(8) Upper Extremity Angiology Flashcards

1
Q

What is this?

A

Subclavian A.

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2
Q

Subclavian A.

What is in region 1?

A

Vertebral A.

Internal Thoracic A.

Thyrocervical Trunk

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3
Q

What muscle is within region 1 of the SUBCLAVIAN A.?

A

Anterior Scalene M.

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4
Q

Subclavian A.

Describe the Vertebral A.

A

Travels superiorly in the TRANSVERSE FORAMINA of Cervical Vertebrae

Crosses over the POSTERIOR ARCH of the atlas

Enters the posterior cranial fossa through the FORAMEN MAGNUM

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5
Q

Subclavian A.

Internal Thoracic A.

Where does it travel?

A

Travels inferiorly

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6
Q

Subclavian A.

Internal Thoracic A.

What does it supply?

A

Posterior aspect of Anterior Thoracic Wall

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7
Q

Subclavian A.

Thyrocervical Trunk

What does this trunk break into?

A
  • Transverse Cervical A.
  • Suprascapular A.
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8
Q

Subclavian A.

Thyrocervical Trunk

What does the Inferior Thyroid A. supply?

A

Thyroid Gland

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9
Q

Subclavian A.

Thyrocervical Trunk

What does the Suprascapular A. supply?

A

Supraspinatus m.

Infraspinatus m.

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10
Q

Subclavian A.

Thyrocervical Trunk

Where does the Suprascapular A. travel?

A

Through the Suprascapular Notch over the Transverse Scapular L.

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11
Q

Subclavian A.

Thyrocervical Trunk

Transverse Cervical A. | How many branches are there?

A

2!!!

Superficial Branch

Deep Branch

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12
Q

Subclavian A. | Thyrocervical Trunk

Transverse Cervical A.

What does it supply?

A

Trapezius M.

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13
Q

Subclavian A.

Thyrocervical Trunk

Suprascapular A.

*What silly mnumonic was used for this?

A

ARMY MARCHED OVER THE BRIDGE

NAVY WENT UNDER

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14
Q

Subclavian A.

What artery is there SOMETIMES?

A

Dorsal Scapular A.

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15
Q

Subclavian A.

If there is no Dorsal Scapular A., what do you end up with?

A

A deep and superficial version of the

Transverse Cervical A.

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16
Q

Subclavian A.

The deep and superficial branches only exist when…

A

NO DORSAL SCAPULAR A. EXHISTS

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17
Q

What is in region 2 of the Subclavian A.?

A

Costocervical Trunk

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18
Q

WHERE is the costocervical trunk? (in relationship to a muscle landmark)

A

Deep to the Anterior Scalene M.

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19
Q

What does the costocervical trunk break into?

A

Supreme Intercostal A.

Deep Cervical A.

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20
Q

What is contained in region 3 of the subclavian a.?

A

Dorsal Scapular A.

IF IT EXHISTS

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21
Q

Label the diagram of the Subclavian A.

A
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22
Q

Label the diagram of the Subclavian A.

A
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23
Q

At what point does the Subclavian A. become the Axillary A.?

A

After 1st RIB

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24
Q

What are the boundaries of the Axillary A.?

A

Between the 1st Rib and the Pectoralis Minor M.

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25
Q

Label the following images

A
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26
Q

What branches off of the Axillary A.?

A

Superior Thoracic A.

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27
Q

What does the Superior Thoracic A. supply?

A

1st/2nd Intercostal spaces

Serratus Anterior M.

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28
Q

CN

Region ___________ is susceptible to aneurysm in individuals experiencing repated rapid arm movements (like baseball pitchers) and can compress the brachial plexus, resulting in pain and loss of sensation

A

ONE of the Axillary A.

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29
Q

CN

Region one of the Axillary A.

