lecture 10: axilla and upper limb vasculature Flashcards

1
Q

what is the function of the axilla

A

funnels vessels and nerves from the neck to the upper limb

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2
Q

where is the only entering of vessels into the UE

A

the axilla

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3
Q

what is the superior border of the axilla

A

clavicle, scapula and 1st rib

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4
Q

what is the inferior border/base of the axilla

A

axillary skin, fascia at the lower borders of the pectorals major, heres major/lat doors

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5
Q

what makes up the posterior wall of the axilla

A

subscapularis m, teres makor and lat dorsi

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6
Q

what makes up the medial wall of the axilal

A

serrates anterior

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7
Q

what makes us the anterior wall of the axilla

A

pectorals major and minor muscles

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8
Q

what makes the lateral wall of the axilla

A

humerus (inter tub groove)

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9
Q

be able to know the borders of the axilla .

A
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10
Q

what does the axillary sheath contain

A

axillary artery, vein and brachial plexus

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11
Q

what tendons pass through the axilla

A

tendons of biceps brachii and coracobrachialis

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12
Q

true or false: axilla does not have adipose tissue

A

false, it does

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13
Q

true or false: serrates anterior makes up the medial wall of the axilla

A

true

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14
Q

does the subscapularis make ip the posterior or anterior wall of the axilla

A

posterior

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15
Q

what lymph nodes are found i the axilla

A

axillary lymph nodes

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16
Q

pec major and minor make up what wall of the axilla

A

anterior

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17
Q

what are the contents of the axilla

A

1) axillary sheath (axillary a, v and brachial plexus)
2) axillary lymph nodes
3) tendons of the biceps brachii and coracobrach)
4) adipose tissue

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18
Q

what are the 3 vasculature of the axilla and upper limb (UL)

A

subclavian
axillary artery
brachial artery

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19
Q

where does the subclass exit through

A

the thoracic inlet

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20
Q

where is the subclavian artery locatied

A

under the clavicle

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21
Q

what is the first major early branch of the aorta

A

subclavian

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22
Q

when does the subclav become the axillary artery

A

after passing under the calvicle

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23
Q

true or false: axilary is divided into 3 parts

A

true

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24
Q

where is the 1st section of the axillary artery

A

before the pec minor

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25
Q

where is the 2nd section of the axillary artery

A

under the pec minor

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26
Q

where is the 3nd section of the axillary artery

A

after the pec minor

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27
Q

after the axillary arttery passes the pectoralis minor, what does it necome

A

brachial artery

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28
Q

when does axillary artery become the brachial artery

A

after passing beyond inferior border of teres major

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29
Q

whta are the bracnes of the subclavian artery

A

VIT
C and D

(vertebral, internal thoracic, thyrocervical trunk, costocervical trunk. and sometimes dorsal scapularO

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30
Q

where does the vert arterby pass

A

through the transvere foramina (head and brain)

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31
Q

where does the internal thoracic run and what does it branch into

A

goes anterior and runs on either side of the sternum and branhces into

-anterior intercostals
-musculophrenic
-sup epigastric

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32
Q

where does the thyrocervical trunk supply (general)

A

thyroid and neck region

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33
Q

where does the costocervical trunk supply (general)

A

supply neck and rubs/costal region

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34
Q

why is the dorsal scapular artery only sometimes considered a branch off the subclav artery

A

cause sometimes i can branch directly from the subclavian or sometimes it can ocome off the thyrocervical trunk

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35
Q

true or false: the dorsal scapular a can branch off the thyrocervical trunk

A

true

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36
Q

wht are the arterties that branch off the thyrocervical trunk

A

inferior thyroid
cervical
transverse cervical
suprascapualr

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37
Q

most posterior intercostal arteries arrise from where

A

thoracic aorta

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38
Q

true or false: most posterior intercostal arteries arrise from thoracic aorta (except for the first two) which some from superior intercostal

A

true

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39
Q

true or false: most posterior intercostal arteries arrise from thoracic aorta (except for which ones

A

the first 2

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40
Q

where do the 1st and 2nd posterior intercostals branch off from

A

superior intercostal

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41
Q

what are the 2 branches off the costocervical trunk

A

superior intercostal
deep cervical

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42
Q

locate the first part of the axillary artery

A

b/w clavicle and medial border of the pectoralis minor

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43
Q

what is the branch off of the 1st part of the axillary arterior

A

superior thoracic

44
Q

what are the branch off of the 2nd part of the axillary arterior

A

thoracoacromial trunk
lateral thoracic

45
Q

locate the second part of the axilalry artery

A

deep to the pectolaris minor

46
Q

what are the 4 branches off of the thoracoacromial trunk

A

clavicular (c)
acromial (a)
deltoid (d)
pectoral (p)

47
Q

what does the superior thoracic supply

A

pecs, subclavius and serratus anterior

48
Q

what does the lateral thoracic supply

A

secarus anterior

49
Q

locate the 3rd part of the axillary artery

A

between the lateraial border of the pec minor and inferior border of the teres major

