أسئلة الـ Lung (ريتين ثانية أناتومي)

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Questions and Answers

Describe the path of the left phrenic nerve in relation to the left common carotid and subclavian arteries.

The left phrenic nerve passes between the left common carotid and subclavian arteries.

What anatomical structures are located behind the hilum of the lung?

The structures located behind the hilum include the esophagus, azygous vein, and descending aorta.

What distinguishes the inferior border of the right lung from the left lung?

The right lung descends vertically to the 6th costal cartilage, while the left lung deviates 4 cm to the left before descending to the 6th costal cartilage.

What levels do the anterior borders of the lungs meet at the sternal angle?

<p>The anterior borders of the lungs meet at the sternal angle where both borders descend vertically together until the 4th costal cartilage.</p> Signup and view all the answers

What is the significance of the apex of the lung and its relation to the cervical pleura?

<p>The apex of the lung is marked by the cervical pleura, which is located one inch above the medial third of the clavicle.</p> Signup and view all the answers

Where should a thoracentesis be performed to minimize injury to underlying organs?

<p>In the 8th and 9th intercostal space at the mid-axillary line.</p> Signup and view all the answers

What is the significance of the oblique fissure in the lungs?

<p>The oblique fissure is found in both lungs and extends from T3 to the 6th costo-chondral junction.</p> Signup and view all the answers

Describe the location of the horizontal fissure in the lungs.

<p>The horizontal fissure is located in the right lung, extending from the anterior border at the 4th costal cartilage.</p> Signup and view all the answers

What are the two types of pleural recesses, and where are they found?

<p>The two types are costo-mediastinal and costo-diaphragmatic recesses, found between the costal and mediastinal surfaces, and between the costal and diaphragmatic surfaces, respectively.</p> Signup and view all the answers

What is the anatomical landmark for drawing the oblique fissure when the arm is raised?

<p>The medial border of the scapula serves as the landmark.</p> Signup and view all the answers

What is the significance of the apico-posterior segment in the left lung?

<p>It indicates that the apical and posterior segments of the superior lobe may fuse.</p> Signup and view all the answers

How does the size of the right lung compare to the left lung?

<p>The right lung is larger than the left lung.</p> Signup and view all the answers

What differentiates the bronchial arteries of the right lung from those of the left lung?

<p>The right lung has 1 bronchial artery from the right 3rd posterior ICA, while the left lung has 2 from the descending thoracic aorta.</p> Signup and view all the answers

What is the role of the lingula in the left lung?

<p>The lingula is present in the left lung but is absent in the right lung.</p> Signup and view all the answers

How many lobes does the left lung have as compared to the right lung?

<p>The left lung has 2 lobes, while the right lung has 3 lobes.</p> Signup and view all the answers

What is broncho-pulmonary segmentation and why is it clinically important?

<p>Broncho-pulmonary segmentation refers to a functional independent unit of the lung that can be isolated and removed without affecting nearby segments.</p> Signup and view all the answers

How many segments are found in the right lung and what are the segments of the superior lobe?

<p>The right lung has 10 segments, and the superior lobe is formed of 3 segments: apical, anterior, and posterior.</p> Signup and view all the answers

List the segments that make up the inferior lobe of both the right and left lungs.

<p>Both the right and left inferior lobes consist of 5 segments: apical, medial basal, anterior basal, lateral basal, and posterior basal.</p> Signup and view all the answers

What structures are contained in each broncho-pulmonary segment?

<p>Each segment contains a segmental bronchus, bronchioles, alveoli, and a segmental branch of the pulmonary artery and vein.</p> Signup and view all the answers

Describe the segments of the lingual in the left lung.

<p>The lingual of the left lung is formed of 2 segments: superior and inferior.</p> Signup and view all the answers

What distinguishes the visceral pleura from the parietal pleura?

