8. Nervous System Flashcards
2 divisions of the nervous system
CNS
PNS
2 major parts of CNS
Brain
Spinal cord
2 major divisions of the PNS
Sensory
Motor
2 divisions of Motor part of PNS
🔹Autonomic
🔹Somatic
Muscles under somatic (voluntary control)
Skeletal muscles
Muscles under Autonomic nervous system
🔹Smooth and Cardiac muscles
🔹Glands and Visceral organs
2 divisions of the Autonomic nervous system
🔹Sympathetic
🔹Parasympathetic
“Fight or Flight”
Sympathetic
“Rest and Digest”
Parasympathetic
Matter in the OUTER part of BRAIN
Gray matter
“OB IS Gray”
Matter in the INNER Brain
White matter
Matter in the Outer Spinal cord
White matter
Matter in the inner spinal cord
Gray matter
Gray matter is made up of
Cell bodies
White matter is made up of
Myelinated axons
Embryonic structure from which the CEREBRUM develops prenatally
Telencephalon (Forebrain)
Largest component of the brain
Cerebrum
Part of Cerebrum that controls righ side of the body
Left hemisphere
Part of cerebrum that controls left side of the body
Right hemisphere
White matter that connects or separates the left and right hemispheres
Corpus callosum
Condition when corpus callosum is damaged, left and right hemispheres are separated
Split brain
Outer gray matter with gyrus, sulcus and fissures
Cerebral cortex
Elevations in the brain
Gyrus
Grooves in the brain
Sulcus
Deeper grooves in the brain
Fissures
4 lobes of the brain
Frontal
Parietal
Temporal
Occipital
Primary MOTOR cortex
- responsible for almost all movements
Precentral gyrus (Frontal lobe)
Primary SPEECH area
Broca’s area (Frontal lobe)
“Speech = Broadcast = Broca’s”
Primary SENSORY cortex
- responsible for somatic sensations
Postcentral gyrus
Speech comprehension
Wernicke’s area (Temporal lobe)
Primary VISUAL cortex
Occipital lobe
What is damaged when a patient had stroke
Precentral gyrus in the Frontal lobe
Emotion center
Limbic system
4 divisions of the Limbic system
“BASH”
Basal ganglia
Amygdala
Substantia nigra
Hippocampus
Memory center
- converts short term to Long term memory
Hippocampus
Almond shape
- responsible for Fear, Anger, Arousal(active)
Amygdala
2 parts of limbic system responsible for Voluntary motor movements (inhibitory)
Basal ganglia
Substantia nigra
Specific type of neurons that control muscles
Motor neurons
Any neuron that releases Ach
Cholinergic neuron (excitatory)
Neurons that use Ach as neurotransmitter
Excitatory neurons
Neurons that inhibits signals and uses dopamine as neurotansmitter
Inhibitory neurons
Neurons that secretes DOPAMINE
Dopaminergic neuron (inhibitory)
Inhibitory Neurotransmitter that is increased in number when sleeping = No action potential
Dopamine (inhibitory)
Degeneration of the Basal ganglia
Huntington’s disease
Degeneration of the Substantia nigra
- wherein excitatory neurons dominate resulting to involuntary muscular contractions
Parkinson’s disease
Site of DOPAMINE PRODUCTION in the brain
Substancia nigra
Drug of choice for Parkinson’s disease
Levodopa
Other drugs that can be used in treating Parkinson’s disease
✔️Stimulants
✔️Mao-inhibitors
✔️Anticholinergic drugs
✔️Levodopa(DOC)
Common characteristic feature of Parkinson’s and Huntington’s disease which means involuntary muscular movements
Dyskinesia
Neurotransmitter that is decreased in patients with Parkinson’s disease
⬇️Dopamine
Neurotransmitter that is increased in patients with Parkinson’s disease
⬆️Ach (Excitatory neurons)
4 stimulants
“DoNES”
Dopamine
Norepinephrine
Epinephrine
Serotonin
Enzyme that breaks down DoNES
Monoamine oxidase
Mechanism of action of MAO-I
Inhibits MAO = ⬇️MAO
⬆️Dopamine
⬇️Dyskinesia
Dopamine
Motor:
Mood:
Dopamine
Motor: inhibitory
Mood: excitatory
Excitatory MOOD neurotransmitters
“DoNES”
Dopamine
Norepinephrine
Epinephrine
Serotonin
Most common INHIBITORY MOOD Neurotransmitter
Gamma-amino butyric acid (GABA)
Hyperactive neurotransmitter that is elevated
⬆️Dopamine (Depleted by MAO)
Condition assoc with ⬆️Dopamine; cant differentiate reality; split mind
Schizophrenia
Drug of choice for Schizophrenia to decrease level of dopamine
Antipsychotic drugs
Irreversible;
Involuntary muscle contractions in px with Schizophrenia; Side effect of antipsychotic drugs (⬇️Dopamine: Motor/inhibitory)
Tardive dyskinesia
Relay center of the brain
Thalamus
3 parts of Diencephalon
Thalamus
Hypothalamus
Epithalamus
Communicates with the Pituitary gland.
Regulates hormones = Body homeostasis
Hypothalamus
Produces melatonin during night time
Pineal gland
Hormone that regulates sleep wake cycle
Melatonin
Other term for sleep wake cycle or 24 hr body clock
Circadian rhythm
True or False.
Melatonin increases with age
False.
Melatonin decreases with age
Hormone for sleep
Melatonin
If wala sa choices = Serotonin
Sleep: function
Melatonin -
Serotonin -
Sleep: function
Melatonin - inhibitory
Serotonin - excitatory
Day time ☀️
Serotonin level:
Melatonin level:
Day time ☀️
Serotonin level: ⬆️
Melatonin level: ⬇️
Night time 🌙✨
Serotonin level:
Melatonin level:
Night time 🌙✨
Serotonin level: ⬇️ (converted by pineal gland)
Melatonin level: ⬇️
Major Vasoactive amines
Serotonin
Histamine
Vasoactive amines (Opp function)
Serotonin:
Histamine:
Vasoactive amines (Opp function)
Serotonin: vasoCONSTRICTION
Histamine: vasoDILATION
Embryonic structure from which the Midbrain develops prenatally
Mesencephalon
What structures form the brain stem
Midbrain
Pons
Medulla oblongata
Cells that secrete HISTAMINE (4)
“BEMP”
Basophil
Eosinophil
Mast cells
Platelets
Part of Metencephalon responsible for MOTOR movements (excitatory) and BALANCE
Cerebellum
Part of brain affected when drunk
Cerebellum (balance)
Fluid in the inner ear responsible for BALANCE
Semicircular fluid
“Respiratory center”
- sends signals to Medulla Oblongata to deflate lungs (Herring-Breuer reflex)
Pons Varolii
2 parts of Metencephalon
Cerebellum
Pons
Embryonic structure from which the Medulla Oblongata develops prenatally
Myelencephalon
Medulla oblongata - major regulatory center for:
MEDULLA “Medal.. Dila..”
Nakatapat sa chest yung Medal:
- Heart rate
- Breathing rate
Gamit Dila:
- vomitig
- coughing
- swallowing
Chemoreceptors in the CNS specifically in the Medulla Oblongata that detects chemicals (Blood pH, H, CO2, and O2 changes)
Central chemoreceptors
Central chemoreceptors in the Medulla Oblongata that detects chemical changes are sensitive to: (4)
Acidic pH
High Hydrogen
Hypercapnia (⬆️CO2)
Hypoxia
Central chemoreceptors are most sensitive to
Hypercapnia = ⬆️CO2
Muscle for DEEP INHALATION
External intercostalis muscle
Most important muscle for respiration
Diaphragm
Shape of diaphragm
Dome shape
What innervates the Diaphragm
Phrenic nerve
When central chemoreceptors are stimulated, it activates:
Sympathetic effects:
- increase heart rate
- hyperventilation
Increase excretion of Hydrogen in the kidneys (urine = ⬆️H, ⬇️pH = acidic)
Reflex that prevents overinflation of the lungs; controlled by Pons-MO-Lungs
Herring-Breuer reflex
Where are the central chemoreceptors found
Medulla Oblngata
Where are the Peripheral Chemoreceptors found
Carotid body
Aortic body
Receptors in the CNS that detects Pressure (blood pressure/pag sinakal)
Baroreceptors
Where are Barorecceptors found
“CSB”
“Carotid Sinus Baroreceptors”
and
Aortic sinus
Baroreceptors:
Stimulus - HIGH BP Effects: (3)
Baroreceptors: Stimulus - High BP Effects: - decrease heart rate - decrease force of contraction - peripheral vasodilation
Baroreceptors:
Stimulus - LOW BP Effects: (3)
Baroreceptors: Stimulus - LOW BP Effects: - increase heart rate - increase force of contraction - Peripheral vasoconstriction (⬆️ P. Resistance, ⬇️compliance)
Group of neuronal cell bodies inside the CNS
Nucleus
Bundle of Axons in the CNS
Tract
Shape of Gray matter
Butterfly or H shape
Gray matter of Spinal cord
Inner part of Spinal cord
OB IS Gray
Part of spinal cord that is responsible for passage of Motor neurons
Ventral (Anterior) Rami of spinat cord
Part of spinal cord for passage of sensory neurons
Dorsal (posterior) rami of spinal cord
Dorsal or posterior rami of spinal cord extends from
Medulla oblongata to L2 vertebra
Spinal cord terminates at what vertebra
L2
What is the Cone shape termination of spinal cord
Conus terminalis
Horsetail-like extensions of the spinal nerves below its termnal end
Cauda equina
Tail - horse equinox
Spinal tap is done in what vertebra
L3
Mneumonic for rami of spinal cord and function
“SPAM”
Sensory
Posterior
Anterior
Motor
Muscles of mastication
T.I.M.E.
