Gross: Anatomy of the Heart

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claber1  on October 1, 2012

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Gross: Anatomy of the Heart

thoracic duct found in/starts as
posterior mediastinum. emerges at junction of internal jugular and subclavian veins
starts in abdomen posterior to liver as a dilation called cisterna chyli
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thoracic duct found in/starts as posterior mediastinum. emerges at junction of internal jugular and subclavian veins
starts in abdomen posterior to liver as a dilation called cisterna chyli
thoracic ducts drains all lymph from pelvis, abdomen, left side of chest/head/neck
visercal pleura is directly on top of lungs
vs parietal
parietal pleura over you the apex is the copular of the thoracic cavity
endothoracic fascia is attached to first fib and transerve process of C7
esophagus is innervated by vagus
parietal pleura is innervated by somatic nerves
diaphragmatic pleura is innervated by phrenic nerve (motor to diaphram)
costal pleura is innervated by costal nerves
mediastinal pleura is innervated by phrenic nerve- sensory, pain fibers
blood supply to parietal pleura from internal thoracic or intercostal arteries
visceral pleura blood supply bronchial arteries
*no pain fibers/not supplied bu intercostals
bare area of the heart costo-mediastinal recess, left side only
when you take a deep breath the ling will expand across the front
trachea location T5-6
hyaline cartilage
C shaped rings
carina- ridge at dividing point
trachea is innervated by vagus nerve
bronchus description right- larger, wider, more vertical
left- longer, comes out steeper angle
little kid swallows a toy it will end up right bronchus
bronchial veins drain into azygous veins
bronchial arteries branch off aorta
recurrent laryngeal nerve loops under the aorta on the left and the subclavian on the right
lungs are attached to heart and trachea by root- double fold of medastinal pleura
contains bronchus, pulmonary artery and vein, autonomic nerve fibers, lymphatic tissue
area with vessels, nerve and root enter lungs hilum
bronchopulmonary segments third order of division in bronchial tree
largest segment within the lung
10 in each lung
diffusion at bronchial tree occurs at alveolar membrane
pulmonary arteries accompany bronchi
pulmonary veins are intersegmental
pulmonary arteries carry deoxygenated blood
are elastic vessels
pulmonary veins carry oxygenated blood.
no valves
4 veins enter heart, 2 on each side
disease of outer lining of heart pericardial disease
valvular disease 4 valves effected by disease/ narrow or become incompetent
cardiomyopathy heart muscle is damaged, can come from heart attack, autoimmune, infection, virus
cornoary artery disease disease of arteries that supply the heart
pericardium layers 1 fibrous
2 serous
fibrous layer fuses with central tendon of diaphragm and lining of great vessels
- is entirely parietal (outside covering)
perforated inferiorly by inferior vena cava
serous pericardium forms between pericardial cavity between firous and visceral serious
pericardial effusion where fluid can accumulate due to infect or congestive heart failure
acute rapid accumulation when heart can not expand after contraction to take blood in cardiac tamponade
serious pericardium is innervated by phrenic nerve
*visceral serous has no pain fibers
serious pericardium blood supply internal thoracic and coronary arteries
heart general description/flow of blood4 chambers
right side receives deoxygenated blood from body through superior and inferior vena cava.
empty into right atrium, squeezes blood into right ventricle which pumps blood to pulmonary arteries (deoxygenated) then blood is returned to heart through pulmonary veins to the left atrium to the let ventricle then out the aorta
apex of lung is formed by left ventricle
sternocostal surface is right ventricle
area between left and right ventricles is interventricular spetum
atrium job is to prime the ventricles
wall of right ventricle is thinner because it pumps blood closer
systolic pressure is higher in the left ventricle
right atrium is found between superior and inferior vena cava
coronary sinus chief source of venous return from blood that goes out coronary arteries to heart. opens in right atrium
rough section on anterior wall of heart pectinate muscles
with surface projections and a blind sac called the auricle
separates rough and smooth sections of heart crista terminals
opening between left and right atrium embriologically fossa ovalis- when it closes at birth it is formane ovalis
sinoatrial SA node generates electrical impulses for depolarization, superior, near SVC
smooth outflow section of right ventricle conus arteriosus
papillary muscles attach to cusps of the valves between the atria and the ventricle
valve located between pulmonary artery and right ventricle and aorta and left ventricle semilunar valves
AV valves located between atria and ventricles
thin fibrous bands attached to papillary muscles corda teninae
surface projections of cardia muscle septomarginal trabecular

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