Blood Vessels of the UE Flashcards

1
Q

The roots of the brachial plexus submerge the scalene triangle. All 5 roots submerge with what artery?

A

Subclavian artery

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2
Q

Right subclavian artery comes off of what?

A

Brachiocephalic trunk

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3
Q

Left subclavian artery comes off of what?

A

Directly from the Aortic arch

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4
Q

What three arteries branch off of the Aortic arch?

A

Brachiocephalic trunk
Left Common Corrotid
Left Subclavian Artery

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5
Q

What two arteries branch off of Right Brachiocephalic trunk?

A

Right Subclavian artery

Right common carotid

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6
Q

What four arteries branch off of Left subclavian artery?

A

Left vertebral artery
Left Thyrocervical trunk
Left internal thoracic
Left axillary

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7
Q

What do both right and left Subclavian artery branch into? Hint: Three arteries

A

Vertebral artery
Internal Thoracic artery
Thyrocervical Trunk

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8
Q

What do both Thyrocervical Trunks branch into?

A

Suprascapular artery
Transverse Cervical artery
Ascending Cervical artery
Inferior Thyroid artery

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9
Q

Once the subclavian artery hits the level of the clavicle and passes it changes it name to what?

A

Axillary Artery

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10
Q

What muscle binds anteriorly for the axillary artery?

A

Pectoralis Major

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11
Q

What muscle binds laterally for the axillary artery

A

The arm

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12
Q

What muscle binds medially for the axillary artery?

A

Serratus anterior

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13
Q

What muscles binds posterio-inferiorly for the axillary artery?

A

Lattisimus dorsi and Teres major

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14
Q

What is the start and end point for Axillary artery?

A

from the clavicle to the inferior border of the axillary fossa (tendon of Teres Major)

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15
Q

What tendon is at the point of Axillary fossa?

A

Tendon of Teres Major

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16
Q

How many divisions branch off the axillary artery?

A

3

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17
Q

What is the most inferior border to the Axillary artery?

A

tendon of Teres Major

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18
Q

What are the 4 locations/branches of axillary artery and what do they provide profusion for?

A

Clavicular branch- clavicle
Acromial branch- acromian
Pectoral branch- pectoral muscle
Deltoid branch- deltoid

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19
Q

Posterior circumflex humeral artery travels through where and with what nerve?

A

Axillary nerve in the Quadrangular space

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20
Q

When the anterior and posterior circumflex humeral artery come together what happens?

A

they anastomose

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21
Q

Where does the Anterior and posterior circumflex humeral artery anastomose and what does it do?

A

comes together at the head of the humerus to ensure profuse to the head of the humerus

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22
Q

Fracture of humeral neck results in what?

A

loss of profusion of the humerus and loss ability to abduct the arm

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23
Q

Right after the Axillary artery leaves the teres major what does it change it’s name to?

A

Brachial artery

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24
Q

What is the first branch to come off the Brachial artery?

A

Deep brachial artery

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25
Q

What nerve travels along side the Deep brachial artery?

A

Radial Nerve

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26
Q

What does both Deep brachial arterty and Radial nerve go through?

A

Musculospiral groove

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27
Q

What does the Brachial artery travel deep to initially?

A

Biceps brachii

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28
Q

What travels into Biceps brachii with Brachial artery?

A

Median and Ulnar nerves

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29
Q

The brachial artery continues down to what area bifrucates into two arteries in the forearm?

A

The Cubital fossa

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30
Q

What travels through the Cubital tunnel?

A

Ulnar nerve

31
Q

What two arteries does the Brachial artery slip into in the cubital fossa?

A

Radial and Ulnar arteries

32
Q

Where is the Brachial artery in the level of the elbow and why is it clinically important?

A

at the level of the elbow Brachial artery is anterior aspect after piercing through the cubital fossa. This location is where to take BP.

33
Q

Which is lateral and medial after the split of the Brachial artery: Radial/Ulnar artery

A

Lateral branch Radial artery

Median branch Ulnar artery

34
Q

For an infant where would take a pulse?

A

brachial pulse

35
Q

Is the radial artery traveling deep or superficial at the area of the forearm and wrist anteriorly?

