(8) Upper Extremity Angiology Flashcards
What is this?
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Subclavian A.
Subclavian A.
What is in region 1?
Vertebral A.
Internal Thoracic A.
Thyrocervical Trunk
What muscle is within region 1 of the SUBCLAVIAN A.?
Anterior Scalene M.
Subclavian A.
Describe the Vertebral 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
Subclavian A.
Internal Thoracic A.
Where does it travel?
Travels inferiorly
Subclavian A.
Internal Thoracic A.
What does it supply?
Posterior aspect of Anterior Thoracic Wall
Subclavian A.
Thyrocervical Trunk
What does this trunk break into?
- Transverse Cervical A.
- Suprascapular A.
Subclavian A.
Thyrocervical Trunk
What does the Inferior Thyroid A. supply?
Thyroid Gland
Subclavian A.
Thyrocervical Trunk
What does the Suprascapular A. supply?
Supraspinatus m.
Infraspinatus m.
Subclavian A.
Thyrocervical Trunk
Where does the Suprascapular A. travel?
Through the Suprascapular Notch over the Transverse Scapular L.
Subclavian A.
Thyrocervical Trunk
Transverse Cervical A. | How many branches are there?
2!!!
Superficial Branch
Deep Branch
Subclavian A. | Thyrocervical Trunk
Transverse Cervical A.
What does it supply?
Trapezius M.
Subclavian A.
Thyrocervical Trunk
Suprascapular A.
*What silly mnumonic was used for this?
ARMY MARCHED OVER THE BRIDGE
NAVY WENT UNDER
Subclavian A.
What artery is there SOMETIMES?
Dorsal Scapular A.
Subclavian A.
If there is no Dorsal Scapular A., what do you end up with?
A deep and superficial version of the
Transverse Cervical A.
Subclavian A.
The deep and superficial branches only exist when…
NO DORSAL SCAPULAR A. EXHISTS
What is in region 2 of the Subclavian A.?
Costocervical Trunk
WHERE is the costocervical trunk? (in relationship to a muscle landmark)
Deep to the Anterior Scalene M.
What does the costocervical trunk break into?
Supreme Intercostal A.
Deep Cervical A.
What is contained in region 3 of the subclavian a.?
Dorsal Scapular A.
IF IT EXHISTS
Label the diagram of the Subclavian A.
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Label the diagram of the Subclavian A.
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At what point does the Subclavian A. become the Axillary A.?
After 1st RIB
What are the boundaries of the Axillary A.?
Between the 1st Rib and the Pectoralis Minor M.
Label the following images
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What branches off of the Axillary A.?
Superior Thoracic A.
What does the Superior Thoracic A. supply?
1st/2nd Intercostal spaces
Serratus Anterior M.
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
ONE of the Axillary A.
CN
Region one of the Axillary 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
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The Suprascapular A. goes
OVER THE BRIDGE
OVER THE Transverse Scapular Ligament
The Suprascapular N. goes…
UNDER THE BRIDGE
UNDER THE Transverse Scapular L.
THROUGH the subscapular notch
What are the landmarks for the Axillary A.?
- Region 1 (distal to 1st rib)
- Region 2 (deep to pectoralis minor m.)
- Region 3 (distal to the pectoralis minor m., proximal to teres major m.)
Axillary A.
What is contained in region 1?
Superior Thoracic A.
Axillary A.
What does the Superior Thoracic A. supply?
1st and 2nd Intercostal Spaces
Superior most Serratus Anterior M.
Axillary A.
What is contained in region 2?
Thoracoacromial Trunk
Lateral Thoracic A.
Axillary A.
What branches off of the Thoracoacromial Trunk?
C: Clavicular A.
A: Acromial A.
D: Deltoid A.
P: Pectoralis A.
Axillary A.
What does the Lateral Thoracic A. supply?
Pectoralis Minor M.
Pectoralis Major M.
Serratus Anterior M.
Intercostal Ms
Label the diagram of the Axillary A.
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Label the Thoracoacromial Trunk
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What is in region 3 of the Axillary A.?
Subscapular A.
Anterior Circumflex Humeral A.
Posterior Circumflex Humeral A. [IN QUAD SPACE]
CN:
How do you cut off all blood supply to the arm?
Ligation must be DISTAL to the SUBSCAPULAR A. of the Axillary A.
CN:
What happens when you ligate the axillary a. b/w the Thyrocervial Trunk and Subscapular A.?
Reversal of blood flow in the Subscapular A. due to collarteral cirulation
Describe where the Brachial A. is:
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
Label the axillary a.
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Label the spaces of the posterior shoulder
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What arteries are involved in the Scapular Anastomosis?
Suprascapular A.
Dorsal Scapular A.
Circumflex Scapular A.
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Label the Brachial A.
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Label the Brachial A.
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Label the Brachial A.
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Label the Brachial A.
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Label the Elbow Anastomosis
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Label the Elbow Anastomosis
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Elbow Anastomosis
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Label the Radial and Ulnar Arteries
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Label the Radial and Ulnar Arteries
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Label the diagram
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Label the diagram
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What are the two great arches of the palm?
Superficial Palmar Arterial Arch
Deep Palmar Arterial Arch
The Ulnar A. tends to feed more into the ___________ arch
Superficial Palmar Arterial Arch
The Radial A. tends to feed more into the ________ arch
Deep Palmar Arterial Arch
Superficial Palmar Arterial Arch is…
WAY MORE OBVIOUS
Label the Arteries of the Hand
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Label the arteries of the wrist/hand
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What are the THREE veins you need to know?
Cephalic V.
Basilic V.
Median Cubital V.
CN:
What is the most common site for venipuncture?
Median Cubital V.
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Label the superficial….
Cephalic V
and
Basilic V
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The Cephalic V. runs…
On the RADIAL Side
The Basilic V. runs on the…
ULNAR side
Label the diagram
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Label the image
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