2 tracts in the spinal cord
Corticospinal tract
Spinothalamic tract
Bundle of axons from spinal cord to cortex
Corticospinal tract
Bundle of axons from spinal cord to thalamus
Spinothalamic tract
Other name of corticospinal tract
Pyrimidal tract
Function of corticospinal tract
For motor
Function of spinothalamic tract
For sensory
Group of neuronal cell bodies outside the CNS
Ganglia or Ganglion
Group of neuronal cell bodies inside the CNS
Nucleus
Bundle of axons in PNS
Nerves
Bundle of axons in CNS
Tract
How many pairs of cranial nerves
12 pairs (24)
How many pairs of spinal cord
31 pairs (62)
Network of nerves
Plexuses
2 divisions of the Autonomic nervous system
🔹Parasympa
🔹Sympa
Parasympathetic nervous system is regulated mainly by
Acetylcholine
Rest and digest
Parasympathetic nervous system
Maintains homeostasis
Parasympathetic nervous system
Synonymous drugs that enhances the Parasympathetic nervous system
Cholinergic
Cholinomimetic
Parasympathomimetic
Anti-sympathetic
Anti-adrenergic
Sympatholytic
Anti-acetylcholinesterase or Anticholinesterase
Division of the Autonomic nervous system regulated mainly by norepinephrine
Sympathetic nervous system
Fight or flight
Sympathetic nervous system
Sympathetic nervous system is activated by what situations
Stress and emergency situations
Synonymous drugs that enhances the sympathetic nervous system
Adrenergic Adrenomimetic Sympathomimetic Anti-parasympathetic Anti-cholinergic Parasympatholytic
Regulates amount of light
Eye pupil
Eye pupil
Symp:
Parasympa:
Eye pupil
Symp: pupilary dilation (MYDRIASIS)
Parasymp: constriction (MIOSIS)
During parasympathetic = ______ fluid secretion
Increase fluid secretion during parasympathetic
Pupillary dilation
Mydriasis
Pupillary constriction
Miosis
Lacrimal glands/Salivary glands/Nasal mucosa
Symp:
Parasymp:
Lacrimal glands/Salivary glands/Nasal mucosa
Symp: ⬇️tears/saliva/mucus
parasymp: ⬆️tears/saliva/mucus
Sympathetic:
Lungs -
Arteries -
Sympathetic:
Lungs - BronchoDILATION
Arteries - vasoCONSTRICTION
Parasympathetic:
Lungs -
Arteries -
Parasympathetic:
Lungs - BronchoCONSTRICTION
Arteries - VasoDILATION
LUNGS
Sympa:
Parasympa:
LUNGS
Sympa: bronchodilation
Parasympa: bronchoconstriction
ARTERIES
Sympa:
Parasymp:
ARTERIES
Sympa: Vasoconstriction
Parasymp: vasodilation
Chronotropic
Heart rate
Inotropic
Force of contraction
HEART
Sympa:
Parasymp:
HEART
Sympa: ⬆️chronotropic and inotropic
Parasymp: ⬇️heart rate and force of contraction
Other name for Adrenal glands
Suprarenal glands
Location of Adrenal glands
Superior portion of kidney
Cells of the adrenal medulla that secretes catecholamines
Chromaffin cells
Catecholamines secreted by the chromaffin cells of the adrenal medulla
Dopamine
Norepinephrine
Epinephrine
ADRENAL GLANDS (chromaffin cells)
Sympa:
Parasympa:
ADRENAL GLANDS (chromaffin cells) Sympa: secretes dopamine, nrepinephrine, epinephrine Parasympa: inhibits dopa, norepi, epi
GIT
Sympa:
Parasympa:
GIT
Sympa: decrease motility
Parasympa: increase motility (rest and digest)
STOMACH
Sympa:
Parasympa:
STOMACH
Sympa: decrease HCl secretion
Parasympa: increase HCl secretion
LIVER and SKELETAL MUSCLE
Sympa:
Parasympa:
LIVER and SKELETAL MUSCLE
Sympa: ⬆️Glycogenolysis (glucagon)
Parasympa: ⬆️Glycogenesis (insulin)
PANCREAS
Sympa:
Parasympa:
PANCREAS
Sympa: GLUCAGON production
Parasympa: INSULIN production
KIDNEY
Sympa:
Parasympa:
KIDNEY
Sympa: ⬇️urine output
Parasympa: ⬆️urine output
BLADDER
Sympa:
Parasympa:
BLADDER
Sympa: contraction of sphincter
Parasympa: relaxation of sphincter
SWEAT GLANDS
Sympa:
Parasympa:
SWEAT GLANDS
Sympa: ⬆️sweating
parasympa: doesn’t affect! (exception to fluids)
GENITALS
Sympa:
Parasympa:
GENITALS
Sympa: ejaculation and vaginal contractions
Parasympa: erection of genitals
Neuron before a ganglion
Preganglionic neuron
Preganglionic neurons of Symp and Parasymp are also
Cholinergic neurons (Ach)
Preganglionic neurons secretes what neurotransmitter
Acetylcholine
Group of cell bodies in PNS
Ganglia or Ganglion
Type of receptors found in Post ganglionic neurons of Sympa and Parasympa
Nicotinic receptors
Post ganglionic neuron of PARASYMPATHETIC
Cholinergic neuron
Receptors found in ALL effector organs of PARASYMPATHETIC
Muscarinic receptors
2 possible receptors for Ach
Nicotinic
Muscarinic
Where are nicotinic receptors located? (3)
Nicotinic receptors:
✔️All postganglionic neurons of Symp and Parasymp
✔️Skeletal muscles
✔️Chromaffin cells
Preganglionic neuron that has no ganglion (exception)
Preganglionic neuron of adrenal glands
Where are muscarinic receptors found? (2)
All effector organsa of parasympathetic sweat glands
Type of receptor found on all effector organs of SYMPATHETIC
Adrenergic receptor
Neurotransmitter that regulates parasympathetic nervous system
Acetylcholine
Neurotransmitter that regulates sympathetic nervous system
Norepinephrine
Postganglionic neuron os sympathetic secretes what neurotransmitter
Norepinephrine
Neurons that releases norepinephrine are aka
Adrenergic neuron
Adrenergic neuron of sympathetic
Postganglionic neuron
Sweat glands is sympathetic (exception)
Postganglionic neuron is a
Cholinergic neuron (Ach)
Receptor found in sweat glands (sympa but exception)
Muscarinic receptor
Receptors found in chromaffin cells
Nicotinic receptors
Send signals to urinary bladder kaya naiihi ka pag kinakabahan
Pontine nucleus
Receptors for odor
Olfactory receptors
Part of nasal cavity where olfactory receptors are located
Superior meatus or SUPERIOR and POSTERIOR
Foramen of exit of CN 1 - Olfactory nerve
Cribriform plate of ethmoid bone
Mneumonic for CN and Function
OOO TTA FVG VAH
Some say marry money but my brother says big boobs matter most
CN for sense of smell
CN 1 Olfactory n.
Foramen of exit of CN 2 - Optic nerve
Optic canal
2 structures that exits at the optic canal
Optic nerve Opthalmic artery (from internal carotid artery)
CN for sense of sight
CN 2 - Optic n.
Photreceptors of the eye
Cones and Rods
Concentration of photoreceptors of the eye in relation to fovea centralis
Cones:
Rods:
⬆️Cones: closer to fovea centralis
Rods: concentrated farther to fovea centralis
Photoreceptor that detects colors
Cones
Photopogment of cones
Opsin
Less sensitive to light (needs more light to function)
High visual acquity
Cones
Concentrated in the fovea centralis of the Macula lutea
Cones
Contains greatest amount of cones
Fovea centralis
Yellowish area near the center of the retina that contains fovea centralis
Macula lutea
Photoreceptors that detects black to gray: for night vision
Rods
Photopigment of rods
Rhodopsin
Very sensitive to light and visual acquity
Rods
Concentrated away from the fovea centralis (in the periphery of the retina)
Rods
Basic part of the eye that concentrates light to the retina
Lens
Transparent portion infront of the eye
Cornea
Where image is formed
Retina
Gives color to the eyes
Iris
White portion of the eye
Sclera
Disease assoc with blue sclera
Osteogenesis imperfecta
Dilates (mydriasis) and constricts (miosis)
Pupil
Fluid on the AAAnterior part of the eye
Aqueous humor
Fluid on the posterior part of the eye
Vitreous humor
“Blind spot”
- where no cones or rods present
- point in retina where OPTIC NERVE enters towards the eye
Optic disc
What is OD
Oculus dexter - right eye
OS
Oculus sinister - left eye
OU
Oculus uterque - both eyes
AS
Auris sinister - left ear
AD
Auris dexter - right ear
AU
Auris uterque - both ears
Other terms for far sightedness
🔹Hyperopia
🔹Hypermetropia
Other term for near sightedness
Myopia
Underdeveloped VISUAL CORTEX; cannot be corrected by wearing glasses
Amblyopia aka Lazy eye
Tx for amblyopia/lazy eye
Eye patch in good eye
Foramen of exit of CN 3 - Oculomotor
Superior Orbital fissure
Cranial nerves that exits in the SOF
3/4/V1/6
Innervates most extrinsic muscles of the eye
Oculomotor nerve CN 3
Parasympathetic of the pupil and lacrimal glands (⬆️secretion)
Oculomotor nerve
Mneumonic for innervations of extrinsic muscles of the eye
SO4 LR6 R3
Foramen of exit of CN 4 - Trochlear nerve
SOF
Innervates superior oblique muscle
Trochlear nerve
Longest intracranial nerve
Trochlear nerve
Smallest cranial nerve
Trochlear nerve
Largest cranial nerve supplying the head and neck
Trigeminal nerve
3 division of trigeminal nerve - CN 5
Vi - Opthalmic
V2 - Maxillary
V3 - Mandibular
Innervates tip of nose
CN V1
Foramen of exit of V1
Superior Orbital Fissure
Foramen of exit of V2
Foramen Rotundum
“Ro2ndum”
Nerve of Scarpa
Nasopalatine nerve
In nasopalatine nerve block, what sides are blocked
Both sides
Nasopalatine nerve exits in the
Incisive foramen
Nasopalatine nerve innervates
✔️Palate from canine to canine
✔️Anterior 1/3 of hard palate (premaxilla)
Other name for greater palatine nerve
Anterior palatine nerve
Greater palatine nerve exits in
Greater palatine foramen
Greater palatine nerve innervates
Post 2/3 of hard palate
Side blocked in GPNB
Post 2/3 of the hard palate -on the side of injection
Posterior palatine nerve aka
Lesser palatine nerve
Exit of lesser or posterior palatine nerve
Lesser palatine foramen
What nerve innervates the soft palate
Lesser palatine nerve
Innervates Mx 2nd and 3rd molars and Distobuccal and Palatal roots of Mx 1st molar
PSAN
Most common complication assoc with PSANB
Hematoma
MSAN innervates
✔️Mx PM1 and PM2
✔️Mesiobuccal root of Mx 1st molar
Ganglion in MSAN + ASAN
Bochdalek’s ganglion
Ganglion: MSAN + PSAN
Valentine’s ganglion
Innervates mx canine and incisors
ASAN
Exit of infraorbital nerve
Infraorbital foramen
Innervates lower eyelid, upper lip, nasal vestibule, ASAN
Infraorbital nerve
Most common complication assoc with infraorbital nerve block
Ecchymosis
Reference point for infraorbital nerve block
1st PM or Distal of canine
Foramen of exit of V3
Foramen Ovale
Branch of Trigeminal nerve that is for both motor and sensory
V3
Motor branch of V3 that innervates the Temporalis
Deep temporal branch
Motor branch of V3 that innervates the internal pterygoid muscle
Medial pterygoid nerve
Motor branch of V3 that innervates the Masseter
Masseteric nerve
Motor branch of V3 that innervates the lateral pterygoid muscle
Lateral pterygoid nerve
Attached to MALLEUS; Regulates loudness of sound
Tensor tympani
What innervates the tensor tympani
V3
Exception to pharyngeal plexus; innervated by V3
Tensor veli palatini
Muscle in the floor of the mouth; difficulty in xray
Mylohyoid
Major muscle for mouth opening
Ant belly of digastric
Innervation of ant belly of digastric m.