<p>The visceral pleura covers the lungs except at the hilum, while the parietal pleura lines the thoracic wall.</p> Signup and view all the answers

Explain why the right lung is shorter than the left lung.

<p>The right lung is shorter due to the presence of the liver beneath it, while the left lung is affected by the heart's position.</p> Signup and view all the answers

What is the purpose of the pleural cavity?

<p>The pleural cavity provides a space between the visceral and parietal pleura, allowing for lung expansion and contraction during breathing.</p> Signup and view all the answers

Identify the arterial supply to the right lung.

<p>The right lung receives blood from the pulmonary artery and the bronchial artery, specifically from the right 3rd posterior intercostal artery.</p> Signup and view all the answers

Describe the drainage system for venous blood in the left lung.

<p>The left lung drains venous blood into the superior hemiazygous vein via the bronchial veins.</p> Signup and view all the answers

What role do the internal thoracic and intercostal arteries play in the parietal pleura?

<p>These arteries supply blood to the parietal pleura, assisting in its vascularization and function.</p> Signup and view all the answers

What is a notable feature of the anterior border of the left lung?

<p>The anterior border of the left lung has a cardiac notch that accommodates the heart.</p> Signup and view all the answers

What are the surfaces of the lung and their relationships?

<p>The lung has costal surfaces related to the sternum, ribs, and intercostal muscles, and medial surfaces that will be discussed further.</p> Signup and view all the answers

What nerves supply the parietal pleura, making it sensitive to pain?

<p>The parietal pleura is supplied by the phrenic and intercostal nerves.</p> Signup and view all the answers

Which lymph nodes are responsible for draining the lung and visceral pleura?

<p>The lung and visceral pleura drain into pulmonary, broncho-pulmonary, trachea-bronchial, and broncho-mediastinal lymph nodes.</p> Signup and view all the answers

What structure is the most anterior in the hilum of the right lung?

<p>The superior pulmonary vein is the most anterior structure in the hilum of the right lung.</p> Signup and view all the answers

Identify the most superior structure at the hilum of the left lung.

<p>The pulmonary artery is the most superior structure at the hilum of the left lung.</p> Signup and view all the answers

Which bronchus is described as 'eparterial' and where is it located in relation to the pulmonary artery?

<p>The superior lobar bronchus is labeled as 'eparterial' and is located above the pulmonary artery.</p> Signup and view all the answers

List the structures found above the hilum of the right lung.

<p>The structures above the hilum of the right lung include the right BCV with the right phrenic nerve, trachea with the right vagus nerve, and esophagus.</p> Signup and view all the answers

What type of nerve supply characterizes the lung and visceral pleura, and how does it differ from the parietal pleura?

<p>The lung and visceral pleura are supplied by the autonomic nervous system, in contrast to the parietal pleura which is sensitive to pain due to somatic nerve supply.</p> Signup and view all the answers

What lymph drainage pathway is linked to the parietal pleura?

<p>The parietal pleura drains into the cervical, intercostal, diaphragmatic, and mediastinal lymph nodes.</p> Signup and view all the answers

What anatomical landmarks define the location of the apex of the lung in relation to the clavicle?

<p>The apex of the lung is located one inch above the medial one-third of the clavicle.</p> Signup and view all the answers

How does the anterior border of the left lung differ in its descent compared to the right lung?

<p>The anterior border of the left lung deviates 4 cm to the left before descending to the 6th costal cartilage, while the right lung descends vertically to the 6th costal cartilage.</p> Signup and view all the answers

At which rib levels does the inferior border of the lungs intersect the mid-clavicular and mid-axillary lines?

<p>The lungs cut the 6th rib at the mid-clavicular line and the 8th rib at the mid-axillary line.</p> Signup and view all the answers

What is the anatomical significance of the cardiac impression on the medial surface of the right lung?

<p>The cardiac impression accommodates the shape of the heart, distinguishing the anatomical surface features of the right lung.</p> Signup and view all the answers

Describe how the right and left pleurae differ in their descent towards the 6th costal cartilage.

