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CVS ANATOMY > Upper limb > Flashcards

Upper limb Flashcards

1
Q

بسم الله توكلنا علي الحي الذي لا يموت سبحانه وتعالي علوا كبيرا سبحان من له ملكوت السماوات والأرض ومابينهما وما تحت الثري
سبحان الحي القيوم

The main blood supply to the upper limb arterial ?

A

Axillary artery

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2
Q

describe axillary artery

A

Begins as coniutation of the subvlavian arterty at outer border of first rib
and enters the apex of axilla and run in its lateral wall till reach ( the lower border ot teres major ) giving the Brachial artery

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3
Q

DIVISONS OF Axillary artery

A

3 parts
1st above PM
2nd deep to PM
3rd below PM

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4
Q

First part axillary branches mention

A

one branch superior thoracic branch !

arises at the lower border of subvlavius and giving blood supply to the upper thoracic wall

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5
Q

2nd part axillary branches mention

A

2 Brachches

Thoracoacromial

Lateral Thoracic

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6
Q

thoracoacromial origin and branches ?

A

2nd part of axillary artertty at upper border of pectoralis minor pirecing the clavipectoral fascia

gives 4 branches : 
Acromial 
pectoral 
calvcular
deltoid
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7
Q

serratus anterior and muscle of chest supplied by ?

A

Lateral thoracic of 2nd part of axillary

arising at the lower border of pectoralis minor

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8
Q

Largest branch of axillary artery?

A

it is subscapular artery

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9
Q

third part of axillary artery gives?

A

subscapular artery

anterior and posterior circumflex humoral arteries

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10
Q

the subscapular artery accompanid by .. nerve >/

A

Nerve to latissmius dorsi

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11
Q

the subscapular artery share in scapular anastomosis and gives a branch named,,,,, thar share in it with it .

A

Circumflexscapular artery

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12
Q

anterior cirumflex huomral artery

A

turn over the surgicak neck of humerus from the front till reach the bicipital groove and give ascending branch and end by anastomisis with posterior circumflex humoral artery forming circular anastomisis around surgical neck of humerus
!

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13
Q

Posterior cirumflex humoral artery gives ?

A

Descnding branch anastomsoing with the ascending of the profunda brachii artery

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14
Q

Describe scapular anastomsiis ,

A

Connection between
first part of subclavian artery
third pard of axillary artery

the first part of subclavian giving :
suprascapular
transverse cervical artery

the third part of the axillary give
subscapular
cirumflexscapular artery

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15
Q

suprescapular artery

describe

A

It is branch of thyrocervical turnk of the 1st part of subclavian artery

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16
Q

dorsal scapular artery describe .

A

it is branch of the transverse cervial of tyrocervical trunk of firt part of sublcaivan artery
runs with dorsal sacpular nerve in medial border of scapula deep to levators and rhomboidus

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17
Q

Brachial Artery describe

A

Continuation of the axillary at the lower boreder of teres major and runs medially to the humerus then anterior to it reaching the neck of radius divding into radial and ulnar aretries
it is accompained by 2 vena comitantes that ends in the Axilaary vein

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18
Q

Mention branches of the Brachial artery

A

2M 2 ULNAR COLLATERALS PROFUNDA BRACHII

Muscular branches
Main nutrient to humerus 
Superior ulnar collateral 
inferoior ulnar collateral supratrochlear 
profunda brachii artery
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19
Q

Superior ulnar collateral describe

b

A

Branch of bracial artery that pireces the intermuscular septa with ulnar nerve to be behind the medial epicondule to share in anastomsis around the Elbow

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20
Q

Inferior ulnar collateral artery supratrochlear

A

It arises from the brachial artery and divides into anterior and posterior branches to medial epicondule to share in the anastomisis around the elbow
the posterior branch perices the medial intermuscular septum to be behind the medial epicondyle

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21
Q

The largest branch of brachial artery

A

It is Proufund brachii artery from posterolateral aspect close to lower border of teres major

it runs with Radial Nerve betwenn to heads of triceps to reach the spiral groove of humerus

it terminartes as anterior and posterior descending branches

the asceding anstomse with descending of the posterior circumflex humoral artery

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22
Q

Mention Branches of Profunda Brachii artery

A

2M A 2TERMINAL
Musclar branches
Minor nutreirnt to humerus
Ascending deltoid
Terminal anterior Descending radial collateral
terminal posterior descending middle collateral

