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Pleural Cavities & Lung LAB MANUAL

|Topic and Text Reference | Learning Objectives | Special Instructions | Clinical Exercises | Key Structures

TOPIC AND TEXT REFERENCE: PLEURAL CAVITIES AND LUNG PP. 48-52

LEARNING OBJECTIVES:

Understand the boundaries of the pleural cavity.

Learn the difference between parietal and visceral pleura.

Learn the different parts of the parietal pleura.

Learn the surface anatomy of the lung: fissures and lobes.

Identify the structures that have a direct relationship to the lungs.

Learn the key differences between the right and left lung.

Learn the dual blood supply to the lungs.


SPECIAL INSTRUCTIONS FOR LAB TODAY:

Pg. 49: Be aware that as you remove the rib cage, the sternocostal parietal pleura often remains attached to its inner surface.

Pg. 50: The faculty members will circulate with scalpels and supervise as you cut through the root of the lungs to remove them.

• Pg 50: Look for the contact impressions on the lungs. These vary from cadaver to cadaver (like everything else!). So if they are not easily seen on yours, look at a neighboring cadaver and the lung models in Room 106.

Pg. 51: Do NOT cut into the lung and follow the segmental bronchi. You "can" familiarize yourself with the bronchopulmonary segments by using your textbook.

CLINICAL CORRELATIONS AND EXERCISES:

1.Where does one place the needle to remove liquid from the pleural cavity?

2. Where does one place the needle to remove air from the pleural cavity?

3. Make a list of the layers that the needle must pass through to enter the pleural cavity?

Which of these layers are somatically innervated and which are viscerally innervated?

4. Why do objects become lodged in the right bronchus with a greater frequency than the left?

5. Why is the lung apex vulnerable to injury?

KEY STRUCTURES:
You should be able to identify in a cadaver all the structures listed under key words unless they have an asterisk.

structure
Netter's
Gold Standard
structure
Netter's
Gold Standard
Arteries     Nerves    
intercostal artery N1   intercostal nerve N1  
internal thoracic artery N1   recurrent laryngeal nerve, left N1  
pericardiacophrenic artery N1 G1 phrenic nerve N1  
pulmonary artery N1 G1 Pleurae    
pulmonary trunk N1   costal pleura N1  
Lungs     cupula pleura N1  
hilus of lung N1   diaphragmatic pleura
N1  
Lungs - fissures     mediastinal pleura
N1  
horizontal fissure N1 G1 pleural cavity    
oblique fissure N1 G1 (left) | G2 (right) visceral pleura N1  
Lungs - impressions - right lung     Recesses    
aortic arch impression   G1 costodiaphragmatic recess N1  
arch of the azygos vein impression N1 G1 Veins    
cardiac (right atrium) impression N1 G1 intercostal vein N1  
Lungs - impressions - left lung     internal thoracic vein N1  
arch of the aorta impression N1   pulmonary vein N1  
ascending aorta impression     superior vena cava N1  
descending aorta impression N1   Other structures    
groove for the esophagus N1   bronchus N1  
cardiac (left ventricle) impression N1   cardiac notch N1  
Lungs - roots     endothoracic fascia    
left lung N1   fibrous pericardium N1  
right lung N1   ligamentum arteriosum N1  
Muscles     oblique pericardial sinus N1  
external intercostal muscle
N1   parietal layer of pericardium    
internal intercostal muscle
N1   pericardial sac N1  
transversus thoracis     transverse pericardial sinus N1  
      visceral layer of pericardium (epicardium)    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

|Topic and Text Reference | Learning Objectives | Special Instructions | Clinical Exercises | Key Structures


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