1.
_____ ligaments support breast from Deep Fascia: Suspensory (Coopers) Ligaments
2.
_______ vein connects Basilic and Cephalic in the cubital fossa and is the common site of Veinipuncture: Cubital Fossa
3.
4 methods of cooling: Convection
Conduction
Radiation
Evaporation
4.
Arteries of the Upper Limb: This artery is between the Anterior and Middle Scalenes: Subclavian
5.
Artery from the lateral part of first Rib to Lower edge of Teres Major: Axillary
6.
Basilic: -Superficial Vein
-Anteromedial Forearm
-Penetrates Medial side of arm
7.
Basilic Vein Converges with ___ to form ____: Deep Veins; Axillary Vein
8.
Basilic Vein: Location: -Along Medial Forearm and arm
9.
Brachial Artery Divides near ____ into the __ &___: Elbow ; Radial & Ulnar
*Branching can occur near Axilla
10.
Branches from the _____ and ____ artery Anastomose around the Scapula: Subclavian; Axillary
11.
Branches of the Subclavian and Axillary Artery include:: Dorsal Scapular Artery
Suprascapular Artery
Circumflex Artery
12.
Cepahlic Vein: location: -Along Lateral forearm and arm
13.
Cephalic Vein: -Superficial Vein
-Anterolateral forearm
-Over Biceps
-Between Deltoid and Pectoralis Major
14.
Cephalic Vein: Drains into: Subclavian Vein in Clavipectoral Triangle
15.
Cervical Ribs (0.5% - 1% of population): Nerves stretching over rib can cause compression
16.
Circumflex Scapular Artery: Medial Triangular Space
17.
Cubital Fossa: Triangular Space bordered by: -Pronator Teres
-Brachioradialis
-Line connecting Medial Epicondyles of Humerus
18.
Deep Veins include the: Venae Comitantes
19.
Digital Nerve Block: -Anesthetic is injected on either side of the affected digit to numb all branches of the digital nerves
*Never use Epinephrine (Adrenaline) containing anesthetics
20.
Dorsal Scapular Artery: Vertebral Border of Scapula
21.
Effect: If Axillary Artery is occluded ... .: Blood is shunted from Subclavian Artery to distal axillary artery by reverse flow in circumflex scapular/ subscapular Arteries
22.
In Systemic Infections such as the flu ____lymph nodes enlarge: Axillary
23.
In the Mammory Glands _____ drain milk into ____: Lactiferous Ducts; Lactiferous Sinuses
24.
Lymph Fluid: -Usually clear in color, but may turn yellow after a meal
-Contains Lymphocytes (2,000 -20,000/mm)
-Contains clotting factors
25.
Lymphatic Capillaries: -Recover excess fluid from Interstitium in the extremities
-Transport Lymph thru Lymph nodes
26.
Lymphatic Channels carry Lymph (and cancer cells) from breast to nodes in four local regions: Pectoral nodes in Axilla (*most common site of Metastasis)
Opposite Breast
Parasternal Nodes
Abdominal Nodes
27.
Lymphatics follow ______ and _____ and drain into the Venous System: Superficial Veins ; Deep Arteries
28.
Mammory Glands:: -15-20 lobes
-Modified Sweat Glands
-Embedded in Adipose Tissue
29.
Median Cubital: -Superficial Vein
-Communicating Vein between Cephalic and Basilic vv.
-Venipuncture can be done in any of these superficial veins
30.
Neurovascular Compression Syndrome AKA: Thoracic Outlet Syndrome: Compression of Brachial Plexus and Blood Vessels at Three Possible Locations
31.
Organized Lymph Tissues:: Spleen
Thymus
Tonsils
Appendix
Lymphoid Tissue in GI & Pulmonary Systems
Liver
Lymph Nodes
32.
Palmar Arches branch into: -Metacarpal, Common ,& Proper Digital Arteries paralleling the cutaneous nerves
Nerves and Blood vessels run along sides of digits ( need to know this for minor surgery*
33.
Profunda Brachii: Follows Radial Nerve in Posterior Arm
34.
Radial Artery: -Site for taking pulse on anterior styloid process of Radius
-Deep Palmar Arch: Radial Artery passes through Anatomical Snuffbox and around first Metacarpal to enter Palm
-Anastamoses with branch off Ulnar Artery
35.
Structures in the Cubital Fossa (4x): Superficial Veins
Median & Radial Nerves
Brachial Artery
Biceps Tendon
36.
Superficial Veins: Cephalic
Basilic
Median Cubital
37.
Superficial Veins cont: Palmar Veins converge to form: Cephalic and Basilic Veins
38.
Suprascapular Artery: Supra/Infraspinous Fossa
39.
The LYMPHATIC System has 3 main components: 1. Organized Lymph Tissue
2. Collecting Ducts
3. Lymph Fluid
40.
The test to check for Thoracic Outlet Syndrome is called: The Allen Test
-pt's arm is Abducted and externally rotated
-pt is instructed to turn head away from affected arm and inhale deeply
-Radial pulse is monitored to see if it's diminished by this manuver
41.
The three possible locations of Brachial Plexus and Blood Vessel Compressions in Neurovascular Compression Syndrome (AKA Thoracic Outlet Syndrome): Scalenes
Costoclavicular
Pectoralis Minor
42.
Thermoregulation: To CONSERVE heat, blood is shunted: -Centrally thru Venae Comitantes
*Counter-Current Exchange
43.
Thermoregulation: To LOSE heat, blood is shunted to: Superficial Veins
-Radiation of heat as Infrared
-Convection of air around skin causes heat loss
44.
This Artery extends from Teres Major down to Bifurcation of Radial and Ulnar Arteries: Brachial
45.
This Artery is where Pulses are often taken (both conventional and TCM) as well as ABG's: Radial
(?? Ulnar, Deep and Superficial Palmar Arches, Digital Arteries)
46.
Ulnar Artery: - Through Tunnel of Guyon
-Superficial Palmar Arch: Artery forms arch to anastomose with branch off Radial Artery
47.
Venae Comitantes is also an alternate course for: Venous Return to the heart ; used for THERMOREGULATION
48.
Venae Comitantes:Paired veins which accompany the major arteries of: Radial, Ulnar, Brachial, ect
49.
Why should you be a Lymphomaniac?: The Lymphatic System is our Friend!
-Maintains Fluid Balance
-Draws Waste Products Away from Tissues
-Important Aspect of Our Immune System
-Vital to our Absorption of Nutrients
