ANATOMY OF THE LUNGS

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ANATOMY OF THE LUNGS

The lungs are organs that allow you to breathe and are located in the thoracic cavity on either side of the heart and near the backbone. Their bases sit on the diaphragm, and their apexes extend into the root of the neck. The lungs perform gas exchange in microscopic alveoli, extracting oxygen from the air and transferring it to your bloodstream, while releasing carbon dioxide.
The respiratory system can be functionally divided into a conducting zone and a respiratory zone. The conducting zone forms a continuous passage for air moving in and out of the lungs, and includes the nose, pharynx, larynx, bronchi, and bronchioles. The respiratory zone is found deep in the lungs and is involved in gas exchange. This includes the respiratory bronchioles, alveolar ducts, and alveoli, which are air sacs 100-300 µm wide that allow gas exchange.
The respiratory system can also be divided anatomically into the upper and lower respiratory tracts. The upper respiratory tract consists of structures in the head and neck – in other words, the nose, pharynx, and larynx. The lower respiratory tract is located in the chest and includes the trachea, bronchi, bronchioles, alveolar ducts, and alveoli.
The lungs weigh around 1.3 kg and contain around two and a half thousand km of airways. The right lung is larger and heavier than the left, because the left needs to leave room for the heart. The right lung is subdivided into three lobes, while the left has two. However, the left lung has a structure homologous to the middle lobe of the right lung. On the left lung, the upper lobe has a projection called the “lingula”. The boundaries of these lobes are defined by fissures. The right lung has two fissures, one oblique and one horizontal. The left lung has only an oblique fissure.
The main, or primary, bronchi enter the lungs at the hilum, which is the area on the mediastinal surface of the lung through which structures enter and leave the lung. These primary bronchi branch into lobar, or secondary, bronchi, which supply air to each lobe of the lungs. The secondary bronchi then branch into segmental, or tertiary bronchi, which supply air to bronchopulmonary segments, which are subdivisions of the lobes. A bronchopulmonary segment has its own segmental bronchus and arterial supply.
The bronchi branch into bronchioles. The primary lobule, otherwise called the acinus, is the functional unit of the lung. It is composed of a single terminal bronchiole, numerous respiratory bronchioles, alveolar ducts, alveolar sacs, and around 10,000 alveoli. Pulmonary blood is delivered to it by a pulmonary arteriole and taken away by a pulmonary venule. The alveoli are where gas exchange takes place. Their 0.5-2 µm thick membranes form the blood-air barrier. Together, the 300-500 million alveoli in the lungs provide a huge surface area for gas exchange. Elastic fibers allow the alveoli to expand on inhalation. These spring back on exhalation to help expel carbon dioxide.
The lungs have a unique blood supply. They have two forms of circulation – pulmonary and bronchial. The pulmonary circulation brings deoxygenated blood from the body to the lungs via the pulmonary arteries and returns it via pulmonary veins. Meanwhile, the bronchial circulation provides oxygenated blood to the tissue of the lungs.
The lungs have very specific indentations from surrounding structures. The outer surface of the lungs faces the ribs, which make light indentations on them. The medial surfaces are even more interesting. We can see impressions of the heart, and the great vessels, which are the large vessels that bring blood to and from the heart.
The lungs can’t power the breathing process on their own, but only expand with the expansion of the thoracic cavity. Instead, muscles of respiration, primarily the diaphragm, drive breathing. The broad, concave base of the lungs sits on the convex surface of the diaphragm. The intercostal muscles pull the rib cage upwards. The respiratory muscles relax when you breath out. When you’ve breathed out, the volume of the air remaining in your lungs is called the functional residual capacity (FRC), which is around 2.5-3 L in an adult.
When you’re exercising, heavy breathing recruits accessory muscles in the neck and abdomen, pulling the ribcage down upon exhalation and further decreasing the volume of the thoracic cavity to around 1 L. The movement of the lungs encounters little friction thanks to the pleural sac. This sac also divides the lungs into lobes. The pleurae are two serous membranes, one lining the inner wall of the ribcage, and one resting on the surface of the lungs. Between these membranes is the pleural cavity, which contains pleural fluid for lubrication.

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Content:
Introduction 0:00
Lung Function: 0:54
Parts and Surfaces of the Lungs: 02:04
Hilum of the Lung: 03:01
Parts and Surfaces of the Lungs: 04:17
Margins of the Lungs: 4:33
Pulmonary Lobes 5:22
Segments of Right Lung: 6:31
Segments of Left Lung: 7:27
Pleura of the Lungs: 8:20
Mediastinum: 11:01

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Functions of the Lungs:
– Essential Organ of respiration
– Muscles of inspiration
○ Sternocleidomastoideus
○ External Intercostal Muscles
○ Diaphragm
– Muscles of expiration
○ Internal Intercostal Muscles
○ Abdominal Muscles
– Functional Unit of the Lungs
○ Alveolar Sacs (Sacculi Alveolares)
○ Exchanges oxygen with carbon dioxide

