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Gross Anatomy of Lung
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Contents
 1.1 Overview of Respiratory Pathway
 1.2 General Anatomy of Nose, Pharynx & Larynx
 1.3 Clinical Features of Nose, Pharynx & Larynx
 1.4 General Anatomy of Trachea
 1.5 General Anatomy of Pleura, Mediastinum, Diaphragm & Lung
 1.6 Broncho pulmonary Segment
3
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1.1 Respiratory Pathway
The respiratory system is classified into two tract i.e. Upper and Lower Respiratory tract.
 Upper Respiratory Tract is formed with
 Nose
 Pharynx
 Larynx
 Lower Respiratory Tract is formed with
 Trachea
 Bronchus
 Lungs
4
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1.2 General Anatomy of Nose
 Opening of the nose is defined as nostrils or nares.
 Right and Left nasal cavity is separated by Nasal Septum.
 The Nasal cavity is lined by vascular ciliated columnar epithelium that contains mucus
secreting goblet cells and the epithelium contains coarse hair that filters air passing
towards the back of the nose.
 Nasal cavity is formed by 4 special bones, i.e.
 Ethmoid bone
 Sphenoid bone
 Frontal bone
 Maxillary bone
 The Nasal cavity widens posteriorly to the vestibule to make room for the three bony,
lateral ridge called the nasal conchae.
5
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Endoscopic view of Nasal Cavity & Septum
6
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Sinuses
Paranasal sinuses are the small tunnels or cavities. Nasal cavity opens into the network
of sinuses.
Sinusitis:
Inflammation of the epithelial tissue in the
sinus causes increased mucus production
and accompanying swelling may block the
drainage into the nasal cavity.
Clinical Features
Nasal Polyp:
Abnormal growth inside the nasal cavity
caused by chronic inflammation in the
nose.
7
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Functions of Nose
 Olfactory organ – “Sense of Smell”
 Warming: Epistaxis
 Filtration, trapped the bacteria and dust particles
 Humidifying
8
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1.3 Pharynx
 Pharynx is commonly called as throat which is situated posterior to the oral cavity and
lies between nasal cavity and larynx.
 Subdivided into 3 parts
 Oropharynx
 Nasopharynx
 Laryngopharynx
9
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Atlas of Pharynx
10
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Pharyngitis
11
Infection in pharynx, etiological
cause is bacterial or viral infection.
Causing agent - Streptococci
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Subdivisions of Pharynx
Nasopharynx Oropharynx Laryngopharynx
Description
Position
Function
Blood Supply
Atlas
12
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Larynx
 Cartilage box of 9 separate cartilages, composed
of hyaline cartilage connective tissue. Epiglottis
is composed of elastic cartilages.
 Epiglottis functioning as to fold the glottis during
swallowing to prevent aspiration.
13
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Visualization of Larynx & Epiglottis
14
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1.4 General Anatomy of Trachea
Trachea (windpipe) lies ventral to the oesophagus, C shaped cartilaginous rings faces the
oesophagus, and this allows the oesophagus to expand when swallowing.
8-20 C Shaped cartilages composed of hyaline and connective tissue.
Trachea connects the larynx to the primary bronchi. Its wall is consisting if connective
tissue.
15
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Atlas of trachea & Visualized Carina
16
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Tracheostomy
17
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1.5 Lung
 Paired, cone-shaped, occupying the thoracic cavity, excepting the central area that
contains the trachea, heart, and esophagus.
 Each lung is enclosed by pleura, which produces serous fluid.
18
Anatomical Difference
Right
* 2 fissure, 3 lobes
* Shorter & broader
* 700g weighs
Left
* 1 fissure, 2 lobes
* Longer & narrower
* 600g weighs
Lung
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Location of lung
19
Lung, cone shaped organ lying in the
thoracic cavity separated from each other
by the heart and other structures of
mediastinum.
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Structure of Lung
20
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Structure of Lower Respiratory Tract
21
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22
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Pleura
23
Each lung is invested by and enclosed in a serous pleural sac consisting of two
serous membrane.
(i) Visceral / Pulmonary pleura
(ii) Parietal Pleura
Pleural Cavity:
It is the potential space between the visceral and parietal pleura containing
capillary layer lf serous pleural fluid which lubricates the pleural surfaces
allowing the layers smooth during respiration.
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Pleura & Pleural effusion
24
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CXR in Pleural effusion & Normal CXR
25
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1.6 Broncho Pulmonary Segment
26
The main bronchus on each side gives off branches to each lobes of the lung,
called lobar bronchus. Lobar bronchus divides then into segmental bronchi, each
of which supplies a segment of the lung, defined as Broncho pulmonary segment.