A

very superficial especially near the wrist

36
Q

What does the Radial artery travel just lateral to in the wrist?

A

distal flexor carpi radialis tendon

37
Q

what is the clinical importance of the distal flexor carpi radialis tendon?

A

Pulse point

38
Q

what does the radial artery travel into posteriorly after the distal flexor carpi radialis tendon?

A

anatomical snuff box

39
Q

what does the anatomical snuff box sit directly superficial to?

A

scaphoid bone

40
Q

The snuff box is found by three tendons what are they?

A

Lateral aspect: extensor pollicis brevis and abductor pollicis longus
Medial aspect: extensor pollicis longus
Floor aspect: most proximal and lateral carpal bone: scaphoid

41
Q

does scaphoid bone have good blood supply?

A

No. The posterior is very avascular.

42
Q

which carpal bone fractures the most often?

A

the scaphoid bone

43
Q

If someone comes and complains about falling and wrist pain, which bone do you palpate?

A

the scaphoid bone

44
Q

After the Radial artery traveled through the anatomical snuff box it will dive back anteriorly toward the palm side and do what?

A

split

45
Q

what is the distal palmar split of the radial artery?

A

Splits into superficial palmar arch and deep palmar arch

46
Q

what does superficial palmar arch and deep palmar arch come together to form?

A

anastomosis

47
Q

The Ulnar artery travels deep to what?

A

Flexor carpi ulnaris

48
Q

what nerve runs along side of the ulnar artery deep to flexor carpi ulnaris?

A

Ulnar nerve

49
Q

What aspect of the forearm is the Ulnar artery and ulnar nerve running?

A

Medially

50
Q

As soon as the Ulnar artery branches from the brachial artery what does it give off?

A

the common interosseous artery

51
Q

The common interosseous artery branches into what two arteries?

A

posterior and anterior interosseous arteries

52
Q

what nerves travel along the posterior and anterior interosseous artery?

A

posterior and anterior interosseous nerve

53
Q

What does the Ulnar artery travel into the hand through?

A

Guyon’s canal

54
Q

what artery does the Ulnar artery anastomose with in the hand?

A

radial artery

55
Q

What test is to test the purfusion of the hand testing the ulnar and radial artery?

A

Alan’s test

56
Q

What does the subclavian vein drain directly into what vein?

A

Brachiocephalic vein

57
Q

Does the subclavian vein travel through the scalene triangle?

A

NO.

58
Q

How is the subclavian vein found in the origin region? HINT: what muscle is it oriented to?

A

Anterior to the anterior scalene

59
Q

What bone is the subclavian vein level to?

A

clavicle

60
Q

What vein does the subclavian vein become once it passes the level of the clavicle?

A

Axillary vein

61
Q

What vein is the most medial in the axillary fossa?

A

Axillary vein

62
Q

What would the axillary vein look like?

A

Purple, red, or blue. and flaccid unless its completely filled with blood.

63
Q

Is the diameter of the axillary vein large or small

A

very large

64
Q

Once the axillary vein passes the level of Teres major what does it become?

A

Brachial vein

65
Q

What does the brachial vein branch into in the arm area?

A

Smaller veins that surround the Ulnar and radial arteries. they are called Cephalic vein and Basilic vein.

66
Q

Superficial venous Cephalic vein travels how on the arm?

A

Laterally

67
Q

Superficial venous Basilic vein travels how on the arm?

A

Medially

68
Q

What does the Cephalic vein travel through?

A

Delto-pectoral groove

69
Q

Where does the Cephalic and Basilic veins join at ?

A

Cubital fossa

70
Q

What other vein is also found in the Cubital fossa?

A

Median cubital vein

71
Q

What is the clinical significance of the Cubital fossa, and what is found there?

A

common site for drawing blood.

Cephalic veins, Basilic veins, and the Median Cubital vein.

72
Q

How does the cephalic and basilic veins profuse in the hand?

A

anastomoses into the dorsal venous network in the hand

73
Q

What is the Anastomes of Cephalic and Basilic vein in hand known as?

A

Dorsal venous network