V3
Innervation of Post belly of digastric m.
CN 7
Innervates buccal muccosa of mandibular molars
Long buccal nerve
Innervates anterior 2/3 of the tongue (general rule)
Lingual nerve
Innervates ant 2/3 of tongue (taste)
Facial nerve - chorda tympani
Innervates post 1/3 of tongue (general and taste)
Glossopharyngeal
Innervates base of tongue (gen and taste)
Vagus nerve
Terminal branch of IAN
Mental nerve
Innervates buccal and labial mucosa of pm and ant, chin, lower lip
Mental nerve
Branch of IAN that innervates anterior teeth
Incisive nerve
Innervates the TMJ and SCALP in temporal region
Auriculotemporal nerve
After administration of Mandiblock, px had bells palsy or facial paralysis, what is the possible cause
Wrong technique
Must be contralateral side
Complication that can arise when you DID NOT ASPIRATE; anesth accumulates in the bloodstream
Toxicity
Initial sign of anesth toxicity
Anxiety
Management of syncope
Trendelenburg position
Caused by multiple needle insertions usually in the medial pterygoid muscle
Trismus (med pterygoid-spasm-limited mouth opening)
Nervous system outside the CNS
PNS
4 sensory branches of CN V3
🔹Long buccal nerve
🔹Lingual nerve
🔹IAN - mental/incisive nerve
🔹Auriculotemporal nerve
4 motor branches of CN V3
TIME muscles
4 other muscles that is innervated by CN V3
🔹Tensor tympani
🔹Tensor veli palatini
🔹Mylohyoid
🔹Ant belly of digastric
Innervates the buccal mucosa of mandibular molars
Long buccal nerve
Anterior /3 of tongue (general)
Lingual nerve
Anterior 2/3 of tongue (taste)
Chorda tympani of Facial nerve (CN VII)
Posterior 1/3 of tongue (general and taste)
CN IX - Glossopharyngeal
Base of tongue (general and taste)
CN X - Vagus nerve
Terminal branch of IAN
🔹Mental nerve (go for this✨)
🔹Incisive nerve
Innervates the lower anterior teeth
Incisive nerve
Exit of nasopalatine nerve or “Nerve of Scarpa”
Incisive foramen
Innervates the TMJ and Scalp
Auriculotemporal nerve
Syndrome associated with STURGE-WEBER Syndrome (Path of CN V - birthmark)
Portwine stain
Other name for Sturge-Weber syndrome
Encephalogeminal Angiomatosis
Is a rare congenital neurological and skin disorder. It is one of the phakomatoses and is often assoc with portwine stains of the face, glaucoma, seizures, mental retardation, and ipsilateral leptomeningeal angioma
Sturge-Weber syndrome (Encephalotrigeminal angiomatosis)
Foramen of exit of Abducens nerve (CN VI)
SOF
What muscle is innervated by CN VI
Lateral rectus of the eye
Foramen exit of Facial nerve
Stylomastoid foramen
Control scalp muscles around ear
Auricular nerve (Facial nerve)
Innervates the Posterior belly of Digastric
Facial nerve
5 major branches in Parotid gland (Facial nerve)
“The Zebra Bump My Car”
Temporal Zygomatic Buccal Mandibular Cervical
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
Parasympathetic innervation of Facial nerve (Chroda tympani)
Submandibular and sublingual gland
3 other names for CN VIII
🔹Vestibulocochlear nerve
🔹Acoustic nerve
🔹Auditory nerve
Foramen of exit of CN VIII - Vestibulocochlear nerve
Internal acoustic meatus
Nerve for sense of Hearing
Vestibulocochlear nerve
3 parts of the outer ear
🔹Auricle
🔹Ear canal
🔹Tympanic membrane/Eardrum
Examples of Elastic Cartilages
🔹Pinna/Auricle
🔹Epiglottis
🔹Eustachian tube
What is found in the middle ear
🔹Auditory Ossicles
🔹Eustachian tube
What structures are found in the inner ear
🔹Cochlea
🔹Semicircular canals
Receptor organ for hearing
Organ of corti
Sensory receptors for hearing
“Hair-ing”
Hair cells
Contains semicircular fluids for balance
Semicircular canals
Foramen of exit of CN IX - Glossopharyngeal nerve
Jugular foramen
Nerves that exits in the Jugular foramen
IX - Glossopharyngeal
X - vagus
X - Spinal accessory nerve
Parasympathetic innervation of Glossopharyngeal nerve
Parotid gland
General and taste sensation of Posterior 1/3 of the tongue
Glssopharyngeal (CN IX)
Nerves involved in the Pharyngeal plexus
IX
X
XI
Innervates all muscles of Palate and Pharynx
Pharyngeal plexus
2 exceptions of Pharyngeal plexus
🔹Tensor veli palatini (V3)
🔹Stylopharyngeus (IX)
Innervates the superior pharyngeal constrictor
Pharyngeal plexus
Foramen of exit of CN X - Vagus nerve
Jugular foramen
Vagus nerve has parasympathetic innervation of what organs
🔹Heart 🔹Lungs 🔹Digestive tract (stomach, intestines) 🔹Kidney 🔹Liver
If you cut the vagus nerve, what happens to the heart’s function
Increase force of contraction and heart rate
Parasympathetic innervation of vagus nerve to heart =
Decrease force of contraction and heart rate
“VAGUS ang nag papaVAGAL ng heart”
Once you cut the vagus nerve, digestive tract =
Slow or decreased digestion
kasi parasympathetic func sa stomach is increased digestion = rest and digest
Gag reflex - motor func
Vagus nerve - CN X
Gag reflex - sensory
Glossopharyngeal - CN IX
Base of the tongue: general and taste sensation
Vagus nerve
The nerve that ENTERS and EXITS the skull
Spinal accessory nerve (XI)
Where does the CN XI enter?
Foramen magnum
Where does the CN XI exit?
Jugular foramen
Muscles that are innervated by CN XI
🔹Trapezius
🔹Sternocleidomastoid
Dse assoc with sternocleidomastoid
Torticollis aka “Wry neck”
Sternocleido mastoid rotates chin towards what side
Opposite side of the body
Foramen of exit of Hypoglossal nerve
Hypoglossal canal
May sariling canal si bakla
Innervates extrinsic muscles of tongue except Palatoglossus
Hypoglossal nerve
Extrinsic muscles innervated by Hypoglossal nerve
Genioglossus
Styloglossus
Hyoglossus
Palatoglossus is innervated by
Pharyngeal plexus (IX, X, XI)
Moves tongue inferiorly and anteriorly
Genioglossus
Move tongue inferiorly
Hyoglossus
Moves tongue superiorly and posteriorly
Styloglossus
Moves tongue superiorly towards palate and moves palate inferiorly towards tongue
Palatoglossus
Longest intracranial nerve
Trochlear nerve CN IV
Largest nerve supplying HEAD and NECK
Trigeminal nerve CN V
What is neuralgia in CN V (trigeminal)
Tic Douloureux
DOC for Tic Douloureux aka Trigeminal neuralgia
Tegretol (Carbamazepine)
Largest cranial nerve supplying the Human Body
CN X - Vagus nerve
Largest nerve in the human body
Sciatic nerve
What is the Wandering nerve
CN X - Vagus nerve
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
What innervates the submandibular and sublingual glands
CN VII - Chorda tympani
What cranial nerve assoc with Chorda tympani
CN VII - Facial nerve
What cranial nerves with Parasympathetic innervation
Parasympathetic:
III - Pupil: Miosis = Pupillary constriction
VII - Subli/Submd = increase saliva secretion
IX - Parotid = increase saliva
X - Heart = decrease rate
GIT = increase metabolism
What are the Vit K-dependent clotting factors produced by the Liver
CF II - Prothrombin
VII - Stable factor
IX - Christmas factor
X - Stuart factor
CF 1
Fibrinogen
CF 2
Prothrombin
CF 3
Thromboplastin (Tissue factor)
CF 4
Calcium
CF 5
Labile factor
CF 7
Stable factor
CF 8
Antihemophilic factor
CF 10
Stuart factor
CF 11
Plasmathromboplastin Antecedent
CF 12
Hagemann factor
CF 13
Fibrin stabilizing factor
Clotting factor deficient in Hemophilia A
CF 8 - Antihemophilic factor (8 - A - Anti)
Deficient in Hemophilia B
CF 9 - Christmas factor
Deficient in Hemophilia C
CF 11 - Plasma thromboplastin antecedent
Most important clotting factor
CF 8 - Antihemohilic factor
Cloting time
8 to 15 minutes
Bleeding time
1 to 3 mins
Bleeding is possible to stop even without blood clot because of
Platelet plug
2 components of blood clot
Platelets and Fibrin
Meshlike structure
Fibrin
Electrolyte important for blot clotting
Calcium
2 pathways in coagulation cascade
Intrinsic and extrinsic pathways
Pathway wherein body is capable of forming blood clot without exposure to external environment
Intrinsic pathway
Pathway in formation of blood clot wherein body is exposed to external environment
Extrinsic pathway
Common factor of INTRINSIC and EXTRINSIC pathway
CF 10 - Stuart factor
What are attached to CF 10
“CaVX”
Calcium
CF V - Labile factor
Precursor of Fibrin
Fibrinogen
Best to form blot clot: for clotting factors to meet
Pressure pack
CaVX waits for
Prothrombin
Converts Prothrombin to Thrombin
Ca V X
Precursor of Thrombin
Prothrombin (II)
Liver produces what clotting factor that is also the precursor of fibrin
Fibrinogen (I)
Thrombin waits for what clotting factor to produce Fibrin (XIII)
CF 1 - Fibrinogen
In hemophelia:
Problem?
Clotting time =
Bleeding time =
✔️Clotting time increased
✔️Normal bleeding time
Lab test that measures how fast can the EXTRINSIC pathway activate Factor 10 (stuart factor)
“PeT”
Prothrombin time
Normal PT (Prothrombin time)
PT = 9 to 13s
Lab test that measures how fast can INTRINSIC pathway activate Factor X
Partial prothrombin time (“PTiT”)
Normal PTT (Partial thromboplastin time)
PTT = 25 to 35s
Normal bleeding time
1-3s
boards = 2-3s
Normal platelet count
150,000-450,000 cells/mL
Normal RBC count
5M cells/mL
Life span of platelets
10 days
Most numerous papillae
Filiform
Only papillae without taste buds
Filiform
Mushroom or fungus shape. Loc at the TIPS and SIDES of tongue
Fungiform
Found posterolaterally of tongue
Foliate
✔️Found in V shape sulcus of tongue.
