Week 10 Content Flashcards

(187 cards)

1
Q

The Heart

A

Muscular double pump
- Cardiac muscle

Circulates blood

Delivers oxygen and nutrients

Removes carbon dioxide and waste

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1
Q

Circuits of the Heart

A
  1. Pulmonary circuit
  2. Systemic circuit
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2
Q

Pulmonary Circuit

A

Transports blood between the heart and lungs

Right side receives oxygen-poor blood
- Sends blood to lungs via pulmonary arteries

Blood gains O2, releases CO2

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3
Q

Systemic Circuit

A

Delivers oxygen-rich blood to the body

Left side of the heart receives blood from lungs
- Pumped to organs via the aorta

Supplies tissues with O2 and nutrients

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4
Q

Chambers of the Heart - Atria

A

4 Chambers: Atria and Ventricles

Atria (Superior)
- Right Atrium: Receives blood from the systemic circuit
- Left Atrium: Receives blood from the pulmonary circuit

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5
Q

Ventricles (Inferior)

A

Right Ventricle: Pumps blood to lungs (pulmonary circuit)

Left Ventricle: Pumps blood to body (systemic circuit), thicker walls

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6
Q

Pulmonary and Systemic Circuit Diagram

A
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6
Q

Heart Location and Orientation

A

Thorax, between lungs

Largest organ in the mediastinum
- 250-350 grams

Apex points left of midline

Base forms the broad posterior surface

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7
Q

Superior Corners

A

Right
- 3rd rib costal cartilage
- Right atrium upper boundary

Left
- 2nd rib costal cartilage
- Left atrium upper boundary

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7
Q

Heart Position Diagram

A
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7
Q

Four Corners of the Heart

A
  1. Superior right
  2. Inferior right
  3. Superior left
  4. Inferior left
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8
Q

Inferior Corners

A

Right
- 6th rib costal cartilage
- Right ventricle lower boundary

Left
- 5th intercostal space, midclavicular line
- Left ventricle lower boundary

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9
Q

Heart Covering - Pericardium

A

Protective sac encloses the heart
- Limits movement
- Reduces friction

  1. Fibrous pericardium
  2. Serous pericardium
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10
Q

Fibrous Pericardium

A

Strong outer layer
- Dense connective tissue

Protects the heart
- Prevents overfilling

Anchors heart to the diaphragm and sternum

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11
Q

Serous Pericardium

A

Thin, double-layered membrane
1. Parietal Layer
- Lines fibrous pericardium
2. Visceral Layer (Epicardium)
- Covers heart

Pericardial Cavity: Fluid-filled space between layers

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12
Q

Layers of the Heart Wall

A
  1. Epicardium
    - Outer layer, protects heart, contains vessels, nerves, and far
  2. Myocardium
    - Middle layer, heart contractions
  3. Endocardium
    - Inner layer lining walls, reduces friction
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13
Q

Cardiac Muscle Tissue

A

Myocardium consists of striated cardiac muscle
- 1-2 nuclei per cell, joined at intercalated discs

Generates force to pump blood

Surrounded by endomysium

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14
Q

Septae

A

Interventricular Septum: Separates ventricles, prevents blood mixing

Interatrial Septum: Separates atria, maintains distinct blood flow

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15
Q

Right Atrium

A

Received deoxygenated blood from the body, pumped into the right ventricle

Superior Vena Cava (Upper body)

Inferior Vena Cava (Lower body)

Coronary Sinus (Heart muscle)

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16
Q

Internal Right Atrium Structures

A
  1. Pectinate muscles
  2. Crista terminalis
  3. Fossa ovalis
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17
Q

Pectinate Muscles

A

Ridges inside right atrium

Enhance contraction force

Structural support

Increase blood flow

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18
Q

Crista Terminalis

A

Ridge in right atrium separates pectinate muscle from atrial wall

Landmark to locate veins entering the right atrium

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19
Q

Right Ventricle

A

Receives blood from the right atrium via the atrioventricular valve (tricuspid valve)

