Circulation In The Limbs Flashcards

1
Q

When does the external iliac become the femoral artery?

A

As it passes under the inguinal ligament

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2
Q

What are the lateral and medial circumflex femoral arteries branches of?

A

Deep artery of the thigh

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3
Q

The obturator artery is a branch of which artery?

A

Internal iliac artery

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4
Q

What does the obturator artery supply?

A

Adductor muscles of thigh

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5
Q

The perforating arteries that supply the muscles of the thigh branch off the …

A

Deep artery of the thigh

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6
Q

The artery to the head of the femur is a branch of which artery?

A

Obturator artery

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7
Q

Where does the inguinal ligament run from and to?

A

ASIS to pubic tubercle

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8
Q

Where do we feel for the femoral pulse?

A

Half way between ASIS and pubic symphysis (mid-inguinal point)

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9
Q

What are the sites for insertion of a catheter to the heart?

A

Femoral artery
Radial artery
Brachial artery

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10
Q

The adductor canal runs between which muscles?

A

Under sartorius

Over adductor longus

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11
Q

Which nerves run alongside the femoral artery in the adductor canal?

A

Saphenous nerve

Nerve to vastus medialis

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12
Q

Describe the contents of the popliteal fossa, lateral to medial

A

Common peroneal nerve
Tibial nerve
Popliteal vein
Popliteal artery

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13
Q

Name the 5 main arteries to the knee

A
Superior, medial genicular artery 
Inferior, medial genicular 
Superior, lateral genicular 
Inferior, lateral genicular
Middle
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14
Q

The popliteal artery branches into which arteries?

A

Anterior tibial artery

Posterior tibial artery

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15
Q

The fibular artery is a branch of which artery?

A

Posterior tibial artery

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16
Q

Which artery branches into the lateral and medial plantar arteries?

A

Posterior tibial artery

17
Q

What is the most common site of atherosclerosis formation?

A

Abdominal aorta (and iliac arteries)

18
Q

How do we do an Ankle-Brachial Pressure Index?

A

Compare BP in ankle and arm
Patient lays supine - everything at the same height
ABPI = BP leg / BP arm
Normal = 0.9 - 1.2
Can also use a Doppler ultrasound probe to assess blood flow

19
Q

How does flow relate to radius?

A

Flow is proportional to radius to the power 4

20
Q

What are the signs of poor perfusion?

A
Lack of hair
Skin problems
Ulcers
Infection 
Skin necrosis 
Loss of pulses
Cold to touch
21
Q

What is the treatment for peripheral vascular disease

A

Aspirin

Risk factor modification eg. Lipid lowering, stop smoking, BP control, control of diabetes, increase exercise

22
Q

What are the signs of popliteal aneurysm?

A

Oedema and pain in popliteal fossa

Palpable pulsation

23
Q

What injuries could cause popliteal artery rupture?

A

Fracture of distal femur

Dislocation of knee

24
Q

Describe saphenous cut down

A

Used in emergency situations when it is difficult to find a vein for venae puncture or cannula insertion
Anterior to medial malleolus
Risk of saphenous risk injury

25
Q

Describe varicose veins

A

Dilated, tortuous, superficial veins
Valve flaps fail - incompetent
Venous insufficiency can lead to ulcers

26
Q

Where does the subclavian artery becomes the axillary artery?

A

Passing lateral to the 1st rib

27
Q

Where does the axillary artery become the brachial artery?

A

Passing the inferior border of teres major

28
Q

How many segments is the axillary artery split into and what defines them?

A

3

Defined by position relative to pectoralis minor

29
Q

What do we call the arteries that supply to head of the humerus?

A

Anterior and posterior circumflex humeral arteries

30
Q

Which artery runs alongside the radial nerve in the radial groove?

A

Deep branch of the brachial artery

31
Q

Which arteries anastomose at the scapula?

A

Subscapular artery
Suprascapular artery
Dorsal scapular artery

32
Q

Which artery supplies the deep palmar arch of the hand?

A

Radial and ulnar arteries

33
Q

Which artery supplies the superficial palmar arch?

A

Ulnar artery

34
Q

The posterior and anterior interosseous arteries are branches of which artery?

A

Ulnar artery

35
Q

Where do the cephalic and basilic veins start?

A

Dorsal venous arch of the hand

36
Q

Which superficial vein of the arm runs laterally and which runs medially?

A
Lateral = cephalic 
Medial = basilic
37
Q

Deep venous drainage of the arm arises from which structure?

A

Deep palmar arch (venous?)