✔️Largest
✔️Least numerous papillae
Circumvallate
What is neuralgia in CN V (trigeminal)
Tic Douloureux
DOC for Tic Douloureux aka Trigeminal neuralgia
Tegretol (Carbamazepine)
Largest cranial nerve supplying the Human Body
CN X - Vagus nerve
Largest nerve in the human body
Sciatic nerve
What is the Wandering nerve
CN X - Vagus nerve
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
What innervates the submandibular and sublingual glands
CN VII - Chorda tympani
What cranial nerve assoc with Chorda tympani
CN VII - Facial nerve
What cranial nerves with Parasympathetic innervation
Parasympathetic:
III - Pupil: Miosis = Pupillary constriction
VII - Subli/Submd = increase saliva secretion
IX - Parotid = increase saliva
X - Heart = decrease rate
GIT = increase metabolism
What are the Vit K-dependent clotting factors produced by the Liver
CF II - Prothrombin
VII - Stable factor
IX - Christmas factor
X - Stuart factor
CF 1
Fibrinogen
CF 2
Prothrombin
CF 3
Thromboplastin (Tissue factor)
CF 4
Calcium
CF 5
Labile factor
CF 7
Stable factor
CF 8
Antihemophilic factor
CF 10
Stuart factor
CF 11
Plasmathromboplastin Antecedent
CF 12
Hagemann factor
CF 13
Fibrin stabilizing factor
Clotting factor deficient in Hemophilia A
CF 8 - Antihemophilic factor (8 - A - Anti)
Deficient in Hemophilia B
CF 9 - Christmas factor
Deficient in Hemophilia C
CF 11 - Plasma thromboplastin antecedent
Most important clotting factor
CF 8 - Antihemohilic factor
Cloting time
8 to 15 minutes
Bleeding time
1 to 3 mins
Bleeding is possible to stop even without blood clot because of
Platelet plug
2 components of blood clot
Platelets and Fibrin
Meshlike structure
Fibrin
Electrolyte important for blot clotting
Calcium
2 pathways in coagulation cascade
Intrinsic and extrinsic pathways
Pathway wherein body is capable of forming blood clot without exposure to external environment
Intrinsic pathway
Pathway in formation of blood clot wherein body is exposed to external environment
Extrinsic pathway
Common factor of INTRINSIC and EXTRINSIC pathway
CF 10 - Stuart factor
What are attached to CF 10
“CaVX”
Calcium
CF V - Labile factor
Precursor of Fibrin
Fibrinogen
Best to form blot clot: for clotting factors to meet
Pressure pack
CaVX waits for
Prothrombin
Converts Prothrombin to Thrombin
Ca V X
Precursor of Thrombin
Prothrombin (II)
Liver produces what clotting factor that is also the precursor of fibrin
Fibrinogen (I)
Thrombin waits for what clotting factor to produce Fibrin (XIII)
CF 1 - Fibrinogen
In hemophelia:
Problem?
Clotting time =
Bleeding time =
✔️Clotting time increased
✔️Normal bleeding time
Lab test that measures how fast can the EXTRINSIC pathway activate Factor 10 (stuart factor)
“PeT”
Prothrombin time
Normal PT (Prothrombin time)
PT = 9 to 13s
Lab test that measures how fast can INTRINSIC pathway activate Factor X
Partial prothrombin time (“PTiT”)
Normal PTT (Partial thromboplastin time)
PTT = 25 to 35s
Normal bleeding time
1-3s
boards = 2-3s
Normal platelet count
150,000-450,000 cells/mL
Normal RBC count
5M cells/mL
Life span of platelets
10 days
Most numerous papillae
Filiform
Only papillae without taste buds
Filiform
Mushroom or fungus shape. Loc at the TIPS and SIDES of tongue
Fungiform
Found posterolaterally of tongue
Foliate
✔️Found in V shape sulcus of tongue.
✔️Largest
✔️Least numerous papillae
Circumvallate
4 sensory branches of CN V3
🔹Long buccal nerve
🔹Lingual nerve
🔹IAN - mental/incisive nerve
🔹Auriculotemporal nerve
4 motor branches of CN V3
TIME muscles
4 other muscles that is innervated by CN V3
🔹Tensor tympani
🔹Tensor veli palatini
🔹Mylohyoid
🔹Ant belly of digastric
Innervates the buccal mucosa of mandibular molars
Long buccal nerve
Anterior /3 of tongue (general)
Lingual nerve
Anterior 2/3 of tongue (taste)
Chorda tympani of Facial nerve (CN VII)
Posterior 1/3 of tongue (general and taste)
CN IX - Glossopharyngeal
Base of tongue (general and taste)
CN X - Vagus nerve
Terminal branch of IAN
🔹Mental nerve (go for this✨)
🔹Incisive nerve
Innervates the lower anterior teeth
Incisive nerve
Exit of nasopalatine nerve or “Nerve of Scarpa”
Incisive foramen
Innervates the TMJ and Scalp
Auriculotemporal nerve
Syndrome associated with STURGE-WEBER Syndrome (Path of CN V - birthmark)
Portwine stain
Other name for Sturge-Weber syndrome
Encephalogeminal Angiomatosis
Is a rare congenital neurological and skin disorder. It is one of the phakomatoses and is often assoc with portwine stains of the face, glaucoma, seizures, mental retardation, and ipsilateral leptomeningeal angioma
Sturge-Weber syndrome (Encephalotrigeminal angiomatosis)
Foramen of exit of Abducens nerve (CN VI)
SOF
What muscle is innervated by CN VI
Lateral rectus of the eye
Foramen exit of Facial nerve
Stylomastoid foramen
Control scalp muscles around ear
Auricular nerve (Facial nerve)
Innervates the Posterior belly of Digastric
Facial nerve
5 major branches in Parotid gland (Facial nerve)
“The Zebra Bump My Car”
Temporal Zygomatic Buccal Mandibular Cervical
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
Parasympathetic innervation of Facial nerve (Chroda tympani)
Submandibular and sublingual gland
3 other names for CN VIII
🔹Vestibulocochlear nerve
🔹Acoustic nerve
🔹Auditory nerve
Foramen of exit of CN VIII - Vestibulocochlear nerve
Internal acoustic meatus
Nerve for sense of Hearing
Vestibulocochlear nerve
3 parts of the outer ear
🔹Auricle
🔹Ear canal
🔹Tympanic membrane/Eardrum
Examples of Elastic Cartilages
🔹Pinna/Auricle
🔹Epiglottis
🔹Eustachian tube
What is found in the middle ear
🔹Auditory Ossicles
🔹Eustachian tube
What structures are found in the inner ear
🔹Cochlea
🔹Semicircular canals
Receptor organ for hearing
Organ of corti
Sensory receptors for hearing
“Hair-ing”
Hair cells
Contains semicircular fluids for balance
Semicircular canals
Foramen of exit of CN IX - Glossopharyngeal nerve
Jugular foramen
Nerves that exits in the Jugular foramen
IX - Glossopharyngeal
X - vagus
X - Spinal accessory nerve
Parasympathetic innervation of Glossopharyngeal nerve
Parotid gland
General and taste sensation of Posterior 1/3 of the tongue
Glssopharyngeal (CN IX)
Nerves involved in the Pharyngeal plexus
IX
X
XI
Innervates all muscles of Palate and Pharynx
Pharyngeal plexus
2 exceptions of Pharyngeal plexus
🔹Tensor veli palatini (V3)
🔹Stylopharyngeus (IX)
Innervates the superior pharyngeal constrictor
Pharyngeal plexus
Foramen of exit of CN X - Vagus nerve
Jugular foramen
Vagus nerve has parasympathetic innervation of what organs
🔹Heart 🔹Lungs 🔹Digestive tract (stomach, intestines) 🔹Kidney 🔹Liver
If you cut the vagus nerve, what happens to the heart’s function
Increase force of contraction and heart rate
Parasympathetic innervation of vagus nerve to heart =
Decrease force of contraction and heart rate
“VAGUS ang nag papaVAGAL ng heart”
Once you cut the vagus nerve, digestive tract =
Slow or decreased digestion
kasi parasympathetic func sa stomach is increased digestion = rest and digest
Gag reflex - motor func
Vagus nerve - CN X
Gag reflex - sensory
Glossopharyngeal - CN IX
Base of the tongue: general and taste sensation
Vagus nerve
The nerve that ENTERS and EXITS the skull
Spinal accessory nerve (XI)
Where does the CN XI enter?
Foramen magnum
Where does the CN XI exit?
Jugular foramen
Muscles that are innervated by CN XI
🔹Trapezius
🔹Sternocleidomastoid
Dse assoc with sternocleidomastoid
Torticollis aka “Wry neck”
Sternocleido mastoid rotates chin towards what side
Opposite side of the body
Foramen of exit of Hypoglossal nerve
Hypoglossal canal
May sariling canal si bakla
Innervates extrinsic muscles of tongue except Palatoglossus
Hypoglossal nerve
Extrinsic muscles innervated by Hypoglossal nerve
Genioglossus
Styloglossus
Hyoglossus
Palatoglossus is innervated by
Pharyngeal plexus (IX, X, XI)
Moves tongue inferiorly and anteriorly
Genioglossus
Move tongue inferiorly
Hyoglossus
Moves tongue superiorly and posteriorly
Styloglossus
Moves tongue superiorly towards palate and moves palate inferiorly towards tongue
Palatoglossus
Longest intracranial nerve
Trochlear nerve CN IV
Largest nerve supplying HEAD and NECK
Trigeminal nerve CN V
What is neuralgia in CN V (trigeminal)
Tic Douloureux
DOC for Tic Douloureux aka Trigeminal neuralgia
Tegretol (Carbamazepine)
Largest cranial nerve supplying the Human Body
CN X - Vagus nerve
Largest nerve in the human body
Sciatic nerve
What is the Wandering nerve
CN X - Vagus nerve
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
What innervates the submandibular and sublingual glands
CN VII - Chorda tympani
What cranial nerve assoc with Chorda tympani
CN VII - Facial nerve
What cranial nerves with Parasympathetic innervation
Parasympathetic:
III - Pupil: Miosis = Pupillary constriction
VII - Subli/Submd = increase saliva secretion
IX - Parotid = increase saliva
X - Heart = decrease rate
GIT = increase metabolism
What are the Vit K-dependent clotting factors produced by the Liver
CF II - Prothrombin
VII - Stable factor
IX - Christmas factor
X - Stuart factor
CF 1
Fibrinogen
CF 2
Prothrombin
CF 3
Thromboplastin (Tissue factor)
CF 4
Calcium
CF 5
Labile factor
CF 7
Stable factor
CF 8
Antihemophilic factor
CF 10
Stuart factor
CF 11
Plasmathromboplastin Antecedent
CF 12
Hagemann factor
CF 13
Fibrin stabilizing factor
Clotting factor deficient in Hemophilia A
CF 8 - Antihemophilic factor (8 - A - Anti)
Deficient in Hemophilia B
CF 9 - Christmas factor
Deficient in Hemophilia C
CF 11 - Plasma thromboplastin antecedent
Most important clotting factor
CF 8 - Antihemohilic factor
Cloting time
8 to 15 minutes
Bleeding time
1 to 3 mins
Bleeding is possible to stop even without blood clot because of
Platelet plug
2 components of blood clot
Platelets and Fibrin
Meshlike structure
Fibrin
Electrolyte important for blot clotting
Calcium
2 pathways in coagulation cascade
Intrinsic and extrinsic pathways
Pathway wherein body is capable of forming blood clot without exposure to external environment
Intrinsic pathway
Pathway in formation of blood clot wherein body is exposed to external environment
Extrinsic pathway
Common factor of INTRINSIC and EXTRINSIC pathway
CF 10 - Stuart factor
What are attached to CF 10
“CaVX”
Calcium
CF V - Labile factor
Precursor of Fibrin
Fibrinogen
Best to form blot clot: for clotting factors to meet
Pressure pack
CaVX waits for
Prothrombin
Converts Prothrombin to Thrombin
Ca V X
Precursor of Thrombin
Prothrombin (II)
Liver produces what clotting factor that is also the precursor of fibrin
Fibrinogen (I)
Thrombin waits for what clotting factor to produce Fibrin (XIII)
CF 1 - Fibrinogen
In hemophelia:
Problem?