Pumps blood into the pulmonary trunk, to lungs

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19
Q

Fossa Ovalis

A

Depression in interatrial septum

Remnant of foramen ovale

Allowed blood to bypass fetal lungs

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19
Internal Right Ventricle Structures
1. Trabeculae Carneae 2. Papillary Muscles 3. Chordae Tendineae 4. Pulmonary Semilunar Valve
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Trabeculae Carneae
Irregular cardiac muscle ridges, spongy Line ventricle walls Strengthen and assist in contraction - ie; Moderator band
22
Papillary Muscles
Cone-shaped muscle projections in ventricle wall Attach to chordae tendineae Contract to prevent tricuspid valve prolapse Assist valve closure Control blood flow
23
Chordae Tendinea
Heartstrings - Tendon-like cords, connect papillary muscles to valve cusps Prevent valve prolapse - Aid closure, prevent backflow
23
Diagram of Heart with Chordae Tendinea
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Left Atrium
Posterior Surface Receives oxygen-rich blood from lungs through pulmonary veins Contracts to push blood into the left ventricle
24
Left Ventricle
Forms apex Pumps oxygen-rich blood into the systemic circuit Same internal wall structures as the right ventricle - Trabeculae carneae - Papillary muscles - Chordae tendineae
24
Detailed Anterior (Front) Heart Diagram
24
Detailed Inferior (Bottom) Heart Diagram
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Valves Overview
Ensure one-way blood flow through the heart - Endocardium, reinforced with connective tissue
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Types of Valves
1. Atrioventricular (AV) Valves - Between atria and ventricles, prevent backflow 2. Semilunar Valves - Between ventricles and major arteries
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Atrioventricular (AV) Valves
Right AV Valve: Tricuspid valve (3 cusps) Left AV Valve: Bicuspid (mitral) valve (2 cusps)
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Right Atrioventricular (Tricuspid) Valve
Opening of right atrium and right ventricle - Anterior, posterior, septal cusp
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Left Atrioventricular (Bicuspid) Valve
Left ventricle opens into the left AV valve (mitral valve) Valve flaps anchored into capillary muscle by chordae tendineae Anterior and posterior cusp
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Semilunar Valves
Prevent backflow into ventricles during relaxation Pulmonary Valve - Between right ventricle and pulmonary trunk Aortic Valve - Between left ventricle and aorta
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Frontal Section of Heart Diagram
32
Cardiac Skeleton Functions
Supports heart valves - Prevents valve overdilation Insertion for cardiac muscle fibers Limit spread of electrical impulses for coordinated contractions
33
Heart Valve Diagram
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Functions of AV Valves (Open)
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Functions of AV Valves (Closed)
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Functions of Semilunar Valves (Open)
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Functions of Semilunar Valves (Closed)
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Heartbeat
Valves closing during the cardiac cycle AV Valves: Ventricular contraction (systole) Semilunar Valves: Ventricular relaxation (diastole)
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Blood Pressure
Systolic Phase: Heart contracts, blood pressure rises, blood exits Diastolic Phase: Heart relaxes, blood pressure falls, heart fills Normal Range: 120/80 mmHG (systolic/diastolic)
40
How the Heart Regulates Blood Pressure
Cardiac output Peripheral resistance Elasticity of arteries Abnormal Blood Pressure - Hypertension (High BP): >130/80 mmHG - Hypotension (Low BP): <90/60 mmHG
41
Listening to the Heart
42
Pathway of Blood Through the Heart and Lungs
Oxygen-poor blood enters the heart - Superior and inferior venae cavae - Right atrium - Right atrium contracts - Blood pushed through tricuspid valve to the right ventricle - Right ventricle contacts - Blood pushed through pulmonary semilunar valve Lungs - Pulmonary trunk - Pulmonary arteries - Lungs - Blood picks up O2, and releases CO2 in lungs Oxygen-rich blood returns to the heart - Pulmonary veins - Left atrium - Left atrium contracts - Blood pushed through mitral valve into left ventricle - Left ventricle contracts - Blood pushed through aortic semilunar valve into aorta - Blood delivered to systemic circuit
43
Important Features of Circulation
Simultaneous Contraction - Atria contract together - Ventricles contract together One-way flow Cyclic process
