vein
opens into right atrium
Receives all cardiac veins except anterior cardiac veins and smallest cardiac veins
Term
"lub"
Definition
coincides with closure of atrioventricular valves at start of systole
Term
"dub"
Definition
closure of aortic and pulmonary valves at end of systole
Term
Quite Inspiration
Definition
diaphragm
external intercostals
interchondral portion of internal intercostals
Term
Quiet Expiration
Definition
passive elastic recoil of thoracic cage
abdominals
Term
Forced Inspiration
Definition
all in quiet
SCM
scalenes
levator costarum
serratus posterior superior/inferior
Term
Forced Expiration
Definition
rectus abdominis
external and internal obliques
internal intercostals
Term
Pulmonary Pleura
Definition
parietal
costal
mediastinal
diaphragmatic
cervical
Term
Bronchopulmonary Segments
Definition
ry segments include bronchi and pulmonary arteries, with pulmonary veins draining a segment near by.
Thus, bronchoplumonary segments can be surgically removed while leaving the rest of the lung intact.
There are 10 (some texts say 8 in left lung) bronchopulmonary segments in each lung.
Term
Bronchopulmonary Segments (names)
Definition
Upper lobe:anterior segment, apical segment, posterior segment
Middle lobe: lingula, lateral, medial
Lower lobe: superior segment, posterior segment, lateral segment, anterior segment
Term
Pneumothorax
Definition
traumatic injury to lung wall
infection causing hole in lung wall
air/gas in pleural cavity
inherent elasticity causes lung to collapse
Term
Hemothorax
Definition
blood in pleural space
injury to intercostal vessel
sometimes laceration of parenchema
Term
Hydrothorax
Definition
fluid in pleural space
CHF
infection
Term
Atelectasis
Definition
(compression, obstruction, collapse)
x-ray shows opaque area
elevation of hemidiaphragm on bad side
mediastinum shift to bad side
smaller rib interspaces on bad side
Term
Bronchial a. & v.
Definition
The bronchi have small arteries that supply oxygenated blood to the bronchial tree.
2 on the left come off the descending aorta
1 on the right comes off the 3rd posterior intercostal artery
Term
Sympathetic Stimulation
Definition
Bronchial relaxation, constriction of smooth muscle and decreased glandular secretion
Term
Parasympathetic Stimulation
Definition
vagus n.
Bronchial constriction, dilation of pulmonary arterial smooth muscle and increased glandular secretion
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