Chapter 3 of 5 - Anatomy Course

Thorax & Abdomen

The thorax protects heart and lungs; the abdomen houses digestive and major vascular structures. Serous membranes (pleura, peritoneum) reduce friction and define surgical planes.

Board questions often hinge on which cavity a structure occupies, whether infection can spread along continuous spaces, and landmarks for safe procedures.

Thoracic Boundaries and Mediastinum

The mediastinum sits between the pleural cavities. Superior versus inferior divisions and subdivisions (for example middle mediastinum housing the heart) organize lymph node maps and mass localization on CT.

The diaphragm separates thoracic and abdominal cavities; penetrating injuries can involve both. Phrenic nerve supply and diaphragmatic excursion matter for breathing mechanics and referred shoulder pain from diaphragmatic irritation.

Pleural space clinical logic

Visceral pleura on lung

Moves with lung expansion.

Pleural cavity (potential)

Thin fluid layer; negative intrapleural pressure.

Parietal pleura on wall

Somatic pain fibers from chest wall sources.

Air or blood in cavity

Pneumothorax or hemothorax collapses or compresses lung.

Frontal view of body cavities labeling pleural, pericardial, and abdominopelvic regions

Thoracic pleural cavities flank the mediastinum; the diaphragm separates thorax from abdominopelvic viscera. Use this map when localizing infection or free air.

OpenStax / CNX Anatomy & Physiology (derivative), Wikimedia Commons, CC BY 3.0
Source
Molecular Structure

Molecular oxygen (O2)

Gas exchange links thoracic anatomy to physiology: alveolar-capillary diffusion sets arterial oxygen content carried by hemoglobin.

Formula

O2

Mol. Weight

31.998 g/mol

View on PubChem

Peritoneum and Abdominal Organization

The peritoneum has parietal (lining abdominal wall) and visceral (covering organs) layers. The greater sac is the main cavity; the lesser sac (omental bursa) lies behind the stomach and communicates via the epiploic foramen (of Winslow).

RegionExamples
Right upper quadrantLiver, gallbladder, duodenal bulb (conceptual localization)
Left upper quadrantSpleen, stomach body, tail of pancreas
RetroperitoneumKidneys, ureters, great vessels, pancreatic head (classic teaching)

Quick Check

Which structure connects the greater and lesser peritoneal sacs?

Fill in the Blank

The serous membrane lining the abdominal cavity and covering most abdominal organs is the________.

From quadrant pain to layer

Localize quadrant or epigastric region

RUQ pain suggests hepatobiliary differential first.

Parietal versus visceral pain

Wall irritation localizes; hollow organ distension is crampy.

Consider referred pain

Diaphragm to shoulder; ureter to groin.

Map adjacent retroperitoneal structures

Pancreatitis vs perforated ulcer patterns differ.

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