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23
Q

The descending of posterior circuflex humoral artery anastomse with

A

The ascending of profunda brachii artery

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24
Q

The termianl antreior descending branch of prfunda brachii artery describe

A

this pierces the intermusclar septa lateral with Radial Nerve to appear sandwitched between brachialis and brachoradialis in front medial epicondyle to share in anastomisis around elbow

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25
The terminal posterior descending branch of the profunda brachii artery
This exit the lateral head of triceps to be behind the latral epicondyle to share in anastomsis around elbow
26
The smaller of the 2 terminal branches of brachial artery at neck of radius ?
the Radial artery
27
deep palamar arch is formed by ?
Radial artery
28
Raidal artery course describe
it Descend laterall in the forearm till reaching the front of lower end of rdaius giving radial pulse lateral to tendon of flexor carpi radialis and then enter the anatomical snuff box and then in the palm it pass between 2 head of first interosseus muscles and adductor pollicis then deviateing medially forming the deep palamr arch
29
Mention branches of radial atrery in forearm
Radial recurrent aretry Musclar branches Anterior palamr carpal branch superficial palamr branch
30
The antreior palamar carpal branch
Passes medially in front of carpal bones deep to flexor tendons to share in formation of the deep anterior palamr carpal arch
31
The superficial palamr arch role?
Arise from the radial artery when it is about to enter the snuff box to complete the superficial palamr arch of the unlar artery
32
branches of the radial artery in palm?
Princeps pollicis | Radials indicies
33
dorsal carpal branch of the radial artery describe ,
it runs medially deep to extensor tendons to complete the dorsal carpal arch with the branch dorsal carpal of ulnar arterty
34
first dorsametacapral artery origin ?
it arises from the radial artery before entering between 2 heads of 1st interossues muscles it divides into 2 dorsal digital branches to give supply to adjacent sides of thumb and index
35
Dorsal digital artery of the radial artery describe
supply the lateral side of thumb !
36
branches of the radial artery in the dorsum
1-dorsal carpal branch 2-1st dorsal metacarpal branch 3- dorsal digital branch to lateral side of thumb
37
Ulnar artery description :
It is the largest branch of the brachial artery terminal branch in uper 1/3 of forearm its oblique and medially descednign then in the remaining 2/3 it is vertically descending and it passes through the wrist in front of flexor retinculum lateral to pisiform and hook of hamate and ulnar nerve in between giving deep branch in the palamr and continue to form superficial palamr arch + the deep branch complete the deep palamr arch of radial artery t
38
the deep branch of ulnar courese?
Between flexor digit minimi brevis and abducto digit minimi and through oponens digit minimi
39
Branches of the Ulnar artery
Musclar branches Anterior Ulnar recuurent posterior ulnar recurrent both of them run in front and behind the medial epicondyle to share in anastomsis around elbow common interossues artery giving anterior and posterior interossues arterirs each of them giving branches
40
Describe antrior interossue artery
It descends in front of the interossues membrane with the coresponding nerve between flexor digitorum profundus and flexor pollicis longus and at the upper border of pronator quadratus it pierces the interossues membrane to reach the back of the wristh and anastomosing with the posterior interossues artery
41
Menion branches of the antreior interossues artery
Median with the median nerve Muscular nutreint Descnding branch deep to pronator quadratus to share int anterior carpal arch Median Muscular Nutrient Descending
42
Mention branches of the posterior interossues artery
Musclar Interossues recurrent > lateral epicondyle > anastomsis Antreior carpal branch >arch posterior carpal branch > arch
43
definition of superficia palamr arch deep palamr arch
superficial palamr arch is termination of the ulnar and is completed by superficial palamr branch of radial artery deep palmar arch is the termination of the radial artery and is completed by deep branch of the ulnar artery
44