44
Structure and Function of Heart Wall
45
Intrinsic Properties of Cardiac Muscle
Automaticity: Generates and conducts its own electrical impulses Triggers and maintains rhythmic contractions
46
Sinoatrial (SA Node)
Pacemaker - Sets contraction time - 60-100 beats per min Superior wall of right atrium, near superior vena cava
47
Atrioventricular Node (AV Node)
Interatrial septum Transmits impulse from AV node to bundle branches Only electrical connection between atria and ventricles
48
Atrioventricular (AV) Bundle
Bundle of His - Intraventricular septum Connects AV node to ventricles Conducts impulses to ventricles
49
Bundle Branches
Split from AV bundle Travel down the left and right sides of the septum Conduct impulses to ventricles - Left anterior fascicle - Left posterior fascicle - Right bundle branch
50
Purkinje Fibers
In ventricle walls Rapidly transmit impulses to ventricular muscle cells - Synchronized contraction Efficient blood ejection into pulmonary artery and aorta
51
Simplified Flow of Electrical Signals
SA Node - Internodal pathway - AV node - AV bundle (bundle of His) - Bundle branches - Purkinje fibers
52
Extrinsic Neural Control
Modifies heart's rhythm Parasympathetic fibers, sympathetic fibers, and visceral sensory fibers Nerves pass through the cardiac plexus
53
Coronary Arteries
Deliver blood to heart walls and tissues From the base of the aorta, within the coronary sulcus 1. Right coronary artery 2. Left coronary artery
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Left Coronary Artery (LCA)
Supplies blood to the left side of the heart 1. Left anterior descending artery (LAD) - Anterior heart and intraventricular septum ('widowmaker') 2. Circumflex artery - Left artium and left ventricle
55
Right Coronary Artery (RCA)
Supplies blood to the right side of the heart 1. Marginal artery - Anterior heart and intraventricular septum 2. Posterior descending artery (PDA) - Intraventricular septum and right ventricle
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Coronary Arteries in the Heart Diagram
57
Cardiac Veins
Carry deoxygenated blood from the heart wall to the right atrium - In the sulci on the heart surface 1. Coronary sinus 2. Tributaries of the coronary sinus
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Coronary Sinus
Posterior coronary sulcus - Returns the majority of venous blood from the heart to the right atrium
59
Tributaries of the Coronary Sinus
1. Great cardiac vein - Anterior heart, along the left anterior descending artery 2. Middle cardiac vein - Posterior heart, along the posterior interventricular artery 3. Small cardiac vein - Right atrium and ventricle, along the right coronary artery
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Coronary Artery Disease
Atherosclerosis: Buildup of fatty deposits in arteries Angina Pectoris: Restricted blood flow, chest pain Myocardial Infarction: Blocked coronary artery, tissue death Silent Ischemia: Sudden reduced blood flow
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Pericarditis
Inflammation of the pericardium Chest pain and fluid buildup (pericardial effusion) impair function
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Heart Failure
Progressive weakening, unable to meet oxygen demands Congestive heart failure: Heart enlarges, pumping efficiency declines Pulmonary arterial hypertension: Right ventricle enlargement and failure
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Disorders of the Conduction System
Arrhythmias: Variation from the normal rhythm Can impact the atria and/or ventricles Medication or defibrillation to achieve sinus rhythm
64
Ventricular Fibrillation (Vfib)
Rapid, chaotic electrical impulses in ventricles Disrupt contraction, impair blood pumping Often cause cardiac arrest, treated with defibrillation
65
Atrial Fibrillation (Afib)
Impulses circle within the atrial myocardium Irregular signals reach the AV node Clots form, increase stroke risk Treated with medication or electrical cardioversion
66
Age-Related Heart Changes
Thickened, stiff muscle and valve cusps Increased fat deposition and plaques Cardiomyocyte hypertrophy Reduced cardiac reserve Altered electrical conduction Decreased efficiency of coronary arteries
67
Heart Health
Avoid tobacco Regular exercise strengthens heart muscle Aerobic exercise clears fatty deposits in the coronary arteries Heart-healthy diet
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Blood Vessels
Network of hollow tubes - Transport blood - Deliver oxygen, hormones, and nutrients to tissues - Remove carbon dioxide and waste products
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Structure of Blood Vessel Walls
