Lecture 9: Vascular Supply to Upper Extremity Flashcards

1
Q

What is the direct branch of the left subclavian artery?

A

aortic arch

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2
Q

What is the branch of the right subclavian artery?

A

brachiocephalic

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3
Q

The subclavian arteries arise _______ to sternoclavicular joint.

A

posterior

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4
Q

Part 1 of the subclavian artery is ______ to the anterior scalene.

A

medial

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5
Q

Part 2 of the subclavian artery is ______ to the anterior scalene.

A

posterior

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6
Q

Part 3 of the subclavian artery is ______ to the anterior scalene.

A

lateral

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7
Q

What are the branches of part 1 of the subclavian artery?

A

internal thoracic
vertebral
thyrocervical arterial trunk

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8
Q

What are the branches of the thyrocervical arterial trunk?

A

transverse cervical artery
inferior thyroid artery
ascending cervical artery
suprascapular artery

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9
Q

What are the branches of the transverse cervical artery?

A
superficial (cervical) branch
deep branch (dorsal scapular artery)
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10
Q

What is the branch of part 2 of the subclavian artery?

A

costocervical trunk

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11
Q

What are the branches of the costocervical trunk?

A

supreme intercostal

deep cervical

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12
Q

What are the branches of the part 3 of the subclavian artery?

A

No branches

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13
Q

What does the vertebral artery pass through?

A

transverse foramina 6-1

foramen magnum

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14
Q

The vertebral artery unites with _______ to form ______

A

opposite vertebral artery

basilar artery

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15
Q

What does the supra scapular artery pass between?

A

sternomastoid and anterior scalene muscles

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16
Q

What does the supra scapular artery pass over?

A

supra scapular ligament

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17
Q

What path does the supra scapular artery take?

A

to supraspinous fossa, through spinoglenoid notch, to infraspinous fossa

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18
Q

What does the transverse cervical artery pass anterior to?

A

anterior scalene

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19
Q

What does the transverse cervical artery run with?

A

CN IX

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20
Q

What does the transverse cervical artery supply?

A

rhomboids

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21
Q

After the subclavian artery passes the first rib it turns into the ______

A

axillary artery at the lateral border of the rib

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22
Q

Where does the axillary artery begin?

A

inferior border of the first rib

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23
Q

What divides the axillary artery into thirds?

A

Pectoralis minor muscle

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24
Q

The first part of the axillary artery is _______ to the pectoralis minor muscle

A

superior

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25
Q

The second part of the axillary artery is _______ to the pectoralis minor muscle

A

deep

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26
Q

The third part of the axillary artery is _______ to the pectoralis minor muscle

A

inferior

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27
Q

What does the superior thoracic artery supply?

A

posterior aspects of intercostal spaces 1 and 2 and part of serratus anterior

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28
Q

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

A

thoracoacromial and lateral thoracic artery

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29
Q

What are the branches of the thoracoacromial artery?

A

pectoral branch
deltoid branch
acromial branch
clavicular branch

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30
Q

The lateral thoracic artery extends along the ______

A

lateral side of pectoralis minor

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31
Q

What does the lateral thoracic artery supply?

A

part of the pectoral muscles, lymph nodes, breast

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32
Q

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

A

posterior circumflex humeral artery
anterior circumflex humeral
subscapular

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33
Q

The posterior circumflex humeral artery passes around _______ aspect of ________ of humerus

A

posterior; surgical neck

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34
Q

What does the posterior circumflex humeral artery anastomose with?

A

anterior circumflex humeral

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35
Q

What does the posterior circumflex humeral artery run with?

A

axillary nerve

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36
Q

What does the posterior circumflex humeral artery supply?

A

deltoid and triceps

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37
Q

The posterior circumflex humeral artery is part of the contents of the _____ space

A

quadrilateral

38
Q

What are the branches of the sub scapular artery?

A

thoracodorsal artery

circumflex scapular

39
Q

What doe she throacodorsal artery supply?

A

latissimus dorsi

40
Q

Arterial branches arising form the _______ and _______ arteries form an ________ around the scapula, allowing collateral circulation to the upper limb

A

subclavian and axillary; anastomosis

41
Q

Where are the anastomosing arterial branches?

A
suprascapular
dorsal scapular
posterior intercostal 
circumflex scapular
thoracodorsal
42
Q

The artery that runs along the _________ of the scapula is referred to as the _______ artery

A

vertebral border; dorsal scapular

43
Q

What is the brachial artery?

