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CVS ANATOMY > lower limb > Flashcards

lower limb Flashcards

1
Q

Main supply of lower limb

A

femoral artery

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2
Q

femoral is contiunation of ?

A

External iliac artery!

behind inguinal ligament at mid inguinal point

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3
Q

mid inguinal point?

A

A POIINT MID WAY BETWEEN
ASIS AND
SYMPYSIS PUBIS

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4
Q

Course of femoral

A

proximal part : through femoral triangle

distal part : through adductor canal

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5
Q

femoral vein relations to the artery ?

A

posterolateral as it asends through lower part of adductor canal
posterior at upper part of the canal triangular apex
medially at the base of femoral triangle

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6
Q

Branches of the femoral artery

.

A 
-Branches in the femoral triangle 
3superficial
Superficial epigastric artery,
Superficial external pudendal artery
Superficial circumflex iliac artery
&
3 deep
 one of  deep is  in the
adductor canal (descending genicular)
Deep external pudendal artery
Profunda femoris artery
Descending genicular artery
.
.
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7
Q

)Superficial epigastric artery

A 
pierces the
cribriform fascia
& passes upwards and
medially to supply the lower part of the anterior
abdominal wall
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8
Q

Superficial external pudendal artery relation to round ligament of uterus ?

A

in front of it after pierceing the ciribriform fascia

supply external genetilia

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9
Q

Superficial circumflex iliac artery pierces ? and share in which anastomsis ?

A 
fascia lata lateral to the saphenous opening
&
passes upward
& laterally to share in the
anastomosis around ASIS
.
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10
Q

deep external peudendal unlike the superficial in ?

A

passes medially (behind) the round ligamnnet of uterus

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11
Q

main art supply to the thigh

A

profunda femoris of deep branch of femoral

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12
Q

main art supply to the thigh

A

profunda femoris of deep branch of femoral

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13
Q

course of profunda femoris

A

begin 4 cm below the inguinal ligament from posterolateral aspect !
in Femoral triangle: desends medially passes below femoral vessels and above pectinus
then Adductor longus ! it passes below adductor longus so it separate it from femoral vessel
then it passes above adductor brevis and Magnus piercing it being the 4th perferator

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14
Q

lateral circimflex Fomral artety behind ?

A

sartouris and rectus femoris

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14
Q

lateral circimflex feomral artety behind ?

A

sartouris and rectus femoris

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15
Q

med. circum femoral artery lie between?

A

quadratus femoris and

adductor magnus

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16
Q

med. circum femoral artery
lat . circum femoral artery
the ascending branch share in ?

A

1- med Torchanteric anastom

2lateral asis anastom

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17
Q

first perforeator of profund share in

A

Cruciate A

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18
Q

Superior muscular branch of popliteal artery ans with ?

A

The 4th Perferator anastoms with Superior muscular branch of popliteal artery

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19
Q

the nutrient artery of femur arise from ?

A

if single 2 perferator

if double 1 and 3 perferator

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20
Q

clincal imp of femoral art

A 
could be
compressed at mid
-inguinal point  against the femoral head to stop
bleeding
 or for checking pulsation

.

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21
Q

Stab wound at the apex of the

femoral triangle cut the which structures?

A 
superficial to deep  
femoral artery 
femoral vein,
profunda vein
 lastly profunda artery
.
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22
Q

Obturator is a branch of ?

A

Internal iliac artery : anterior divison of internal iliac artery

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23
Q

فروع الDGA ?

A

MSA مساء
Muscluar
Sahpenous :KA
Articular :KA

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24
Q

Main soruce odf supply the head of femur ?

A

The medial and lateral circumflex femoral arterirs from profunda from femoral

trochanteric anastomsis

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25
Q

Course of boturatort artey

A

passes along lateral wall of pelvis below obuterator nerve ,
pass through the obturator canal with obturator nerve to reach the thigh the divides into two bran ant and post forming a cicular arterial anastomsis around oute margin of ovturator membrane under the obturator externus !

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26
Q

Branches of arterial circle ?

