ARTERIAL - UPPER EXTREMITY ANATOMY AND EVALUATION

bovine arch

2 direct branches off the arch

most common anatomic variant of the arch

bovine arch

complications w double aortic arch

compresses the anterior aspect of the trachea and posterior aspect of the esophagus

complications w pulmonary sling

compresses the anterior aspect of the trachea and posterior aspect of the esophagus

branches of subclavian

• vertebral

• internal mammary (internal thoracic)

• thyrocervical and costocervical trunks

t/f: a thrill in a hemodialysis graft is a normal finding

true

what can indicate occlusion in a hemodialysis graft

loss of thrill

water hammer pulse is associated with

an occluded graft

wrist/brachial index is calculated by

highest wrist / highest brachial

abnormal finger/brachial index

under .8

pressure difference of _____ mmHg between digits indicates disease

>15

reduced pressure in the digits on one side of the hand indicates

palmar arch disease

reduction in pressure of all the digits indicates disease in

radial and ulnar arteries or palmar arch

right aortic arch w aberrant left subclavian artery and left aortic arch w aberrant right subclavian artery can both cause

compression of the esophagus

the radial artery terminates into the _____ and the ulnar artery terminates into the _____

deep palmar arch, superficial palmar arch

for photoplethysmography, the patient should be in what position

sitting upright