<p>The right pleura descends vertically to the xiphisternal joint, whereas the left pleura deviates to the left sternal margin before descending to the 6th costal cartilage.</p> Signup and view all the answers

How many segments are found in the left lung, and what are the names of the segments in the superior lobe?

<p>The left lung has 8-10 segments, and the superior lobe contains three segments: apical, anterior, and posterior.</p> Signup and view all the answers

What structures run between the segments of the lungs?

<p>Each segment contains a segmental bronchus, segmental branch of the pulmonary artery, and segmental radical of the pulmonary vein.</p> Signup and view all the answers

List the segments found in the inferior lobe of the right lung.

<p>The inferior lobe of the right lung includes the apical, medial basal, anterior basal, lateral basal, and posterior basal segments.</p> Signup and view all the answers

What is the clinical significance of broncho-pulmonary segmentation?

<p>Broncho-pulmonary segmentation allows for isolated removal of segments without affecting adjacent segments.</p> Signup and view all the answers

Explain the segment structure of the middle lobe in the right lung.

<p>The middle lobe of the right lung is formed by two segments: medial and lateral segments.</p> Signup and view all the answers

What type of nerves supply the parietal pleura, making it sensitive to pain?

<p>The parietal pleura is supplied by the phrenic and intercostal nerves.</p> Signup and view all the answers

Identify the most inferior structure at the hilum of the right lung.

<p>The most inferior structure at the hilum of the right lung is the inferior pulmonary vein.</p> Signup and view all the answers

What structure is situated most posteriorly in the hilum of both lungs?

<p>The principal bronchus is the most posterior structure at the hilum of both lungs.</p> Signup and view all the answers

What lymph nodes are associated with the lymph drainage of the parietal pleura?

<p>The parietal pleura drains into the cervical, inter-costal, diaphragmatic, and mediastinal lymph nodes.</p> Signup and view all the answers

Which structure lies between the two bronchi in the right lung's hilum?

<p>The pulmonary artery lies between the two bronchi in the right lung's hilum.</p> Signup and view all the answers

What is the relationship between the right pulmonary artery and the respective bronchus?

<p>The right pulmonary artery is positioned superiorly to the right principal bronchus.</p> Signup and view all the answers

What lies above the pulmonary hilum on the left lung?

<p>Above the hilum of the left lung are the left common carotid artery, left subclavian artery, and esophagus with the thoracic duct.</p> Signup and view all the answers

How does the nerve supply differ between the visceral and parietal pleura?

<p>The visceral pleura is supplied by the autonomic nervous system, while the parietal pleura receives somatic innervation from the phrenic and intercostal nerves.</p> Signup and view all the answers

What anatomical feature is present in the left lung that accounts for its smaller size compared to the right lung?

<p>The cardiac notch is present in the left lung, which gives it a smaller size compared to the right lung.</p> Signup and view all the answers

What is unique about the bronchial arteries of the right lung compared to the left lung?

<p>The right lung has one bronchial artery from the right 3rd posterior intercostal artery, while the left lung has two bronchial arteries from the descending thoracic aorta.</p> Signup and view all the answers

How many bronchopulmonary segments are typically found in the left lung, and how does this compare to the right lung?

<p>The left lung has 8-10 bronchopulmonary segments, while the right lung has 10 segments.</p> Signup and view all the answers

What happens to the medial basal segment in the left lung's inferior lobe?

<p>The medial basal segment in the inferior lobe of the left lung may be absent.</p> Signup and view all the answers

What distinguishes the fissures found in the left lung compared to those in the right lung?

<p>The left lung has only an oblique fissure, while the right lung has both oblique and horizontal fissures.</p> Signup and view all the answers

What is the function of the pleural cavity?

<p>The pleural cavity reduces friction between the lungs and thoracic wall during respiration.</p> Signup and view all the answers

Explain the reason the right lung is shorter than the left lung.