3 layers and a central lumen 1. Tunica intima 2. Tunica media 3. Tunica externa
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Lumen
Hollow center of vessel Size varies depending on vessel type
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Vein and Artery Diagram
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Types of Blood Vessels
1. Arteries: Carry blood from the heart, branch into arterioles 2. Capillaries: Exchange oxygen, nutrients, and waste 3. Veins: Return blood to the heart, formed by merging venules
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Blood Vessel Flow Path
Heart - Arteries - Arterioles - Capillaries - Venules - Veins - Heart
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Capillaries
Smallest vessels (8-10um) Allow red blood cells to pass through Exchange O2/CO2, nutrients, hormones, waste
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Capillary Beds
Capillary network supplying tissues Precapillary sphincters control flow Limited supply in tendons and ligaments No supply in epithelia or cartilage
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Venous Vessels
Return blood from capillaries back to the heart Lower internal pressure than arteries Venules (8-100um) merge to form larger veins
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Veins
Carry 65% of the body's blood Larger lumens, thinner walls, less elastic tissue Thicker tunica externa and valves
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Mechanisms for Low Venous Pressure
Valves in limb veins prevent backflow Skeletal muscle contractions press against veins, push blood forward
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Vascular Anastomoses
Blood vessels form networks Arteries create collateral channels (anastomoses) to supply organs Veins anastomose more than arteries
80
Pulmonary Circuit
Closed loop, starts and ends at the heart - Gas exchange in the lungs 1. Pulmonary trunk 2. Pulmonary veins 3. Pulmonary vessels
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Features of Pulmonary Circulation
Pulmonary Trunk: Exits right ventricle, splits into right and left pulmonary arteries Pulmonary Veins: 4 veins return oxygenated blood to the left atrium Thinner walls and lower pressure
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Systemic Circulation
Systemic arteries carry oxygen-rich blood from the heart Aorta: Largest artery Originates from the left ventricle, branches to supply the body
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Systemic Circulation Diagram
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Pulse Points
Arteries close to the skin - Used to assess heart rate and blood flow 1. Head and neck 2. Upper limb 3. Lower limb
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Pulse Points - Head and Neck
Superficial Temporal Artery: Lateral cranium, temporal region Facial Artery: Below madible, near mouth angle Common Carotid Artery: Lateral neck, next to the trachea
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Pulse Points - Upper Limb
Brachial Artery: Medial to biceps tendon in the antecubital fossa Radial Artery: Lateral wrist, near base of thumb
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Pulse Points - Lower Limb
Femoral Artery: Inguinal region, below inguinal ligament Popliteal Artery: Posterior knee, popliteal fossa Posterior Tibial Artery: Medial ankle, behind medial malleolus Dorsalis Pedis Artery: Dorsum of foot
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The Aorta
1. Ascending aorta 2. Aortic arch 3. Descending aorta
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Ascending Aorta
Arises from the left ventricle Right coronary artery: Right atrium, ventricle, part of conducting system Left coronary artery: Supplies left side of the heart - Left anterior descending artery - Circumflex artery
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Descending Aorta - Thoracic
T5-T12 Intercostal arteries: Intercostals and thoracic wall Bronchial arteries: Lung tissue (except alveoli) Esophageal arteries: Esophagus
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Aortic Arch
Behind the manubrium Brachiocephalic trunk - Right common carotid artery: Right side of the head/neck - Right subclavian artery: Right upper limb and thorax Left common carotid artery: Left side of the head/neck Left subclavian artery: Left upper limb and thorax
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Descending Aorta - Abdominal
Ends at L4 Celiac artery: Stomach, liver, spleen, upper duodenum Superior mesenteric artery (SMA): Small and part of large intestine Renal arteries: Kidneys Inferior mesenteric arteries: Distal large intestine, rectum Common iliac arteries: Pelvis, lower limbs