A

Continuation of the axillary artery at inferior border of teres major muscle

44
Q

The brachial artery runs ______ to median nerve in ______ part of the arm

A

medial; upper

45
Q

The brachial artery runs _______ to median nerve in _____ part of the arm

A

lateral; lower

46
Q

What does the brachial artery branch into?

A

radial and ulnar arteries

47
Q

The brachial artery passes ______ to bicipital aponeurosis

A

deep

48
Q

The deep brachial artery can also be called the ____

A

profunda brachii

49
Q

The deep brachial artery wraps around the ______ surface of humerus.

A

posterior

50
Q

The deep brachial artery runs with what nerve in what groove?

A

radial neve in radial groove

51
Q

What does the deep brachial artery supply?

A

posterior compartment of brachium

52
Q

What are the branches of the deep brachial artery?

A

ascending branch to posterior circumflex humeral artery

descending branch become radial collateral

53
Q

What does the deep brachial artery anastomose with?

A

radial recurrent

54
Q

What are the branches of the brachial artery?

A

deep brachial
nutrient humeral artery
superior ulnar collateral

55
Q

The superior ulnar collateral artery runs with the _____ nerve

A

ulnar

56
Q

The superior ulnar collateral artery passes _____ to medial epicondyle

A

posterior

57
Q

What does the superior ulnar collateral anastomose with?

A

posterior ulnar recurrent

58
Q

The radial artery enters the _____ and _____ to from _____ arch

A

wrist and hand; deep palmar

59
Q

What does the radial artery give off?

A

radial recurrent to radial collateral from deep brachial

60
Q

What does the ulnar artery give off?

A

common interosseous artery near its origin

61
Q

What does the ulnar artery run through? with what nerve?

A

ante brachium; ulnar nerve

62
Q

The ulnar artery enters the _____ and _____ to form _____ arch

A

wrist and hand; superficial palmar

63
Q

What does the common interosseous artery give off?

A

anterior and posterior interosseous arteries

64
Q

The common interosseous artery runs on either side of the ________ membrane in the _______

A

interosseous; ante brachium

65
Q

Where does venous drainage begin?

A

dorsal venous arch (which receives blood from digits)

66
Q

What does the cephalic vein drain?

A

lateral side of dorsal venous arch

67
Q

What does the basilic vein drain?

A

medial side of dorsal venous arch

68
Q

What side of the ante brachium does the cephalic vein run? and what is it in?

A

lateral side; superficial fascia

69
Q

The cephalic vein receives tributaries from _______ vein near the level of the elbow

A

median

70
Q

Where does the cephalic vein run?

A

lateral side of brachium in superficial fascia

71
Q

What does the cephalic vein run through?

A

deltopectoral triangle

72
Q

What does the cephalic vein piece?

A

clavipectoral fascia

73
Q

What does the cephalic vein dump into?

A

axillary vein

74
Q

Where does the basilic vein run?

A

medial side of ante brachium

75
Q

What drainage does the basical vein receive?

A

median cubital vein

76
Q

The median cubital vein lies ______ to bicipital aponeurosis?

A

superficial

77
Q

The basical vein runs in what facia? Along what side of the brachium?

A

deep; medial side

78
Q

What does the basilic vein join to form axillary vein?

A

venae comitantes

79
Q

After the axillary vein passes under the clavicle what does it turn into?

A

subclavian vein

80
Q

What does the subclavian vein form with the jugular vein?

A

brachiocephalic vein

81
Q

There are _____ brachiocephalic veins but only ____ brachiocephalic artery

A

two, one

82
Q

The two brachiocephalic veins come together to form the _____

A

superior vena cava

83
Q

Where is lymphatic drainage is from the?

A

palmar surface to dorsal surface of hand

84
Q

What is the lateral pathway of lymphatics?

A

lymphatics follow cephalic vein to
chain of nodes in delta pectoral groove to
axillary nodes

85
Q

What is the medial pathway of lymphatics?

A

lymphatics flow to epitrochelar nodes to

axillary nodes

86
Q

Where does the brachial lymph nodes lie?

A

medial to humerus near axillary artery and vein

87
Q

Where does the pectoral lymph nodes lie?

A

behind pectorals minor with lateral thoracic artery

88
Q

What does the pectoral lymph nodes drain?

A

mammary gland

89
Q

Where does the sub scapular lymph nodes lie?

A

behind pectorals minor with lateral thoracic artery

90
Q

What does the subscapular nerve drain?

A

back

91
Q

Where are the central lymph nodes?

A

axillary fat

92
Q

Where does the central nodes drain?

A

apical nodes behind clavicle