50
Q

what are the branches (3-4) of the third part of the axillary artery

A

subscapular a (circumflex scapular and thoracodorsal)

anterior and posteiror humeral circumflex

51
Q

true or false: the ant and post humeral circular aa normally arrise fom a common trunk

A

true

52
Q

where do the anterior posterior humeral circumflexs surround and why is that dangerous

A

around the surgical neck of the humerus
(if there is a fracture, compromises vascaularure)

53
Q

what atery is parallel to the lateral throacic

A

thoracodorsal

54
Q

where does the circumflex scapular tranvel, anterior or posterior

A

posterior

55
Q

what does the dorsal scapular a supply

A

lev scap and rhomboids

56
Q

what does the suprascapular a suppkly

A

supra and infra spinatus

57
Q

why are the anastomoses important in the back

A

because muscles of upper back and shoulder have multiple sources of arterial blood

58
Q

what are the 3 scapular arterial anastomoses

A

suprascap and circumflex scap
dorsal scap and circumflex scap
dorsal scap and thoracodorsal

59
Q

what does the circumflex scapular a supply

A

the infraspinatus and the teres minor

60
Q

what does the thoracodorsal a supply

A

the lat dorsi and t major

61
Q

whre does the suprascapular a run anterior to

A

clavicular notch (transverse lig of the scapula)

62
Q

what do the ant and post circumflex hum aa supply

A

the humeral head/neck, joint capsule, deltoid

63
Q

what does the subscapular a supply

A

subscapularis

64
Q

where does the subscapular a branch of

A

3rd part of axillary a

65
Q

what are the humeral anatstomeses

A

a/p circumflex hukmreal aa

66
Q

why is it important to have superficial veins

A

help with thermal regularion/dissapeat heat

67
Q

what are the basillic v and cephalic v linked by

A

median cubital v

68
Q

where do we do venipuncture

A

medial cubital v

69
Q

what are the superficail v

A

dorsal venous arch
cephalic vein
basilic v

70
Q

where does the cephalic vein pass thru (anatomical location)

A

deltopectoral groove

71
Q

where is the axillary vein loation (anatominal)

A

axillary sheath

72
Q

which sup vein is located lateral

A

cephalic vein

73
Q

whihch sup vein is located medial

A

basiclic

74
Q

what veins drain into the basicallic

A

paired brachial vv

75
Q

when does it become axillary v

A

when the basilic v and paired brach v meet

76
Q

subclavian goes thry what

A

the thoracic inlet

77
Q

basically drains into what

A

axillary

78
Q

where does the cephalic v drain

A

into the axilalry through the clavipectoral fascia

79
Q

explain the draining of basicallic

A

basilic v joining paired brachial vv (deep run with the brachian a) to form the axillary vein

80
Q

explain the draining of cephalic

A

drains into the axillary veing through the clavipectoral fascia

81
Q

true or false: deep venous systems typically closely parrello the lymphatic supply

A

false, arterial suppy

82
Q

where do some of the veins of the scapula drain into

A

axillary vein

83
Q

the deep brachial veins join what to form the axillary vein

A

basilic

84
Q

the deep brachial veins join what basically to form twhat

A

he axillary vein

85
Q

be able to name the venous supply of the scapula

A

.

86
Q

what are the 3 major functions of the lymphatic system

A

1) removal of excess interstitial fluids (lymph,blood plasma and other fluids extruded thru the cap

2) transports which blood cells (lymphocytes)

3) large role in immune system, nodes in strategic locations

87
Q

what are some of the stragetic locates for lymph nodes

A

axilla
knee
elboe

88
Q

what brings lymph into the lymph node

A

lymphatic ducts/vessels

89
Q

lymphatic draining matches what system

A

venous direction

90
Q

how many axillary lymph nodes are there

A

6

91
Q

whcih 3 nodes join to form the central node

A

humeral
pectoral
subscapular

92
Q

what are the 6 axillary nodes

A

humerall
pectoral
subscapular
centra
apical
supraclavicular

93
Q

what is the venous angle

A

convergence of the internal jugular v and the subclavian v

94
Q

wwhere does the subclavian v drain from

A

blood fro mthe upper lumb

95
Q

what does the brachiocephalic v drain

A

drain bloods from the head, neck, upper lumb

96
Q

what 2 vessels join to form brachiocephalic

A

subclavian and internal jugular

97
Q

convergence of the R/L brachiocephalic veins forms that

A

superior vena cava

98
Q

what doe sthe sup vena cava drain into

A

into the right atrium of heart

99
Q

where does the internal jugular drain blood from

A

head neck and brain

100
Q

where do the axillary lymph nodes drain

A

the venous angle

101
Q

what does brachial plexus provude innervation to

A

provide motor and sensory innervation to upper limb from shoulder to the tip if the fingers

102
Q

what spinal nerves is the brachial plesux derived from

A

spinal nerves c5-t1

103
Q

where is the brachial plexus located

A

funnels through the axila in close relationship with the axillary artery

104
Q

true or false: the axillary artery is wrapped by brachial plexus

A

yes

105
Q

Subclavian a passes deep to what muscle

A

Anterior scalene