Clotting time =
Bleeding time =
✔️Clotting time increased
✔️Normal bleeding time
Lab test that measures how fast can the EXTRINSIC pathway activate Factor 10 (stuart factor)
“PeT”
Prothrombin time
Normal PT (Prothrombin time)
PT = 9 to 13s
Lab test that measures how fast can INTRINSIC pathway activate Factor X
Partial prothrombin time (“PTiT”)
Normal PTT (Partial thromboplastin time)
PTT = 25 to 35s
Normal bleeding time
1-3s
boards = 2-3s
Normal platelet count
150,000-450,000 cells/mL
Normal RBC count
5M cells/mL
Life span of platelets
10 days
Most numerous papillae
Filiform
Only papillae without taste buds
Filiform
Mushroom or fungus shape. Loc at the TIPS and SIDES of tongue
Fungiform
Found posterolaterally of tongue
Foliate
✔️Found in V shape sulcus of tongue.
✔️Largest
✔️Least numerous papillae
Circumvallate
4 sensory branches of CN V3
🔹Long buccal nerve
🔹Lingual nerve
🔹IAN - mental/incisive nerve
🔹Auriculotemporal nerve
4 motor branches of CN V3
TIME muscles
4 other muscles that is innervated by CN V3
🔹Tensor tympani
🔹Tensor veli palatini
🔹Mylohyoid
🔹Ant belly of digastric
Innervates the buccal mucosa of mandibular molars
Long buccal nerve
Anterior /3 of tongue (general)
Lingual nerve
Anterior 2/3 of tongue (taste)
Chorda tympani of Facial nerve (CN VII)
Posterior 1/3 of tongue (general and taste)
CN IX - Glossopharyngeal
Base of tongue (general and taste)
CN X - Vagus nerve
Terminal branch of IAN
🔹Mental nerve (go for this✨)
🔹Incisive nerve
Innervates the lower anterior teeth
Incisive nerve
Exit of nasopalatine nerve or “Nerve of Scarpa”
Incisive foramen
Innervates the TMJ and Scalp
Auriculotemporal nerve
Syndrome associated with STURGE-WEBER Syndrome (Path of CN V - birthmark)
Portwine stain
Other name for Sturge-Weber syndrome
Encephalogeminal Angiomatosis
Is a rare congenital neurological and skin disorder. It is one of the phakomatoses and is often assoc with portwine stains of the face, glaucoma, seizures, mental retardation, and ipsilateral leptomeningeal angioma
Sturge-Weber syndrome (Encephalotrigeminal angiomatosis)
Foramen of exit of Abducens nerve (CN VI)
SOF
What muscle is innervated by CN VI
Lateral rectus of the eye
Foramen exit of Facial nerve
Stylomastoid foramen
Control scalp muscles around ear
Auricular nerve (Facial nerve)
Innervates the Posterior belly of Digastric
Facial nerve
5 major branches in Parotid gland (Facial nerve)
“The Zebra Bump My Car”
Temporal Zygomatic Buccal Mandibular Cervical
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
Parasympathetic innervation of Facial nerve (Chroda tympani)
Submandibular and sublingual gland
3 other names for CN VIII
🔹Vestibulocochlear nerve
🔹Acoustic nerve
🔹Auditory nerve
Foramen of exit of CN VIII - Vestibulocochlear nerve
Internal acoustic meatus
Nerve for sense of Hearing
Vestibulocochlear nerve
3 parts of the outer ear
🔹Auricle
🔹Ear canal
🔹Tympanic membrane/Eardrum
Examples of Elastic Cartilages
🔹Pinna/Auricle
🔹Epiglottis
🔹Eustachian tube
What is found in the middle ear
🔹Auditory Ossicles
🔹Eustachian tube
What structures are found in the inner ear
🔹Cochlea
🔹Semicircular canals
Receptor organ for hearing
Organ of corti
Sensory receptors for hearing
“Hair-ing”
Hair cells
Contains semicircular fluids for balance
Semicircular canals
Foramen of exit of CN IX - Glossopharyngeal nerve
Jugular foramen
Nerves that exits in the Jugular foramen
IX - Glossopharyngeal
X - vagus
X - Spinal accessory nerve
Parasympathetic innervation of Glossopharyngeal nerve
Parotid gland
General and taste sensation of Posterior 1/3 of the tongue
Glssopharyngeal (CN IX)
Nerves involved in the Pharyngeal plexus
IX
X
XI
Innervates all muscles of Palate and Pharynx
Pharyngeal plexus
2 exceptions of Pharyngeal plexus
🔹Tensor veli palatini (V3)
🔹Stylopharyngeus (IX)
Innervates the superior pharyngeal constrictor
Pharyngeal plexus
Foramen of exit of CN X - Vagus nerve
Jugular foramen
Vagus nerve has parasympathetic innervation of what organs
🔹Heart 🔹Lungs 🔹Digestive tract (stomach, intestines) 🔹Kidney 🔹Liver
If you cut the vagus nerve, what happens to the heart’s function
Increase force of contraction and heart rate
Parasympathetic innervation of vagus nerve to heart =
Decrease force of contraction and heart rate
“VAGUS ang nag papaVAGAL ng heart”
Once you cut the vagus nerve, digestive tract =
Slow or decreased digestion
kasi parasympathetic func sa stomach is increased digestion = rest and digest
Gag reflex - motor func
Vagus nerve - CN X
Gag reflex - sensory
Glossopharyngeal - CN IX
Base of the tongue: general and taste sensation
Vagus nerve
The nerve that ENTERS and EXITS the skull
Spinal accessory nerve (XI)
Where does the CN XI enter?
Foramen magnum
Where does the CN XI exit?
Jugular foramen
Muscles that are innervated by CN XI
🔹Trapezius
🔹Sternocleidomastoid
Dse assoc with sternocleidomastoid
Torticollis aka “Wry neck”
Sternocleido mastoid rotates chin towards what side
Opposite side of the body
Foramen of exit of Hypoglossal nerve
Hypoglossal canal
May sariling canal si bakla
Innervates extrinsic muscles of tongue except Palatoglossus
Hypoglossal nerve
Extrinsic muscles innervated by Hypoglossal nerve
Genioglossus
Styloglossus
Hyoglossus
Palatoglossus is innervated by
Pharyngeal plexus (IX, X, XI)
Moves tongue inferiorly and anteriorly
Genioglossus
Move tongue inferiorly
Hyoglossus
Moves tongue superiorly and posteriorly
Styloglossus
Moves tongue superiorly towards palate and moves palate inferiorly towards tongue
Palatoglossus
Longest intracranial nerve
Trochlear nerve CN IV
Largest nerve supplying HEAD and NECK
Trigeminal nerve CN V
What is neuralgia in CN V (trigeminal)
Tic Douloureux
DOC for Tic Douloureux aka Trigeminal neuralgia
Tegretol (Carbamazepine)
Largest cranial nerve supplying the Human Body
CN X - Vagus nerve
Largest nerve in the human body
Sciatic nerve
What is the Wandering nerve
CN X - Vagus nerve
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
What innervates the submandibular and sublingual glands
CN VII - Chorda tympani
What cranial nerve assoc with Chorda tympani
CN VII - Facial nerve
What cranial nerves with Parasympathetic innervation
Parasympathetic:
III - Pupil: Miosis = Pupillary constriction
VII - Subli/Submd = increase saliva secretion
IX - Parotid = increase saliva
X - Heart = decrease rate
GIT = increase metabolism
What are the Vit K-dependent clotting factors produced by the Liver
CF II - Prothrombin
VII - Stable factor
IX - Christmas factor
X - Stuart factor
CF 1
Fibrinogen
CF 2
Prothrombin
CF 3
Thromboplastin (Tissue factor)
CF 4
Calcium
CF 5
Labile factor
CF 7
Stable factor
CF 8
Antihemophilic factor
CF 10
Stuart factor
CF 11
Plasmathromboplastin Antecedent
CF 12
Hagemann factor
CF 13
Fibrin stabilizing factor
Clotting factor deficient in Hemophilia A
CF 8 - Antihemophilic factor (8 - A - Anti)
Deficient in Hemophilia B
CF 9 - Christmas factor
Deficient in Hemophilia C
CF 11 - Plasma thromboplastin antecedent
Most important clotting factor
CF 8 - Antihemohilic factor
Cloting time
8 to 15 minutes
Bleeding time
1 to 3 mins
Bleeding is possible to stop even without blood clot because of
Platelet plug
2 components of blood clot
Platelets and Fibrin
Meshlike structure
Fibrin
Electrolyte important for blot clotting
Calcium
2 pathways in coagulation cascade
Intrinsic and extrinsic pathways
Pathway wherein body is capable of forming blood clot without exposure to external environment
Intrinsic pathway
Pathway in formation of blood clot wherein body is exposed to external environment
Extrinsic pathway
Common factor of INTRINSIC and EXTRINSIC pathway
CF 10 - Stuart factor
What are attached to CF 10
“CaVX”
Calcium
CF V - Labile factor
Precursor of Fibrin
Fibrinogen
Best to form blot clot: for clotting factors to meet
Pressure pack
CaVX waits for
Prothrombin
Converts Prothrombin to Thrombin
Ca V X
Precursor of Thrombin
Prothrombin (II)
Liver produces what clotting factor that is also the precursor of fibrin
Fibrinogen (I)
Thrombin waits for what clotting factor to produce Fibrin (XIII)
CF 1 - Fibrinogen
In hemophelia:
Problem?
