Vasculature of the Upper Limb Flashcards

1
Q

What three major vessels come off of the aortic arch?

A

-brachiocephalic artery
-left common carotid artery
-left subclavian artery

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2
Q

What does the brachiocephalic break into?

A

-right common carotid
-right subclavian

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3
Q

What is the origin of the blood supply to the upper limb?

A

the subclavian arteries

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4
Q

What is the location of the subclavian artery?

A

posterior to the anterior scalene muscles and posterior to the clavicle

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5
Q

What does the subclavian artery turn into once it enters the axilla?

A

the axillary artery

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6
Q

The branches of the subclavian arteries supply…

A

brain, neck, pectoral region, back and posterior shoulder

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7
Q

The branches of the axillary artery supply…

A

posterior should region, axilla, and lateral thorax

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8
Q

The branches of the brachial artery supply…

A

arm and cubital region (elbow)

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9
Q

What does the brachial artery split into?

A

the radial and ulnar arteries

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10
Q

The branches of the radial artery supply…

A

cubital region, posteror forearm, and hand

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11
Q

The branches of the ulnar artery supply…

A

cubital region, anterior forearm, and hand

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12
Q

Where is the first part of the subclavian artery?

A

medial to the anterior scalene muscles

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13
Q

What are the three major branches of the first part of the subclavian artery?

A

-vertebral artery
-internal thoracic (mammary) artery
-thyrocervical arterial trunk

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14
Q

What does the thyrocervical arterial trunk branch into?

A

-transverse cervical
-suprascaular
-ascending cervical
-inferior thyroid

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15
Q

What is unique about the transverse cervical artery branch of the subclavian artery?

A

the superficial and deep branches may form an arterial trunk
-referred to as the cervicodorsal trunk

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16
Q

Where is the second part of the subclavian artery?

A

posterior to the anterior scalen muscle

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17
Q

What are the branches of the second branch of the second part of the subclavian artery?

A

costocervical trunk

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18
Q

What are the branches of the costcocervical trunk?

A

-supreme intercostal
-deep cervical

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19
Q

Where is the third part of the subclavian artery?

A

lateral to the anterior scalene muscle

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20
Q

What are the branches of the third part of the subclavian artery?

A

usually no arterial branches but sometimes a dorsal scapular artery

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21
Q

Where does the subclavian artery turn into the axillary artery?

A

at the lateral border of the first rib

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22
Q

Characteristics of the axillary artery:

A

-continuation of the subclavian artery
-posterior of the clavicle
-supply the axilla, pectoral, and shoulder regions
-has 3 divisions relative to the pectoralis minor muscle

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23
Q

Where is the first part of the axillary artery?

A

-proximal and medial to the pectoralis minor

24
Q

What is the branch of the first part of the axillary artery?

A

superior thoracic artery

25
Q

Where does the superior thoracic artery?

A

passes between pectoralis major and pectoralis minor to supply the first and second intercostal spaces and the superior part of the serratus anterior

26
Q

Where is the second part of the axillary artery?

A

posterior to the pectroalis minor muscle

27
Q

What are the branches of the second part of the axillary artery?

A

-thoracoacromial trunk
-lateral thoracic artery

28
Q

What are the branches are of the thoracoacromial trunk?

A

-pectoral
-deltoid
-acromial
-clavicular

29
Q

Where is the lateral thoracic artery?

A

descends along lateral border of pectoralis minor muscle to lateral thoracic wall
-supply pectoral, serratus anterior, intercostal muscles, and lateral aspect of breast

30
Q

Where is the third part of the axillary artery?

A

distal and lateral to the pectoralis minor muscle

31
Q

What are the branches of the subscapular artery?

A

-circumflex scapular
-thoracodorsal

32
Q

Why is the circumflex scapular artery important?

A

primary in scapular anastomoses

33
Q

What does the thoracodorsal artery supply?

A

latissimus dorsi

34
Q

What forms collateral circulation of the scapula?

A

branches of subclavian and axillary arteries

35
Q

What are the arterial branches that form anastomoses?

A

-suprascaular (subclavian)
-dorsal scapular (deep branch of transverse cervical)
-posterior intercostal (t. aorta)
-circumflex scapular (subscapular)
-thoracodorsal (subscapular)

36
Q

What is the brachial artery?

A

continuation of the axillary artery

37
Q

Where does the brachial artery start?

A

at the inferior border of the teres major muscle

38
Q

What does the brachial artery turn into?

A

ulnar and radial arteries

39
Q

What are the branches of the brachial artery?

A

-profunda brachii
-superior ulnar collateral
-interior ulnar collateral

40
Q

What are the branches of the ulnar artery?

A

-anterior ulnar recurrent
-posterior ulnar recurrent
-common interosseous

41
Q

What are the branches of the common interosseous artery?

A

-anterior interosseous
-posteror interosseous
-recurrent interosseous

42
Q

What are the branches of the radial artery?

A

there is only one
-radial recurrent

43
Q

Where do the brachial and ulnar arteries anastomose?

A

superior ulnar collateral - posterior ulnar recurrent

inferior ulnar collateral - anterior ulnar recurrent

44
Q

Where do the deep brachial artery and the radial and interosseous arteries anastomse?

A

radial collateral - radial recurrent

middle collateral - interosseous recurrent

45
Q

What arteries supply the anterior forearm?

A

-ulnar artery
-radial artery
-anterior interosseous artery

46
Q

What arteries supply the posterior forearm?

A

-radial artery
-recurrent interosseous artery
-posterior interosseous artery
-dorsal carpal branch (of the ulnar artery)

47
Q

What arteries supply the anterior/palmar surface of the hand?

A

-superficial palmar arch (ulnar artery)
*common palmar digital artery
*proper palmar digital artery
-deep palmar arch (radial artery)

48
Q

What arteries supply the posterior/dorsal hand?

A

mostly the radial artery
-princeps pollicis (medial thumb)
-dorsal carpal arch
-distal digital arteries

49
Q

What are the two main superficial veins of the upper limb?

A

cephalic and basalic veins

50
Q

Where do the cephalic and basilic veins meet?

A

in the cubital fossa by the median cubital vein

51
Q

What vein enters the deltopectoral triangle and drains into the axillary vein?

A

cephalic vein

52
Q

What vein enters the basilic hiatus and joins the branchial veins to forms the axillary veins?

A

basilic vein

53
Q

Where do veins form the hand and wrist drain into?

A

the radial and ulnar veins in the forearm

54
Q

Where do the radial and ulnar veins drain into?

A

the brachial veins in the arm

55
Q

Where does the axillary vein form?

A

where the brachial vein joins with basilic vein

56
Q

What does the axillary vein pick up?

A

the cephalic vein

57
Q

Where do the axillary and cephalic veins drain into?

A

the subclavian vein