VESSELS: GROSS ANATOMY

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ACTIVITY 10: VESSELS AND CIRCULATION OBJECTIVES: 1) How to get ready: Read Chapter 23, McKinley et al., Human Anatomy, 4e. All text references are for this textbook. 2) Observe and sketch histology slide of an artery and a vein and identify structures on each. You can do this using your textbook or the laboratory PowerPoint BEFORE LAB. 3) Identify structures and vessels involved in pulmonary circulation on cadavers and classroom models. 4) Identify structures and vessels involved in systemic circulation (by region) on cadavers and classroom models. YOU MUST BRING GLOVES FOR THIS ACTIVITY. 5) Complete and study the four assigned blood traces. 6) Before next class: Preview Respiratory and Digestive terms lists from SLCC Anatomy Laboratory website or your printed laboratory manual and your textbook. VESSEL HISTOLOGY TABLE 1. MICROSCOPIC COMPARISON OF AN ARTERY AND A VEIN: Obtain a prepared slide or a photo demonstrating cross sections of an artery and a vein. Distinguish between an artery and a vein and identify the following structures. TEXTBOOK REFERENCE AND SKETCH artery described pp. 682-688 lumen fig. 23.1, 23.2, 23.3 table 23.1 tunica externa tunica media tunica intima vein lumen tunica externa tunica media tunica intima VESSELS: GROSS ANATOMY TABLE 2. PULMONARY CIRCULATION: Pulmonary circulation carries deoxygenated blood from the right ventricle of the heart through the pulmonary trunk, and ultimately to the capillary beds of the lungs, then carries oxygenated blood back through the pulmonary veins to the. TEXTBOOK REFERENCE AND NOTES right ventricle pp. 707, 710 pulmonary semilunar valve fig. 23.22 pulmonary trunk pulmonary arteries (left and right) pulmonary capillaries pulmonary veins (left and right)

SYSTEMIC CIRCULATION: Systemic circulation carries oxygenated blood from the left ventricle of the heart through the aorta, ultimately to the capillary beds of systemic body organs, then carries deoxygenated blood back to the right atrium. Note: Coronary arterial and venous circulation are also part of systemic circulation, and were covered in the last laboratory activity. TABLE 3. GENERAL BLOOD FLOW TO AND FROM THE HEART CHAMBERS ARTERIAL FLOW OUT OF THE HEART described, pp. 690-691 aorta ascending aorta aortic arch gives rise to all systemic arterial blood flow gives rise to left and right coronary arteries and supplies the heart muscle gives rise to brachiocephalic trunk, left common carotid artery, and left subclavian artery descending aorta descending thoracic aorta gives rise to remainder of systemic arterial flow descending abdominal aorta VENOUS RETURN TO THE HEART superior vena cava inferior vena cava coronary sinus returns blood from the head, neck, thorax, and upper limbs to the right atrium returns blood from the lower limbs, abdomen, and perineum to the right atrium returns blood from the heart muscle to the right atrium

TABLE 4. BLOOD FLOW THROUGH THE HEAD AND NECK ARTERIAL SUPPLY TO THE HEAD brachiocephalic artery (trunk) right common carotid artery right external carotid artery right internal carotid artery left common carotid artery left external carotid artery left internal carotid artery vertebral arteries (left and right) basilar artery cerebral arterial circle (or circle of Willis) VENOUS DRAINAGE OF THE HEAD dural venous sinuses superior sagittal sinus sigmoid sinus internal jugular veins (left and right) external jugular veins (left and right) brachiocephalic veins (left and right) superior vena cava vertebral veins (left and right) described, pp. 691 fig. 23.9, 23.10a & c, 23.11a supplies right side of head and right arm supplies right side of head and neck supplies structures external to skull, right side supplies internal skull structures and brain, right side supplies left side of head and neck supplies structures external to skull, left side supplies internal skull structures and brain, left side branches from subclavian arteries to supply more blood to brain formed from merging left and right vertebral arteries; supplies brain anastomosis of arteries supplying the brain in the sella turcica region described, pp. 695 fig. 23.10b & c, 23.11b large veins in the dura mater that drain the cranium superior to the longitudinal fissure drains into the internal jugular veins drain internal skull structures drain external skull structures formed by merging internal jugular veins and subclavian veins formed by merging brachiocephalic veins drain internal skull structures into the brachiocephalic veins