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Full Heart Diagram
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Arteries of the Head and Neck
1. Common carotid arteries 2. Subclavian arteries a) Vertebral arteries b) Thyrocervical trunk c) Costocervical trunk
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Common Carotid Arteries
Anterior triangle of neck 1. External carotid artery 2. Internal carotid artery
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External Common Corotid Artery Branches
1. Superior thyroid artery 2. Ascending pharyngeal 3. Lingual artery 4. Facial artery 5. Occipital artery 6. Posterior auricular artery 7. Maxillary artery 8. Superficial temporal artery Mnemonic: Some Anatomists Like Freaking Out Poor Med Students
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Branches Supplying the Face and Neck
Superior thyroid artery: Thyroid, larynx, trachea, and neck muscles Ascending pharyngeal: Pharynx, soft palate, tonsils, nasopharynx, middle ear Lingual Artery: Tongue, floor of mouth, soft palate Facial Artery: Facial skin, muscles, lips, eyes, nose, soft palate, and tonsils
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Branches Supplying the Scalp
Occipital artery: Posterior scalp, neck, and occipital region Posterior auricular artery: Ears, posterior scalp Superficial temporal artery: Temporal scalp, frontal region, lateral face
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Branches Supplying the Jaw
Maxillary artery: Largest terminal branch - Mastication muscles, teeth, palate, nasal cavity, and parts of ear
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Internal Common Carotid Artery Branches
1. Ophthalmic artery 2. Anterior cerebral artery 3. Anterior communicating artery 4. Middle cerebral artery Mnemonic: Only Angry Ants March
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Branches Supplying the Eyes
Ophthalmic artery: Retina, optic nerve, extraocular muscles, eye socket structures
102
Branches Supplying the Cerebrum
Anterior cerebral artery: Medial and superior frontal lobe, superior parietal lobes Anterior communicating artery: Connects left and right anterior cerebral arteries Middle cerebral artery: Motor cortex, somatosensory cortex, Broca's area, and Wernicke's area
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Circle of Willis
Network of arteries, ventral brain - Anterior communicating artery - Internal carotid arteries - Posterior cerebral arteries - Posterior communicating arteries Collateral circulation
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Arteries of the Head and Neck
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Subclavian Arteries
Right subclavian - From brachiocephalic trunk - Supplies right upper limb, neck, and part of the brain Left subclavian - Third branch of aortic arch - Supplies left upper limbs, neck, and part of the brain
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Vertebral Arteries
Originate from subclavian arteries Supply posterior brain Enter skull through the foramen magnum Join to form the basilar artery
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Basilar Artery
Union of vertebral arteries - Supplies brainstem, cerebellum, and posterior brain Divides into posterior cerebral arteries - Supply occipital lobe and inferior temporal lobes
108
Posterior Communicating Artery
Connect posterior cerebral arteries to middle cerebral arteries Part of the Circle of Willis Alternative route for blood to brain
109
Thyrocervical Trunks
Branch of subclavian artery 1. Inferior thyroid artery: Thyroid, part of neck 2. Transverse cervical artery: Neck muscles and skin 3. Suprascapular artery: Shoulder and scapula
110
Costocervical Trunk
Branch of subclavian artery 1. Superior intercostal artery: First 2 intercostals 2. Deep cervical artery: Deep muscles of back
111
Arteries of the Thorax
1. Internal thoracic arteries: Intercostals, skin of anterior thoracic region 2. Anterior intercostal arteries: Intercostals, skin of anterior thoracic region 3. Posterior intercostal arteries: 9 pairs, posterior intercostals, skin, and pleura
112
Arteries of the Upper Limbs
1. Axillary artery 2. Brachial artery
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Branches of the Axillary Artery
1. Superior thoracic 2. Thoracoacromial artery 3. Lateral thoracic artery 4. Subscapular artery 5. Anterior circumflex humeral artery 6. Posterior circumflex humeral artery Mnemonic: Screw The Lawyer, Save A Patient
114
Branches of the Axillary Artery (First 3)
1. Superior thoracic: Upper chest, part of thorax 2. Thoracoacromial artery: Shoulder, pectoral region, chest, acromion 3. Lateral thoracic artery: Chest muscles, breast tissue
