Topography of Thorax

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Questions and Answers

What are the three main components of the thoracic wall?

  • Bony cage, Intercostal muscles, Diaphragm (correct)
  • External intercostal muscles, Internal intercostal muscles, Innermost intercostal muscles
  • Lungs, Heart, Mediastinum
  • Ribs, Sternum, Vertebrae

The sternal angle, also known as the angle of Louis, is formed by the junction of which two parts of the sternum?

  • Manubrium and Body (correct)
  • Body and Xiphoid process
  • Manubrium and Xiphoid process
  • None of the above

Which of the following structures is NOT part of the thoracic cavity?

  • Lungs
  • Heart
  • Mediastinum
  • Liver (correct)

What is the main function of the intercostal muscles?

<p>Aid in respiration (C)</p> Signup and view all the answers

The neurovascular plane within the intercostal spaces contains which structures?

<p>Nerves, Blood vessels, Lymphatics (A)</p> Signup and view all the answers

The thoracic inlet is the superior opening of the thoracic cage, while the thoracic outlet is the inferior opening.

<p>True (A)</p> Signup and view all the answers

What is the primary muscle responsible for respiration and separates the thoracic cavity from the abdominal cavity?

<p>Diaphragm</p> Signup and view all the answers

Which of the following is NOT a major opening in the diaphragm?

<p>Pectoral opening (B)</p> Signup and view all the answers

Which lung is smaller, narrower, and longer?

<p>Left lung (C)</p> Signup and view all the answers

What is the name of the indentation on the left lung that accommodates the heart?

<p>Cardiac notch</p> Signup and view all the answers

Which of the following correctly describes the pleura?

<p>Two layers of membrane surrounding the lungs, with a space between them (B)</p> Signup and view all the answers

What is the name of the point where structures like the bronchi, blood vessels, and nerves enter the lung?

<p>Hilum</p> Signup and view all the answers

The mediastinum is a space within the thoracic cavity that contains the heart, great vessels, and other structures.

<p>True (A)</p> Signup and view all the answers

Which of the following is NOT a subdivision of the mediastinum?

<p>Lateral mediastinum (A)</p> Signup and view all the answers

The middle mediastinum is primarily occupied by which structure?

<p>Heart (B)</p> Signup and view all the answers

Which structure is located in the superior mediastinum?

<p>Thymus gland (C)</p> Signup and view all the answers

What is the main function of the thoracic duct?

<p>The thoracic duct collects lymph from the lower body and left side of the upper body and returns it to the bloodstream.</p> Signup and view all the answers

Flashcards

Thoracic Cage

The bony structure that protects the heart and lungs. It is formed by 12 thoracic vertebrae, 12 pairs of ribs, and the sternum.

Thoracic Inlet

The upper opening of the thoracic cavity, formed by T1 vertebrae, first rib, and manubrium.

Thoracic Outlet

The lower opening of the thoracic cavity, formed by T12 vertebrae, 12th ribs, and xiphoid process.

Mediastinum

The region within the thoracic cavity that contains the heart, great vessels, trachea, esophagus, and thymus.

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Intercostal Muscles

The three layers of muscles that are found between the ribs. They help with breathing and support the thoracic wall.

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Diaphragm

The dome-shaped muscle that separates the thoracic and abdominal cavities. It's crucial for breathing.

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Pleura

The thin, double-layered membrane that surrounds each lung. It helps to reduce friction during breathing.

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Pleural Cavity

The space between the visceral pleura (lining the lung) and the parietal pleura (lining the chest wall).

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Apex of Lung

The point where the apex of the lung extends into the neck above the first rib.

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Base of Lung

The broad, lower region of the lung.

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Hilum of Lung

The central area of the lung where the bronchi, blood vessels, and nerves enter and exit.

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Root of Lung

The structure that connects the lung to the mediastinum containing the bronchi, blood vessels, and nerves.

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Cardiac Notch

The groove along the medial border of the left lung where the heart makes contact.

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Lingula

The part of the left lung that lies above the heart and extends toward the cardiac notch.

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Lobes of Right Lung

The upper three lobes of the right lung.

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Lobes of Left Lung

The upper two lobes of the left lung.

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Superior Mediastinum

The region of the mediastinum above the imaginary plane drawn from the sternal angle to the lower border of T4 vertebrae.

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Inferior Mediastinum

The region of the mediastinum below the imaginary plane drawn from the sternal angle to the lower border of T4 vertebrae.

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Anterior Mediastinum

The part of the inferior mediastinum located anterior to the heart.

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Middle Mediastinum

The part of the inferior mediastinum that contains the heart.

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Posterior Mediastinum

The part of the inferior mediastinum located posterior to the heart.

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Manubrium

The most superior part of the sternum, which connects to the clavicle.

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Sternal Angle

Where the manubrium meets the body of the sternum, also known as the angle of Louis.

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Body of Sternum

The body of the sternum, the main middle part.

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Xiphoid Process

The lower, small projection of the sternum.

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True Ribs

The first to the seventh ribs, which attach directly to the sternum via costal cartilages.

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False Ribs

The eighth to the tenth ribs, which attach indirectly to the sternum via costal cartilage connected to the seventh rib.

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Floating Ribs

The 11th and 12th ribs which do not attach to the sternum.

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Intercostal Space

The space between two adjacent ribs.

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Neurovascular Plane

The plane formed by the intercostal nerves and vessels, running along the inferior edge of each rib.

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Caval Opening

The large opening at the level of T8 for the superior vena cava.

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Esophageal Opening

The opening at the level of T10 for the esophagus.

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Aortic Opening

The opening at the level of T12 for the aorta.

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Study Notes

Topography of Thorax

  • Lecture Objectives:
    • Thoracic wall:
      • Bony cage
      • Intercostal muscles
      • Diaphragm
    • Thoracic cavity:
      • Lungs
      • Mediastinum
      • Heart

Thoracic Cage

  • Composed of:
    • Sternum (manubrium, body, xiphoid process)
    • Ribs (true, false, floating)
    • Costal cartilage
    • Vertebral column (thoracic vertebrae)
  • Important Landmarks:
    • Sternal angle (of Louis)

Intercostal Spaces

  • Contains:
    • 3 Intercostal muscles (external, internal, innermost)
    • Neurovascular plane (intercostal nerves and vessels)

Thoracic Openings

  • Thoracic inlet:
    • Apex of the lung
  • Thoracic outlet:
    • Important for structures passing through

Diaphragm

  • Major Openings:
    • Caval (T8)
    • Esophageal (T10)
    • Aortic (T12)
  • Central tendon:
    • Crucial component of the diaphragm

Pleura & Lungs

  • Lungs:

  • Right lung: 3 lobes, 2 fissures

  • Left lung: 2 lobes, 1 fissure

  • Cardiac notch on the left lung

  • Lingula on the left lung (smaller, narrower, and longer)

  • Different structures are smaller or bigger on each side.

  • Pleura: Double-layered membrane surrounding the lungs

    • The outer layer covers the thoracic wall

Mediastinum

  • Subdivisions & Boundaries:
    • Defined by an imaginary plane from the sternal angle to the lower border of T4
    • Superior mediastinum
    • Inferior mediastinum (anterior, middle, posterior)
  • Contains the heart, great vessels, trachea, esophagus, and other important organs and structures.

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