thorax pleura

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thorax pleura

  1. 1. Pleura 1 download these slides free of cost from www.slideshare.com
  2. 2. Formation of Pleural cavity 2
  3. 3. Pleural cavity decreased Formation of Pleural cavity Lung bud 3
  4. 4. Layers of Pleura 1. Visceral pleura – inner, adheres to lung 2. Parietal pleura – outer, lines thoracic wall, diaphragm, - 4 parts –cervical costal diaphragmatic mediastinal 4
  5. 5. Parietal pleura 5
  6. 6. Lungs with pleura: CS 6
  7. 7. Lungs with pleura: TS 7
  8. 8. Surface marking of pleura 8
  9. 9. PLEURAL REFLECTIONS 9
  10. 10. Pulmonary ligament 10
  11. 11. Pleural recesses 11
  12. 12. Pleural recesses 12
  13. 13. Nerve supply of Pleura  Parietal pleura – somatic nerves (IC nerves, phrenic nerve) pain sensitive  Visceral pleura - autonomic nerves (T2 to T5) pain insensitive 13
  14. 14. Applied Anatomy • Pleuritis/pleurisy • Pleural effusion/hydrothorax • Haemothorax • Pneumothorax • Pain at tip of shoulder from diaphragmatic pleura 14
  15. 15. Pleural tap 15
  16. 16. Pleural tapPleural tap 16
  17. 17. Pneumothorax 17
  18. 18. Tension Pneumothorax • Distended neck veins • Tracheal shift • Decreased breath sounds • Hyper resonance (involved hemithorax) • Collapsed lung on same side 18
  19. 19. Tension pneumothoraxTension pneumothorax Trapping of air created by one way valveTrapping of air created by one way valve 19
  20. 20. Tension Pneumothorax Needle decompression 2nd ICS in MCLNeedle decompression 2nd ICS in MCL 20
  21. 21. LARGE HAEMOTHORAX Haemothorax 21
  22. 22. Liver Trachea Tracheal bifurcation Hilar shadow Right border of heart Cardiophrenic angle Right dome of diaphragm Costodiaphragmatic angle Clavicle Aortic knuckle Pulmonary trunk Left border of heart Cardiac apex Left dome of diaphragm Gas shadow under diaphragm Coracoid process CHEST X-RAY PA VIEW 22
  23. 23. 23
  24. 24. Thank 24

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