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Superior and Posterior Mediastinum
Rinaldi 3/10/11 lecture -2 hrs
44
Anatomy
Undergraduate 4
03/07/2011

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Cards

Term
development and maintenance
Definition
the thymus contributes to the _____ and _____ of the immune system
Term
its large in childhood, but involutes after puberty and is replaced by fatty tissue
Definition
what happens to the thymus's size as a person ages?
Term
lower part of neck, and anterior part of superior mediastinum
Definition
where is the thymus located in the neck and in relationship to the mediastinum?
Term
posterior to the manubrium and anterior to the pericardium
Definition
where is the thymus in relation to the pericardium and manubrium?
Term
supply:internal thoracic arteries
drainage: internal thoracic and brachiocephalic veins
Definition
describe the blood supply and venous drainage of the thymus
Term
innominate veins
Definition
another name for the brachiocephalic veins
Term
right and left brachiocephalic veins
Definition
what veins form the superior vena cava?
Term
left crosses the midline, right is more vertical
Definition
which brachiocephalic vein crosses the midline? which is more vertical?
Term
left brachiocephalic
Definition
which vein runs just anterior to the vessels that stem off the aortic arch?
Term
the SVC is right and posterior to the ascending aorta
Definition
where is the superior vena cava in relation to the ascending aorta?
Term
brachiocephalic trunk, left common carotid, left subclavian
Definition
name the structures that branch off of the aorta from (patient) right to left
Term
it ascends posterior to the root of the right lung and arches over it to drain into the superior vena cava
Definition
where does the azygous vein go in relation to the root of the lung?
Term
the arch passes over both of these structures
Definition
where is the aorta in relation to the right pulmonary artery and left main bronchus?
Term
the arch anterior and to the right of the pulmonary trunk
Definition
where is the aortic arch in relation to the pulmonary trunk?
Term
the left pulmonary artery. No, the right pulmonary artery remains anterior to the right main bronchus
Definition
what structure starts anterior to the left main bronchus then arches over it? does the right side do this?
Term
the esophagus begins to the right of the aorta but moves anteriorly
Definition
describe the path of the esophagus in relation to the aorta
Term
left brachiocephalic vein
Definition
where does the lead for a pacemaker typically go?
Term
thorax ABOVE the diaphragm
Definition
what blood drains via the azygous vein to the SVC?
Term
ascending lumbar vein
Definition
what does the azygous vein become below the diaphragm?
Term
left thorax, left upper limb, left head, neck, abdominal cavity, pelvis, lower limbs
Definition
where does the thoracic duct drain lymph from?
Term
union of the internal jugular and subclavian veins on the left side
Definition
what does the thoracic duct drain into directly?
Term
posterior to aorta but anterior to the esophagus
Definition
where is the thoracic duct in relation to the aorta and esophagus?
Term
both right and left vagus
Definition
which vagus nerve gives off parasympathetic BRANCHES that contribute to the pulmonary and cardiac plexi?
Term
pass behind the main bronchi and become the esophageal plexus(no longer called vagus nerves)
Definition
where do the vagus nerves pass in relation to the bronchi, and what do they become once they converge there?
Term
just superior to the diaphragm, they become the anterior and posterior vagal trunks
Definition
where does the esophageal plexus give rise to the 2 vagal trunks and what are they called?
Term
it forms the esophageal plexus (where right and left mix = trunk) then the rotation of the digestive tract twists it to anterior posterior (right is mainly posterior)
Definition
why does the vagus nerve go from left and right to anterior and posterior trunks?
Term
still right and left vagus- until they tuck behind the main bronchi and converge
Definition
after the right and left vagus nerves send off branches to cardiac and pulmonary plexi, what are they called?
Term
jugular veins and common carotid arteries
Definition
what blood vessels does the vagus nerve travel with from the cranium through the neck?
Term
branches off the vagus nerve called the recurrent laryngeal branches
Definition
what contributes to all but one muscle of the larynx's innervation?
Term
left(note: this is not a branch from the plexus it is a branch from the left vagus nerve), it ascends the groove between the trachea and esophagus
Definition
which recurrent laryngeal nerve hoks around the aortic arch? where does it go from there?
Term
right recurrent layngeal, ascends to the right side of the larynx
Definition
which recurrent laryngeal nerve hooks around the subclavian artery, and where does it go from there?
Term
left recurrent laryngeal, may cause a hoarse voice because 1 vocal cord is paralyzed
Definition
if there was an aortic aneursim or swelling in the subarotic lymph nodes (lateral to ligamentum arteriosum) what nerve may have compromised function?
Term
right recurrent laryngeal
Definition
what nerve can be damaged by a subclavian aneurism or a pancoast tumor(at the apex of the lung)?
Term
right recurrent laryngeal
Definition
which recurrent laryngeal nerve does not enter the mediastinum?
Term
anteriorly: ascending aorta
psoteriorly: descending aorta
between: pulmonary trunk and aortic arch
Definition
what are the borders of the aortic-pulmonary window?
Term
lymph nodes(subarotic from upper l lung)
fat
ligamentum arteriosum
Definition
what are the contents of the AP(aortic-pulonary) window?
Term
axillary and internal thoracic (parasternal)
Definition
what lymph nodes do the superficial tissues of the chest wall(breast) drain into?
Term
internal thoracic, intercostal, & diaphragmatic nodes -->thoracic duct
Definition
where do deeper tissues of the chest wall drain lymph into?
Term
to the left and right collecting trunks, then to the inferior tracheobronchial and brachiocephalic nodes
Definition
where does the heart drain lymph?
Term
air passages
Definition
what do the deep lymphatics of the lung follow?
Term
efferents from the brachiocephalic, tracheobronchial, and posterior mediastinal nodes
Definition
what unites to form the right and left bronchomediastinal trunks?
Term
internal thoracic, intercostal and diaphragmatic nodes
Definition
what joins the left and right bronchomedistinal trunks?
Term
right side of the head and neck, right upper limb, right thorax, and uppser surface of the liver
Definition
where does the thoracic duct NOT drain lymph from?
Term
right jugular, subclavian, and bronchomediastinal trunks, which enter the veins on the right side of the neck
Definition
where do things drain if they do not drain lymph via the thoracic duct?
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