It's less likely but sometimes a plaque could also go downstream, kind of form a thromboembolism.

This actual clot that forms, that can restrict the blood vessel, this is a thrombus.

So, thromboembolus is a more specific way of calling it an embolus, and once one of these things lodge themselves and block the blood flow, that's a thromboembolism.

There is actually a little spot right there that they drain in to.

You can also call it an embolism.

This is highly thrombogenic material. Thrombogenic, very fancy word.

Inferior vena cava, and this is the large vein that brings back all the blood from the bottom half of the body.

There's also another one over here called the superior vena cava, and this is bringing back blood from the arms and head.

And my skull's crushed and my collar bone is crushed all but two of my ribs, my pelvis and both arms they're all crushed, but there is still a pulse.

Hopefully I'm not confusing too much these medical terms confuse ME a lot but I want to make it very clear, thrombosis is formation of a blood clot inside of a blood vessel than can restrict the flow of blood.

I need two largebore Ivs, 6 units Oneg, type and cross for 6 more units,

This is now going to dump into what we call a venule.

So the thread of discovery that we have really is a thread.

It would be this thrombogenic material, the clots around it.

It told us about hormone replacement therapy.

In the last video I called this a thrombosis but that's really not quite right, thrombosis is the formation of the clot that can restrict the blood flow, but when it breaks off, becomes an embolus, and lodges itself further off and restricts blood flow, this is called a thromboemoblism.

Hands up two times. Pelvis Dance

And then you've got the capillaries, you've got some blood kind of from both places the pulmonary circulation and the blood from the systemic circulation again mixing.

Died October 12.

I'll write that right here.

Into the IV, yes.

And as I say, most of them really die very horribly, 80 is very bad for you. now that means, that is really bizarre that one should ask the question why should we defy aging.

It's going to end up at the, maybe I should draw it here, it's ending up with the right atrium. That's just the name of the chamber where the blood ends up in.

Put your left hand on the pelvis.

Thrombosis is the process of a thrombus forming.

But this is not as I said in the beginning bad way of thinking about it.

So the first branches go and serve the heart. So it's kind of the first to get systemic circulation blood.

What we drew in the last video and this one as well these emboli that are also clotted, they are also thrombi and emboli at the same time, this would be called a thromboembolus.

And let me actually show you where the blood vessels come from. These are called coronary vessels I just write the word coronary here.

So you have these arteries right over here, the red tubes. Those are arteries. and then the blue ones are veins.

In concluding the hip exam it is important to document neurovascular exam.

brittle bones ,

We also refer to subclinical conditions.

Once things break off and become an embolus that's the general term for it and in particular, if it's broken off material that is due to a clot, it is a thromboembolus.

And then on the other side where the veins are bringing blood back to the heart most of the blood as it turns out, most of the blood actually goes this way into the pulmonary veins.

And at the bottom here, you can't see it because it's on the other side of the heart, but there's another vein called the inferior vena cava.

Start a largebore IV. Keep it open.

And it came up in the right atrium from a giant vessel up top called the superior vena cava. And this is a vein of course because it's bringing blood towards the heart.

Carbon dioxide is exhaled... and oxygenated blood continues passing through the veins... into the left auricle... through the left ventricle, passing out again.

And it's actually coming into two veins, the one at the top, this is called the superior, superior just kind of means at the top.

Move your leg and Woo woo woo woo

Don't you need a Ouija board and chicken bones? Shut up.

EKG goes pbbrrhh, so the doctors can see this hugely abnormal EKG.

In concluding the knee exam, it's important to document a neurovascular exam.

You know, I think maybe you will. One forty five over 70 with a pulse, 80.