Anatomy LE 1: Upper Limb Blood Supply and Venous and Lymphatic Drainage
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Questions and Answers

What is the first blood vessel that the blood will encounter from the left side of the heart?

  • Left subclavian artery
  • Aorta (correct)
  • Left common carotid
  • Brachiocephalic trunk
  • How many branches does the aortic arch separate into?

  • Two
  • Five
  • Four
  • Three (correct)
  • What does the brachiocephalic trunk separate into?

  • Left subclavian artery and right common carotid
  • Right common carotid and right subclavian artery (correct)
  • Right subclavian artery and left common carotid
  • Left common carotid and left subclavian artery
  • What is the direction of the subclavian artery as it exits the thoracic inlet?

    <p>Laterally</p> Signup and view all the answers

    What does the subclavian artery give off for the head, neck, and scapular regions?

    <p>Several branches</p> Signup and view all the answers

    What is the origin of the right subclavian artery?

    <p>Brachiocephalic artery</p> Signup and view all the answers

    What is the origin of the left subclavian artery?

    <p>Aortic arch</p> Signup and view all the answers

    What is the axial artery that supplies the upper limb?

    <p>Axillary artery</p> Signup and view all the answers

    At which border of the 1st rib does the axillary artery begin?

    <p>Lateral</p> Signup and view all the answers

    What is the name of the muscle that crosses the axillary artery anteriorly?

    <p>Pectoralis minor</p> Signup and view all the answers

    Which part of the body does the axillary artery supply blood to?

    <p>Shoulder and scapula</p> Signup and view all the answers

    At which border of the teres major muscle does the axillary artery continue as the brachial artery?

    <p>Inferior</p> Signup and view all the answers

    What is the name of the sheath that encloses the axillary artery?

    <p>Axillary sheath</p> Signup and view all the answers

    How many branches does the axillary artery have?

    <p>Six</p> Signup and view all the answers

    What is the name of the branch of the axillary artery that supplies the first and second intercostal spaces?

    <p>Superior thoracic artery</p> Signup and view all the answers

    Which structure is medial to the pectoralis major and pectoralis minor?

    <p>Axillary artery</p> Signup and view all the answers

    Where does the ulnar artery begin?

    <p>In the cubital fossa at the level of the neck of the radius</p> Signup and view all the answers

    What is the main function of the axillary artery?

    <p>To supply the upper limb</p> Signup and view all the answers

    How many main branches does the axillary artery give off?

    <p>6 main branches</p> Signup and view all the answers

    Where does the radial artery descend?

    <p>Downward and laterally</p> Signup and view all the answers

    Which branch of the axillary artery gives off the clavicular, acromial, deltoid, and pectoral arteries?

    <p>Thoracoacromial artery</p> Signup and view all the answers

    What is the name of the branch that anastomoses with the radial collateral artery?

    <p>Radial recurrent branch</p> Signup and view all the answers

    Where does the radial artery end?

    <p>In the dorsum of the hand</p> Signup and view all the answers

    What is the continuation of the axillary artery beyond the lower border of the teres major muscle?

    <p>Brachial artery</p> Signup and view all the answers

    What does the brachial artery give off before dividing into the radial and ulnar arteries?

    <p>A deep branch and a collateral branch</p> Signup and view all the answers

    What is the name of the artery that trifurcates to form anterior, posterior, and recurrent branches?

    <p>Interosseous artery</p> Signup and view all the answers

    Where does the brachial artery terminate?

    <p>At the neck of the radius</p> Signup and view all the answers

    At what level does the brachial artery split into two?

    <p>At the level of the neck of the radius</p> Signup and view all the answers

    What is the location of the brachial artery in relation to surrounding structures?

    <p>Superficial to the surrounding structures</p> Signup and view all the answers

    What is the name of the arch formed by the anastomosis of the ulnar artery and the superficial palmar branch of the radial artery?

    <p>Superficial palmar arch</p> Signup and view all the answers

    What is the function of the arterial anastomosis of the elbow?

    <p>To supply blood to the upper limb</p> Signup and view all the answers

    Where are superficial veins located?

    <p>Immediately beneath the skin, in the superficial fascia</p> Signup and view all the answers

    What is another name for the deep veins that accompany arteries?

    <p>Venae Comitantes</p> Signup and view all the answers

    What is the name of the arch that supplies blood to the small, ring, middle, and medial side of the index finger?

    <p>Superficial Palmar Arch</p> Signup and view all the answers

    Which artery supplies blood to the lateral side of the index finger?

    <p>Radialis Indicis</p> Signup and view all the answers

    What is the name of the vein that arises from the lateral end of the dorsal venous arch of the hand?

    <p>Cephalic Vein</p> Signup and view all the answers

    Where is the dorsal venous arch located?

    <p>On the dorsum of the hand, in the subcutaneous tissue proximal to the metacarpophalangeal joints</p> Signup and view all the answers

    What is the purpose of the dorsal venous arch?

    <p>To drain blood from the digits</p> Signup and view all the answers

    How many digits are supplied by the princeps pollicis artery?

    <p>1 and ½ digits</p> Signup and view all the answers

    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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