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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 14 Circulatory System Images VT-122 Anatomy & Physiology II
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Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

May 23, 2018

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Page 1: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc.

Chapter 14

Circulatory System Images

VT-122

Anatomy & Physiology II

Page 2: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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The mediastinum

Page 3: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Dog heart

Page 4: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Dog heart

Page 5: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Cat heart

Page 6: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Dog heart ultrasound

Can see pericardium as distinct bright line

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Pericardial effusion

Fluid build-up in pericardial space

Page 8: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Pericardial effusion

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Enlarged heart or effusion?

Here’s the normal heart

Page 10: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Enlarged heart or effusion?

Page 11: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Heart wall

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myocardium

endocardium

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Cat, hypertrophic cardiomyopathy

Myocardium thickens and functions

poorly as a pump

Page 14: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Dog, dilated cardiomyopathy

Myocardium thins and functions poorly

as a pump

Page 15: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Heart chambers

Right atrium

Left atrium

Right ventricle

Left ventricle

Septum

Right AV valve

= tricuspid

Left AV valve

= bicuspid or

mitral valve

Pulmonary

semilunar valve Aortic semilunar valve

Page 16: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Blood Flow Through the Heart

Page 17: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Blood Flow

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Blood Flow through heart

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Coronary Circulation?

Left ventricle

Aorta

Coronary arteries

Capillaries

Coronary veins

Coronary sinus

Cranial vena cava

Right atrium

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Structures of the Heart: External

Anatomy

Auricles - largest and

most visible parts of the

atria

Left ventricle - long and

narrow, thick-walled,

terminates at apex of

the heart

Right ventricle - wraps

around left ventricle

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Structures of the Heart: External

Anatomy

The borders of the

ventricles are

separated by

interventricular sulci

Contain fat and

blood vessels that

are part of the

coronary circulation

of the heart

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Structures of the Heart: External

Anatomy

Cranial and caudal

vena cavae join

together with the

coronary sinus that

collects blood from

coronary circulation

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Structures of the Heart: External

Anatomy

The pulmonary

artery emerges

from the right

ventricle as the

pulmonary trunk Quickly divides into

right and left pulmonary

arteries traveling to

each lung

Pulmonary trunk is

larger and more curved

than the vena cavae

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Structures of the Heart: External

Anatomy

The aorta is the

largest artery in the

body

The walls of the

aorta are the thickest

of any blood vessel

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Structures of the Heart: External

Anatomy

The aorta emerges

from the left

ventricle into the

aortic arch

The brachiocephalic

trunk and left

subclavian artery

branch off the aorta

just after aortic valve

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Structures of the Heart: Internal

Anatomy

Atrioventricular valves = tricuspid and bicuspid

(mitral)

Flaps originate from a fibrous ring of the valve

The flaps are prevented from bending back into

the atrium by the chordae tendineae.

Page 27: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Structures of the Heart: Internal

Anatomy

Chordae tendinae

connect the free

edges of the

valvular flaps to the

papillary muscles

Trabeculae carnae

are muscular

columns projecting

from the walls of the

ventricles

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Structures of the Heart: Internal

Anatomy

Moderator band - tissue present in the right

ventricle; originates at interventricular septum

Not attached to flaps of tricuspid valve

Provides additional structural support to the wall of

the right ventricle

• The left ventricle

does not have a

moderator band

Page 29: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Structures of the Heart: Internal

Anatomy

Aortic valve and pulmonic valves - 3 flaps

attached at their outer edges to a fibrous

ring; no chordae tendinae

Aortic and pulmonic valves are both called

semilunar valves.

Page 30: Circulatory System Images VT-122 Anatomy & Physiology II · Circulatory System Images VT-122 Anatomy & Physiology II . ... Anatomy The pulmonary ... Venipuncture • Jugular Veins

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Quiz time!

Identify this valve

Left Atrioventricular valve

Bicuspid valve

Mitral valve

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Quiz time!

Name this structure

Moderator band

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Electrocardiogram (ECG, EKG)

P wave - depolarization of the atria

QRS complex - waves created by

ventricular depolarization

T wave - repolarization of the ventricles

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ECG monitor

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Auscultation

Left side

M = 5th rib space

A = 4th rib space

P = 3rd rib space

Right side

T = 4th rib space

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Fetal Circulation

Bypasses (shunts)

in the fetal

circulation keep

most of the blood

out of the pulmonary

circulation.

The fetus receives

oxygen from the

mother through the

placenta.

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Types of blood vessels

Arteries Arterioles Capillaries Venules Veins

(Towards tissue) (Within tissue) (Away from tissue)

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Vascular Anatomy

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Vascular Anatomy

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Vascular Anatomy

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Vascular Anatomy

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Blood flow into the ventricles begins at the beginning of which period? E

The pulmonary semilunar valve closes at the end of which period? C

Atrial systole occurs during which period? A

Ventricular systole begins at the end of which period? A

Blood flow out of the atria stops at the end of which period? A

AA B C D E

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Ventricular systole ends at the beginning of which period? D

The S2 sound is heard during this period. D

The semilunar valves open at the beginning of which period? C

Blood flow into the pulmonary artery stops at the end of which period? C

Ventricular pressure is greatest during which period? C

A B C D E

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Venipuncture

Cephalic vein:

craniomedial aspect

of forelimb

Femoral vein: medial

aspect of hind limb

Saphenous: lateral

aspect of hind limb

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Venipuncture

• Jugular Veins

Ventral aspect of each

side of the neck in the

jugular groove

Close to the carotid

arteries

• Care must be taken to

avoid accidental

injection into the

carotid artery

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Venipuncture

Caudal epigastric vein

Milk vein

Ventral aspect of each

side of the abdomen

Thin-walled, superficial,

prone to hematoma

formation

Coccygeal vein

Ventral midline of the tail

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Cat venipuncture

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Cat venipuncture

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Cat venipuncture

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Dog venipuncture

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Dog venipuncture

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Dog venipuncture

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Ruminant venipuncture

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Ruminant venipuncture

Don’t use the milk veins (caudal epigastric)!

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Equine venipuncture

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Swine venipuncture

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Chinchilla jugular

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Small bird jugular

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Rabbit jugular

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Rat coccygeal vein

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Nugent hamster saphenous

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Rabbit saphenous

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Exotics venipuncture

Central artery

Marginal ear vein

And the vein is where, precisely?