Clotting time =
Bleeding time =
✔️Clotting time increased
✔️Normal bleeding time
Lab test that measures how fast can the EXTRINSIC pathway activate Factor 10 (stuart factor)
“PeT”
Prothrombin time
Normal PT (Prothrombin time)
PT = 9 to 13s
Lab test that measures how fast can INTRINSIC pathway activate Factor X
Partial prothrombin time (“PTiT”)
Normal PTT (Partial thromboplastin time)
PTT = 25 to 35s
Normal bleeding time
1-3s
boards = 2-3s
Normal platelet count
150,000-450,000 cells/mL
Normal RBC count
5M cells/mL
Life span of platelets
10 days
Most numerous papillae
Filiform
Only papillae without taste buds
Filiform
Mushroom or fungus shape. Loc at the TIPS and SIDES of tongue
Fungiform
Found posterolaterally of tongue
Foliate
✔️Found in V shape sulcus of tongue.
✔️Largest
✔️Least numerous papillae
Circumvallate
4 sensory branches of CN V3
🔹Long buccal nerve
🔹Lingual nerve
🔹IAN - mental/incisive nerve
🔹Auriculotemporal nerve
4 motor branches of CN V3
TIME muscles
4 other muscles that is innervated by CN V3
🔹Tensor tympani
🔹Tensor veli palatini
🔹Mylohyoid
🔹Ant belly of digastric
Innervates the buccal mucosa of mandibular molars
Long buccal nerve
Anterior /3 of tongue (general)
Lingual nerve
Anterior 2/3 of tongue (taste)
Chorda tympani of Facial nerve (CN VII)
Posterior 1/3 of tongue (general and taste)
CN IX - Glossopharyngeal
Base of tongue (general and taste)
CN X - Vagus nerve
Terminal branch of IAN
🔹Mental nerve (go for this✨)
🔹Incisive nerve
Innervates the lower anterior teeth
Incisive nerve
Exit of nasopalatine nerve or “Nerve of Scarpa”
Incisive foramen
Innervates the TMJ and Scalp
Auriculotemporal nerve
Syndrome associated with STURGE-WEBER Syndrome (Path of CN V - birthmark)
Portwine stain
Other name for Sturge-Weber syndrome
Encephalogeminal Angiomatosis
Is a rare congenital neurological and skin disorder. It is one of the phakomatoses and is often assoc with portwine stains of the face, glaucoma, seizures, mental retardation, and ipsilateral leptomeningeal angioma
Sturge-Weber syndrome (Encephalotrigeminal angiomatosis)
Foramen of exit of Abducens nerve (CN VI)
SOF
What muscle is innervated by CN VI
Lateral rectus of the eye
Foramen exit of Facial nerve
Stylomastoid foramen
Control scalp muscles around ear
Auricular nerve (Facial nerve)
Innervates the Posterior belly of Digastric
Facial nerve
5 major branches in Parotid gland (Facial nerve)
“The Zebra Bump My Car”
Temporal Zygomatic Buccal Mandibular Cervical
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
Parasympathetic innervation of Facial nerve (Chroda tympani)
Submandibular and sublingual gland
3 other names for CN VIII
🔹Vestibulocochlear nerve
🔹Acoustic nerve
🔹Auditory nerve
Foramen of exit of CN VIII - Vestibulocochlear nerve
Internal acoustic meatus
Nerve for sense of Hearing
Vestibulocochlear nerve
3 parts of the outer ear
🔹Auricle
🔹Ear canal
🔹Tympanic membrane/Eardrum
Examples of Elastic Cartilages
🔹Pinna/Auricle
🔹Epiglottis
🔹Eustachian tube
What is found in the middle ear
🔹Auditory Ossicles
🔹Eustachian tube
What structures are found in the inner ear
🔹Cochlea
🔹Semicircular canals
Receptor organ for hearing
Organ of corti
Sensory receptors for hearing
“Hair-ing”
Hair cells
Contains semicircular fluids for balance
Semicircular canals
Foramen of exit of CN IX - Glossopharyngeal nerve
Jugular foramen
Nerves that exits in the Jugular foramen
IX - Glossopharyngeal
X - vagus
X - Spinal accessory nerve
Parasympathetic innervation of Glossopharyngeal nerve
Parotid gland
General and taste sensation of Posterior 1/3 of the tongue
Glssopharyngeal (CN IX)
Nerves involved in the Pharyngeal plexus
IX
X
XI
Innervates all muscles of Palate and Pharynx
Pharyngeal plexus
2 exceptions of Pharyngeal plexus
🔹Tensor veli palatini (V3)
🔹Stylopharyngeus (IX)
Innervates the superior pharyngeal constrictor
Pharyngeal plexus
Foramen of exit of CN X - Vagus nerve
Jugular foramen
Vagus nerve has parasympathetic innervation of what organs
🔹Heart 🔹Lungs 🔹Digestive tract (stomach, intestines) 🔹Kidney 🔹Liver
If you cut the vagus nerve, what happens to the heart’s function
Increase force of contraction and heart rate
Parasympathetic innervation of vagus nerve to heart =
Decrease force of contraction and heart rate
“VAGUS ang nag papaVAGAL ng heart”
Once you cut the vagus nerve, digestive tract =
Slow or decreased digestion
kasi parasympathetic func sa stomach is increased digestion = rest and digest
Gag reflex - motor func
Vagus nerve - CN X
Gag reflex - sensory
Glossopharyngeal - CN IX
Base of the tongue: general and taste sensation
Vagus nerve
The nerve that ENTERS and EXITS the skull
Spinal accessory nerve (XI)
Where does the CN XI enter?
Foramen magnum
Where does the CN XI exit?
Jugular foramen
Muscles that are innervated by CN XI
🔹Trapezius
🔹Sternocleidomastoid
Dse assoc with sternocleidomastoid
Torticollis aka “Wry neck”
Sternocleido mastoid rotates chin towards what side
Opposite side of the body
Foramen of exit of Hypoglossal nerve
Hypoglossal canal
May sariling canal si bakla
Innervates extrinsic muscles of tongue except Palatoglossus
Hypoglossal nerve
Extrinsic muscles innervated by Hypoglossal nerve
Genioglossus
Styloglossus
Hyoglossus
Palatoglossus is innervated by
Pharyngeal plexus (IX, X, XI)
Moves tongue inferiorly and anteriorly
Genioglossus
Move tongue inferiorly
Hyoglossus
Moves tongue superiorly and posteriorly
Styloglossus
Moves tongue superiorly towards palate and moves palate inferiorly towards tongue
Palatoglossus
Longest intracranial nerve
Trochlear nerve CN IV
Largest nerve supplying HEAD and NECK
Trigeminal nerve CN V
What is neuralgia in CN V (trigeminal)
Tic Douloureux
DOC for Tic Douloureux aka Trigeminal neuralgia
Tegretol (Carbamazepine)
Largest cranial nerve supplying the Human Body
CN X - Vagus nerve
Largest nerve in the human body
Sciatic nerve
What is the Wandering nerve
CN X - Vagus nerve
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
What innervates the submandibular and sublingual glands
CN VII - Chorda tympani
What cranial nerve assoc with Chorda tympani
CN VII - Facial nerve
What cranial nerves with Parasympathetic innervation
Parasympathetic:
III - Pupil: Miosis = Pupillary constriction
VII - Subli/Submd = increase saliva secretion
IX - Parotid = increase saliva
X - Heart = decrease rate
GIT = increase metabolism
What are the Vit K-dependent clotting factors produced by the Liver
CF II - Prothrombin
VII - Stable factor
IX - Christmas factor
X - Stuart factor
CF 1
Fibrinogen
CF 2
Prothrombin
CF 3
Thromboplastin (Tissue factor)
CF 4
Calcium
CF 5
Labile factor
CF 7
Stable factor
CF 8
Antihemophilic factor
CF 10
Stuart factor
CF 11
Plasmathromboplastin Antecedent
CF 12
Hagemann factor
CF 13
Fibrin stabilizing factor
Clotting factor deficient in Hemophilia A
CF 8 - Antihemophilic factor (8 - A - Anti)
Deficient in Hemophilia B
CF 9 - Christmas factor
Deficient in Hemophilia C
CF 11 - Plasma thromboplastin antecedent
Most important clotting factor
CF 8 - Antihemohilic factor
Cloting time
8 to 15 minutes
Bleeding time
1 to 3 mins
Bleeding is possible to stop even without blood clot because of
Platelet plug
2 components of blood clot
Platelets and Fibrin
Meshlike structure
Fibrin
Electrolyte important for blot clotting
Calcium
2 pathways in coagulation cascade
Intrinsic and extrinsic pathways
Pathway wherein body is capable of forming blood clot without exposure to external environment
Intrinsic pathway
Pathway in formation of blood clot wherein body is exposed to external environment
Extrinsic pathway
Common factor of INTRINSIC and EXTRINSIC pathway
CF 10 - Stuart factor
What are attached to CF 10
“CaVX”
Calcium
CF V - Labile factor
Precursor of Fibrin
Fibrinogen
Best to form blot clot: for clotting factors to meet
Pressure pack
CaVX waits for
Prothrombin
Converts Prothrombin to Thrombin
Ca V X
Precursor of Thrombin
Prothrombin (II)
Liver produces what clotting factor that is also the precursor of fibrin
Fibrinogen (I)
Thrombin waits for what clotting factor to produce Fibrin (XIII)
CF 1 - Fibrinogen
In hemophelia:
Problem?
Clotting time =
Bleeding time =
✔️Clotting time increased
✔️Normal bleeding time
Lab test that measures how fast can the EXTRINSIC pathway activate Factor 10 (stuart factor)
“PeT”
Prothrombin time
Normal PT (Prothrombin time)
PT = 9 to 13s
Lab test that measures how fast can INTRINSIC pathway activate Factor X
Partial prothrombin time (“PTiT”)
Normal PTT (Partial thromboplastin time)
PTT = 25 to 35s
Normal bleeding time
1-3s
boards = 2-3s
Normal platelet count
150,000-450,000 cells/mL
Normal RBC count
5M cells/mL
Life span of platelets
10 days
Most numerous papillae
Filiform
Only papillae without taste buds
Filiform
Mushroom or fungus shape. Loc at the TIPS and SIDES of tongue
Fungiform
Found posterolaterally of tongue
Foliate
✔️Found in V shape sulcus of tongue.