115
Branches of the Axillary Artery
4. Subscapular artery: Shoulder muscles, scapula 5. Anterior circumflex humeral artery: Shoulder joint, upper arm muscles (anterior) 5. Posterior circumflex humeral artery: Shoulder joint, upper arm muscles (posterior)
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Brachial Artery
Lower border of teres major, anterior arm 1. Deep brachial artery: Posterior arm muscles 2. Musculocutaneous artery: Anterior arm muscles
117
Branches of the Brachial Artery
1. Radial artery: Near elbow, along radius, supplies lateral forearm, wrist, hand, and fingers 2. Ulnar artery: Near elbow, along ulna, supplies medial forearm, wrist, hand, and fingers
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Branches of the Radial Artery
1. Superficial palmar branch: Palmar arch of the hand 2. Dorsal carpal branch: Posterior wrist and hand 3. Digital arteries: Thumb and index finger
119
Branches of the Ulnar Artery
1. Common interosseous artery: Forearm muscles - Anterior and posterior interosseous arteries 2. Palmar branches: Superficial and deep palmar arch of hand 3. Digital arteries: Digits 3-5
120
Arteries of the Abdominal Aorta
1. Celiac trunk 2. Superior mesenteric artery 3. Inferior mesenteric artery 4. Inferior phrenic arteries 5. Suprarenal arteries 6. Renal arteries 7. Gonadral arteries 8. Lumbar arteries 9. Common iliac arteries 10. Median sacral arteries Mnemonic: Curry Soup Is Incredibly Spicy, Really Good Leftovers Cooker Monthly
121
Unpaired Branches
Celiac trunk: Stomach, liver, spleen, pancreas, part of esophagus Superior mesenteric artery: Small and part of large intestine Inferior mesenteric artery: Distal large intestine
122
Paired Branches
Inferior phrenic arteries: Inferior diaphragm Suprarenal arteries: Adrenal glands Renal arteries: Kidneys Gonadal arteries: Testes and ovaries Lumbar arteries: Back muscles, fascia, vertebrae, intervertebral discs
123
Terminal Branches
Common iliac arteries: Pelvis and lower limbs Median sacral arteries: Sacrum and coccyx
124
Direct Major Branches of the Celiac Trunk
1. Common hepatic artery: Liver, gallbladder, stomach, proximal duodenum, part of pancreas 2. Left gastric artery: Lesser curvature of stomach, lower esophagus 3. Splenic artery: Spleen, part of pancreas, stomach
125
Branches of Common Hepatic Artery
Hepatic artery proper: Liver, gallbladder, stomach Gastroduodenal artery: Proximal duodenum, head of pancreas, greater curvature of stomach Right gastric artery: Lesser curvature of stomach
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Midline Branches of Digestive Tract
1. Superior Mesenteric Artery - Middle colic artery - Intestinal arteries - Right colic artery - Ileocolic artery 2. Inferior Mesenteric Artery - Left colic artery - Sigmoidal arteries - Superior rectal artery
127
Branches of Superior Mesenteric Artery
Middle colic artery: Proximal 2/3 transverse colon Right colic artery: Ascending colon Intestinal arteries: Jejunum and ileum Ileocolic artery: Termina ileum, cecum, appendix, and proximal ascending colon
128
Branches of Inferior Mesenteric Artery
Left colic artery: Distal 1/3 of transverse colon and descending colon Sigmoidal arteries: Sigmoid colon Superior rectal artery: Proximal rectum
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Superior and Inferior Mesenteric Arteries Diagram
130
Arteries of the Pelvis
Common Iliac Artery 1. Internal iliac arteries: Pelvic organs, pelvic wall, gluteal region 2. External iliac artery: Lower abdominal wall, inguinal region
131
Main Branches of the Internal Iliac Arteries
1. Superior gluteal artery: Gluteal muscles, hip joint 2. Inferior gluteal artery: Gluteus maximus, hamstrings, part of hip 3. Obturator artery: Obturator externus, thigh adductors, part of hip 4. Internal pudendal artery: External genitalia, perineum, anal canal
132
Additional Branches of Internal Iliac Arteries
Uterine artery: Uterus and cervix Vaginal artery: Vagina, pelvic diaphragm, part of rectum Vesical arteries: Urinary bladder Middle rectal artery: Rectum
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Arteries of the Thigh and Knee
1. Femoral artery: Main artery of thigh 2. Deep artery of thigh: Main blood supply to thigh 3. Obturator artery: Medial thigh, hip, and adductors 4. Popliteal artery: Knee
134
Branches from Deep Artery of Thigh
Lateral circumflex femoral artery: Later thigh and hip Medial circumflex femoral artery: Medial thigh and hip Descending branch of lateral circumflex femoral artery: Knee joint
135
Branches of Popliteal Artery
Anterior tibial artery: Anterior leg, dorsum of foot Posterior tibial artery: Posterior leg, sole of foot Genicular arteries: Group of arteries, supply knee joint
