Anatomy - Venous Ulceration Flashcards

(34 cards)

1
Q

Where are limb superficial veins?

A

Superficial fascia

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2
Q

Describe deep fascia

A

Relatively tough and has a sheet-like, white sometimes glistening appearance

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3
Q

What are the main groups of deep fascia of the upper limb?

A

Pectoral fascia
deltoid fascia
brachial fascia
antebrachial fascia

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4
Q

What are the main groups of deep fascia of the lower limb?

A

fascia lata
crural fascia
iliotibial tract

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5
Q

Which 2 arteries does the brachial artery branch into?

A

Radial and ulnar arteries

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6
Q

What are the arteries found within the wrist and hand?

A

Deep and superficial palmer arches

metacarpal and digital arteries

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7
Q

How many digital arteries supply each digit of both the upper and lower limb?

A

4

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8
Q

Where does blood supply to the lower limb begin?

A

external iliac artery

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9
Q

Name the arteries found within the ankle and foot?

A
dorsalis pedis artery
medial and lateral plantar arteries 
arcuate artery 
deep plantar arch artery 
metatarsal and digital arteries
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10
Q

What are the digital arteries known as?

A

End arteries

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11
Q

What should never be used in end arteries?

A

adrenaline containing local anaesthetic solution

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12
Q

Where does the bifurcation of the common carotid artery occur?

A

anterior to sternocleidomastoid muscle at the level of upper border of thyroid cartilage

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13
Q

Where can the brachial pulse be palpated?

A

medial to biceps tendon in cubital fossa

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14
Q

Where can the radial pulse be palpated?

A

lateral to tendon of flexor carpi radialis

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15
Q

Where can the femoral pulse be palpated?

A

inferior to midpoint of inguinal ligament

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16
Q

Where can the popliteal pulse be palpated?

A

in popliteal fossa (immediately posterior to knee joint)

17
Q

Where can the posterior tibial pulse be palpated?

A

between the posterior border of the medial malleolus and achilles tendon

18
Q

Where can the dorsalis pedis pulse be palpated?

A

medial to tendon of extensor hallucis longus distal to the ankle joint

19
Q

When does the axillary vein become the subclavian vein?

A

at the lateral border of rib 1

20
Q

Where does the basilic vein drain into?

A

brachial vein at the level of mid-arm

21
Q

What percentage of patients have no conecting veins in the cubital fossa?

22
Q

What percentage of patients have a median vein of forearm?

23
Q

Where do both the small and great saphenous veins arise from?

A

dorsal venous arch

24
Q

In the lower limb, what allows the transer of venous blood from superficial to deep veins?

25
What clinical sign can incompetent venous valves lead to?
Varicose veins
26
What can chronic venous insufficiency lead to?
thrombosis/embolism | skin ulceration
27
Where is the most common site for venous ulceration?
Gaiter area (medial aspect of distal leg)
28
What can completely occlude the pulmonary trunk arresting the circulation?
saddle embolus
29
What are langer lines?
Lines of skin tension
30
What is the sentinel node?
Te first node that lymph draining from a lesion will hit
31
How may a clinician describe a venous ulcer?
very superficial tend to have a shallow edge "like a beach" characterised by lipodermatosclerosis and hyperpigmentation
32
What is lipodermatosclerosis?
chronic skin changes with chronic venous insufficiency
33
What ABPI means the ulcer is venous?
<0.8
34
What is a normal ABPI?
0.8 - 1.3