TABLE 5. BLOOD FLOW THROUGH THE VENTRAL BODY CAVITY ARTERIAL SUPPLY TO ABDOMINAL ORGANS celiac trunk (artery) splenic artery left gastric artery common hepatic artery hepatic artery proper hepatic arteries (right and left) right gastric artery gastroduodenal artery superior mesenteric artery renal arteries (left and right) gonadal arteries (left and right) inferior mesenteric artery VENOUS DRAINAGE OF THE ABDOMEN & CHEST azygos vein hemiazygos vein accessory hemiazygos vein hepatic veins renal veins (left and right) gonadal veins (left and right) described, pp. 699-701 fig. 23.12, 23.15, 23.17 supplies stomach, part of duodenum, liver, pancreas, spleen supplies most of small intestine and proximal large intestine supply kidneys supply ovaries or testes supplies most of the large intestine described pp. 697, 703 fig. 23.13, 23.14, 23.17 drains chest wall, ultimately into superior vena cava (SVC) drain kidneys into inferior vena cava (IVC) drains liver into IVC after hepatic portal circulation drains ovaries or testes into IVC or (left side) left renal vein HEPATIC PORTAL CIRCULATION: Venous drainage of most abdominal organs is a portal system -- two capillary beds in a series connected by a portal vein. Blood drained from the abdominal organs is processed in the liver s wide sinusoid capillaries before going back into systemic venous circulation. described pp. 701-702; fig. 23.16, 23.17 drains small intestine and part of large intestine into hepatic superior mesenteric vein portal vein drains most of large intestine into splenic vein, and then into inferior mesenteric vein hepatic portal vein splenic vein hepatic portal vein hepatic veins (left and right) drains spleen into the hepatic portal vein delivers venous blood from the above vessels to the sinusoid capillaries of the liver, before blood is processed and returned to hepatic veins and then the IVC drains venous blood from liver into IVC

TABLE 6. BLOOD FLOW THROUGH THE UPPER LIMB ARTERIAL SUPPLY TO UPPER LIMB (all vessels are paired) subclavian artery axillary artery brachial artery ulnar artery radial artery superficial palmar arch deep palmar arch digital arteries described, p. 703 fig. 23.19 recall, left and right subclavian arteries have different origins, and also give rise to vertebral arteries supplies shoulder region supplies arm supplies medial side of forearm and wrist supplies lateral side of forearm and wrist supplies superficial palm (formed by ulnar artery) supplies deep palm (formed by radial artery) supplies fingers (emerge from superficial and palmar arches) VENOUS DRAINAGE OF UPPER LIMB described, pp. 703, 707 fig. 23.19 Superficial Drainage (all vessels are paired, left and right) basilic vein drains superficial, medial side of upper limb, usually into axillary vein cephalic vein drains superficial, lateral side of upper limb, usually into axillary vein median cubital vein digital veins connects basilic and cephalic veins Deep Drainage (all vessels are paired, left and right, and some have two per side, as indicated) superficial palmar venous arch deep palmar venous arch radial veins (2) ulnar veins (2) brachial veins (2) axillary vein subclavian vein brachiocephalic vein drain fingers into superficial and deep palmar arches drain superficial palm into radial and ulnar veins drain deep palm into radial and ulnar veins drain deep, lateral side into brachial veins drain deep, medial side into brachial veins drains arm; merges with basilic vein to form axillary vein drains axillary region; becomes subclavian vein merges with internal jugular vein to form brachiocephalic vein merges with brachiocephalic vein from opposite side to form superior vena cava