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Branch of Posterior Tibial Artery
Fibular artery: Deep, parallel to fibula, lateral leg
137
Tibial Artery Diagram
138
Dorsal Arteries of the Foot
Dorsalis pedis artery: Continuation of anterior tibial artery, contributes to plantar arch Arcuate artery: Branch of dorsal pedis artery Dorsal metatarsal arteries: Branch of arcuate artery Dorsal digital arteries: Branch of dorsal metatarsal arteries
139
Plantar of the Foot
Lateral plantar artery: Lateral sole, deep plantar arch Medial plantar artery: Medial sole, skin, muscles, and hallux Plantar arch: Branches into digital arteries
140
Diagram of Leg Arteries
141
Vein Features
Carry deoxygenated blood to the heart - Except pulmonary veins Thin walls, large lumen Valves prevent backflow
142
Main Systemic Veins
1. Superior vena cava 2. Inferior vena cava 3. Coronary sinus
143
Systemic Veins
Deep veins run near arteries, large diameter Superficial veins lie under the skin Networks of interconnected veins are called venous plexuses
144
Special Venous Drainage Patterns
1. Dural venous sinuses: Drain blood from the brain into internal jugular veins 2. Hepatic portal system: Directs blood from the digestive tract to the liver
145
Venae Cavae and Tributaries
Largest veins Superior vena cava (SVC): Drains blood above the diaphragm Inferior vena cava (IVC): Drains blood below the diaphragm Both empty into the right atrium Tributaries: Small veins that flow into larger ones
146
Body Veins Diagram
147
Dural Venous Sinuses
Specialized venous channels in dura mater Drain blood from the brain into internal jugular veins 1. Superior and inferior sagittal sinuses 2. Straight sinus 3. Transverse sinuses 4. Sigmoid sinus
148
Sagittal Sinuses
Superior sagittal sinus: Midline, drains cerebral veins and cerebrospinal fluid (CSF) Inferior sagittal sinus: Along lower falx cerebri, joins straight sinus
149
Other Key Venous Sinuses
Straight sinus: Formed by inferior sagittal sinus and great cerebral vein, drains into confluence of sinuses Transversen sinuses: Horizontal from confluence, drains into the sigmoid sinuses Sigmoid sinus: S-shaped, drains into the internal jugular vein
150
Cavernous Sinus
Base of brain near sphenoid bone Receives blood from... - Ophthalmic veins (Drains orbit) - Cerebral veins (Drains brain) - Facial veins (Drains superficial face)
151
Confluence of Sinuses
At internal occipital protuberance in posterior head Point where multiple sinuses converge - Superior sagittal sinus - Straight sinus - Occipital sinus - Transverse sinuses
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Veins of the Head
Superficial temporal vein: Drains scalp/lateral head to external jugular vein Occipital vein: Drains back of scalp/neck via external jugular vein Posterior auricular vein: Drains scalp/behind ear to external jugular vein
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Veins of the Neck and Chest
Vertebral vein: Drains cervical vertebrae, spinal cord, and neck muscles Superior and middle thyroid veins: Drains thyroid gland Brachiocephalic vein: Collects from the head, neck, upper limb, and chest Subclavian vein: Drains upper limb and chest wall
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Jugular Veins
Internal jugular veins: Drains brain, deep head and neck External jugular veins: Drains scalp, superficial head and neck to subclavian vein
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Veins of the Thorax
Azygos vein: Drains thoracic wall and right posterior abdomen into SVC Hemiazygos vein: Drains lower left thoracic wall into azygous vein Accessory hemiazygos vein: Drains upper left thoracic wall into azygous vein
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Veins of the Upper Limbs
Deep veins: Run alongside arteries - ie; Radial, ulnar, and brachial veins Superficial veins: 1. Cephalic vein 2. Basilic vein 3. Median cubital vein 4. Median vein of the forearm
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Key Superficial Veins
Cephalic vein: Lateral arm Basilic vein: Medial arm Median cubital vein: Connects cephalic and basilic veins at elbow Median vein of the forearm: Drains forearm
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Veins of the Upper Limbs
Axillary vein: Union of brachial and basilic veins, drains arm, axilla, and lateral thoracic wall into subclavian vein Deep palmar venous arch: Drains palm into radial and ulnar veins Superficial palmar venous arch: Drains skin of palm into cephalic and basilic veins Digital veins: Drains digits into palmar venous arches
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Tributaries of the Inferior Vena Cava
