Anatomy of Leg Circulation Flashcards

(27 cards)

1
Q

What is the arterial supply to the upper limb (arm - hand)?

A

Subclavian artery (under clavicle)

  • –> Axillary artery
  • –> Brachial artery and Deep Brachial artery
  • –> Radial and ulnar artery
  • –> Superficial and deep palmar arches
  • –> Metacarpal and digital arteries (4 per digit)
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2
Q

What is the arterial supply to the lower limb (groin to foot?

A

External iliac artery
—> Femoral and Deep femoral artery
—> Popliteal artery
POPLITEAL FOSSA
—> Posterior tibial artery —> Plantar arteries
Anterior tibial artery —> Dorsalis pedis —> Arcuate
artery
—> Metatarsal and digital arteries (4 per digit)

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3
Q

What are end arteries? Why are they important?

A

Only blood supply to given area (no collaterals)

Untreated occlusion —> infarction

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4
Q

What is the main pulse point in the neck?

A

Bifurcation of common carotid

Anterior to SCMD at level of thyroid cartilage

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5
Q

What are the main pulse points in the UL?

A

Brachial (cubital fossa)

Radial (Lateral to flexor carpi radialis)

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6
Q

What are the main pulse points in the LL?

A
Femoral (inferior to midpoint of inguinal ligament)
Popliteal (popliteal fossa)
Posterior tibial (posterior border of medial malleolus)
Dorsalis pedis (lateral to extensor halllucis longus)
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7
Q

List the deep fascia in the UL

A

Pectoral
Deltoid
Brachial
Antebrachial fascia

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8
Q

List the deep fascia in the LL

A
Fascia lata (thigh)
Iliotibial tract
Grural fascia (leg)
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9
Q

What is the venous drainage of the UL (hand to arm)?

A

Superficial and deep palmar venous arches
—> Dorsal venous network
—> DEEP: Radial and ulnar veins
—> SUPERFICIAL: Cephalic (lateral), M
Median cubital vein
Basillic (medial) –> Brachial vein
—> Axillary vein
—> Subclavian vein at lateral border of rib 1

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10
Q

The cephalic vein is located in the…

A

Deltopectoral groove

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11
Q

The cephalic vein drains into the…

A

Axillary vein

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12
Q

The basillic vein drains into…

A

Brachial vein

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13
Q

What is the venous drainage of the LL (foot to groin)?

A

Dorsal venous arch —> Great saphenous vein (medial) –>
Femoral vein
–> Small saphenous vein (P midline) –>
Popliteal vein –> Femoral vein
Plantar arch —> Posterior and anterior tibial veins
Fibular vein —> Popliteal vein –>
Femoral vein
Deep Femoral vein and Femoral vein —> External Iliac vein
—> Common iliac vein

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14
Q

What are the superficial veins of the lower limb?

A

Great saphenous vein

Small saphenous vein

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15
Q

What is the function of perforating veins?

A

Connect superficial and deep veins

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16
Q

What happens when venous valves are incompetent? What helps to push blood back to the heart?

A

Blood pools in the superficial veins = varicose veins

Musculovenous pump

17
Q

Where is the most common site for venous ulceration?

A

Gaiter area - medial aspect of distal leg

18
Q

What are the lymph nodes of the upper limb?

A

Cubital, lateral pectoral, apical pectoral nodes

19
Q

Where does lymph drain from the basillic vein?

A

Cubital —> Lateral axillary nodes

20
Q

Where does lymph drain from the cephalic vein?

A

Apical axillary nodes

21
Q

Where does lymph drain from the deep veins of the upper limb?

A

Lateral axillary nodes

22
Q

What do lymph nodes follow?

23
Q

What are the lymph nodes of the lower limb?

A

Superficial and deep inguinal, popliteal lymph nodes

24
Q

Where does lymph drain from the great saphenous vein?

A

Superficial inguinal —> Deep inguinal —? External iliac

25
Where does lymph drain from the small saphenous vein?
Popliteal ---> Deep inguinal ---> External iliac
26
Where does lymph drain from the deep veins of the lower limb?
Popliteal lymph nodes ---> Deep inguinal ---> External iliac
27
What is the route taken by the external iliac lymph nodes?
Common iliac lymph nodes ---> Lumbar lymphatics