Parts and Surfaces of the Lungs:
– Apex of Lung (Apex Pulmonis)
– Ase of Lung (Basis Pulmonis)
– Costal Surface (Facies Costalis)
– Diaphragmatic Surface (Facies Diaphragmatica)
– Mediastinal Surface (Facies Mediastinalis)
– Hilum of Lung (Hilum Pulmonis)
– Pulmonary Ligament (Ligamentum Pulmonalis)
– Root of Lung (Radix Pulmonis)
– Right Lung Hilum: Highest Structure Bronchus, then Pulmonary Arteries then Pulmonary Veins
– Left Lung Hilum: Highest Structure Pulmonary Artery. Bronchus then Pulmonary Veins
– Mnemonic: BRIGHT IS RIGHT
– Interlobar Surface (Facies Iinterlobares)

Margins of the Lungs:
– Inferior Margin (Margo Inferior)
– Anterior Margin (Margo Anterior)
○ Cardiac Notch of Left Lung (Incisura Cardiaca Pulmonis Sinistri)
○ Lingula of Left Lung (Lingula Pulmonis)

Pulmonary Lobes:
– Oblique Fissure (Fissura Obliqua)
– Horizontal Fissure (Fissura Horizontalis)
– Superior Lobe (Lobus Superior)
– Middle Lobe (Lobus Medius)
– Inferior Lobe (Lobus Inferior)

Segments of Right Lung (10):
– Superior Lobe:
○ Apical Segment
○ Posterior Segment
○ Anterior Segment
– Middle Lobe
○ Lateral Segment
○ Medial Segment
– Inferior Lobe
○ Superior Segment
○ Basal Medial
○ Basal Anterior
○ Basal Lateral
○ Basal Posterior

Segments of Left Lung (8 or 9):
– Superior Lobe
○ Apicoposterior
○ Anterior Segment
○ Superior Linguar
○ Inferior Linguar
– Inferior Lobe
○ Superior Segment
○ Basal Anterior
○ Basal Lateral
○ Basal Posterior
○ Basal Medial

Pleura of the Lungs:
– Visceral Pleura (Pleura Visceralis)
– Parietal Pleura (Pleura Parietalis)
○ Costal Part
○ Diaphragmatic Part
○ Mediastinal Part
○ Pleural Part
– Pleural Cavity (Cavitas Pleuralis)
– Pleural Recesses
○ Costodiaphragmatic Recess (Recessus Costodiaphragmaticus)
○ Costomediastinal Recess (Recessus Costomediastinalis)
○ Vertebromediastinal Recess (Recessus Vertebromediastinalis)
○ Phrenicomediastinal Recess (Recessus Phrenicomediastinalis)

Mediastinum
– Superior Mediastinum (mediastinum superius)
– Inferior Mediastinum (mediastinum inferius)
○ Anterior Mediastinum
○ Middle Mediastinum
○ Posterior Mediastinum

Sources used in this video:
– Memorix Anatomy 2nd Edition by Hudák Radovan (Author), Kachlík David (Author), Volný Ondřej (Author)
– Biorender
– University notes and lectures
– Snell’s Clinical Anatomy 10th Edition

Anatomy of the Lungs
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Lung Apices (Medical Definition) | Quick Explainer Video

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Lung Apices (Medical Definition) | Quick Explainer Video

What are the Lung Apices? What is the apical portion of the lungs? This video covers the medical definition of this topic.
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➡️ Lung Apices Definition
The lung apices are often referred to as the apical zone of the lungs or the lung apex. That is because, as the name suggests, this is the top or highest part of the lungs. In general, the upper lobes are overventilated compared to the lower lobes which tend to have more perfusion. This explains why the upper zones are primarily affected whenever there is a disease or condition that is related to inhalation.

➡️ Some examples include:
– Tuberculosis
– Sarcoidosis
– Extrinsic allergic alveolitis

➡️ Lung Apices Overview
Smoke inhalation predominately affects the upper lobes as well. In fact, cigarette smoking can lead to centrilobular emphysema which presents with upper lung lobe predominance. Diseases that cause impaired mucociliary clearance also affect the upper lobes and make it more difficult to remove secretions from the airways. Even in conditions such as pneumonia, you may notice consolidation on a chest radiograph in the upper lobes. While we have provided some useful tidbits on this topic, when it comes to the medical definition of the lung apices, the important thing to remember is that this is the upper portion of the lungs.

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This content is for educational and informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please consult with a physician with any questions that you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you watch in this video. We strive for 100% accuracy, but errors may occur, and medications, protocols, and treatment methods may change over time.