Branches of superficial palmar arch mention
Common digital branches: receving palamar metacrpal branches from the deep palamr arch each ends by divifng to 2 digital branches supllyind adjacent sides of the fingers Palmar Digital branch : to the medial side of little finger:
45
superficial palamr arch supply
medial 3 1/2 fingers
46
Mention branches of the deep palamr arch .
Three palmar metacarpal branches : which join common palamar digital branches three pp proximal perfroating which enters the 2,3,4 interosseus spaces to join dorsal metacarpal branches of the dorsal carpal arch Recurrent branches to anterior carpal arch
47
How is Anterior carpal arch formed?:
Anterior carpal branch of ulnar and radial Descending of the anterior interossues reucrretn of deep palamar arch واصل بين الشريان الزندي والكعبري
48
Formation of dorsal carpal arch discuss
by the dorsal carpal branch of radial and ulnar | by the termination of antreior and posterioir interossues arterirs
49
Mention branches of Dorsal carpal arch
it gives 3 dorsal metacarpal branches running in 2.3.4 interosseus spaces then each of them divides giving 2 dorsal digital branches
50
Mention connection of the dorsal carpal branch
Deep palamr arrch : by proximal perforators superficial palamr arch : it its coneected to the Common palamr digital branches by distal perforators يمثل وصل بين الكعبري والزندي يمثل تغذية الثلاث اصابع ونصف الوسطية من ظهرها بواسطة الدومية
51
Anastomsis around the elbow : discuss
It takes place between the brachial artery and its terminal branches the radial and ulnar arteries around medial and lateral epicondyles
52
anastomisis around medial epicondyle
antreior : anterior branch of infeior ulnar collateral from brachial anterior ulnar reucrretn from the ulnar post: posterior branch of inferior ulnar collateral . superior ulnar collateral from brachial posteriro ulnar recuurent artery from ulnar
53
Anastomisis around lateral epicondyle
Anterior : Radial collateral anterior descenign branch of profunda brachii artery radial recurrent aretry from radail artery post: Middle collateral post descending branch of profunda brachii artery Interossues recurrent of the posterior interossues artery from ulnar ! !! !
54
Dorsal venous arch recevies?
Dorsal metacarpal and dorsal digital veins
55
cephalic vein is | basalic vein is
cephalic is lateral | basalic is medial
56
Basalic veins description
arises from the medial side of dorsal venous arch and winds around wrist to front of fore arm runs medially in the forear till it forms medial cubital veins with cephalic and contiue to join the vena comitants of the brachial artery to from the Axillary Vein .
57
Cephalic vein description
arises from the lateral side of dorsal venos arch to winds lateral border of forearm and runs laterally to biceps and share in formation of median cubital vein then deltopectoral groove then pirece clavipectoral fascia to join axillary vein
58
Median cubital vein direction
from cephalic to basalic separated from the brachial artery and Median Nerve by Bicipital aponeurosis ! لكم قصرت في الدعاء لكم نسيت نفسي فلم تنساني لكم ارجعتني إلي الطريق ثم ضللت و لكنك حلمت علي ولم تعذبني لكم نسيت العذاب ونسيت الأماني العذاب لكنها دنيا ولكنك غفور حمدا لك لا تعاجل بالعقوبة حمدا لك كتبت علي نفسك الرجمة حمدا لك حمدا لك حمدا لك رب العالمين it is usually joined by the median vein of fore arm
59
Clincal imp of the cubital fossa
Site for sampling , transfusion , intravenus injection using medial cubital veins or basalic may use cephalic in snuff box or dorsal veous arch as alternative
60
Mention deep veins of upper limb
in hand Superficial venous pleux draining the common digital palamr veins deep venous pleux draining the palamr metacarpal veins in forearm venacomitatnes of ulnar and radial arteris ulnar veins drains the superficial palamr venous plexu radial veins drains the deep palamr venous pleux they two both join each other to form the vena comitante of the brachial aretry they join the Axillary vein ? which is conintuauon of the basalic vein and receies tributaries as: the cephalic vein the brachal artery vena comitantes tributaries corrsponding to branches of the axillary artery
61
The axillary vein is ..... to Axillary artery
medial
62
The axillary vein is ..... to Axillary artery
medial
63
تم بحمد الله وتوفيقه وعونه فالحمدلله رب العالمين

CVS ANATOMY (8 decks)

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