week 8 Flashcards
references a structure, such as an artery or a vein, by reference to an adjacent known or prominent structure
anatomical guide
a line drawn or visualized on the surface of the skin to represent the approximate location of some deeper lying structure
linear guide
the point of origin and point of termination of a structure in relation to adjacent structures
anatomical limit
boundaries for anterior cervical triangle (3)
- midline of the neck (tip of the mandible to the sternum)
- anterior border of the sternocleidomastoid (scm)
- lower margin of the body of the mandible
anatomical positioning of the anterior cervical triangle (3)
- platysma muscles alters the contour of the skin and the neck and covers most of the structures important for embalming
- carotid sheath lies posterior and parallel to the SCM; contains
- internal jugular vein (lateral and superficial)
- -partially overlaps the artery
- -lateral and superficial to the common carotid artery
- vagus nerve (between vein and artery)
- common carotid artery (medial and deep) - carotid sheath is crossed anteriorly by the central tendon of the omohyoid muscle
- external jugular is on the outer surface of the SCM
a line from a point over the respective sternoclavicular articulation to a point over the anterior surface of the base of the respective earlobes
linear guid of common carotid artery
artery is posterior to the medial border of the SCM (on each perceptive side)
anatomical guid for common carotid artery
right Sternoclavicular articulation to superior border of the thyroid cartilage
right side of the anatomical limit of the common carotid artery
second costal cartilage to the superior border of the thyroid cartilage
left side of the anatomical limit for the common carotid artery
terminal branch of the brachiocephalic artery
right origin of the common carotid artery
branch of the arch of the aorta
left origin of the common carotid artery
terminal bifurcation into right internal and right external carotid arteries
right branch of the common carotid artery
terminal bifurcation into right internal and right external carotid arteries
left branch of the common carotid artery
r/l external carotid branches (8)
- ascending pharyngeal
- superior thyroid
- lingual
- facial
- occipital
- posterior auricular
- maxillary
- superficial temporal
R/L internal carotid branches (5)
- ophtalmic
- anterior cerebral
- middle cerebral
- posterior communicating
- choroidal branches
axillary space boundaries (5)
- anterior wall; posterior wall; medial wall; lateral wall; apex; base
1. anterior wall; anterior axillary folds - pectoralis major and minor muscles
2. posterior wall; posterior axillary fold - latissimus dorsi, subscapularis, teres major muscles
3. medial walls; ribs 2-6 and corresponding intercostal muscles - covered by the serratus anterior muscle
4. lateral wall; shaft of the humerus, biceps brachii, coracobrachialis
5. apex; cervicoaxillary canal bound by - clavicle, scapula, first rib
6. base; fascia and skin where the axillary hair is found
a line from a point over or through the center of the base of the axillary space to appoint over or through the center of he lateral border of the base of the axillary space
linear guide of the axillary artery
behind the medial border of the coracobrachialis
anatomical guide of the axillary artery
from a point beginning at the lateral border of the first rib to the inferior border of the tendon of the teres major muscles
anatomical limit of the axillary artery
artery is a continuation of the subclavian artery
origin of the axillary artery
axillary artery branches (6)
- highest thoracic artery
- thoracromial artery
- lateral thoracic artery
- sub scapular artery
- anterior humeral circumflex artery
- posterior humeral circumflex artery
anatomical positioning of the axillary artery (2)
- axillary artery is lateral and deep to the axillary vein
2. incision is made along the anterior margin of the hairline of the axilla with the arm abducted
the center of the lateral border of the base of the axillary space to a point approximately 1 inch below and in front of the elbow joint
linear guide of the brachial artery
brachial artery lies in the bicipital groove at the posterior margin of the medial border of the belly of the biceps brachii muscle
anatomical guide of the brachial artery
from the inferior border of the tendon of the teres major muscles to a point inferior to the antecubital fossa
anatomical limit of the brachial artery
artery is a continuation of the axillary artery
