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22 Cards in this Set

  • Front
  • Back

What is the definition of the mediastinum?

A thick partition of tissue in and on each side of the median plane




-The space between the two pleural sacs wich contains the structures in the thorax except the lungs and pleura

How many borders are there in the mediastinum? Name them

2


-Superior and Inferior


-Inferior has 3 parts: Anterior, middle, and posterior

Label the green

Label the green

Superior border

What are the borders of the superior mediastinum?

superior to the sternal angle (manubriosternal plane) at the vertebral level of T4-T5

What are the structures inside the superior mediastinum?

-Thymus


-Right and left brachiocephalic veins


-superior vena cava


-aortic arch


-brachiocephalic artery


-left common carotid artery


-Left subclavian artery


-Vagus nerves


-Left recurrent laryngeal nerves


-Prenic nerves


-Trachea


-Thoracic duct


-esophagus


-Sympathetic chain

What are the borders of the inferior mediastinum?

inferior to the sternal angle (T4 to T5) through T2 vertebrae

label the purple 

label the purple

inferior anterior mediastinum

What are the borders of the inferior anterior mediastinum?

Anteriorly: sternum and transveresus thoracis muscle


Posteriorly: pericardium

What are the structures in the inferior anterior mediastinum?

-Remains of the thymus


-branches of internal thoracic arteries and veins

label the yellow

label the yellow

inferior middle mediastinum

What are the borders/relations of the inferior middle mediastinum?

Anteriorly: body of the sternum, 2nd - 6th costal cartilages


Posteriorly: 5th - 8th thoracic vertebrae

What are the structures within the inferior middle mediastinum?

-heart


-pericardium


-phrenic nerves


-primary bronchi


-origins of the great vessels (superior and inferior vena cava, ascending aorta, pulmonary arteries and veins)


-ligamentum arteriosum


-Bronchopulmonary(Hilar) nodes (lymph nodes in the hilum of the heart)

label the blue

label the blue

inferior posterior mediastinum

What are the borders of the inferior posterior mediastinum?

Anteriorly: pericardium and diaphragm


Posteriorly: T5-T12 vertebra

what are the structures in the posterior mediastinum?

-Thoracic descending aorta


-Right bronchial artery


-Posterior intercostal arteries


-Esophageal arteries


-Pericardial arteries


-Superior phrenic


-Intercostal nerves


-posterior interthoracic arteries


-Thoacic duct


Pretty much if it comes off the thoracic aorta above the diaphragm and below the first rib, it will be considered part of the inferior posterior mediastinum


-Azygus vein


-Accessory hemiazygus


-Hemiazygus


-Thoracic veins wrapping with the thoracic arteries


-right and left superior intercostal vein


-Esophagus


-Right and left vagus nerves


-Aortic plexus


-Anterior vagal trunk


-Sympathetic trunk

What are the constrictions of the esophagus?

-Bronchial constriction


-aortic constriction


-Diaphragmatic constriction

Where does the left vagus nerve lie on the stomach?

the superior portion

Where does the right vagus nerve lie on the stomach?

the posterior side of the stomach

What are the main sources of sympathetics in to the abdomen?

thoracic splanchnic nerves


-Greater


-Lesser


-Least

where does the greater thoracic splanchnic nerve come from?

the sympathetic chain ganglia at T5-T9

where does the lesser thoracic splanchnic nerve come from?

the sympathetic chain ganglia at T10-T11

where does the least thoracic splanchnic erves come from?

the sympathetic chain ganglia of T12