Thoracic Cage and Pericardium Anatomy

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What is the main function of the thoracic cage?

To protect the lungs and the heart

What is the name of the bony structure that forms the center of the thoracic cage?

Sternum

How are the 12 pairs of ribs classified?

Into true ribs and false ribs

What is the mediastinum divided into by an imaginary line from the sternal angle to the disc between 4th and 5th thoracic vertebrae?

Into superior and inferior mediastinum

What is the region in front of the heart and pericardium called?

Anterior mediastinum

What separates the thoracic cage from the abdomen?

Respiratory diaphragm

What is the region behind the heart and pericardium?

Posterior mediastinum

What is the boundary of the anterior mediastinum posteriorly?

The pericardium

What is contained within the fibrous pericardium?

The heart and adjacent parts of the great vessels

What is attached to the central tendon of the diaphragm?

The base of the fibrous pericardium

What is the contents of the middle mediastinum?

The heart and pericardium

What is the anterior boundary of the anterior mediastinum?

The body of the sternum

What is the function of the fibrous pericardium in relation to the heart?

To prevent over distension of the heart

What is the upper part of the fibrous pericardium attached to?

Pretracheal fascia

What is the purpose of the pericardial cavity?

To reduce friction between the heart and surrounding structures

What is the visceral layer of the serous pericardium also known as?

Epicardium

What structures pierce the posterior surface of the fibrous pericardium?

Pulmonary veins

What are the recesses in the serous pericardium in relation to the heart and its great vessels called?

Pericardial sinuses

What is the boundary of the transverse sinus anteriorly?

Ascending aorta and pulmonary trunk

Which of the following vessels supply the fibrous pericardium?

Pericardiacophrenic and musculophrenic arteries

What is the boundary of the oblique sinus posteriorly?

Esophagus and descending thoracic aorta

Which nerve supplies the fibrous pericardium and parietal layer of serous pericardium?

Phrenic nerves

What is the boundary of the oblique sinus above?

It is closed by the reflection of visceral layer from the back of left atrium to the parietal layer of serous pericardium

Which of the following is not sensitive to pain?

Visceral layer of serous pericardium

Identify the structure of the thoracic cage, define the mediastinum and describe its divisions. Learn about the anatomy of the fibrous pericardium, its functions, and related pericardial sinuses. Discuss clinical points related to the pericardium.

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