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0:00 – Intro
0:21 – Lung Apices Definition
0:52 – Some Examples
0:59 – Lung Apices Overview

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Interstitial Lung Disease (ILD) in a Nutshell

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An overview of ILD (also known as diffuse parenchymal lung diseases), including definition, classification, etiologies, and diagnostic evaluation (e.g. CT and PFT findings).
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GG Curly Hair Style Compilation Pt. 2| Babykeledits Videos

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Lung Cancer – Overview

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This animation is from our new program http://www.YouandLungCancer.com and explains how healthy lungs function and how lung cancer can occur. Non-small cell lung cancer and small cell lung cancer are the two major types of lung cancer. Physicians use noninvasive tests and invasive tests to diagnose lung cancer. Noninvasive tests include Chest x-rays, and CT scans and PET scans. Invasive tests include Bronchoscopy; Endobronchial ultrasound; Thoracentesis; Biomarker testing; and Biopsies, such as Fine needle aspiration (or FNA), Core needle biopsy, and surgical lung biopsy. Physicians need lung cancer staging information to plan treatment. Lung cancer is classified into numerous stages – the higher the stage the more advanced the spread of the cancer and typically the more aggressive the treatment. In Stage 0 cancer it is only the top layers of cells in the lining of air passages in the lungs. This is the easiest stage to treat with highest survivorship. Stage IV lung cancer is the most difficult to treat, having spread to the other lung, the lymph nodes outside the lungs, and other parts of the body.

Collapsed Lung – Causes, Symptoms, Treatments & More…

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A collapsed lung happens when air enters the pleural space, the area between the lung and the chest wall. If it is a total collapse, it is called pneumothorax. If only part of the lung is affected, it is called atelectasis.

Causes of a collapsed lung include

Lung diseases such as pneumonia or lung cancer
Being on a breathing machine
Surgery on the chest or abdomen
A blocked airway
If only a small area of the lung is affected, you may not have symptoms. If a large area is affected, you may feel short of breath and have a rapid heart rate.

A chest x-ray can tell if you have it. Treatment depends on the underlying cause.

NIH: National Heart, Lung, and Blood Institute

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E1. How to make different types of A letter tattoo designs

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E1. How to make different types of A letter tattoo designs

In this video I will make temporary tattoo by pen easy steps

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In this episodes we provide a new strategy for quick learn handwriting signatures. The first episode will be guide to how to write a letter of A signature style. If your name start with letter A, Watch this video and learn easily.
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Atelectasis: Etiology, Clinical Features, Pathology, pathophysiology, Diagnosis, and Treatment

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Atelectasis: Etiology, Clinical Features, Pathology, pathophysiology, Diagnosis, and Treatment

Atelectasis is a loss of lung volume that may be caused by a variety of ventilation disorders, for instance, bronchial injury or an obstructive mass such as a tumor. It may be categorized as obstructive, nonobstructive, postoperative, or rounded. Clinical features depend on the severity and extent of atelectasis, ranging from no symptoms to respiratory distress. Physical examination reveals a dull note on percussion and diminished breathing sounds over the affected area. On x-ray, the atelectatic section of the lung appears condensed and, due to decreased lung volume, may extend to the surrounding tissue. This effect can lead to an elevated diaphragm and mediastinal shift to the affected side. Treatment depends on the underlying cause. Complications of atelectasis include pneumonia or, depending on the extent of disease, respiratory failure.

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Styling a GG large bust, Larger Apple Stomach, Slim Leg & Feet Issues. Body Shape Master Class 8

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Styling a GG large bust, Larger Apple Stomach, Slim Leg & Feet Issues. Body Shape Master Class 8

Do’s and Don’ts of what to wear on a large busted 36GG, apple stomach, slim legged lady with feet issues. Styled by a Personal Stylist, Melissa Murrell #with Callashoes
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Lung sounds (respiratory auscultation sounds)

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We’ve just released a collection of 500+ OSCE Stations! 🙌 https://geekymedics.com/osce-stations/ See the written guide alongside the video here https://geekymedics.com/respiratory-examination-2/

This video provides demonstrations of the various lung sounds heard during auscultation of the chest as part of a respiratory examination.

Some of the sounds in this video include:
– Wheeze
– Coarse crackles
– Stridor
– Fine crackles
– Vesicular breath sounds

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Chapters:
– Introduction 00:00
– Vesicular breathing 00:15
– Inspiratory stridor 00:24
– Wheeze 00:31
– Coarse crackles 00:37
– Fine crackles 00:45
– Production disclaimer 01:03
– Credits 01:08

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Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.

Some people have found this video useful for ASMR purposes.
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Lung Auscultation Landmarks, Sounds, Placement Nursing | Assessing Lungs Part 1

Lung auscultation of assessing lung sounds that includes auscultation landmarks, sounds, stethoscope placement for nursing students and nurses. In this video, you will learn lung anatomy, auscultation points of the lungs for the anterior and posterior view of the lungs, normal breath sounds vs abnormal breath sounds with each including an audio clip. The normal breath sounds covered are: bronchial, bronchovesicular, vesicular. The abnormal breath sounds covered are: discontinuous lung sounds such as coarse crackles (rales), fine crackles (rales), and pleural friction rub. The continuous lung sounds include: polyphonic, high-pitched wheeze (sibilant wheeze), monophonic, low-pitched wheeze (rhonchi or sonorous wheeze), and stridor.

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Notes: http://www.registerednursern.com/lung-auscultation-points-sounds/

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