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Question: Are the alveoli always at the end of the 24th division of the tertiary (segmental) bronchi? Answer: (See figure) This number is approximate. These bronchi can divide up to 24 times, but don’t always. http://www.ecc-book.com/Anatomy_Lecture_1_Lungs.pdf • 2 separate sacs • Pleural layers continuous in each sac • Costal: pertaining to ribs Zemlin, W.R. (1998). Pg. 41. Bones Ribs/ribcage Vertebral column Muscles Thoracic Accessory Diaphragm Abdominal • Clavicle (collarbone) • Sternum (breastbone) • Manubrium • Sternal angle • Body • Xiphoid/Ensiform process http://www.daviddarling.info/encyclopedia/R/rib-cage.html C1-C7 • 32-34 Vertebrae • • • • T1-T12 7 cervical (C#) 12 thoracic (T#) 5 lumbar (L#) 5 sacral (S#) L1-L5 • fused- sacrum • 3-5 coccygeal (none) • fused- coccyx Sacrum Coccyx http://www.everythingicafe.com/forum/threads/this-case-looks-awesome.28863/page-10 • • • • 2 connections with thoracic vertebrae Angle: where direction of rib changes to anterior Costal groove: protects blood vessels and nerves Costochondral joint: connects rib (bone) and costal cartilage http://home.comcast.net/~wnor/thoraxbones.htm Zemlin, W.R. (1998). Pg. 48. http://retilde.wordpress.com/category/rib-cage/ • 12 rib pairs • Connected to vertebrae • True ribs (7) • Synchondrosis (rib 1) • synovial/sternocostal joints • False ribs (3) • Floating ribs (2) http://www.daviddarling.info/encyclopedia/R/rib-cage.html http://www.youtube.com/watch?v=PNo5HJIY5w4 http://en.wikipedia.org/wiki/Scapula Bones Ribs/ribcage Vertebral column Muscles Thoracic Accessory Diaphragm Abdominal Thoracic Muscles External Intercostals Internal Intercostals Accessory Muscles Sternocleidomastoid Transversus Thoracis Serratus (3) Levatores Costarum Abdominal Muscles Rectus Abdominus Obliques (2) Transversus Abdominus Scalenus Diaphragm Thoracic Muscles External Intercostals Internal Intercostals • External intercostals • Between ribs (11) • Origin: vertebrae • Course down and lateral • Insertion: costal cartilages • Contract: ribs move up and out http://www.anatomyexpert.com/structure_detail/5283/ Zemlin, W.R. (1998). Pg. 59. • Internal intercostals • Between ribs (11) • Origin: sternum • Course down and lateral (opposite external intercostals) • Insertion: rib angle • Contract: ribs move down and in http://www.anatomyexpert.com/structure_detail/5287/ Zemlin, W.R. (1998). Pg. 59. Thoracic Muscles External Intercostals Internal Intercostals Accessory Muscles Sternocleidomastoid Transversus Thoracis Serratus (3) Levatores Costarum Abdominal Muscles Rectus Abdominus Obliques (2) Transversus Abdominus Scalenus Diaphragm Accessory Muscles Sternocleidomastoid Transversus Thoracis Levatores Costarum Serratus Anterior Posterior Superior Scalenus Posterior Inferior • Sternocleidomastoid • Origins: manubrium of sternum and clavicle • Unite and course upward • Insertion: mastoid process of temporal bone • Contract: when head is fixed, bilateral contraction elevates sternum, clavicle, ribcage http://www.anatomyexpert.com/structure_detail/5086/ Hixon, T.J., et al. (2008). Pg. 16. • Transversus thoracis • Origin: lower sternum • Insertion: upper ribs • Contract: depresses ribs http://www.anatomyexpert.com/structure_detail/5289/ Hixon, T.J., et al. (2008). Pg. 16. • Scalenus • Origin: cervical vertebrae • Insertion: ribs 1 & 2 • Contract: raises ribs http://www.anatomyexpert.com/structure_detail/5270/ http://www.anatomyexpert.com/structure_detail/5267/ http://www.anatomyexpert.com/structure_detail/5262/ Hixon, T.J., et al. (2008). Pg. 16. • Serratus anterior • Origin: ribs • Insertion: scapula • Contract: elevates ribs • Serratus posterior superior • Origin: cervical/thoracic vertebrae • Insertion: upper ribs • Contract: elevates ribs • Serratus posterior inferior • Origin: thoracic/lumbar vertebrae • Insertion: lower ribs • Contract: depresses ribs http://www.anatomyexpert.com/structure_detail/5505/ http://www.anatomyexpert.com/structure_detail/5284/ http://www.anatomyexpert.com/structure_detail/5285/ Hixon, T.J., et al. (2008). Pg. 16. • Levatores costarum • Origin: cervical/thoracic vertebrae • Insertion: rib below origin • Contract: elevate ribs (similar to external intercostals) http://www.anatomyexpert.com/structure_detail/5238/ Hixon, T.J., et al. (2008). Pg. 16. Thoracic Muscles External Intercostals Internal Intercostals Accessory Muscles Sternocleidomastoid Transversus Thoracis Serratus (3) Levatores Costarum Abdominal Muscles Rectus Abdominus Obliques (2) Transversus Abdominus Scalenus Diaphragm Diaphragm • Major muscle of inspiration • Sheet of muscle and tendon between the lungs and abdomen • Dome-shaped • Muscle: 3 attachments • Sternal origin: Xiphoid process • Costal origin: costal cartilages 7-12 • Vertebral origin: upper lumbar vertebrae (crura) • Right crus: L1-L3 or L4 • Left crus: L1-L2 Hixon, T.J., et al. (2008). Pg. 20.