AP 2 LAB 4

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University of California, Berkeley *

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102

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Medicine

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Nov 24, 2024

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pdf

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4

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Key Terms ● Arteries\ Conducting arteries-aorta large arteries that exit from heart. These arteries have ability to expand as heart beats because they have elastic tissue. Atherosclerosis stiffens arteries since they lose elastic tissue which increases BP which could lead to aneurysm (weak point in blood vessel/artery where the thin-walled area could weaken and rupture leading to death or stroke) Distributing arteries-direct branches from conducting arteries can also be called medium or muscular arteries. Have thick muscular wall which can have up to 40 layers of smooth muscle in order to withstand bp. Muscular wall makes up 75% of wall. Ex. brachial, femoral artery/ Resistance arteries-small arteries that are very numerous which branch into metarterioles that link blood into capillaries. Capillaries-thin walled, exchange of nutrients and gasses to supply muscles and organs. ● Veins Afferent, carry de-O2 blood besides pulm vein. Resting person-approx 11% of blood is in systemic arteries and 54% is in veins. Veins are lower in BP since they’re farther from heart. Veins follow opposite mapping circuit since they go from small veins->larger veins. Post-capillary venules-small veins called venules which lead to larger but still small muscular venules which lead to medium veins-drain blood from muscles and organs out of body. Contain valves-enfoldings of tissue that extend into lumen of vein and point upwards towards heart. Skeletal muscles surrounding veins help pump blood up venous system. Muscles in calf push blood up valve which will shut inferior valve to prevent backflow of blood known as skeletal muscle pump. Improper pumping can lead to varicose veins. Medium veins go to venous sinuses-large vessels with thin walls but large lumens such as coronary sinus of heart. Dural sinuses of brain is another example. Large veins-superior and inferior vena cava that brings blood directly to heart ● Afferent Veins. Carry blood toward heart ● Efferent Arteries. Carry blood away from heart ● Capacitance Vessels Veins. Since they hold large amounts of blood and can stretch easily than arteries. Have thin flaccid walls. ● Superior/Inferior Vena Cava ● Ascending Aorta ● Descending Aorta ● Right/Left Coronary Arteries and Sinus Coronary sinus dumps into right atrium after getting DE-O2 blood from coronary capillaries. ● Aortic Arch Leads to descending aorta, AArch includes right brachiocepahlic, left common carotid, left subclavian ● Thoracic Aorta In chest cavity
● Abdominal Aorta In abdominal cavity ● Right /Left Brachiocephalic Arteries 14:25 RBCepahlic branch leads to right subclavian and right vertebral Can lead to right common carotid which goes into right internal and right external carotid. ● Right/Left Common Carotid Arteries Left common carotid branches into left external and left internal carotid. ● Right/Left Subclavian Arteries Right subclavian turns into right axillary to deliver blood to right arm. Left subclavian branches to left vertebral and left axillary. ● Right/Left Vertebral Arteries Right vertebral artery and left vertebral artery travel through cervical vert to merge into basilar artery ● Basilar Artery Leads to circle of willis ● Circle of Willis Circle arterial pathway in brain to feed brain tissue with blood, provides collateral/alternative blood routes in case of blockage After brain, blood drains into venous sinuses ● Internal Jugular Vein After venous sinuses and then into brachiocephalic vein ● Brachiocephalic Veins Goes into superior vena cava and then into heart ● Vertebral Vein Posterior drainage of brain, leads to subclaviajn bran ● Subclavian Vein Leads to brachiocephalic before sup vena cava and then heart ● Right/Left Internal Carotid Arteries Leads into circle of willis ● Right/Left External Carotid Arteries Supplies blood to face and scalp ● Right/Left Axillary Arteries Left ax-supplies left arm Right axillary leads to right brachial artery. Brachial artery divides into brachial and ulnar artery. ● Radial Artery & Vein ● Ulnar Artery & Vein ● Superficial Palmar Arch Networks of arteries to supply hand with blood ● Deep Palmar Arch ● Superficial Venous Palmar Arch ● Deep Venous Palmar Arch ● Anastomosis
● Common Palmar Digital Digital Arteries Supply fingers with blood ● Proper Palmar Digital Arteries ● Digital Veins ● Cephalic Vein ● Basilic Vein ● Median Cubital Vein Small vein across crease of elbow, common with blood draws. Allows blocked cephalic vein to drain into basilic vein ● Axillary Vein Shoulder, dumps into subclavian vein, into brachiocephalic vein which enters into superior vena cava into right atrium of heart. Descending aorta goes to common iliac artery (two branches) ● External Iliac Artery & Vein Branch that feeds leg from Common iliac artery ● Internal Iliac Artery & Vein Feeds into abdominal viscera and pelvic viscera and provides blood flow to pelvic organs ● Femoral Artery External iliac artery named this, when it hits knee is renamed popliteal artery ● Popliteal Artery Divides intoi ant and post tibial artery ● Anterior Tibial Artery & Vein Branches into numerous arteries of foot ● Posterior Tibial Artery & Vein ● Great Saphenous Vein Come upwards and dumps blood to femoral vein. Ant tibial and post tibial vein goes to popliteal vein and then into femoral vein and then into external iliac vein and then into common iliac vein and then inferior vena cava and then heart. Most commonly used for bypasses. Easily accessible and strong. ● Pericardial Arteries & Veins Come off thoracic aorta ● Bronchial Artery & Vein Also off thoracic aorta, supplies bronchial tubes, lungs, and esophagus. ● Esophageal Artery & Vein Also off thoracic aorta, supplies esophagus with blood ● Mediastinal Artery & Vein Off t. Aorta, Supplies mediastinum with blood ● Posterior Intercostal/Subcostal Arteries & Veins Off thoracic aorta, supplies intercostal and pectoral muscles. ● Superior Phrenic Artery Last artery off thoracic aorta, supplies blood to diaphragm Venous drainage off above diaphragm. Left side and right side drainage of venous blood is different.
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● Azygos Vein Where all veins converge, right side of aorta, drains into superior vena cava. ● Hemiazygos Vein Differs because this is present in left side and not right side drainage. Then goes into azygos vein. ● Celiac Artery Off abd aorta, supplies esophagus, stomach, liver, pancreas, spleen, duodenum ● Superior Mesenteric Artery & vein Sup artery supplies s. Intestine, pancreas, cecum, ascending colon, right transverse colon ● Suprarenal Arteries & Vein Leads to adrenal glands, sit on top of kidneys ● Renal Arteries & Veins Supply kidneys ● Gonadal Arteries & Veins Supply gonads ● Inferior Mesenteric Artery & Vein Supplies left transverse colon, descending and sigmoid colon, and rectum ● Lumbar Artery SUpplies spinal cord, meninges, lumbar region of back ● Common Iliac Artery Left and right. ● Internal Iliac Artery & Vein Branches from common iliac artery. Supplies uterus, vagina, bladder, vas deferns, and prostate ● External Iliac Artery Off common iliac artery, branches lower extremities ● Middle Sacral Artery Off abd aorta, supplies sacrum, coccyx, rectum, gluteal muscles ● Splenic Vein Spleen, pancreas, stomach part of colon ● Hepatic Portal Vein Where superior and mesenteric veins enter ● Hepatic Vein Goes into inf vena cava