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Download OVERVIEW OF VEINS OF THE BODY
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OVERVIEW OF VEINS OF THE BODY LEARNING OBJECTIVES: At the end of the lecture, the student should be able to; • Describe the organization of the venous system of the body • Express the great veins opening in to the heart • Discuss the distribution of the veins in the respective region • Describe the applied aspect related to the topic VEINS Convey the blood from the capillaries of the different parts of the body to the heart. Vein color is determined in large part by the color of venous blood, which is usually dark red as a result of its low oxygen content. Veins appear blue because the subcutaneous fat absorbs low frequency light, permitting only the highly energetic blue wavelengths to penetrate through to the dark vein and reflect off. They have valves which prevent the backflow of blood VENOUS SYSTEM Vena Cavae – Large vessels that collect blood from the veins of the body and return it to the right atrium. Superior vena cava – drains head, neck, shoulder and arms. Inferior vena cava – drains rest of the body. Major veins Head, neck and shoulder: Internal Jugular – drains face and neck External jugular – superficial face and neck Brachiocephalic – shoulder Subclavian – shoulder Axillary - armpit Draining the arms - all merge into the subclavian: Brachial – upper arm Basilic – medial superficial upper arm Cephalic – lateral superficial upper arm Radial – lateral forearm and hand Ulnar – medial forearm and hand Draining the lower body: Hepatic – liver Renal – kidneys Common iliac – leg and lower abdomen Femoral - thigh Greater saphenous – foot, leg, and thigh Popliteal – knee Anterior and posterior tibial – lower leg and foot Hepatic portal circulation Route of blood flow through the liver. Veins from the spleen, stomach, pancreas, gallbladder and intestines do not empty into the inferior vena cava but instead send blood to the liver via the Hepatic Portal Vein. Blood then leaves the liver through the hepatic veins and into the inferior vena cava. Two sets of veins Pulmonary Veins Unlike other veins, contain arterial blood, which they return from the lungs to the left atrium of the heart. Systemic Veins Return the venous blood from the body generally to the right atrium of the heart. Portal Vein It is a vein in the abdominal cavity that drains blood from the gastrointestinal tract and spleen to the liver. This vessel ramifies in the substance of the liver and there breaks up into a minute network of capillary-like vessels, from which the blood is conveyed by the hepatic veins to the inferior vena cava. Systemic veins The systemic venous channels are subdivided into three sets Superficial Deep veins Venous sinuses Superficial veins The Superficial Veins (cutaneous veins) are found between the layers of the superficial fascia immediately beneath the skin; they return the blood from these structures, and communicate with the deep veins by perforating the deep fascia. Deep veins The Deep Veins accompany the arteries, and are usually enclosed in the same sheaths with those vessels. With the smaller arteries—as the radial, unlar, brachial, tibial, peroneal—they exist generally in pairs, one lying on each side of the vessel, and are called venæ comitantes. Venous sinuses Venous Sinuses are found only in the interior of the skull, and consist of canals formed by a separation of the two layers of the dura mater; their outer coat consists of fibrous tissue, their inner of an endothelial layer continuous with the lining membrane of the veins Divisions of systemic veins The systemic veins may be arranged into three groups: (1) Veins of the heart. (2) Veins of the upper extremities, head, neck, and thorax, which end in the superior vena cava. (3) Veins of the lower extremities, abdomen, and pelvis, which end in the inferior vena cava Cardiac veins Coronary sinus tributaries Anterior cardiac veins Small cardiac veins VEINS OF THE HEAD The veins of the head and neck may be subdivided into three groups: (1)Veins of exterior of the head and face. (2)Veins of the neck. (3)Diploic veins, the veins of the brain, and the venous sinuses of the dura mater The Veins of the Neck External jugular vein Internal jugular vein Vertebral vein Deep cervical vein VEINS OF THE UPPER EXTREMITY The veins of the upper extremity are divided into two sets, Superficial Deep These anastomose frequently with each other. The superficial veins are placed immediately beneath the integument between the two layers of superficial fascia. The deep veins accompany the arteries, and constitute the venæ comitantes of those vessels The Superficial Veins of the Upper Extremity The superficial veins of the upper extremity are the Digital Metacarpal Cephalic Basilic Median. The Deep Veins of the Upper Extremity Deep veins follow the course of the arteries. They are generally arranged in pairs, and are situated one on either side of the corresponding artery, and connected short transverse branches. Brachial veins Axillary veins Subclavian veins Brachiocephalic veins Brachiocephalic veins Are two large trunks, Placed one on either side of the root of the neck Formed by the union of the internal jugular and subclavian veins of the corresponding side They are devoid of valves. Superior Vena Cava Carries deoxygenated blood from the upper half of the body to the heart's right atrium No valve separates the superior vena cava from the right atrium About 7cm in length Begins at the level of 1st right costal cartilage Formed from: Right brachiocephalic vein. Left brachiocephalic vein. Receives: Azygos vein. Veins of the lower extremity Superficial veins Dorsal venous arch Great saphenous vein Small saphenous vein Deep veins Planter digital veins Posterior tibial vein Popliteal vein Femoral vein Deep femoral vein External iliac vein Great saphenous vein Great saphenous vein (GSV), also greater saphenous vein, is the large (subcutaneous) superficial vein of the leg and thigh. Originates from where the dorsal vein of the first digit (the large toe) merges with the dorsal venous arch of the foot. It joins with the femoral vein in the region of the femoral triangle at the saphenofemoral junction Popliteal vein Popliteal Vein is formed by the junction of the anterior and posterior tibial veins at the lower border of the Popliteus Ascends through the popliteal fossa to the aperture in the Adductor magnus, where it becomes the femoral vein FEMORAL VEIN Accompanies the femoral artery through the upper two-thirds of the thigh. In the lower part of its course it lies lateral to the artery; higher up, it is behind it; and at the inguinal ligament, it lies on its medial side, and on the same plane. It becomes the external iliac vein after crossing the inguinal ligament EXTERNAL ILIAC VEIN The upward continuation of the femoral vein, begins behind the inguinal ligament, and, passing upward along the brim of the lesser pelvis, ends opposite the sacroiliac articulation, by uniting with the internal iliac vein to form the common iliac vein. INFERIOR VENA CAVA Returns to the heart the blood from the parts below the diaphragm. It is formed by the junction of the two common iliac veins, on the right side of the fifth lumbar vertebra. Tributaries of Inferior vena cava The inferior vena cava receives the following veins: Lumbar. Renal. Inferior Phrenic Right Spermatic or Ovarian. Suprarenal. Hepatic. Varicose veins Blood in veins flows back to heart at very low pressure, often running uphill when a person is standing Flow against gravity allowed by one-way valves • several centimeters apart in veins Veins with defective valves (allow the blood to flow backward) become enlarged or dilated to form varicose veins ---------------------------------------------------------------------------------------