A

…is susceptible to aneurysm in individuals experiencing repated rapid arm movements (like baseball pitchers) and can compress the brachial plexus, resulting in pain and loss of sensation

30
Q

The Suprascapular A. goes

A

OVER THE BRIDGE

OVER THE Transverse Scapular Ligament

31
Q

The Suprascapular N. goes…

A

UNDER THE BRIDGE

UNDER THE Transverse Scapular L.

THROUGH the subscapular notch

32
Q

What are the landmarks for the Axillary A.?

A
  1. Region 1 (distal to 1st rib)
  2. Region 2 (deep to pectoralis minor m.)
  3. Region 3 (distal to the pectoralis minor m., proximal to teres major m.)
33
Q

Axillary A.

What is contained in region 1?

A

Superior Thoracic A.

34
Q

Axillary A.

What does the Superior Thoracic A. supply?

A

1st and 2nd Intercostal Spaces

Superior most Serratus Anterior M.

35
Q

Axillary A.

What is contained in region 2?

A

Thoracoacromial Trunk

Lateral Thoracic A.

36
Q

Axillary A.

What branches off of the Thoracoacromial Trunk?

A

C: Clavicular A.

A: Acromial A.

D: Deltoid A.

P: Pectoralis A.

37
Q

Axillary A.

What does the Lateral Thoracic A. supply?

A

Pectoralis Minor M.

Pectoralis Major M.

Serratus Anterior M.

Intercostal Ms

38
Q

Label the diagram of the Axillary A.

A
39
Q

Label the Thoracoacromial Trunk

A
40
Q

What is in region 3 of the Axillary A.?

A

Subscapular A.

Anterior Circumflex Humeral A.

Posterior Circumflex Humeral A. [IN QUAD SPACE]

41
Q

CN:

How do you cut off all blood supply to the arm?

A

Ligation must be DISTAL to the SUBSCAPULAR A. of the Axillary A.

42
Q

CN:

What happens when you ligate the axillary a. b/w the Thyrocervial Trunk and Subscapular A.?

A

Reversal of blood flow in the Subscapular A. due to collarteral cirulation

43
Q

Describe where the Brachial A. is:

A

Continuation of the Axillary A.

Lies distal to the Teres Major M.

Begins medial to the humerus

Branches into two terminal branches in cubital fossa

44
Q

Label the axillary a.

A
45
Q

Label the spaces of the posterior shoulder

A
46
Q

What arteries are involved in the Scapular Anastomosis?

A

Suprascapular A.

Dorsal Scapular A.

Circumflex Scapular A.

47
Q

Label the Brachial A.

A
48
Q

Label the Brachial A.

A
49
Q

Label the Brachial A.

A
50
Q

Label the Brachial A.

A
51
Q

Label the Elbow Anastomosis

A
52
Q

Label the Elbow Anastomosis

A
53
Q

Elbow Anastomosis

A
54
Q

Label the Radial and Ulnar Arteries

A
55
Q

Label the Radial and Ulnar Arteries

A
56
Q

Label the diagram

A
57
Q

Label the diagram

A
58
Q

What are the two great arches of the palm?

A

Superficial Palmar Arterial Arch

Deep Palmar Arterial Arch

59
Q

The Ulnar A. tends to feed more into the ___________ arch

A

Superficial Palmar Arterial Arch

60
Q

The Radial A. tends to feed more into the ________ arch

A

Deep Palmar Arterial Arch

61
Q

Superficial Palmar Arterial Arch is…

A

WAY MORE OBVIOUS

62
Q

Label the Arteries of the Hand

A
63
Q

Label the arteries of the wrist/hand

A
64
Q

What are the THREE veins you need to know?

A

Cephalic V.

Basilic V.

Median Cubital V.

65
Q

CN:

What is the most common site for venipuncture?

A

Median Cubital V.

66
Q

Label the superficial….

Cephalic V

and

Basilic V

A
67
Q

The Cephalic V. runs…

A

On the RADIAL Side

68
Q

The Basilic V. runs on the…

A

ULNAR side

69
Q

Label the diagram

A
70
Q

Label the image

A
71
Q
A
72
Q
A