APLIKASI KLINIS

Pemeriksaan fisik & prosedur klinik

 Pemeriksaan tanda vital
 Auskultasi arteri (bruit)
 Kompresi direk/indirek pada perdarahan akut
 Cek vaskularisasi pada trauma, sindroma kompartemen
 Peripheral Arterial Disease (PAD), Kaki diabetik , pemeriksaan
Ankle Brachial (Pressure) Index
 Pengambilan darah arteri (analisis gas darah)
 Finger prick
 Anatomi permukaan arteri

 Pengambilan darah vena

 Pemasangan iv line
 Pengukuran JVP
 Anatomi permukaan vena superfisial & profunda
 Sinus Caroticus – Baroreseptor
Glomus Caroticus (Carotid Body) - Kemoreseptor
 THE 3rd PART OF THE SUBCLAVIAN ARTERY

• a finger's breadth superior to the clavicle, opposite the lateral border of the
anterior scalene muscle
• posterosuperior to the subclavian vein
• longest and most superficial
• lies on the 1st rib
• its pulsations can be felt by applying deep pressure in the omoclavicular triangle.
• is in contact with the 1st rib as it passes posterior to the anterior scalene muscle;
consequently, compression of the subclavian artery against this rib can control
bleeding in the upper limb
 Ankle Brachial
pressure Index (ABI)
Lokasi auskultasi aorta abdominalis
& percabangannya
IV Line
 Trauma Arcus
palmaris 
perdarahan profuse
 Kompresi a.
Brachialis
Pengukuran (estimasi) JVP
 SKDI - Gangguan aorta & arteri

 Hipertensi esensial 4A, Hipertensi sekunder 3A, Hipertensi

pulmoner 1
 Aterosklerosis 1
 Aneurisma Aorta 1, Aneurisma diseksi 1
 Penyakit neurovaskular: TIA, Infark serebral , Hematom
intraserebral , Perdarahan subarakhnoid, Ensefalopati hipertensi

 Vaskularisasi organ terdampak komplikasi hipertensi (otak,

mata, jantung, ginjal)

 Penyakit Raynaud 2
 Vaskularisasi akral (tangan & kaki)
 SKDI - Gangguan aorta & arteri

 Koarktasio aorta 1
 Sirkulasi kolateral aorta

 Subclavian steal syndrome 1

 Percabangan a. subclavia, a. vertebralis, circulus Willis

 Emboli arteri 1
 Trombosis arteri 2 , Penyakit Buerger's (Thromboangiitis Obliterans)
2, cor pulmonale acut 3B
 Klaudikasio 2
 Percabangan aorta, & arteri
 SKDI - Gangguan vena
 Insufisiensi vena kronik 3A

 Obstructed venous return 2

 Tromboflebitis 3A

 Trombosis vena dalam 2

 Emboli vena 2

 Varises (primer, sekunder) 2

 vena superficial vs profunda

 Tributaries

 Aliran kolateral
 JALUR METASTASIS HEMATOGENIK – sistem vena BATSON
 Buerger’s
disease

Raynaud
phenomenon

Emboli arteri
Subclavian steal syndrome
Vena superficialis
Kapiler (a) vs
(sub papiller profunda (b)
& reticularis) – fascia superficialis - Vena superficialis (a) -
fascia profunda - v. Perforans – v. profunda (b)
Kapiler (sub papiller & reticularis) – fascia superficialis - Vena superficialis (a) -
fascia profunda - v. Perforans – v. profunda (b)
Insufisiensi katup,
varises, deep vein
thrombosis
Thromboemboli
Saddle emboli 
Cor pulmonale acutum
Obstructed venous return
 SINDROMA VENA
CAVA SUPERIOR
(SINDROMA
MEDIASTINUM)
Obstruksi sistem porta hepatica vs obstruksi VCI
Obstructed venous return  SINDROMA VENA CAVA SUPERIOR
(SINDROMA MEDIASTINUM)
Sistem kolateral pada obstruksi VCS & VCI
Obstructed venous return 
obstruksi VCI
Anastomosis porto-caval
Obstructed venous return  sirosis hepatis
 obstruksi sistem porta hepatica
Jalur metastasis melalui (sistem ) Plexus venosus
prevertebral Brescet- Batson
TERIMAKASIH