origin of the brachial artery
anatomical positioning of the brachial artery (2)
- basilic vein is medial and superficial to the brachial artery
- incision is made along the upper one third of the linear guide (humerus to below the elbow)
distal forearm surface features; (7)
- styloid process of the radius
- tendon of the flexor carpi radialis muscle
- pronator teres, flexor carpi radialis, flexor carpi ulnaris, palmares longus - flexor disitorum superficialis
- deep muscles/tendons
- flexor digitorum - brachioradialis muscle
- antecubital fossa
a line from the center of the antecubital fossa to the center of the base of the index finger
linear guide of the radial artery
artery lies lateral to the tendon of the flexor carpiradlialis muscle and medial to the tendon of the brachioradialis muscle
anatomical guide of the radial artery
artery extends from 1 inch below and in front of the bend of the elbow to a point over the base of the thumb (thenar eminence)
anatomical limit of the radial artery
artery originates at the bifurcation of the brachial artery
origin of the radial artery
anatomical positioning of the radial artery (2)
- artery is on the lateral side of the forearm
2. two small veins lie on either side of the radial artery
a line from the center of the antecubirtal fossa on the forearm to a point between the fourth and fifth fingers
linear guide of the ulnar artery
artery lies lateral to the tendon of the flexor carpi ulnaris
anatomical guide of the ulnar artery
artery extends from 1 inch below and in front of the bend of the elbow to a point over the pisiform bone (hypothenar eminence)
anatomical limit of the ulnar artery
originates at the bifurcation of the brachial artery
origin of the ulnar artery
anatomical positioning of the ulnar artery (3)
- artery is on the medial side of the forearm
- artery lies between the tendons of the flexor carpi ulnaris and flexor digitorium superficialis
- two small veins lie on either side the ulnar artery
arteries of the body trunk (7)
- ascending aorta
- arch of the aorta
- right subclavian artery
- left subclavian artery
- descending thoracic aorta
- descending abdominal aorta
- external iliac artery
characteristics of the ascending aorta (4)
- originates at the the left ventricle
- branches - r coronary artery, L coronary artery
- may be used when embalming infants
- midsternal incision is used
arch of the aorta characteristics (2)
- center of arterial solution distribution
2 branches ; brachiocephalic artery, L cca , L subclavian artery
characteristics of the right subclavian artery (4)
- begins at the right sternoclavicular articulation
- extends to the lateral border of the first rib
- branches need to be clamped in the case of a complete autopsy
- branches; vertebral artery, internal thoracic artery, inferior thyroid artery
characteristics of the left subclavian artery (3)
- begins at the level of the second costal cartilage
- extends to the lateral border of the first rib
- branches; vertebral artery, internal thoracic artery, inferior thyroid artery
characteristics of the descending thoracic aorta (2)
- branches; nine pairs of thoracic intercostal arteries
2. may be used in the case of a partial autopsy in an adult or when visceral organs are donated
characteristics of abdominal aorta (6)
- begins at the diaphragm
- extends to the lower border of the fourth lumbar vertebra
- may be used when embalming infants
- incision from the diploid process downward toward the left of the midline is used
- may also be used in the case of partial autopsy in an adult or when visceral organs are donated
- branches include ; parietal, visceral (unpaired), visceral (paired)
parietal branches of the descending abdominal aorta (4)
- inferior phrenic
2 superior suprarenal - lumbar
- middle sacral
visceral (unpaired) branches of the descending abdominal aorta (3)
- celiac axis
- superior mesenteric
- inferior meseneteric
visceral (paired) branches of the descending abdominal aorta (5)
- middle suprarenals
- renals
- internal spermatic (male)
- ovarian (female)
- common iliacs (terminal branch)
characteristics of the external iliac artery (2)
- may be used in autopsy
- may be used in case of a very obese unautopsied case because the femoral vessels are located very deep
-originates at the common iliac artery
anatomical positioning of the external iliac artery (3)
- extends to a point under the center of the inguinal ligament
- artery lies exactly at this ligament lateral to the external iliac vein
- fairly superficial vessel