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Heart #1

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Question
Answer
heart characteristics:   size of fist, hollow, cone-shaped, weight 250-300 grams  
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mediastinum   has heart, great vessels and trachea  
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heart extends 5" from   2nd rib to 5th intercoastal space  
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Heart base   points to R shoulder  
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heart apex   points to L hip  
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PMI point of maximal intensity   bet 5 & 6 ribs just below L ninny where apex touches chest wall  
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pericardium   dbl wall sac, surrounds heart, has 2 layers  
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2 layers of pericardium   superficial fibrous pericardium & serous pericardium  
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superficial fibrous pericardium is dense CT & has 3 functions:   protects, anchors & prevents overfilling w/blood  
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serour pericardium:   thin layer under fibrous layer & has 3 sections  
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3 serous layers are:   parietal layer, pericardial cavity & visceral layer  
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parietal layer is directly   connected to the fibrous layer  
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pericardial cavity lies bet   the two serous membrane layers & has a thin layer of lub fluid, produced by serous embranes  
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visceral layer AKA epicardium   covers hearts surface -inner  
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3 layers of heart wall:   epicardium, myocardium & endocardium  
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epicardium   superficial layer, visceral layer of pericardium & has fat.  
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myocardium   mostly cardiac muscle, bulk of heart; interlaced w/fibrous CT, which weaves it into interconnected bundles (fibrous skeleton of heart)  
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endocardium   endothelium over thin layer CT. lines chambers and covers CT skeleton of valves  
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