TABLE 7. BLOOD FLOW THROUGH THE LOWER LIMB, PELVIS AND PERINEUM ARTERIAL SUPPLY TO THE LOWER LIMB, PELVIS AND PERINEUM (all vessels are paired) common iliac artery external iliac artery femoral artery popliteal artery anterior tibial artery posterior tibial artery fibular artery internal iliac artery VENOUS DRAINAGE OF LOWER LIMB (all vessels are paired) described p. 707 fig. 23.20 arises from the distal end of the descending abdominal aorta supplies thigh and hip and becomes femoral artery after passing through inguinal ligament supplies thigh and becomes popliteal artery supplies dorsal surface of knee and divides to form anterior and posterior tibial arteries supplies anterior compartment of leg supplies posterior compartment of leg and gives rise to fibular artery supplies lateral compartment of leg described p. 703 fig. 23.18, 23.20 supplies pelvis and perineum described p. 707 fig. 23.20 great saphenous vein Superficial Drainage (all vessels are paired) drains superficial, medial side of lower limb into femoral vein drains lateral aspect of foot and posterior aspect of leg into small saphenous vein popliteal vein Deep Drainage (all vessels are paired, left and right left and right, and some have two per side, as indicated) anterior tibial veins (2) posterior tibial vein (2) fibular veins (2) popliteal vein femoral vein external iliac vein internal iliac vein common iliac vein drains anterior compartment of leg drains posterior compartment of leg drains lateral compartment of leg into posterior tibial veins drains knee; formed from the merger of anterior and posterior tibial veins drains thigh into external iliac vein drains thigh and hip drains pelvis and perineum formed from uniting internal and external iliac veins; merges with common iliac vein from opposite side to become inferior vena cava

BLOOD TRACE WORKSHEETS Student instructions: A valuable exercise enabling you to understand how blood flows through the cardiovascular system is to trace a few of the routes a red blood cell would take in its journey through the body. In this exercise you will identify the missing structures in each of the four traces provided for you. It is crucial that you avoid the temptation to get the answers from other students for two reasons: First, other students might make mistakes, which you likely wouldn t recognize if you simply copied from them. Second, the best way to learn these routes is to work through them yourself. Use the arterial and venous system flowchart handouts from the lab website and the figures in your textbook (in chapters 22 and 23) as guides to help you fill in the blanks. If you get stuck, or don t know where to begin, ask an instructor for assistance. The first trace is more completely filled in to give you an idea of how to proceed. Figure 23.9 is very helpful to give to a general idea of how to complete a blood trace. A few more directions: - You only need to name the arteries and veins listed on your terms lists from your laboratory manual. - Each trace should begin and end with the of the heart. - Name all of the valves of the heart as they are encountered along the trace. - Include a capillary bed in the target tissue, and another in the lungs, in the trace. - On the traces to the wrist and ankle, name the superficial veins used on the return route to the heart. Do not be intimidated these aren t difficult once you get the idea! One of these traces will be on the final laboratory practical exam. The trace will be provided with blanks for you to fill in.

Trace 1: From heart to medial side left wrist and back to heart. Use superficial veins in return to heart, then to lungs and back to heart: aorta left axillary artery left ulnar artery capillary bed on medial side of the left wrist left axillary vein right atrium pulmonary semilunar valve pulmonary capillary bed Trace 2: From heart to liver, delivering oxygenated blood to liver, back to heart, then to lungs and back to heart: capillary bed in liver (hepatic sinusoid) right atrium

Trace 3: From heart to anterior side of right ankle and back to heart. Use the superficial route in leg on return to heart, then to lungs and back to heart: right femoral artery right atrium Trace 4: From the heart to the distal part of the large intestine (sigmoid colon), and back to the heart, then to the lungs and back to the heart: right atrium