Embalming 4 Flashcards
Ascending Aorta terminates where?
at the level of the 2nd left costal cartilage
**
Arch of the aorta – arches behind heart / brachiocephalic / Left CCA / Left Subclavian
1st branch off aorta is the brachiocephalic followed by the Left CCA and Left Subclavian which begin at the level of the second left costal cartilage
last and longest division of the largest artery off the aortic arch.
Descending aorta
the point of origin for the descending aorta
at the level of the 2nd left costal cartilage
1st vessel used in non-autopsied infant cases. About the size of a brachial artery in an adult.
abdominal aorta
place of incision
abdominal aorta
small vertical incision midline below the belly button
accompanying vein
abdominal aorta
IVC
largest vein in the body
IVC
location of the IVC
lies laterally to the right of the descending aorta
Which of the following is the largest non-aortic valve that you would use for a non-autopsied infant case?Common carotid artery
radial artery
ulnar artery
dorsalis pedis
common carotid artery.
Pick choice that is closest to the aorta.
The last two branches of the Abdominal Aorta that terminates the Descending Aorta
right and left common iliac arteries
right and left common iliac arteries are located where?
largest and most superior segment of the hip bone (ilium)
How many sets of iliac arteries are there?
3
name the three sets of iliac arteries
common
internal
external
terminal branches of the descending aorta. You would use these only during an autopsied case where pathologist left them. Splits into internal iliac artery
common iliac arteries
terminal branches of the descending aorta
clear up and embalms the gluteal region
internal iliac arteries
terminal branches of the descending aorta.
will continue as the femoral artery. Ensure distribution to the lower extremities.
external iliac arteries
External Iliac Artery (hip)
Anatomical Guide
The medial border of the psoas major muscle.
External Iliac Artery (hip)
Point of termination
Each external iliac artery terminates at the inguinal (femoral) ligament
External Iliac Artery (hip)
Accompanying vein
external iliac vein
Femoral Artery (hip to knee)
Liner Guide:
On the surface of the thigh from the center of the inguinal (femoral) ligament to a center point on the medial condyle (rounded structure on a bone) of the femur (thigh bone)
Femoral Artery (hip to knee) Anatomical Guide
Through the center of the femoral triangle (three sided area of the thigh) bounded laterally by the Sartorius muscle and medially by the adductor longus muscle.
Femoral Artery (hip to knee) Anatomical Limits
Begins at a point posterior to the center of the inguinal ligament and terminates at the opening of the adductor magnus muscle - (a point above the back of the knee).
Femoral Artery (hip to knee) Place of Incision
Along any portion of the superior two-thirds (2/3) of the linear guide. (Where we advocate raising is just inferior to the inguinal ligament). Because the artery and vein lie parallel to each other; visually you will be less likely to puncture the wall of the vein.
the superior boundary of the femoral triangle
inguinal ligament
The point at which the Sartorius muscle and adductor longus meet is known as
apex of femoral triangle.
Fascia tissue
Hunter’s canal
Most lateral blood vessel of femoral triangle
femoral artery
Most medial structure in femoral triangle in relationship to inguinal ligament
termination of the great saphenous vein
Femoral Artery (hip to knee) Place of Incision
Along any portion of the superior two-thirds (2/3) of the linear guide. (Where we advocate raising is just inferior to the inguinal ligament). Because the artery and vein lie parallel to each other; visually you will be less likely to puncture the wall of the vein.
Considerations of raising femoral artery:
Large in size.
Lower portion of body can be embalmed without concern of distention of the face.
(Allows for equal distribution of fluid to the head.)
Precautions of raising femoral artery:
Vessels are deep seated in obese cases.
Drainage may be difficult to establish and maintain.
Accompanying vein of femoral artery
Femoral vein
in relationship to the femoral artery; Mid-thigh; at a point or below the apex of the femoral triangle; where would the femoral vein lie?
medial and deep
in relationship to femoral artery just below the inguinal ligament, the femoral vein lies
medial
What is the name of the artery just superior or inferior to the apex of the femoral triangle?
Femoral artery
What is the name of the vein just superior or inferior to the apex of the femoral triangle?
Femoral vein
Popliteal Artery (behind the knee) Linear Guide
Through the center of the popliteal space parallel to the long axis of the lower extremities
Popliteal Artery (behind the knee) Anatomical Limits
Begins at the opening of the adductor magnus muscle and terminates at the inferior (lower) border of the popliteus muscle (about one inch below the knee).
Popliteal Artery (behind the knee) Place of incision
Parallel incision on the posteromedial aspect of the thigh just superior to the popliteal space
(between knee and ankle) first artery located in leg region, will eventually cross in front of the tibia or shin bone.
Anterior Tibial Artery
bones of the ankles
tarsal bones
Anterior Tibial Artery
Linear guide
From the lateral border of the patella to the anterior (top) surface of the ankle joint.
Anterior Tibial Artery
Anatomical Limits
begins at the inferior border of the popliteus muscle and will terminate at the level of the ankle joint
Anterior Tibial Artery
Place of incision
along the lateral margin of the inferior one- third of the crest of the tibia. Injected inferiorly will ensure distribution to toenail surface and anterior surface of the foot.
this artery never passes in front of the shin bone or tibia
Posterior Tibial Artery
Posterior Tibial Artery
Linear Guide
From the center of the popliteal space to a point midway between the medial malleolus (boney prominence located off the distal end of the tibia or shin bone) and the calcaneus (heel bone; one of the tarsal bones).
Posterior Tibial Artery
Anatomical Limits
begins at the inferior border of the popliteus muscle and we don’t care where it terminates.
Posterior Tibial Artery
Place of incision
midway between the medial malleolus and the calcaneal tendon
last major artery of lower extremities
Dorsalis Pedis (foot)
Dorsalis Pedis (foot) Linear Guide
From the center of the anterior (top) surface of the ankle joint to a point between the first and second digits. Digits of toes are number from most medial to most lateral. First digit is the big toe
Dorsalis Pedis (foot) Anatomical Limits
begins at the level of the ankle joint. It is a continuation of the anterior tibial artery.
Dorsalis Pedis (foot) Place of incision
Along the superior one-third (1/3) of the linear guide. Clear up toenail surface.
Last major artery an embalmer would raise to clear up the sole of the foot.
Dorsalis Pedis