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Thoracic Cavity and Mediastinum
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What are the articulations of the manubrium?
Clavicle and first costal cartilage
Describe the ribs and their names:
True Ribs
: 1-7.
- Ribs 2-7 articulate in synovial joint
False ribs
: 8-12
- Ribs 11, 12 are floating ribs
- Ribs 8-10 articulate in cartilages
What are the limits of the thoracic inlet?
Manubrium
1st rib pair
T1
What are the limits of the thoracic oulet?
Xiphoid process
Costal arch of 7-10 and 12th rib
T12
Describe the superficial layer of musculature in the thoracic wall:
External intercostal muscles
From the
tubercles of ribs
to the
costochondral
junctions
Describe the middle layer of musculature in the thoracic wall:
Internal intercostal muscles
From the
sternum and costal cartilages
to the
angles of the rib
Describe the deep layer of musculature in the thoracic wall?
Transversus thoracic
: From posterior surface of lower sternum to superior costal cartilages
Innermost intercostal
: When they span two or more segments called
subcostal
muscles
Where do the nerves/vessels of the thoracic wall run?
Between the middle and deep layers of muscles
What innervates the skin/muscles of the thoracic wall?
Ventral rami iof thoracic spinal nerves
T1-T11 = intercostal nerves
T12 = subcostal nerve
All muscles EXCEPT the diaphragm (phrenic)
Where do the posterior intercostal arteries arise from?
First 2 are from the costocervical trunk of subclavian artery
Remainder are branches of thoracic aorta
Where do the anterior intercostal arteries arise from?
Internal thoracic artery or musculophrenic artery
How is the superoinferior, anteroposterior and lateral diameter increased?
Superoinferior
: Flattening diaphragm
Anteriopasterior
: Elevating upper 6 ribs
Lateral
: Elevating lower ribs
Where does the division for the mediastinum occur?
Horizontal plane from sternal angle to intervertebral discs between T4 and T5
What is located within the superior mediastinum?
1. Thymus
2. Trachea
3. Esophagus
4. Thoracic Duct
5. Phrenic Nerve
6. Vagus Nerve
7. Superior Vena Cava
8. Arch of aorta
9. Brachiocephalic vein
What is located in the anterior mediastinum?
Internal thoracic vessels
Fat
What does the middle mediastinum contain?
Pericardium, heart, roots of great vessels
What does the posterior mediastinum contain?
1. Esophagus
2. Thoracic Duct
3. Vagus nerve
4. Splanchnic nerve
5. Azygous venous system
6. Descending aorta
Where do the esophagus, inferior vena cava and the descending aorta peirce through the diaphragm?
Inferior VC
: T8
Esophagus
: T10
Descending Aorta
: T12
What do the hemiazygous and accessory hemiazygous veins drain?
Hemiazygous
: Lower 1/3 of thoracic wall
Accessory
: Middle 1/3 of thoracic wall
How does the thoracic duct enter the thoracic cavity?
Aortic hiatus at T12
Author
Anonymous
ID
110786
Card Set
Thoracic Cavity and Mediastinum
Description
Thoracic Cavity/Mediastinum Anatomy
Updated
2011-10-21T02:52:10Z
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