✔️Largest
✔️Least numerous papillae
Circumvallate
4 sensory branches of CN V3
🔹Long buccal nerve
🔹Lingual nerve
🔹IAN - mental/incisive nerve
🔹Auriculotemporal nerve
4 motor branches of CN V3
TIME muscles
4 other muscles that is innervated by CN V3
🔹Tensor tympani
🔹Tensor veli palatini
🔹Mylohyoid
🔹Ant belly of digastric
Innervates the buccal mucosa of mandibular molars
Long buccal nerve
Anterior /3 of tongue (general)
Lingual nerve
Anterior 2/3 of tongue (taste)
Chorda tympani of Facial nerve (CN VII)
Posterior 1/3 of tongue (general and taste)
CN IX - Glossopharyngeal
Base of tongue (general and taste)
CN X - Vagus nerve
Terminal branch of IAN
🔹Mental nerve (go for this✨)
🔹Incisive nerve
Innervates the lower anterior teeth
Incisive nerve
Exit of nasopalatine nerve or “Nerve of Scarpa”
Incisive foramen
Innervates the TMJ and Scalp
Auriculotemporal nerve
Syndrome associated with STURGE-WEBER Syndrome (Path of CN V - birthmark)
Portwine stain
Other name for Sturge-Weber syndrome
Encephalogeminal Angiomatosis
Is a rare congenital neurological and skin disorder. It is one of the phakomatoses and is often assoc with portwine stains of the face, glaucoma, seizures, mental retardation, and ipsilateral leptomeningeal angioma
Sturge-Weber syndrome (Encephalotrigeminal angiomatosis)
Foramen of exit of Abducens nerve (CN VI)
SOF
What muscle is innervated by CN VI
Lateral rectus of the eye
Foramen exit of Facial nerve
Stylomastoid foramen
Control scalp muscles around ear
Auricular nerve (Facial nerve)
Innervates the Posterior belly of Digastric
Facial nerve
5 major branches in Parotid gland (Facial nerve)
“The Zebra Bump My Car”
Temporal Zygomatic Buccal Mandibular Cervical
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
Parasympathetic innervation of Facial nerve (Chroda tympani)
Submandibular and sublingual gland
3 other names for CN VIII
🔹Vestibulocochlear nerve
🔹Acoustic nerve
🔹Auditory nerve
Foramen of exit of CN VIII - Vestibulocochlear nerve
Internal acoustic meatus
Nerve for sense of Hearing
Vestibulocochlear nerve
3 parts of the outer ear
🔹Auricle
🔹Ear canal
🔹Tympanic membrane/Eardrum
Examples of Elastic Cartilages
🔹Pinna/Auricle
🔹Epiglottis
🔹Eustachian tube
What is found in the middle ear
🔹Auditory Ossicles
🔹Eustachian tube
What structures are found in the inner ear
🔹Cochlea
🔹Semicircular canals
Receptor organ for hearing
Organ of corti
Sensory receptors for hearing
“Hair-ing”
Hair cells
Contains semicircular fluids for balance
Semicircular canals
Foramen of exit of CN IX - Glossopharyngeal nerve
Jugular foramen
Nerves that exits in the Jugular foramen
IX - Glossopharyngeal
X - vagus
X - Spinal accessory nerve
Parasympathetic innervation of Glossopharyngeal nerve
Parotid gland
General and taste sensation of Posterior 1/3 of the tongue
Glssopharyngeal (CN IX)
Nerves involved in the Pharyngeal plexus
IX
X
XI
Innervates all muscles of Palate and Pharynx
Pharyngeal plexus
2 exceptions of Pharyngeal plexus
🔹Tensor veli palatini (V3)
🔹Stylopharyngeus (IX)
Innervates the superior pharyngeal constrictor
Pharyngeal plexus
Foramen of exit of CN X - Vagus nerve
Jugular foramen
Vagus nerve has parasympathetic innervation of what organs
🔹Heart 🔹Lungs 🔹Digestive tract (stomach, intestines) 🔹Kidney 🔹Liver
If you cut the vagus nerve, what happens to the heart’s function
Increase force of contraction and heart rate
Parasympathetic innervation of vagus nerve to heart =
Decrease force of contraction and heart rate
“VAGUS ang nag papaVAGAL ng heart”
Once you cut the vagus nerve, digestive tract =
Slow or decreased digestion
kasi parasympathetic func sa stomach is increased digestion = rest and digest
Gag reflex - motor func
Vagus nerve - CN X
Gag reflex - sensory
Glossopharyngeal - CN IX
Base of the tongue: general and taste sensation
Vagus nerve
The nerve that ENTERS and EXITS the skull
Spinal accessory nerve (XI)
Where does the CN XI enter?
Foramen magnum
Where does the CN XI exit?
Jugular foramen
Muscles that are innervated by CN XI
🔹Trapezius
🔹Sternocleidomastoid
Dse assoc with sternocleidomastoid
Torticollis aka “Wry neck”
Sternocleido mastoid rotates chin towards what side
Opposite side of the body
Foramen of exit of Hypoglossal nerve
Hypoglossal canal
May sariling canal si bakla
Innervates extrinsic muscles of tongue except Palatoglossus
Hypoglossal nerve
Extrinsic muscles innervated by Hypoglossal nerve
Genioglossus
Styloglossus
Hyoglossus
Palatoglossus is innervated by
Pharyngeal plexus (IX, X, XI)
Moves tongue inferiorly and anteriorly
Genioglossus
Move tongue inferiorly
Hyoglossus
Moves tongue superiorly and posteriorly
Styloglossus
Moves tongue superiorly towards palate and moves palate inferiorly towards tongue
Palatoglossus
Longest intracranial nerve
Trochlear nerve CN IV
Largest nerve supplying HEAD and NECK
Trigeminal nerve CN V
What is neuralgia in CN V (trigeminal)
Tic Douloureux
DOC for Tic Douloureux aka Trigeminal neuralgia
Tegretol (Carbamazepine)
Largest cranial nerve supplying the Human Body
CN X - Vagus nerve
Largest nerve in the human body
Sciatic nerve
What is the Wandering nerve
CN X - Vagus nerve
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
What innervates the submandibular and sublingual glands
CN VII - Chorda tympani
What cranial nerve assoc with Chorda tympani
CN VII - Facial nerve
What cranial nerves with Parasympathetic innervation
Parasympathetic:
III - Pupil: Miosis = Pupillary constriction
VII - Subli/Submd = increase saliva secretion
IX - Parotid = increase saliva
X - Heart = decrease rate
GIT = increase metabolism
What are the Vit K-dependent clotting factors produced by the Liver
CF II - Prothrombin
VII - Stable factor
IX - Christmas factor
X - Stuart factor
CF 1
Fibrinogen
CF 2
Prothrombin
CF 3
Thromboplastin (Tissue factor)
CF 4
Calcium
CF 5
Labile factor
CF 7
Stable factor
CF 8
Antihemophilic factor
CF 10
Stuart factor
CF 11
Plasmathromboplastin Antecedent
CF 12
Hagemann factor
CF 13
Fibrin stabilizing factor
Clotting factor deficient in Hemophilia A
CF 8 - Antihemophilic factor (8 - A - Anti)
Deficient in Hemophilia B
CF 9 - Christmas factor
Deficient in Hemophilia C
CF 11 - Plasma thromboplastin antecedent
Most important clotting factor
CF 8 - Antihemohilic factor
Cloting time
8 to 15 minutes
Bleeding time
1 to 3 mins
Bleeding is possible to stop even without blood clot because of
Platelet plug
2 components of blood clot
Platelets and Fibrin
Meshlike structure
Fibrin
Electrolyte important for blot clotting
Calcium
2 pathways in coagulation cascade
Intrinsic and extrinsic pathways
Pathway wherein body is capable of forming blood clot without exposure to external environment
Intrinsic pathway
Pathway in formation of blood clot wherein body is exposed to external environment
Extrinsic pathway
Common factor of INTRINSIC and EXTRINSIC pathway
CF 10 - Stuart factor
What are attached to CF 10
“CaVX”
Calcium
CF V - Labile factor
Precursor of Fibrin
Fibrinogen
Best to form blot clot: for clotting factors to meet
Pressure pack
CaVX waits for
Prothrombin
Converts Prothrombin to Thrombin
Ca V X
Precursor of Thrombin
Prothrombin (II)
Liver produces what clotting factor that is also the precursor of fibrin
Fibrinogen (I)
Thrombin waits for what clotting factor to produce Fibrin (XIII)
CF 1 - Fibrinogen
In hemophelia:
Problem?
Clotting time =
Bleeding time =
✔️Clotting time increased
✔️Normal bleeding time
Lab test that measures how fast can the EXTRINSIC pathway activate Factor 10 (stuart factor)
“PeT”
Prothrombin time
Normal PT (Prothrombin time)
PT = 9 to 13s
Lab test that measures how fast can INTRINSIC pathway activate Factor X
Partial prothrombin time (“PTiT”)
Normal PTT (Partial thromboplastin time)
PTT = 25 to 35s
Normal bleeding time
1-3s
boards = 2-3s
Normal platelet count
150,000-450,000 cells/mL
Normal RBC count
5M cells/mL
Life span of platelets
10 days
Most numerous papillae
Filiform
Only papillae without taste buds
Filiform
Mushroom or fungus shape. Loc at the TIPS and SIDES of tongue
Fungiform
Found posterolaterally of tongue
Foliate
✔️Found in V shape sulcus of tongue.
