Anatomy of Respiration

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neoserval  on February 13, 2012

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Anatomy & Physiology of speech, language and hearing

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Ch-2

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Anatomy of Respiration

Respiration
a gas exchange between an organism and the environment
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Respiration a gas exchange between an organism and the environment
Inspiration bring oxygen into the blood- breathing in
Exhalation eliminates waste products especially CO2- breathing out
Support structure of respiration Vertebral column
Rib cage and sternum
Pectoral girdle
Pelvic girdle
Support structure of lungs Superiorly marked by 1st rib and clavicle( same as collar bone)
Inferior bound by 12th rib
Laterally bound by ribs
Anteriorly by both ribs and sternum
This structure is suspended from the vertebral column
Vertebral Column 7 cervical
12 thoracic
5 lumbar
5 sacral
fused which form back of pelvis
Coccygeal - coccyx
2-4 fused
True vertebrae Cervical, Thoracic & Lumbar
Sacrum and coccyx are not true vertebrae
Vertebral foramen through this foramen that the tracts of the spinal cord pass
larger on top and smaller at the bottom
Superior and inferior articular facets vertebral segments sit on top of each other to form the vertebral column with the help of this.
limiting movement in the anterior and posterior dimension and thus protecting the spinal cord and allowing limited rotatory and rocking motion
C1 the atlas-supporting the skull for rotation
does not have the spinous process
C2the axis on which the skull pivots
Larger vertebral foramen for transition of brainstem to spinal cord
The dens (odontoid process) protrudes from here
the relationship between foramen and dens are protective, because unchecked movement could result in damage to the spinal cord at this level, that could life threatening
rudimentary spinous process
Transverse foramen found only in the cerebral vertebrae and the vertebral artery passes through this foramen
Pelvic girdle the lower extremities are attached by this
consists of ilium (bulk of support to the abdominal muscles and prominent hip bone on which parents carry their children), sacrum, pubic bone, and ischium
Pectoral girdle the upper extremities are attached by this
Includes the scapula and clavicle( collar bone)
Attaches to the sternum
disarticulation of these bones will cause a collapse of the structure so that the shoulder rotates forward and inward
Sternum central structure for ribs
very important for respiration
scapula and clavicle attach to it
3 components
manubrium sterni
corpus
xiphoid process
Rib Anatomy Head
Tubercle
Neck
Angle
Shaft
Respiratory Tract Oral & nasal Cavities
Pharynx
Larynx
Trachea
Lungs
Bronchi
Right Lung Divided into 3 lobes( separated by fissures)
Superior
Middle
Inferior
3 lobar bronchi
10 segmental bronchi
More prone to aspiration
Left Lung 2 lobes
Superior
Inferior
2 lobar bronchi
8 segmental bronchi
Alveoli network of capillaries through which extensive blood oxygenation occurs
Oxygen in
Carbon dioxide out
Approximately 300,000 total
Very small
Allows 5,000 ml of blood to be processes in a minute
type 1 involved in oxygen exchange
Type 2 involved in surfactant
Pleural lining Lining of lungs which allows for movement of the lungs without friction
Visceral pleurae lines the lungs, cannot be separated
Parietal pleurae lines the walls of chest, covers diaphragm
Pleural cavity space between the pleurae has a negative pressure
Between the two pleurae is the surfactant that helps smooth, friction free movement
External Intercostal Muscles Origin: inferior surface of ribs 1-11
Insertion: superior surface of rib immediately below
Course anteriorly, inferiorly
Absent in the chondral portion of rib cage
Function: to elevate rib cage
Innervation:
Thoracic intercostal nerves (T1-T6)
Thoracoabdominal intercostal nerves (T7-T11)
Interchondral portion of Internal Intercostals Origin: inferior margin of ribs 1-11
Insertions: superior surface of rib below
Travel inferiorly, laterally
Function: elevate ribs 1-11
Innervation:
Thoracic intercostal nerves from T2-T6
Thoracoabdominal intercostal nerves from T7-T11
Internal Intercostal muscle Interosseous portion
Origin: inferior margin of ribs 1-11
Insertion: superior surface of rib below
Run inferiorly, laterally
Function: depresses ribs 1-11
Innervation:
Thoracic intercostal nerves from T2-T6
Thoracoabdominal intercostal nerves from T7-T11
Anatomy of the rib cage 1-7 directly connects to the sternum(true ribs)
8-10 collectively join together and then connects to 7 (false ribs)
11-12 floating ribs do not connect to the sternum
Thorax Includes sternum, ribs, heart, lungs, and spinal column
Provides protection for the lungs and heart
Cartilage attachments allow for rib cage to expand and contract as need for respiration also allows for muscular attachments
DiaphragmPrimary muscle of inspiration
dividing line between thorax and abdomen

Originates: from the inferior boundary of the rib cage (7-12), costal cartilage, xiphoid process, and vertebral column (L1-4)
insertion: Central tendon - large, leafy aponeurosis into which muscle fibers insert ( during inspiration fibers of diaphragm pull on central tendon resulting in downward motion of the diaphragm)
Innervation: by phrenic nerves from cervical plexus, spinal nerves C3, C4, C5
Contraction pulls the central tendon inferiorly and anteriorly
This results in the expansion of the lungs
3 openings of diaphragm diaphragmatic hiatuses
abdominal Aortic hiatus( descending abdominal aorta passes)
Esophageal hiatus( esophagus passes through this)
Foramen vena cava( inferior vena cava)
Innermost Intercostals Deep to internal intercostals
Parallel to internal intercostals
Absent in chondral portion of ribs
Innervated by the same nerves as internal intercostals
Transversus Thoracis Origin: margin of sternum
Insertion: inner chondral surfaces of ribs 2-6
Function: resist elevation of rib cage
Innervation:
Thoracic intercostal nerves
Thoracoabdominal intercostal nerves
Subcostal nerves from T2-T12
Abdominal aponeurosis Linea alba: runs from the xiphoid process to pubic symphysis
Linea semilunaris: parallel to lineal alba on either side
Transversus AbdominisDeepest of anterior abdominal muscles
Origin: posterior aspect of vertebral column via thoracolumbar fascia
Insertion: transversus abdominis aponeurosis, inner surface of ribs 6-12, pubis
Function: reduces volume of abdomen
Innervation
Lower spinal intercostal nerves (T7-T12)
Iliohypogastric and ilioinguinal branches of first lumbar nerve
Internal Oblique AbdominisSuperficial to transversus, deep to external oblique
Origin: inguinal ligament, iliac crest
Insertion: cartilaginous portion of lower ribs, portion of abdominal aponeurosis
Function: rotation of trunk with unilateral contraction, flexion of trunk with bilateral contraction
Innervation:
Lower spinal intercostal nerves from T7-T12
Iliohypogastric and ilionguinal branches of first lumbar nerve (L1)
External Oblique Abdominis Most superficial of abdominal muscles, largest
Origin: osseous portion of lower 7 ribs
Insertion: iliac crest, inguinal ligament, abdominal aponeurosis
Function: flexion of vertebral column (bilateral contraction), trunk rotation (unilateral contraction)
Innervation:
Thoracoabdominal nerve from T7-T11
Subcostal nerve from T12
Quadratus Lumborum Dorsal aspect of abdominal wall
Origin: iliac crest
Insertion: transverse process of lumbar vertebrae, inferior border of rib 12
Function: lateral movement of trunk (unilateral contraction), fixation of abdominal wall to support abdominal compression (bilateral contraction)
Innervation:
T12
L1-L4

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