A

MANAnACET ! مانا نسيت !
Musclar branches to ADO عدوني !
Adductor muscles and obutrator externus
Anastomotic with arteris in circ في السيرك
Inferior gluteal arterty
medial circumflex femoral artery
Acetabular branch for head of femur minor !

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27
Q

Course of Acetabular branch of obturator ?

A

Enter the hip joint through the acetabular foramen and run in the ligament of head of femur to supply the head !

28
Q

Arteries of the gluteal region

A

-The superior gluteal artery:
-Theinfr gluteal artery:
The internal pudendal artery:

29
Q

-A largest branch post division of internal iliac artery

A

he superior gluteal artery

30
Q

describe he superior gluteal artery

A

largest of internal iliac artery
pass through the greater sciatic foramen above piriformis
and divide into superficial for glutes maximus
and deep upper and lower for other two glutei medius and minimus
the upper —- asia a
the lower —– tochanteric anastomisis!

31
Q

gluteal branch of ant divison of intenal iliac art

A

Inferior gluteal artery
obturator
internal peudendal artery

32
Q

branches of inferior gluteal art

A

MCA! مكة
Musclar for deep Glutes masximus
Companion Sicatic pierce sciatic and run in its substance till midlle of thigh
Anastomotic —- Crucciate x A and Trochanteric An

33
Q

a gluteal branch of ant division of internal iliac artery that passes to pernum?

A

Internal peudendal art

34
Q

شريان بيمشي بين عصبين؟

A

internal peudendal between

peudndal nerve and nerve to obturator internus

35
Q

شريان بيعطي من ثقبين

A

internal pudendal artery reach the glutaal region through greater scaitic foramen and
reach perinum through lesser sciatic foramen

36
Q

tributaries of internal iliac vein

A

vena comitants of
1- superior gluteal a
2-inferior gluteal a
3 -internal pudendal a

37
Q

ASIS ANASTOMISIS

A 
3 CIRC AND 1 GLUTEAL =4
2 circ iliac 1  circ femoral
superifical and deep cir iliac 
ascendnig of lateral circ femoral
branch of supeiror gluteal artery(upper of deep)
38
Q

Trocha anastomsis

A 
2 circ 2 glut 
1-Ascending branch of medial and lateral 
circumflex femoral arteries.
2-A branch from superior gluteal and a 
branch from inferior gluteal arteries
39
Q

Cruciate anastomosis where

A

between the adjacent borders of quadratus

femoris and adductor magnus.

40
Q

cruciate anastomisi?

A

طالع مستعرض نازل ؟ قولون؟؟

transvers of medial and lateral cirumflex femoral arteries
Descending of inferior gluteal art
ascending of 1st perferator artery `

41
Q

Functions of gluteal anastomisis?

A

اتصال بين internal iliac و femoral
trochanteric anstomisis
مهم جدا جدا لان مصدر الغذاء الاهم لراس الفخذ !

42
Q

deepest structure in the popliteal fossa,

A

Popliteal artery

43
Q

popliteal vein relation to artery

A

The popliteal vein always intervenes
between the popliteal artery and the
tibial nerve throughout the fossa.

44
Q

Anterior (deep): relation of popliteal art?

A 
e floor of the
popliteal fossa
1 popliteal surface of femur 
2back of knee joint 
3 popliteus fascia
45
Q

branches of popliteal art

A 
MAC وتفاحة بيل جتس 
Muscular
CUTANUOUS
genicular articular 5
2 up 1 mid 2 down 
superior genicular med lat 
middle genicular
inf ggenicular med and lat
46
Q

continues as dorsalis pedis
artery passing in front of the ankle joint midway
between the 2 malleoli?

A

ATA anterior tibial art

47
Q

ATA (share
in anastomosis around the
KNEE

A

anterior post tibial recurrents

48
Q

ata share
in anastomosis around the
ankle

A

ant lat and med malleolar art

49
Q

Dorsalis pedis relation in foot

A

medially EHL extensor hallucis longus
medial terminal branch of deep peroneal nerve MDTDPN
laterally EDL extensor digitorum longus!
under superior extensor reticulum !

50
Q

HOW DOES DORSALIS PEDIS ARTERY COMPLETE PLANTAR ARCH?

