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Femoral Artery
The femoral artery is a large artery in the thigh and the main arterial supply to the thigh and leg. The femoral artery gives off the deep femoral artery or profunda femoris artery and descends along the anteromedial part of the thigh in the femoral triangle. It enters and passes through the adductor canal, and becomes the popliteal artery as it passes through the adductor hiatus in the adductor magnus near the junction of the middle and distal thirds of the thigh. Structure The femoral artery enters the thigh from behind the inguinal ligament as the continuation of the external iliac artery. Here, it lies midway between the anterior superior iliac spine and the symphysis pubis (Mid-inguinal point). Segments In clinical parlance, the femoral artery has the following segments: *The common femoral artery (CFA) is the segment of the femoral artery between the inferior margin of the inguinal ligament and the branching point of the deep femoral artery/profunda femoris artery ...
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Deep Femoral Artery
The deep artery of the thigh, (profunda femoris artery or deep femoral artery) is a large branch of the femoral artery. It travels more deeply (posteriorly) than the rest of the femoral artery. Structure The deep artery of the thigh branches off the posterolateral side of the femoral artery soon after its origin. It travels down the thigh closer to the femur than the femoral artery. It runs between the pectineus muscle and the adductor longus muscle. It runs on the posterior side of adductor longus muscle. It pierces the adductor magnus muscle, and may be known as the fourth perforating artery as it continues. The deep femoral artery does not leave the thigh. Branches The deep artery of the thigh gives off the following branches: * Lateral circumflex femoral artery. * Medial circumflex femoral artery. * 3 Perforating arteries - perforate the adductor magnus muscle to the posterior and medial compartments of the thigh to connect with the branches of the popliteal artery behin ...
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Profunda Femoris Artery
The deep artery of the thigh, (profunda femoris artery or deep femoral artery) is a large branch of the femoral artery. It travels more deeply (posteriorly) than the rest of the femoral artery. Structure The deep artery of the thigh branches off the posterolateral side of the femoral artery soon after its origin. It travels down the thigh closer to the femur than the femoral artery. It runs between the pectineus muscle and the adductor longus muscle. It runs on the posterior side of adductor longus muscle. It pierces the adductor magnus muscle, and may be known as the Perforating arteries, fourth perforating artery as it continues. The deep femoral artery does not leave the thigh. Branches The deep artery of the thigh gives off the following branches: * Lateral circumflex femoral artery. * Medial circumflex femoral artery. * 3 Perforating arteries - perforate the adductor magnus muscle to the posterior and medial fascial compartment, compartments of the thigh to connect with the ...
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External Iliac Artery
The external iliac arteries are two major arteries which bifurcate off the common iliac arteries anterior to the sacroiliac joint of the pelvis. Structure The external iliac artery arises from the bifurcation of the common iliac artery. They proceed anterior and inferior along the medial border of the psoas major muscles. They exit the pelvic girdle posterior and inferior to the inguinal ligament. This occurs about one third laterally from the insertion point of the inguinal ligament on the pubic tubercle. At this point they are referred to as the femoral arteries. Branches Function The external iliac artery provides the main blood supply to the legs. It passes down along the brim of the pelvis and gives off two large branches - the "inferior epigastric artery" and a "deep circumflex artery." These vessels supply blood to the muscles and skin in the lower abdominal wall. The external iliac artery passes beneath the inguinal ligament in the lower part of the abdomen ...
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Anterior Superior Iliac Spine
The anterior superior iliac spine (abbreviated: ASIS) is a bony projection of the iliac bone, and an important landmark of surface anatomy. It refers to the anterior extremity of the iliac crest of the pelvis. It provides attachment for the inguinal ligament, and the sartorius muscle. The tensor fasciae latae muscle attaches to the lateral aspect of the superior anterior iliac spine, and also about 5  cm away at the iliac tubercle. Structure The anterior superior iliac spine refers to the anterior extremity of the iliac crest of the pelvis. This is a key surface landmark, and easily palpated. It provides attachment for the inguinal ligament, the sartorius muscle, and the tensor fasciae latae muscle. A variety of structures lie close to the anterior superior iliac spine, including the subcostal nerve, the femoral artery (which passes between it and the pubic symphysis), and the iliohypogastric nerve. Clinical significance The anterior superior iliac spine prov ...
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Popliteal Fossa
The popliteal fossa (also referred to as hough, .html" ;"title="/sup>">/sup> or kneepit in analogy to the cubital fossa) is a shallow depression located at the back of the knee joint. The bones of the popliteal fossa are the femur and the tibia. Like other flexion surfaces of large joints (groin, armpit, cubital fossa and essentially the anterior part of the neck), it is an area where blood vessels and nerves pass relatively superficially, and with an increased number of lymph nodes. Structure Boundaries The boundaries of the fossa are: Roof Moving from superficial to deep structures, the roof is formed by: # the skin. # the superficial fascia. This contains the small saphenous vein, the terminal branch of the posterior cutaneous nerve of the thigh, posterior division of the medial cutaneous nerve, lateral sural cutaneous nerve, and medial sural cutaneous nerve. # the popliteal fascia. Floor The floor is formed by: # the popliteal surface of the femur. # the capsule of t ...
