Umbilical Artery
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Umbilical Artery
The umbilical artery is a paired artery (with one for each half of the body) that is found in the abdominal and pelvic regions. In the fetus, it extends into the umbilical cord. Structure Development The umbilical arteries supply deoxygenated blood from the fetus to the placenta. Although this blood is typically referred to as deoxygenated, this blood is fetal systemic arterial blood and will have the same amount of oxygen and nutrients as blood distributed to the other fetal tissues. There are usually two umbilical arteries present together with one umbilical vein in the umbilical cord. The umbilical arteries surround the urinary bladder and then carry all the deoxygenated blood out of the fetus through the umbilical cord. Inside the placenta, the umbilical arteries connect with each other at a distance of approximately 5 mm from the cord insertion in what is called the ''Hyrtl anastomosis''. Subsequently, they branch into chorionic arteries or ''intraplacental fetal arteri ...
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Umbilical Vein
The umbilical vein is a vein present during fetal development that carries oxygenated blood from the placenta into the growing fetus. The umbilical vein provides convenient access to the central circulation of a neonate for restoration of blood volume and for administration of glucose and drugs. The blood pressure inside the umbilical vein is approximately 20 mmHg.Wang, Y. Vascular biology of the placenta. in Colloquium Series on Integrated Systems Physiology: from Molecule to Function. 2010. Morgan & Claypool Life Sciences. Fetal circulation The unpaired umbilical vein carries oxygen and nutrient rich blood derived from fetal-maternal blood exchange at the chorionic villi. More than two-thirds of fetal hepatic circulation is via the main portal vein, while the remainder is shunted from the left portal vein via the ductus venosus to the inferior vena cava, eventually being delivered to the fetal right atrium. Closure Closure of the umbilical vein usually occurs after the umbi ...
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Blood Pressure
Blood pressure (BP) is the pressure of circulating blood against the walls of blood vessels. Most of this pressure results from the heart pumping blood through the circulatory system. When used without qualification, the term "blood pressure" refers to the pressure in the large arteries. Blood pressure is usually expressed in terms of the systolic pressure (maximum pressure during one heartbeat) over diastolic pressure (minimum pressure between two heartbeats) in the cardiac cycle. It is measured in millimeters of mercury (mmHg) above the surrounding atmospheric pressure. Blood pressure is one of the vital signs—together with respiratory rate, heart rate, oxygen saturation, and body temperature—that healthcare professionals use in evaluating a patient's health. Normal resting blood pressure, in an adult is approximately systolic over diastolic, denoted as "120/80 mmHg". Globally, the average blood pressure, age standardized, has remained about the same sin ...
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Infusion Therapy
In medicine, infusion therapy deals with all aspects of fluid and medication infusion, via intravenous or subcutaneous application. A special infusion pump can be used for this purpose. A fenestrated catheter is most frequently inserted into the localized area to be treated. There are a range of delivery methods for infusion of drugs via catheter: *Electronic Pump: Drugs are often pre-mixed from vials and stored in infusion bags to be delivered by electronic pump. *Elastomeric pump *Pre-Filled Infusion Therapy: with this latest technology, a unit dose can be metered to the location from a pre-filled container. Infusion therapy has a range of medical applications including sedation, anesthesia, post-operative analgesic pain management, chemotherapy, and treatment of infectious diseases Advantages of infusion therapy over other non-site-specific delivery methodologies are primarily efficacy through precision of medication delivery. New standards for infusible pharmaceuticals have b ...
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Neonatal Intensive Care Unit
A neonatal intensive care unit (NICU), also known as an intensive care nursery (ICN), is an intensive care unit (ICU) specializing in the care of ill or premature newborn infants. Neonatal refers to the first 28 days of life. Neonatal care, as known as specialized nurseries or intensive care, has been around since the 1960s. The first American newborn intensive care unit, designed by Louis Gluck, was opened in October 1960 at Yale New Haven Hospital. NICU is typically directed by one or more neonatologists and staffed by resident physicians, nurses, nurse practitioners, pharmacists, physician assistants, respiratory therapists, and dietitians. Many other ancillary disciplines and specialists are available at larger units. The term ''neonatal'' comes from ''neo'', "new", and ''natal'', "pertaining to birth or origin". Nursing and neonatal populations Healthcare institutions have varying entry-level requirements for neonatal nurses. Neonatal nurses are registered n ...
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Blood Test
A blood test is a laboratory analysis performed on a blood sample that is usually extracted from a vein in the arm using a hypodermic needle, or via fingerprick. Multiple tests for specific blood components, such as a glucose test or a cholesterol test, are often grouped together into one test panel called a blood panel or blood work. Blood tests are often used in health care to determine physiological and biochemical states, such as disease, mineral content, pharmaceutical drug effectiveness, and organ function. Typical clinical blood panels include a basic metabolic panel or a complete blood count. Blood tests are also used in drug tests to detect drug abuse. Extraction A venipuncture is useful as it is a minimally invasive way to obtain cells and extracellular fluid ( plasma) from the body for analysis. Blood flows throughout the body, acting as a medium that provides oxygen and nutrients to tissues and carries waste products back to the excretory systems for dispos ...