A

It passes between the two heads of the first interossues muscle at the proximal end f first interossues space to soel of foot to complete plantar arch

51
Q

The pulsation of dorsalis pedis artety?

A

mid point between 2 maleloi
proximal end of first intermetatarsal space !
Lateral to Extensor Hallucis Longus

52
Q

branches of dorsalis pedis :?

A

TARC MAT طارق مات
tarsal – lateral and medial tarsals
arcuate art runs laterally over the base of metatarsal bones and give 234 dorsal metatarsal art - 2 dorsal digital for 2 adjoining sides of toes

52
Q

branches of dorsalis pedis :?

A

TARC MAT طارق مات
tarsal – lateral and medial tarsals
arcuate art runs laterally over the base of metatarsal bones and give 234 dorsal metatarsal art - 2 dorsal digital for 2 adjoining sides of toes
dorsal metatarsals reciver distal perofrating from plantar metatarsals !

first dorsal metatrasl
it arises from dorsalis pedis before e sole
it give medial for big toe
lateral giving 2 branches for adjacent sidies of 2nd toe

53
Q

largest branch of the popliteal aert

A

PTA posterior tibial

54
Q

branches of PTA

A 
سفينمكومكالومب اي حاجة@@
Circumflex fibular 
Nutrient to tibia 
Muscular 
Communticating with communcat of pernoeal 
Calcanean with cal of pernoneal
medial malleolar 
pernoeal اهم واحد فيهم !
55
Q

pernoeal course

A

below popliteus
along medial crest of fibula
between tibials pos and flexor halusis longus
end behind inf tb joint giving calcnean branches !

56
Q

فروع ال pernoeal

A

كومكالنب في
اي حاجة برضو @@

communicat with com of pta 
calcn with cal of pta 
nutrient 
musclar 
perforating anastomse with anterior lateral malleolar art!
57
Q

alternative to dorsalis pedis ?

A

it is perforating of pernoeal !

58
Q

medial plantar artery course?

A

runs under the cover of abductor haluusics then between it and the flexor digitorum brevis to the medial side of medial plantar nerve
ends at the base of first metatarsal bone by anastomosing with the digital branch to the medial side of the big toe

59
Q

superficial digital branches of the medial plantar describe.

A

they are 3 small branches runing with the branches of m p n

and then they anastomose with the 3 plantar metatarsals of the plantar arch

60
Q

anastomtic branches of the lateral plantar artery ?

A

with branches of arcuate art and lateral tarsal branches !

61
Q

describe the perforator branches of the plantar side of foot.

A

the proximal perforator directly from the lateral plantar art which anastsomos with domea dorsal metatarsal branches through interosseus spaces
;
the distal perofrateros (ant)
they arise from the plantar metatarsal branches of the plantar arch of lateral planatr art
they join domeas dorsal metatarsal art

62
Q

course of the longest vein

A

from the medial side of dova and then ant to the medial malleolus with the saphenous nerve ascending medially to tibia then
posteriomedially at knee joint
then medially in the thigh till it reach the saphenous opening hooking round its inferior margin then pierce ciribriform fascia and end in Femoral vein

63
Q

tributaries of the Gs

A 
ankle : medial marginal veins 
leg connected with the ss and the deep veins by perferators 
thigh receives the vena comitants of 
superficial circumflex iliac
super external peudenal 
super epigastric 
epiexcirc
64
Q

clincal imp of gGs ?

A
  • blood and fluid perfusion

- coronary by pass ! longest vein replacement for coronary

65
Q

course of Small saphenous vein

A

from the lateral side of Dova dorsal venous arch
ascend behind the lateral malleolus with the Sural Nerve
then lateral to tendocalcanueus then it ascend in the mid of the calf between heads of gastrocnemius then pierce the fascia to end in popliteal vein

66
Q

ss ributaries

A

dorsum of foot deep veins
leg cutanuous branches
in the thigh with great saphenous 7-13 valves !

67
Q

relation og the pop vein to art?

A

lower part medial
mid post\
upper postlateral

CVS ANATOMY (8 decks)

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