Supplies: Pulmonary artery & Pulmonary vein
Broncho pulmonary segment is self contained, functionally independent,
respiratory unit of lung tissue.
Structure: Wedge shaped, surrounded by connective tissue, each has segmental
bronchus, segmental artery, autonomic nerve and lymph vessels.
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Lobes & Segments
27
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28
Lobes & Segments
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Segments
29
Upper
Lobe
Middle
Lobe
Lower Lobe
Apical Lateral Superior
Posterior Medial Medial basal
Anterior Anterior basal
Lateral basal
Posterior basal
Upper Lobe Lower Lobe
Apical Superior
Posterior Medial basal
Anterior Anterior basal
Superior
lingular
Lateral basal
Inferior
lingular
Posterior basal
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Blood Supply of Lungs
30
The bronchial arteries supply the bronchial tree and
the pulmonary tissue.
Deoxygenated blood is brought to the lung by the
two pulmonary arteries and oxygenated blood is
returned by the four pulmonary veins.
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Venous Drainage of Lungs
31
Bronchial veins
Right bronchial veins › Azygos vein
Left bronchial vein › Hemiazygos vein
The greater part of venous blood from the lungs is
drained by the pulmonary veins
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Nerve Supply
32
1. Parasympathetic nerve
i. Motor
ii. Secretomotor
iii. Sensory fibres
2. Sympathetic nerve
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FAQs
33
1. Bronchial tree
2. Arterial supply of the lung
3. Gross structure of the lung
4. Passage of respiratory air from nose to lung
5. Broncho pulmonary segment
Edited by Abiyad Ahmed
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References
34
1. Human Anatomy B D Chourasia
2. Atlas of Anatomy Gray’s Anatomy
3. WebMD © Articles
4. Anatomy of Respiratory System MC Graw Hill
5. Online Courtsey: scienceclarified.com
6. Image & Animation: Gray’s Atlas, Physio-pedia.com, emedicine.Medscape.com,
youtube.com, www.visiblebody.com
Edited by Abiyad Ahmed
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Next Presentation
35
Physiology of
Respiratory System &
Diseases
Edited by Abiyad Ahmed
http://www.abiyadahmed.com
Thank You

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Overview of lungs

  • 1. Gross Anatomy of Lung Brought to you by AbiyadAhmed BSc Critical CareTechnology,WBUHS Fellow, IMHRC ACLSProvider,AmericanHeartAssociation www.abiyadahmed.com
  • 2. Brought to you by Edited by Abiyad Ahmed http://www.abiyadahmed.com 2
  • 3. Contents  1.1 Overview of Respiratory Pathway  1.2 General Anatomy of Nose, Pharynx & Larynx  1.3 Clinical Features of Nose, Pharynx & Larynx  1.4 General Anatomy of Trachea  1.5 General Anatomy of Pleura, Mediastinum, Diaphragm & Lung  1.6 Broncho pulmonary Segment 3 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 4. 1.1 Respiratory Pathway The respiratory system is classified into two tract i.e. Upper and Lower Respiratory tract.  Upper Respiratory Tract is formed with  Nose  Pharynx  Larynx  Lower Respiratory Tract is formed with  Trachea  Bronchus  Lungs 4 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 5. 1.2 General Anatomy of Nose  Opening of the nose is defined as nostrils or nares.  Right and Left nasal cavity is separated by Nasal Septum.  The Nasal cavity is lined by vascular ciliated columnar epithelium that contains mucus secreting goblet cells and the epithelium contains coarse hair that filters air passing towards the back of the nose.  Nasal cavity is formed by 4 special bones, i.e.  Ethmoid bone  Sphenoid bone  Frontal bone  Maxillary bone  The Nasal cavity widens posteriorly to the vestibule to make room for the three bony, lateral ridge called the nasal conchae. 5 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 6. Endoscopic view of Nasal Cavity & Septum 6 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 7. Sinuses Paranasal sinuses are the small tunnels or cavities. Nasal cavity opens into the network of sinuses. Sinusitis: Inflammation of the epithelial tissue in the sinus causes increased mucus production and accompanying swelling may block the drainage into the nasal cavity. Clinical Features Nasal Polyp: Abnormal growth inside the nasal cavity caused by chronic inflammation in the nose. 7 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 8. Functions of Nose  Olfactory organ – “Sense of Smell”  Warming: Epistaxis  Filtration, trapped the bacteria and dust particles  Humidifying 8 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 9. 1.3 Pharynx  Pharynx is commonly called as throat which is situated posterior to the oral cavity and lies between nasal cavity and larynx.  Subdivided into 3 parts  Oropharynx  Nasopharynx  Laryngopharynx 9 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 10. Atlas of Pharynx 10 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 11. Pharyngitis 11 Infection in pharynx, etiological cause is bacterial or viral infection. Causing agent - Streptococci Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 12. Subdivisions of Pharynx Nasopharynx Oropharynx Laryngopharynx Description Position Function Blood Supply Atlas 12 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 13. Larynx  Cartilage box of 9 separate cartilages, composed of hyaline cartilage connective tissue. Epiglottis is composed of elastic cartilages.  