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Venipuncture
In medicine, venipuncture or venepuncture is the process of obtaining intravenous access for the purpose of venous blood sampling (also called ''phlebotomy'') or intravenous therapy. In healthcare, this procedure is performed by medical laboratory scientists, medical practitioners, some EMTs, paramedics, phlebotomists, dialysis technicians, and other nursing staff. In veterinary medicine, the procedure is performed by veterinarians and veterinary technicians. It is essential to follow a standard procedure for the collection of blood specimens to get accurate laboratory results. Any error in collecting the blood or filling the test tubes may lead to erroneous laboratory results. Venipuncture is one of the most routinely performed invasive procedures and is carried out for any of five reasons: # to obtain blood for diagnostic purposes; # to monitor levels of blood components; # to administer therapeutic treatments including medications, nutrition, or chemotherapy; # to re ...
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Catheter
In medicine, a catheter (/ˈkæθətər/) is a thin tubing (material), tube made from medical grade materials serving a broad range of functions. Catheters are medical devices that can be inserted in the body to treat diseases or perform a surgical procedure. Catheters are manufactured for specific applications, such as cardiovascular, urological, gastrointestinal, neurovascular and ophthalmic procedures. The process of inserting a catheter is ''catheterization''. In most uses, a catheter is a thin, flexible tube (''soft'' catheter) though catheters are available in varying levels of stiffness depending on the application. A catheter left inside the body, either temporarily or permanently, may be referred to as an "indwelling catheter" (for example, a peripherally inserted central catheter). A permanently inserted catheter may be referred to as a "permcath" (originally a trademark). Catheters can be inserted into a body cavity, duct, or vessel, brain, skin or adipose tissue. Fun ...
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Inferior Vesical Artery
The inferior vesical artery (or inferior vesicle artery) is an artery of the pelvis which arises from the internal iliac artery and supplies parts of the urinary bladder as well as other structures of the urinary system and structures of the male reproductive system. Some sources consider this vessel to be present only in males, and cite the vaginal artery as the homologous structure in females; others consider it to be present in both sexes, with the vessel taking the form of a small branch of a vaginal artery in females. Structure Origin The inferior vesical artery is a branch of the anterior division of the internal iliac artery. It frequently has a common origin with the middle rectal artery. Course The inferior vesical artery passes medially across the pelvic floor. Distribution The inferior vesical artery is distributed to the trigone and inferior portion of the urinary bladder, the ureter, prostate, vas deferens, and seminal vesicles.vas deferens The vas defe ...
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Artery To The Ductus Deferens
The artery to the ductus deferens (deferential artery) is an artery in males that provides blood to the ductus deferens. Course The artery arises from the superior vesical artery or the inferior vesical artery, which in turn arises from the anterior branch of the internal iliac artery. It accompanies the ductus deferens into the testis, where it anastomoses with the testicular artery. In this way it also supplies blood to the testis and epididymis. A small branch supplies the ureter. See also * Spermatic cord The spermatic cord is the cord-like structure in males formed by the vas deferens (''ductus deferens'') and surrounding tissue that runs from the deep inguinal ring down to each testicle. Its serosal covering, the tunica vaginalis, is an exten ... Additional Images File:Slide12Khi.JPG, Artery to the ductus deferens.Deep dissection. Lateral view. References External links * - "Inguinal Region, Scrotum and Testes: Layers of the Spermatic Cord" {{Authority con ...
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Superior Vesical Arteries
The superior vesical artery supplies numerous branches to the upper part of the bladder. This artery often also gives branches to the vas deferens and can provide minor collateral circulation for the testicles. Anatomy The superior vesical artery is a branch of the umbilical artery. The vesiculo-prostatic artery usually arises from the superior vesical artery in men. Distribution Other branches supply the ureter. Variation The middle vesical artery, usually a branch of the superior vesical artery, is distributed to the fundus of the bladder and the seminal vesicles. This artery is not usually described in modern anatomy textbooks. Instead, it is described that the superior vesical artery may exist as multiple vessels that arise from a common origin. Development The first part of the superior vesical artery represents the terminal section of the previous portion of the umbilical artery The umbilical artery is a paired artery (with one for each half of the body) that is fo ...
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Pelvis
The pelvis (plural pelves or pelvises) is the lower part of the trunk, between the abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton (sometimes also called bony pelvis, or pelvic skeleton). The pelvic region of the trunk includes the bony pelvis, the pelvic cavity (the space enclosed by the bony pelvis), the pelvic floor, below the pelvic cavity, and the perineum, below the pelvic floor. The pelvic skeleton is formed in the area of the back, by the sacrum and the coccyx and anteriorly and to the left and right sides, by a pair of hip bones. The two hip bones connect the spine with the lower limbs. They are attached to the sacrum posteriorly, connected to each other anteriorly, and joined with the two femurs at the hip joints. The gap enclosed by the bony pelvis, called the pelvic cavity, is the section of the body underneath the abdomen and mainly consists of the reproductive organs (sex organs) and the rectum, while the ...
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Urachus
The urachus is a fibrous remnant of the allantois, a canal that drains the urinary bladder of the fetus that joins and runs within the umbilical cord. The fibrous remnant lies in the space of Retzius, between the transverse fascia anteriorly and the peritoneum posteriorly. Development The part of the urogenital sinus related to the bladder and urethra absorbs the ends of the Wolffian ducts and the associated ends of the renal diverticula. This gives rise to the trigone of the bladder and part of the prostatic urethra. The remainder of this part of the urogenital sinus forms the body of the bladder and part of the prostatic urethra. The apex of the bladder stretches and is connected to the umbilicus as a narrow canal. This canal is initially open, but later closes as the urachus goes on to definitively form the median umbilical ligament. Clinical significance Failure of the inside of the urachus to be filled in leaves the urachus open. The telltale sign is leakage of urine ...
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