<p>The right lung is shorter due to the position of the liver underneath it.</p> Signup and view all the answers

Describe the role of the pulmonary artery in relation to the lungs.

<p>The pulmonary artery carries deoxygenated blood from the right ventricle to the lungs for oxygenation.</p> Signup and view all the answers

What arteries supply the parietal pleura?

<p>The parietal pleura is supplied by the internal thoracic, pericardiophrenic, and intercostal arteries.</p> Signup and view all the answers

Name the two bronchial arteries supplying the left lung and their origin.

<p>The left lung is supplied by two bronchial arteries originating from the descending aorta.</p> Signup and view all the answers

Identify the most notable feature of the anterior border of the left lung.

<p>The anterior border of the left lung features the cardiac notch.</p> Signup and view all the answers

What type of blood do the pulmonary veins carry and from where?

<p>Pulmonary veins carry oxygenated blood from the lungs to the heart.</p> Signup and view all the answers

Explain the significance of the visceral pleura.

<p>The visceral pleura covers the lungs, providing a protective layer and participating in the pleural fluid's role.</p> Signup and view all the answers

What are the anatomical landmarks for the oblique fissure of the lung?

<p>The oblique fissure extends from the posterior border at the spine of T3 to the inferior border 3 inches from the midline at the 6th costo-chondral junction.</p> Signup and view all the answers

What is the purpose of the pleural recesses, and what are the two main types?

<p>Pleural recesses are extensions of the pleural cavity that allow for lung expansion; the two types are costo-mediastinal and costo-diaphragmatic.</p> Signup and view all the answers

Describe the significance of performing thoracentesis at the mid-axillary line.

<p>Thoracentesis is performed at the 8th and 9th intercostal spaces at the mid-axillary line to minimize the risk of injury to the liver and spleen.</p> Signup and view all the answers

What distinguishes the horizontal fissure in the lungs and where does it extend?

<p>The horizontal fissure is found only in the right lung, extending from the anterior border at the 4th costal cartilage and intersecting the oblique fissure at the mid-axillary line.</p> Signup and view all the answers

Where should the needle be inserted during a thoracentesis to avoid injury to the intercostal nerve?

<p>A needle should be inserted on the upper border of the rib during thoracentesis to avoid injury to the intercostal nerve.</p> Signup and view all the answers

Flashcards

Visceral Pleura

The inner layer of the pleura that directly covers the lung, except at the hilum.

Parietal Pleura

The outer layer of the pleura that lines the thoracic wall.

Pleural Cavity

The potential space between the visceral and parietal pleura, containing a small amount of fluid.

Apex of the Lung

The uppermost part of the lung, extending above the clavicle.

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Base of the Lung

The lower portion of the lung, resting on the diaphragm.

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Cardiac Notch

The anterior border of the left lung shows a concavity opposite the 4th and 5th intercostal spaces, due to the heart's position.

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Pulmonary Artery

The artery carrying deoxygenated blood from the right ventricle to the lungs.

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Bronchial Arteries

Arteries supplying oxygenated blood to the lung tissue and visceral pleura.

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Mediastinal Surface of the Lungs

The structures entering and leaving the lung through a specific area on the lung called the hilum.

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Superior Pulmonary Vein

The superior pulmonary vein is the most anterior structure on the mediastinal surface. It's responsible for carrying oxygenated blood from the lungs to the heart.

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Inferior Pulmonary Vein

The inferior pulmonary vein is the most inferior structure on the mediastinal surface. It's responsible for carrying oxygenated blood from the lungs to the heart.

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Principal Bronchus

The main airway that carries air to and from the lungs. It's the most posterior structure on the mediastinal surface.

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Pulmonary Artery (Right Lung)

The most superior structure on the right mediastinal surface. It carries deoxygenated blood from the heart to the lungs.