Epiglottis functioning as to fold the glottis during swallowing to prevent aspiration. 13 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 14. Visualization of Larynx & Epiglottis 14 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 15. 1.4 General Anatomy of Trachea Trachea (windpipe) lies ventral to the oesophagus, C shaped cartilaginous rings faces the oesophagus, and this allows the oesophagus to expand when swallowing. 8-20 C Shaped cartilages composed of hyaline and connective tissue. Trachea connects the larynx to the primary bronchi. Its wall is consisting if connective tissue. 15 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 16. Atlas of trachea & Visualized Carina 16 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 17. Tracheostomy 17 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 18. 1.5 Lung  Paired, cone-shaped, occupying the thoracic cavity, excepting the central area that contains the trachea, heart, and esophagus.  Each lung is enclosed by pleura, which produces serous fluid. 18 Anatomical Difference Right * 2 fissure, 3 lobes * Shorter & broader * 700g weighs Left * 1 fissure, 2 lobes * Longer & narrower * 600g weighs Lung Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 19. Location of lung 19 Lung, cone shaped organ lying in the thoracic cavity separated from each other by the heart and other structures of mediastinum. Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 20. Structure of Lung 20 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 21. Structure of Lower Respiratory Tract 21 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 22. 22 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 23. Pleura 23 Each lung is invested by and enclosed in a serous pleural sac consisting of two serous membrane. (i) Visceral / Pulmonary pleura (ii) Parietal Pleura Pleural Cavity: It is the potential space between the visceral and parietal pleura containing capillary layer lf serous pleural fluid which lubricates the pleural surfaces allowing the layers smooth during respiration. Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 24. Pleura & Pleural effusion 24 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 25. CXR in Pleural effusion & Normal CXR 25 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 26. 1.6 Broncho Pulmonary Segment 26 The main bronchus on each side gives off branches to each lobes of the lung, called lobar bronchus. Lobar bronchus divides then into segmental bronchi, each of which supplies a segment of the lung, defined as Broncho pulmonary segment. Supplies: Pulmonary artery & Pulmonary vein Broncho pulmonary segment is self contained, functionally independent, respiratory unit of lung tissue. Structure: Wedge shaped, surrounded by connective tissue, each has segmental bronchus, segmental artery, autonomic nerve and lymph vessels. Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 27. Lobes & Segments 27 Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 28. 28 Lobes & Segments Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 29. Segments 29 Upper Lobe Middle Lobe Lower Lobe Apical Lateral Superior Posterior Medial Medial basal Anterior Anterior basal Lateral basal Posterior basal Upper Lobe Lower Lobe Apical Superior Posterior Medial basal Anterior Anterior basal Superior lingular Lateral basal Inferior lingular Posterior basal Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 30. Blood Supply of Lungs 30 The bronchial arteries supply the bronchial tree and the pulmonary tissue. Deoxygenated blood is brought to the lung by the two pulmonary arteries and oxygenated blood is returned by the four pulmonary veins. Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 31. Venous Drainage of Lungs 31 Bronchial veins Right bronchial veins › Azygos vein Left bronchial vein › Hemiazygos vein The greater part of venous blood from the lungs is drained by the pulmonary veins Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 32. Nerve Supply 32 1. Parasympathetic nerve i. Motor ii. Secretomotor iii. Sensory fibres 2. Sympathetic nerve Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 33. FAQs 33 1. Bronchial tree 2. Arterial supply of the lung 3. Gross structure of the lung 4. Passage of respiratory air from nose to lung 5. Broncho pulmonary segment Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 34. References 34 1. Human Anatomy B D Chourasia 2. Atlas of Anatomy Gray’s Anatomy 3. WebMD © Articles 4. Anatomy of Respiratory System MC Graw Hill 5. Online Courtsey: scienceclarified.com 6. Image & Animation: Gray’s Atlas, Physio-pedia.com, emedicine.Medscape.com, youtube.com, www.visiblebody.com Edited by Abiyad Ahmed http://www.abiyadahmed.com
  • 35. Next Presentation 35 Physiology of Respiratory System & Diseases Edited by Abiyad Ahmed http://www.abiyadahmed.com