Podcast
Questions and Answers
What is the first blood vessel that the blood will encounter from the left side of the heart?
What is the first blood vessel that the blood will encounter from the left side of the heart?
How many branches does the aortic arch separate into?
How many branches does the aortic arch separate into?
What does the brachiocephalic trunk separate into?
What does the brachiocephalic trunk separate into?
What is the direction of the subclavian artery as it exits the thoracic inlet?
What is the direction of the subclavian artery as it exits the thoracic inlet?
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What does the subclavian artery give off for the head, neck, and scapular regions?
What does the subclavian artery give off for the head, neck, and scapular regions?
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What is the origin of the right subclavian artery?
What is the origin of the right subclavian artery?
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What is the origin of the left subclavian artery?
What is the origin of the left subclavian artery?
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What is the axial artery that supplies the upper limb?
What is the axial artery that supplies the upper limb?
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At which border of the 1st rib does the axillary artery begin?
At which border of the 1st rib does the axillary artery begin?
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What is the name of the muscle that crosses the axillary artery anteriorly?
What is the name of the muscle that crosses the axillary artery anteriorly?
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Which part of the body does the axillary artery supply blood to?
Which part of the body does the axillary artery supply blood to?
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At which border of the teres major muscle does the axillary artery continue as the brachial artery?
At which border of the teres major muscle does the axillary artery continue as the brachial artery?
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What is the name of the sheath that encloses the axillary artery?
What is the name of the sheath that encloses the axillary artery?
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How many branches does the axillary artery have?
How many branches does the axillary artery have?
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What is the name of the branch of the axillary artery that supplies the first and second intercostal spaces?
What is the name of the branch of the axillary artery that supplies the first and second intercostal spaces?
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Which structure is medial to the pectoralis major and pectoralis minor?
Which structure is medial to the pectoralis major and pectoralis minor?
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Where does the ulnar artery begin?
Where does the ulnar artery begin?
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What is the main function of the axillary artery?
What is the main function of the axillary artery?
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How many main branches does the axillary artery give off?
How many main branches does the axillary artery give off?
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Where does the radial artery descend?
Where does the radial artery descend?
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Which branch of the axillary artery gives off the clavicular, acromial, deltoid, and pectoral arteries?
Which branch of the axillary artery gives off the clavicular, acromial, deltoid, and pectoral arteries?
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What is the name of the branch that anastomoses with the radial collateral artery?
What is the name of the branch that anastomoses with the radial collateral artery?
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Where does the radial artery end?
Where does the radial artery end?
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What is the continuation of the axillary artery beyond the lower border of the teres major muscle?
What is the continuation of the axillary artery beyond the lower border of the teres major muscle?
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What does the brachial artery give off before dividing into the radial and ulnar arteries?
What does the brachial artery give off before dividing into the radial and ulnar arteries?
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What is the name of the artery that trifurcates to form anterior, posterior, and recurrent branches?
What is the name of the artery that trifurcates to form anterior, posterior, and recurrent branches?
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Where does the brachial artery terminate?
Where does the brachial artery terminate?
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At what level does the brachial artery split into two?
At what level does the brachial artery split into two?
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What is the location of the brachial artery in relation to surrounding structures?
What is the location of the brachial artery in relation to surrounding structures?
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What is the name of the arch formed by the anastomosis of the ulnar artery and the superficial palmar branch of the radial artery?
What is the name of the arch formed by the anastomosis of the ulnar artery and the superficial palmar branch of the radial artery?
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What is the function of the arterial anastomosis of the elbow?
What is the function of the arterial anastomosis of the elbow?
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Where are superficial veins located?
Where are superficial veins located?
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What is another name for the deep veins that accompany arteries?
What is another name for the deep veins that accompany arteries?
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What is the name of the arch that supplies blood to the small, ring, middle, and medial side of the index finger?
What is the name of the arch that supplies blood to the small, ring, middle, and medial side of the index finger?
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Which artery supplies blood to the lateral side of the index finger?
Which artery supplies blood to the lateral side of the index finger?
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What is the name of the vein that arises from the lateral end of the dorsal venous arch of the hand?
What is the name of the vein that arises from the lateral end of the dorsal venous arch of the hand?
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Where is the dorsal venous arch located?
Where is the dorsal venous arch located?
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What is the purpose of the dorsal venous arch?
What is the purpose of the dorsal venous arch?
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How many digits are supplied by the princeps pollicis artery?
How many digits are supplied by the princeps pollicis artery?
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Study Notes
Arterial Supply of the Upper Limb
- The aorta is the first blood vessel on the left side of the heart, which branches into three parts: brachiocephalic trunk, left common carotid, and left subclavian artery
- The brachiocephalic trunk separates into right common carotid and right subclavian artery
- The subclavian artery ascends laterally, exiting the thoracic inlet, and crosses posteriorly to the anterior scalene muscles, giving off several branches for the head, neck, and scapular regions
Axillary Artery
- The axillary artery begins at the lateral border of the 1st rib as a continuation of the subclavian artery
- It continues as the brachial artery at the inferior border of the teres major muscle
- The axillary artery is enclosed within an axillary sheath and is crossed anteriorly by the pectoralis minor muscle, dividing it into three parts
- It supplies blood to the shoulder and scapula
Branches of the Axillary Artery
- Anteriorly, it supplies the pectoralis major muscle
- Laterally, it supplies the cords of the brachial plexus
- One branch: Superior (Highest) thoracic artery, which supplies the first and second intercostal spaces and the superior part of the serratus anterior
Brachial Artery
- The brachial artery is a continuation of the axillary artery at the lower border of the teres major muscle
- It gives off a deep branch and a collateral branch, supplying the arterial anastomosis of the elbow before dividing into radial and ulnar arteries
- It terminates opposite the neck of the radius by dividing into the radial and ulnar arteries
Radial and Ulnar Arteries
- The radial artery begins in the cubital fossa at the level of the neck of the radius and descends downward and laterally
- It leaves the forearm by winding around the lateral aspect of the wrist to reach the dorsum of the hand
- The ulnar artery is the larger of the two terminal branches of the brachial artery and lies anterior to the ulnar head
- It descends through the anterior compartment of the forearm and ends by forming the superficial palmar arch, anastomosing with the superficial palmar branch of the radial artery
Venous Drainage
- Superficial veins are placed immediately beneath the skin, in the superficial fascia
- Deep veins accompany arteries and are typically named similarly to the artery they are in close proximity to
- The superficial palmar arch is more distal than the deep palmar arch
- The proper palmar digital arteries of the superficial palmar arch supply blood to the small, ring, middle, and medial side of the index finger (3 and ½ digits)
- The radialis indicis supplies blood to the lateral side of the index finger, while the princeps pollicis artery supplies blood to the thumb (1 and ½ digits)
Dorsal Venous Arch (Network)
- Composed of dorsal digital veins that drain into dorsal metacarpal veins
- Lies on the dorsum of the hand, in the subcutaneous tissue proximal to the metacarpophalangeal joints
- Venous drainage begins with the dorsal venous arch receiving blood from the digits and drains into the cephalic vein laterally (radial side), and basilic vein medially (ulnar side)
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