Clinical anatomy of Venous Ulceration Flashcards
What are some regions of the upper limb?
Axilla, arm (brachium), elbow/cubital fossa, forearm (ante-brachium), wrist, hand
What parts of the body does the axilla connect?
The upper arm and the trunk
What are some regions of the lower limb?
Inguinal region/groin, thigh, knee/popliteal fossa, leg, ankle, foot
What parts of the body does the groin connect?
The lower limb and the trunk
What does each limb require?
Arterial supply, venous drainage and lymphatic supply
What does the subclavian artery pass under?
The clavicle
Where does the deep brachial artery bifurcate?
In the cubital fossa
What is the direction of arterial blood flow in the arm?
Subclavian artery, axillary artery, brachial artery, deep brachial artery, ulnar artery + radial artery, deep and superficial palmar arches, metacarpal and digital arteries
Where does the popliteal artery bifurcate?
Within the popliteal fossa
What is the other name for the acuate artery?
Dorsal arch
What is the direction of arterial blood flow in the leg?
External iliac artery, deep femoral artery, perforators, femoral artery, popliteal artery, anterior + posterior tibial arteries, dorsalis pedis + medial and lateral plantar arteries, acuate artery + deep plantar arch, metatarsal and digital arteries
How do you limit blood loss to an injury?
Apply pressure proximal to site of injury-press on pulse point and apply tourniquet
Where in the neck is the bifurcation of the common carotid artery?
Anterior to sternocleidomastoid muscle at the level of the upper border of thyroid cartilage
Where can the brachial artery pulse be found?
Medial to biceps tendon in the cubital fossa
Where can the radial artery pulse be found?
Lateral to the tendon of flexor carpi radialis
Where is the femoral artery pulse located?
Inferior to the midpoint of inguinal ligament
Where is the popliteal artery pulse found?
In the popliteal fossa (immediately behind the knee)
Where is the posterior tibial artery pulse located?
Between the posterior border of the medial malleolus and the achilles tendon
Where can the dorsalis pedis artery pulse point be palpated?
Medial to the tendon of extensor hallucis longus distal to the ankle joint
What is ischaemia?
Inadequate oxygenation of cells/tissues/organs due to an interruption to blood supply
What are some causes of reduced arterial perfusion pressure?
Left ventricular failure, arterial bleed, arterial rupture (aneurysm), occlusion of lumen, arterial spasm, external compression of arterial supply
What are some causes of increased venous drainage pressure?
Right/congestive heart failure, DVT, external compression
What are some features of superficial veins?
Smaller, thinner, run in superficial fascia, highly variable, drain into deep veins
What are some features of deep veins?
Larger, thicker, run into deep fascia, more predictable, often occur in neurovascular bundles
What is another name for superficial fascia?
Subcutaneous tissue
What are some features of superficial fascia?
Loose connective tissue and fat, varies in depth, superficial blood vessels, cutaneous nerves, lymphatics and sweat glands
What are some features of deep fascia?
Relatively tough and sheet like, dense connective tissue, usually white (glistening), named