Collects deoxygenated blood to return to the heart Along right lumbar vertebrae Primary venous return from abdomen, pelvis, and lower body
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Major Tributaries from the Abdomen
Hepatic veins: Drain liver Renal veins: Drain kidneys Right and left suprarenal veins: Drain adrenal glands Inferior phrenic vein: Drain diaphragm
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Tributaries from the Pelvis and Lower Body
External iliac vein: Drains lower limbs Internal iliac vein: Drain pelvis Common iliac vein: Union of external and internal iliac veins, confluence to form IVC
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Additional Tributaries
Right gonadal vein: Drains testes or ovaries into IVC Left gonadal vein: Drains into left renal vein before IVC Lumbar veins: Drain posterior abdominal wall
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The Hepatic Portal System
Transports digested nutrients from the GI tract to the liver 2 capillary beds 1. Stomach and intestines (nutrients absorbed) 2. Liver sinusoids (nutrients processed)
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Haptic Portal Vein
Formed by junction of superior mesenteric vein and splenic vein Carries nutrient-rich blood to the liver - Blood detoxified Nutrients processed and stored
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Tributary Veins of Hepatic Portal Vein
Superior mesenteric vein: Drains small intestine, ascending and part of transverse colon Splenic vein: Drains spleen, pancreas, part of stomach Inferior mesenteric vein: Drains descending colon, sigmoid, rectum; joins splenic vein
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Other Veins of Hepatic Portal System
Gastric veins: Drains stomach into hepatic portal vein Right gastroepiploic vein: Drains greater curvature of the stomach to splenic vein then hepatic portal vein
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Veins of the Pelvis and Lower Limbs
Deep veins: Follow corresponding artery Superficial veins - Great saphenous vein: Drains thigh, medial lower leg, and foot into femoral vein Small saphenous vein: Drains posterior lower leg and foot into popliteal vein
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Veins of the Pelvis
Common iliac vein: Drain lower limb, pelvis and abdominal organs into IVC Internal iliac vein: Drains pelvis into common iliac vein External iliac vein: Drains lower limb into common iliac vein
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Veins of the Thigh
Femoral vein: Drains thigh, deep leg structures into external iliac vein Popliteal vein: Drains knee, lower leg, collects from small saphenous vein, empties into femoral vein
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Veins of the Leg
Fibular vein: Drains lateral lower leg into posterior tibial vein Anterior tibial vein: Drains anterior lower leg into popliteal vein Posterior tibial vein: Drains posterior lower leg into popliteal vein
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Dorsal Veins of the Ankle and Foot
Dorsalis pedis vein: Drains dorsum of foot/ankle into anterior tibial vein Dorsal venous arch: Drains dorsum into dorsalis pedis vein and great saphenous vein Dorsal metatarsal veins: Drain metatarsal region into dorsal venous arch
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Plantar Veins of the Ankle and Foot
Plantar veins: Drain plantar surface into posterior tibial vein and fibular vein Deep plantar arch: Drain deep plantar structures into posterior tibial vein Digital veins: Drain digits into plantar veins and dorsal venous arch
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Aneurysm
Abnormal bulge in artery wall - Weakness in vessel wall Life-threatening internal bleeding if ruptured Common sites: Abdominal aorta and cerebral arteries
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Deep Vein Thrombosis
Blood clot (embolus) forms in deep vein Can cause pulmonary embolism if it travels to lungs Most common in femoral and popliteal veins
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Varicose Veins
Swollen, twisted veins in legs Weakened or damaged valves - Backflow of blood Cause discomfort and swelling Most common in superficial veins
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Atherosclerosis
Fatty plaques build up in arteries Arteries narrow and harden - Restrict blood flow Leads to heart disease or stroke Most common in coronary and carotid arteries
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Hypertension
High blood pressure damages artery walls Can lead to heart disease or stroke Most common in coronary, carotid, and renal arteries