THORAX
lnferior vena cava
Right phrenic nerve
Right vagus
Aorta
Azygos vein
Thoracic duct
Greater splanchnic nerve
Lesser splanchnic nerve
Right crus of diaphragm
Superior epigastric vessels
-" Central tencion
Left vagus
Oesophagus
Oesophageal branch of Ieft gastric
aftery and accompanying veins
Median arcuate ligamerrt
Medial arcuate ligament
Lateral arcuate ligament
Subcostal vessels and nerve
Left crus of diaphragm
Sympathetic trunk
Fig. 12.16: Structures passing through the diaphragm
Opening
Vena cava
Oesophageal
Aortic
Situation
T8, junction of right and
median leaflet of
central tendon
T10, splitting of
right crus
T12, behind
median arcuate
ligament
Quadrilateral
Elliptical
Rounded
Structures passing
rvc
Right phrenic nerve
Lymphatic of liver
Oesophagus
Both vagal trunks
Left gastric vessels
Aorta
Thoracic duct
Azygos vein
Effect on contraction
Dilation
Constriction
No change
A young adult suffering from chronic anaernia was
asked to get sternal puncture done to find out the
reason for anaemia
o What is sternal puncture/bone marrow biopsy?
. Classify bones according to sliape.
Ans:'[hu ste]'nlr{n is single me.ii;}n iin+ bone in t}:
itnterior parrf of the thr:racie efi$e. Ii is a $lat l"rne" lts
upFer part, ntanubrium is rvicJer erlid c*r:tplises t\r.G
1:l*tes of c**'lp;rct bone witlt int*rvening cancel]ci*rs
bone. During sternal punehre a thick needle is
of cr:mpact bone till it reaches the bone ma w in
aspirated a slides are prepared immediately to be
stained and studied to find out if the defect is in
matulation of RBC or WBC.
short bone, e.g. tarsal b s; flat bone, e.g, stemum;
irregular bone, e.g. \'ertebra; sesam$id bone, e.g.
patella; pneu tic bone, e.g" maxilla.