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Superficial Vein
Superficial veins are veins that are close to the surface of the body, as opposed to deep veins, which are far from the surface. Superficial veins are not paired with an artery, unlike the deep veins, which are typically associated with an artery of the same name. Superficial veins are important physiologically for cooling of the body. When the body is too hot, the body shunts blood from the deep veins to the superficial veins to facilitate heat transfer to the body's surroundings. Superficial veins are often visible underneath the skin. Those below the level of the heart tend to bulge out, which can be readily witnessed in the hand, where the veins bulge significantly less after the arm has been raised above the head for a short time. Veins become more visually prominent when lifting heavy weight, especially after a period of proper strength training. Physiologically, the superficial veins are not as important as the deep veins (as they carry less blood) and are sometime ...
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Thrombolytic Therapy
Thrombolysis, also called fibrinolytic therapy, is the breakdown (lysis) of blood clots formed in blood vessels, using medication. It is used in ST elevation myocardial infarction, stroke, and in cases of severe venous thromboembolism (massive pulmonary embolism or extensive deep vein thrombosis). The main complication is bleeding (which can be dangerous), and in some situations thrombolysis may therefore be unsuitable. Thrombolysis can also play an important part in reperfusion therapy that deals specifically with blocked arteries. Medical uses Diseases where thrombolysis is used: * ST elevation myocardial infarction: Large trials have shown that mortality can be reduced using thrombolysis (particularly fibrinolysis) in treating heart attacks. It works by stimulating secondary fibrinolysis by plasmin through infusion of analogs of tissue plasminogen activator (tPA), the protein that normally activates plasmin. * Stroke: Thrombolysis reduces major disability or death when given ...
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Anticoagulant
Anticoagulants, commonly known as blood thinners, are chemical substances that prevent or reduce coagulation of blood, prolonging the clotting time. Some of them occur naturally in blood-eating animals such as leeches and mosquitoes, where they help keep the bite area unclotted long enough for the animal to obtain some blood. As a class of medications, anticoagulants are used in therapy for thrombotic disorders. Oral anticoagulants (OACs) are taken by many people in pill or tablet form, and various intravenous anticoagulant dosage forms are used in hospitals. Some anticoagulants are used in medical equipment, such as sample tubes, blood transfusion bags, heart–lung machines, and dialysis equipment. One of the first anticoagulants, warfarin, was initially approved as a rodenticide. Anticoagulants are closely related to antiplatelet drugs and thrombolytic drugs by manipulating the various pathways of blood coagulation. Specifically, antiplatelet drugs inhibit pla ...
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Deep Vein Thrombosis
Deep vein thrombosis (DVT) is a type of venous thrombosis involving the formation of a blood clot in a deep vein, most commonly in the legs or pelvis. A minority of DVTs occur in the arms. Symptoms can include pain, swelling, redness, and enlarged veins in the affected area, but some DVTs have no symptoms. The most common life-threatening concern with DVT is the potential for a clot to embolize (detach from the veins), travel as an embolus through the right side of the heart, and become lodged in a pulmonary artery that supplies blood to the lungs. This is called a pulmonary embolism (PE). DVT and PE comprise the cardiovascular disease of venous thromboembolism (VTE). About two-thirds of VTE manifests as DVT only, with one-third manifesting as PE with or without DVT. The most frequent long-term DVT complication is post-thrombotic syndrome, which can cause pain, swelling, a sensation of heaviness, itching, and in severe cases, ulcers. Recurrent VTE occurs in about 30% of th ...
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Deep Vein
A deep vein is a vein that is deep in the body. This contrasts with superficial veins that are close to the body's surface. Deep veins are almost always beside an artery with the same name (e.g. the femoral vein is beside the femoral artery). Collectively, they carry the vast majority of the blood. Occlusion of a deep vein can be life-threatening and is most often caused by thrombosis. Occlusion of a deep vein by thrombosis is called ''deep vein thrombosis''. Because of their location deep within the body, operation on these veins can be difficult. List *Internal jugular vein Upper limb * Brachial vein *Axillary vein * Subclavian vein Lower limb *Common femoral vein *Femoral vein * Profunda femoris vein * Popliteal vein *Peroneal vein *Anterior tibial vein The anterior tibial vein is a vein in the lower leg. In human anatomy, there are two anterior tibial veins. They originate and receive blood from the dorsal venous arch, on the back of the foot and empties into the ...
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Physician
A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the study, diagnosis, prognosis and treatment of disease, injury, and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as specialities—or they may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practice. Medical practice properly requires both a detailed knowledge of the academic disciplines, such as anatomy and physiology, underlying diseases and their treatment—the ''science'' of medicine—and also a decent competence in its applied practice—the art or ''craft'' of medicine. Both the role of the physician and the meaning ...
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Subsartorial Canal
The adductor canal, also known as the subsartorial canal or Hunter’s canal, is an aponeurotic tunnel in the middle third of the thigh. It extends from the apex of the femoral triangle to the adductor hiatus. Structure The adductor canal extends from the apex of the femoral triangle to the adductor hiatus. It is an intermuscular cleft situated on the medial aspect of the middle third of the anterior compartment of the thigh, and has the following boundaries: * medial wall - sartorius. * Posterior wall - adductor longus and adductor magnus. * Anterior- vastus medialis. It is covered by a strong aponeurosis which extends from the vastus medialis, across the femoral vessels to the adductor longus and magnus. * Lying on the aponeurosis is the sartorius (tailor's) muscle. Contents The canal contains the subsartorial artery (distal segment of the femoral artery), subsartorial vein (distal segment of the femoral vein), and branches of the femoral nerve (specifically, the saphenou ...
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