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19 Cards in this Set

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slides 1-57 not done
.
Serous membranes 3 types
Pleura
Pericardium
Peritonium
-

-internal pericardium loops around and continuously becomes the pericarium.

-lines the abdominal cavity
Visceral layer
parietal Layer
visceral means internal organ
.
INTERCOSTAL MUSCLES
Layers
external intercostal muscle
internal intercostal muscle
external intercostal muscle

how do the attach =
2 main points
.
extends from the rib tubercle posteriorly to the costochondral junction anteriorly where the muscle fibers are replaced by the external intercostal membrane
fibers directed inferiorly and anteriorly from the inferior border of the rib above to the superior border of the rib below
internal intercostal muscle
how are they laid out
(keep simple)
forms the middle layer  runs deep to and at right angles to the external intercostal muscle
extends from the sternum anteriorly to the rib angle posteriorly where the muscle fibers are replaced by the internal intercostal membrane
fibers directed inferiorly and posteriorly from the costal groove of the rib above to the upper border of the rib below
innermost intercostal muscle
similar to internal intercostal muscle (deep portion)  separated by intercostal VAN
occupy the middle part of the intercostal space
Phrenic means (def)
Diaghram
subcostal muscle
define layout
(keep simple)
thin slips of muscle  variable in size and shape
extends from the internal surface of the angle of one rib to the internal surface of the angle of the rib below it
runs in same direction as internal intercostal muscle and lies internal to it
transversus thoracis muscle
thin slips of muscles attached posteriorly to the xiphoid process, inferior part of body of sternum, and adjacent costal catilages
muscles of inspiration:
muscles of expiration:
strengthen the intercostal spaces 
muscles of inspiration: if 1st rib fixed by contraction of muscles in the root of neck (scalene muscles)  intercostal muscles will raise 2nd to 12th ribs toward 1st rib
muscles of expiration: if 12th rib fixed by contraction of abdominal muscles (quadratus lumborum and external & internal oblique muscles)  intercostal muscles will lower the 1st to 11th ribs toward 12th rib
strengthen the intercostal spaces  muscle tone prevents sucking in or blowing out of tissues with changes in intrathoracic pressure
Atmosphere pressure:
760 mm Hg

expiration pressure difference =
(-) 2 mm

758mm Hg
RESPIRATORY DIAPHRAGM locational description =
dome-shaped structure
peripheral muscular portion
centrally placed tendon of insertion
right and left domes reach as high as the 5th rib
right dome  slightly higher due to large size of the right lobe of liver
Parts:
sternal part – from xiphoid process
costal part – from lower 6 ribs and their costal cartilages
Elastic recoil is =
responsible for breathing out
RESPIRATORY DIAPHRAGM

vertebral part
crura
right crus
from sides of bodies of L.V. 1, 2, and 3 and their IV discs
some fibers pass to the left and surround the junction of the esophagus and stomach (cardiac orifice) in a slinglike loop  assist in preventing regurgitation of stomach contents into the esophagus

b. left crus – from sides of bodies of L.V. 1 and 2 and their IV disc
median arcuate ligament
medial arcuate ligament
lateral arcuate ligament
-median arcuate ligament
connects the medial borders of the right and left crura
arches over anterior surface of the aorta
located at level of T.V.12

-medial arcuate ligament – thickened superior margin of the psoas fascia

-lateral arcuate ligament – thickened superior margin of quadratus lumborum fascia
Central Tendon
– where diaphragm inserts

describe =
clover-leaf shaped to which the muscle fibers of the diaphragm insert
superior surface  partially fused to inferior surface of the fibrous pericardium
aortic opening
T.V.12 between the crura

Esophageal TV 10

Vena Cava TV 12
Strictly speaking, it is not an aperture in the diaphragm but an osseoaponeurotic opening
RESPIRATORY DIAPHRAGM
FUNCTIONS
MAIN muscle of respiration
(muscle of inspiration)

muscle of abdominal straining

weightlifting muscle

thoracoabdominal pump