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Left phrenic and vagus nerve pathway

The left phrenic nerve and vagus nerve pass between the left common carotid artery and the left subclavian artery.

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Structures behind the hilum

The structures situated behind the hilum of the lung include the esophagus, azygous vein, and descending aorta.

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Structures anterior to the hilum

Anterior to the hilum of the lung, you'll find the superior vena cava (SVC) and inferior vena cava (IVC) along with the right phrenic nerve. You'll also find the pulmonary trunk.

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Cardiac impressions on lungs

The cardiac impression on the right lung corresponds to "Right Atrium", while the left lung's cardiac impression corresponds to "Left Ventricle, Left Auricle, and Right Ventricle."

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Surface anatomy of lungs & pleurae

The surface anatomy of the lungs and pleurae provides key landmarks and anatomical relationships.

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Which lung is larger?

The right lung is typically larger in size compared to the left lung.

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What is the cardiac notch?

The left lung contains a concavity on its anterior border called the cardiac notch where the heart sits.

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What is the lingula?

The left lung, unlike the right, has a tongue-like projection called the lingula located in the upper lobe.

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How many lobes do each lung have?

The right lung possesses both an oblique and a horizontal fissure, dividing it into three lobes - upper, middle, and lower. The left lung only has an oblique fissure, resulting in two lobes - upper and lower.

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When do bronchi divide in each lung?

The bronchi, the airways leading to the lungs, divide before entering the hilum in the right lung, while in the left lung, they divide after entering the hilum.

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Pleural Recess

An extension of the pleural cavity that allows the lung to expand during inhalation. It's like a pocket of space that lets the lung move freely.

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Costo-mediastinal Recess

Located between the costal and mediastinal surfaces of the pleura, found along the anterior border of the pleura.

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Costo-diaphragmatic Recess

Located between the costal and diaphragmatic surfaces of the pleura, found along the inferior border of the pleura.

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Thoracentesis (Pleural Tap)

A procedure to remove fluid from the pleural cavity using a needle. It's usually performed at the 8th or 9th intercostal space at the mid-axillary line.

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Horizontal Fissure of the Lung

A horizontal line that runs from the anterior border at the 4th costal cartilage to where it intersects the oblique fissure in the mid-axillary line. It's only found in the right lung.

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What is a bronchopulmonary segment?

An independent functional unit of the lung, comprising a segmental bronchus, its associated bronchioles, alveoli, a branch of the pulmonary artery, and veins that run between segments.

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What is the clinical significance of bronchopulmonary segments?

Allows the surgical removal of a segment without affecting neighboring portions of the lung.

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How many segments are in the right lung?

The right lung has 10 segments: 3 in the superior lobe (apical, anterior, posterior), 5 in the inferior lobe (apical, medial basal, anterior basal, lateral basal, posterior basal) and 2 in the middle lobe (medial, lateral).

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How many segments are in the left lung?

The left lung has 8-10 segments: 3 in the superior lobe (apical, anterior, posterior), 5 in the inferior lobe (apical, medial basal, anterior basal, lateral basal, posterior basal), and 2 in the lingula (superior, inferior).

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What structures are found within a bronchopulmonary segment?

Each segment contains a segmental bronchus, bronchioles, alveoli, a segmental branch of the pulmonary artery, and segments of pulmonary veins running between them.

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What is the Apex of the Lung?

The uppermost portion of the lung extending above the clavicle.

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What is the Base of the Lung?

The lower portion of the lung, resting on the diaphragm and separated from the liver on the right and liver, stomach, and spleen on the left.

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What are the Bronchial Arteries?

The arteries that supply oxygenated blood to the lung tissue and visceral pleura.

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What is the Principal Bronchus?

The main airway that carries air to and from the lungs. It is the most posterior structure on the mediastinal surface.

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What structures lie behind the lung hilum?

Structures situated behind the hilum of the lung, including the esophagus, azygous vein, and descending aorta.

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What structures sit anterior to the lung hilum?

Structures anterior to the lung hilum, encompassing the superior vena cava (SVC) and inferior vena cava (IVC), along with the right phrenic nerve and the pulmonary trunk.

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What creates the cardiac notch in the left lung?

The left lung exhibits a concavity on its anterior border, known as the cardiac notch, due to the heart's positioning.

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Why is the right lung larger than the left?

The right lung is typically larger in size compared to the left lung, primarily due to the space occupied by the heart on the left side.

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Visceral Pluera Pain

The visceral pleura, covering the lung, is supplied by the autonomic nervous system. This means it doesn't transmit pain signals.

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Parietal Pleura Pain

In contrast to the visceral pleura, the parietal pleura is sensitive to pain as it's supplied by somatic nerves like the phrenic and intercostal nerves.

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What is the Hilum?

The hilum is the gateway for structures to enter and exit the lung. It's a crucial anatomical landmark on the mediastinal surface of the lung.

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What is the Superior Pulmonary Vein?

The superior pulmonary vein is the most anterior structure at the hilum. It carries oxygen-rich blood back to the heart.

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What is the Inferior Pulmonary Vein?

The inferior pulmonary vein, located at the bottom of the hilum, also carries oxygenated blood back to the heart.

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Where is the Pulmonary Artery?

The pulmonary artery, which carries deoxygenated blood, sits between the two bronchi on the right lung, and is the most superior structure on the left.

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What Structures are Above the Hilum?

The structures above the hilum of the right lung include the right brachiocephalic vein, right phrenic nerve, trachea, right vagus nerve, and esophagus. On the left side, you'll find the left common carotid artery, left subclavian artery, esophagus, and thoracic duct.

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What is a Pleural Recess?

An extension of the pleural cavity that allows the lung to expand during inhalation. It's like a pocket of space that lets the lung move freely.

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What is the Costo-mediastinal Recess?

Found between the costal and mediastinal surfaces of the pleura, along the anterior border of the pleura.

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What is the Costo-diaphragmatic Recess?

Found between the costal and diaphragmatic surfaces of the pleura, along the inferior border of the pleura.

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What is Thoracentesis?

A procedure to remove fluid from the pleural cavity using a needle. It's usually performed in the 8th or 9th intercostal space at the mid-axillary line.

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What is the posterior border of the lung?

A vertical line drawn from the medial end of the inferior border of the lung to the apex of the lung or cervical pleura.

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Bronchopulmonary Segment

A functional unit of the lung, consisting of a segmental bronchus, bronchioles, alveoli, a segmental branch of the pulmonary artery, and pulmonary veins that run between segments.

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Clinical Importance of Bronchopulmonary Segments

Each segment can be isolated and removed surgically without affecting neighboring segments.

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Segments in the Right Lung

The right lung has a total of 10 segments: 3 in the superior lobe, 5 in the inferior lobe, and 2 in the middle lobe.

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Segments in the Left Lung

The left lung has 8-10 segments: 3 in the superior lobe, 5 in the inferior lobe, and 2 in the lingula.

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Distribution of Bronchopulmonary Segments

The distribution of bronchopulmonary segments differs between the right and left lungs due to the presence of a horizontal fissure in the right lung and a lingula in the left lung.

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Study Notes

Lung & Pleura

  • The lung is covered by a double-layered membrane called the pleura
  • Visceral pleura: the inner layer covering the lung
  • Parietal pleura: the outer layer lining the thoracic wall
  • Pleural cavity: the space between the visceral and parietal layers
  • The apex of the lung is covered by cervical pleura and supra-pleural membrane
  • The base of the lung is covered by diaphragmatic pleura
  • The diaphragm separates the lung from the liver on the right and liver, stomach, and spleen on the left
  • The right lung is shorter than the left
  • The right lung is wider than the left
  • Costal surfaces: related to the sternum, ribs, and intercostal muscles
  • Medial surface: will be discussed later
  • The lung has anterior, posterior, and inferior borders

Arterial Supply of Lungs & Visceral Pleura

  • Pulmonary artery carries deoxygenated blood from the right ventricle
  • Bronchial arteries: one for the right lung (from the right 3rd posterior intercostal artery), two for the left lung (from descending aorta)
  • Parietal pleura is supplied by internal thoracic, pericardiophrenic, intercostal arteries, superior phrenic, and musculophrenic arteries

Venous Drainage of Lungs & Visceral Pleura

  • Pulmonary veins carry oxygenated blood from the lungs
  • Bronchial veins: drain into the azygous vein (right lung) or superior hemiazygous vein (left lung)
  • Parietal pleura venous drainage: similar to arterial supply, draining into the same venous systems

Nerve Supply of Lungs & Visceral Pleura

  • Painless, supplied by the autonomic nervous system
  • Parietal pleura is painful, supplied by phrenic and intercostal nerves

Lymph Drainage of Lungs & Visceral Pleura

  • Pulmonary, bronchopulmonary, tracheobronchial, broncho-mediastinal lymph nodes
  • Parietal pleura: cervical, intercostal, diaphragmatic, and mediastinal lymph nodes

Mediastinal Surface of Both Lungs

  • Right lung: The superior pulmonary vein is the most anterior structure, followed by the inferior pulmonary vein. The principle bronchus is the most posterior, the superior lobar is the most superior, and the pulmonary artery lies between the two bronchi.
  • Left lung: has an analogous structure but with the important difference of the cardiac notch, located opposite the 4th and 5th intercostal spaces.
  • Arch of azygous vein, SVC & IVC with Right phrenic nerve, cardiac impression for right atrium,
  • Descending aorta, pulmonary trunk, esophagus.

Surface Anatomy of Lungs & Pleura

  • Apex of lung = cervical pleura
  • Anterior border: from the sterno-clavicular joint to the sternal angle, then descending vertically till the 4th or 6th costal cartilage to the angle between xiphisternal joint in right and left.
  • Inferior border: of lung and pleura: at 6th rib mid-clavicular line, 8th rib mid-axillary, 10th rib para-vertebral
  • Posterior border: vertical line from the medial end of the inferior border to the apex
  • Important anatomical points can be seen by visualizing the oblique and horizontal fissures and associated structures, and the presence of lung lobes.

Fissures of the Lungs

  • Oblique fissure: found in both lungs, extending from the posterior border at the level of the spine of T3—until it cuts oblique fissure in mid-axillary line
  • Horizontal fissure: only found in the right lung, extending from the anterior border at the 4th costal cartilage
  • Costo-mediastinal, and costo-diaphragmatic pleural recesses

Broncho-Pulmonary Segmentation

  • Functional independent unit of the lung
  • Structures: segmental bronchus, bronchioles & alveoli, segmental branch of pulmonary artery & vein, and segmental radicals of pulmonary vein.
  • Segmental bronchus, bronchioles, alveoli, segmental branch of pulmonary artery, segmental radical of pulmonary vein (lying between segments).

Distribution

  • Right lung: 10 segments (superior lobe 3; middle lobe 2; inferior lobe 5)
  • Left lung: 8-10 segments (superior lobe 3; inferior lobe 5; lingual lobe 2)

Right Lung vs. Left Lung

  • Right lung is larger
  • Right lung has an absent cardiac notch and lingula
  • Right lung is shorter
  • Right lung is more concave
  • Right lung divides before entering hilum. 1 bronchus from the right 3rd posterior ICA
  • Right lung has 3 lobes and 10 segments
  • Left lung is smaller
  • Left lung has a present cardiac notch and lingula
  • Left lung is longer
  • Left lung is less concave
  • Left lung divides after entering hilum—2 bronchi from descending thoracic aorta
  • Left lung has 2 lobes and 8-10 segments

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