✔️Largest
✔️Least numerous papillae
Circumvallate
4 sensory branches of CN V3
🔹Long buccal nerve
🔹Lingual nerve
🔹IAN - mental/incisive nerve
🔹Auriculotemporal nerve
4 motor branches of CN V3
TIME muscles
4 other muscles that is innervated by CN V3
🔹Tensor tympani
🔹Tensor veli palatini
🔹Mylohyoid
🔹Ant belly of digastric
Innervates the buccal mucosa of mandibular molars
Long buccal nerve
Anterior /3 of tongue (general)
Lingual nerve
Anterior 2/3 of tongue (taste)
Chorda tympani of Facial nerve (CN VII)
Posterior 1/3 of tongue (general and taste)
CN IX - Glossopharyngeal
Base of tongue (general and taste)
CN X - Vagus nerve
Terminal branch of IAN
🔹Mental nerve (go for this✨)
🔹Incisive nerve
Innervates the lower anterior teeth
Incisive nerve
Exit of nasopalatine nerve or “Nerve of Scarpa”
Incisive foramen
Innervates the TMJ and Scalp
Auriculotemporal nerve
Syndrome associated with STURGE-WEBER Syndrome (Path of CN V - birthmark)
Portwine stain
Other name for Sturge-Weber syndrome
Encephalogeminal Angiomatosis
Is a rare congenital neurological and skin disorder. It is one of the phakomatoses and is often assoc with portwine stains of the face, glaucoma, seizures, mental retardation, and ipsilateral leptomeningeal angioma
Sturge-Weber syndrome (Encephalotrigeminal angiomatosis)
Foramen of exit of Abducens nerve (CN VI)
SOF
What muscle is innervated by CN VI
Lateral rectus of the eye
Foramen exit of Facial nerve
Stylomastoid foramen
Control scalp muscles around ear
Auricular nerve (Facial nerve)
Innervates the Posterior belly of Digastric
Facial nerve
5 major branches in Parotid gland (Facial nerve)
“The Zebra Bump My Car”
Temporal Zygomatic Buccal Mandibular Cervical
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
Parasympathetic innervation of Facial nerve (Chroda tympani)
Submandibular and sublingual gland
3 other names for CN VIII
🔹Vestibulocochlear nerve
🔹Acoustic nerve
🔹Auditory nerve
Foramen of exit of CN VIII - Vestibulocochlear nerve
Internal acoustic meatus
Nerve for sense of Hearing
Vestibulocochlear nerve
3 parts of the outer ear
🔹Auricle
🔹Ear canal
🔹Tympanic membrane/Eardrum
Examples of Elastic Cartilages
🔹Pinna/Auricle
🔹Epiglottis
🔹Eustachian tube
What is found in the middle ear
🔹Auditory Ossicles
🔹Eustachian tube
What structures are found in the inner ear
🔹Cochlea
🔹Semicircular canals
Receptor organ for hearing
Organ of corti
Sensory receptors for hearing
“Hair-ing”
Hair cells
Contains semicircular fluids for balance
Semicircular canals
Foramen of exit of CN IX - Glossopharyngeal nerve
Jugular foramen
Nerves that exits in the Jugular foramen
IX - Glossopharyngeal
X - vagus
X - Spinal accessory nerve
Parasympathetic innervation of Glossopharyngeal nerve
Parotid gland
General and taste sensation of Posterior 1/3 of the tongue
Glssopharyngeal (CN IX)
Nerves involved in the Pharyngeal plexus
IX
X
XI
Innervates all muscles of Palate and Pharynx
Pharyngeal plexus
2 exceptions of Pharyngeal plexus
🔹Tensor veli palatini (V3)
🔹Stylopharyngeus (IX)
Innervates the superior pharyngeal constrictor
Pharyngeal plexus
Foramen of exit of CN X - Vagus nerve
Jugular foramen
Vagus nerve has parasympathetic innervation of what organs
🔹Heart 🔹Lungs 🔹Digestive tract (stomach, intestines) 🔹Kidney 🔹Liver
If you cut the vagus nerve, what happens to the heart’s function
Increase force of contraction and heart rate
Parasympathetic innervation of vagus nerve to heart =
Decrease force of contraction and heart rate
“VAGUS ang nag papaVAGAL ng heart”
Once you cut the vagus nerve, digestive tract =
Slow or decreased digestion
kasi parasympathetic func sa stomach is increased digestion = rest and digest
Gag reflex - motor func
Vagus nerve - CN X
Gag reflex - sensory
Glossopharyngeal - CN IX
Base of the tongue: general and taste sensation
Vagus nerve
The nerve that ENTERS and EXITS the skull
Spinal accessory nerve (XI)
Where does the CN XI enter?
Foramen magnum
Where does the CN XI exit?
Jugular foramen
Muscles that are innervated by CN XI
🔹Trapezius
🔹Sternocleidomastoid
Dse assoc with sternocleidomastoid
Torticollis aka “Wry neck”
Sternocleido mastoid rotates chin towards what side
Opposite side of the body
Foramen of exit of Hypoglossal nerve
Hypoglossal canal
May sariling canal si bakla
Innervates extrinsic muscles of tongue except Palatoglossus
Hypoglossal nerve
Extrinsic muscles innervated by Hypoglossal nerve
Genioglossus
Styloglossus
Hyoglossus
Palatoglossus is innervated by
Pharyngeal plexus (IX, X, XI)
Moves tongue inferiorly and anteriorly
Genioglossus
Move tongue inferiorly
Hyoglossus
Moves tongue superiorly and posteriorly
Styloglossus
Moves tongue superiorly towards palate and moves palate inferiorly towards tongue
Palatoglossus
Longest intracranial nerve
Trochlear nerve CN IV
Largest nerve supplying HEAD and NECK
Trigeminal nerve CN V
What is neuralgia in CN V (trigeminal)
Tic Douloureux
DOC for Tic Douloureux aka Trigeminal neuralgia
Tegretol (Carbamazepine)
Largest cranial nerve supplying the Human Body
CN X - Vagus nerve
Largest nerve in the human body
Sciatic nerve
What is the Wandering nerve
CN X - Vagus nerve
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
What innervates the submandibular and sublingual glands
CN VII - Chorda tympani
What cranial nerve assoc with Chorda tympani
CN VII - Facial nerve
What cranial nerves with Parasympathetic innervation
Parasympathetic:
III - Pupil: Miosis = Pupillary constriction
VII - Subli/Submd = increase saliva secretion
IX - Parotid = increase saliva
X - Heart = decrease rate
GIT = increase metabolism
What are the Vit K-dependent clotting factors produced by the Liver
CF II - Prothrombin
VII - Stable factor
IX - Christmas factor
X - Stuart factor
CF 1
Fibrinogen
CF 2
Prothrombin
CF 3
Thromboplastin (Tissue factor)
CF 4
Calcium
CF 5
Labile factor
CF 7
Stable factor
CF 8
Antihemophilic factor
CF 10
Stuart factor
CF 11
Plasmathromboplastin Antecedent
CF 12
Hagemann factor
CF 13
Fibrin stabilizing factor
Clotting factor deficient in Hemophilia A
CF 8 - Antihemophilic factor (8 - A - Anti)
Deficient in Hemophilia B
CF 9 - Christmas factor
Deficient in Hemophilia C
CF 11 - Plasma thromboplastin antecedent
Most important clotting factor
CF 8 - Antihemohilic factor
Cloting time
8 to 15 minutes
Bleeding time
1 to 3 mins
Bleeding is possible to stop even without blood clot because of
Platelet plug
2 components of blood clot
Platelets and Fibrin
Meshlike structure
Fibrin
Electrolyte important for blot clotting
Calcium
2 pathways in coagulation cascade
Intrinsic and extrinsic pathways
Pathway wherein body is capable of forming blood clot without exposure to external environment
Intrinsic pathway
Pathway in formation of blood clot wherein body is exposed to external environment
Extrinsic pathway
Common factor of INTRINSIC and EXTRINSIC pathway
CF 10 - Stuart factor
What are attached to CF 10
“CaVX”
Calcium
CF V - Labile factor
Precursor of Fibrin
Fibrinogen
Best to form blot clot: for clotting factors to meet
Pressure pack
CaVX waits for
Prothrombin
Converts Prothrombin to Thrombin
Ca V X
Precursor of Thrombin
Prothrombin (II)
Liver produces what clotting factor that is also the precursor of fibrin
Fibrinogen (I)
Thrombin waits for what clotting factor to produce Fibrin (XIII)
CF 1 - Fibrinogen
In hemophelia:
Problem?
Clotting time =
Bleeding time =
✔️Clotting time increased
✔️Normal bleeding time
Lab test that measures how fast can the EXTRINSIC pathway activate Factor 10 (stuart factor)
“PeT”
Prothrombin time
Normal PT (Prothrombin time)
PT = 9 to 13s
Lab test that measures how fast can INTRINSIC pathway activate Factor X
Partial prothrombin time (“PTiT”)
Normal PTT (Partial thromboplastin time)
PTT = 25 to 35s
Normal bleeding time
1-3s
boards = 2-3s
Normal platelet count
150,000-450,000 cells/mL
Normal RBC count
5M cells/mL
Life span of platelets
10 days
Most numerous papillae
Filiform
Only papillae without taste buds
Filiform
Mushroom or fungus shape. Loc at the TIPS and SIDES of tongue
Fungiform
Found posterolaterally of tongue
Foliate
✔️Found in V shape sulcus of tongue.
✔️Largest
✔️Least numerous papillae
Circumvallate
4 sensory branches of CN V3
🔹Long buccal nerve
🔹Lingual nerve
🔹IAN - mental/incisive nerve
🔹Auriculotemporal nerve
4 motor branches of CN V3
TIME muscles
4 other muscles that is innervated by CN V3
🔹Tensor tympani
🔹Tensor veli palatini
🔹Mylohyoid
🔹Ant belly of digastric
Innervates the buccal mucosa of mandibular molars
Long buccal nerve
Anterior /3 of tongue (general)
Lingual nerve
Anterior 2/3 of tongue (taste)
Chorda tympani of Facial nerve (CN VII)
Posterior 1/3 of tongue (general and taste)
CN IX - Glossopharyngeal
Base of tongue (general and taste)
CN X - Vagus nerve
Terminal branch of IAN
🔹Mental nerve (go for this✨)
🔹Incisive nerve
Innervates the lower anterior teeth
Incisive nerve
Exit of nasopalatine nerve or “Nerve of Scarpa”
Incisive foramen
Innervates the TMJ and Scalp
Auriculotemporal nerve
Syndrome associated with STURGE-WEBER Syndrome (Path of CN V - birthmark)
Portwine stain
Other name for Sturge-Weber syndrome
Encephalogeminal Angiomatosis
Is a rare congenital neurological and skin disorder. It is one of the phakomatoses and is often assoc with portwine stains of the face, glaucoma, seizures, mental retardation, and ipsilateral leptomeningeal angioma
Sturge-Weber syndrome (Encephalotrigeminal angiomatosis)
Foramen of exit of Abducens nerve (CN VI)
SOF
What muscle is innervated by CN VI
Lateral rectus of the eye
Foramen exit of Facial nerve
Stylomastoid foramen
Control scalp muscles around ear
Auricular nerve (Facial nerve)
Innervates the Posterior belly of Digastric
Facial nerve
5 major branches in Parotid gland (Facial nerve)
“The Zebra Bump My Car”
Temporal Zygomatic Buccal Mandibular Cervical
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
Parasympathetic innervation of Facial nerve (Chroda tympani)
Submandibular and sublingual gland
3 other names for CN VIII
🔹Vestibulocochlear nerve
🔹Acoustic nerve
🔹Auditory nerve
Foramen of exit of CN VIII - Vestibulocochlear nerve
Internal acoustic meatus
Nerve for sense of Hearing
Vestibulocochlear nerve
3 parts of the outer ear
🔹Auricle
🔹Ear canal
🔹Tympanic membrane/Eardrum
Examples of Elastic Cartilages
🔹Pinna/Auricle
🔹Epiglottis
🔹Eustachian tube
What is found in the middle ear
🔹Auditory Ossicles
🔹Eustachian tube
What structures are found in the inner ear
🔹Cochlea
🔹Semicircular canals
Receptor organ for hearing
Organ of corti
Sensory receptors for hearing
“Hair-ing”
Hair cells
Contains semicircular fluids for balance
Semicircular canals
Foramen of exit of CN IX - Glossopharyngeal nerve
Jugular foramen
Nerves that exits in the Jugular foramen
IX - Glossopharyngeal
X - vagus
X - Spinal accessory nerve
Parasympathetic innervation of Glossopharyngeal nerve
Parotid gland
General and taste sensation of Posterior 1/3 of the tongue
Glssopharyngeal (CN IX)
Nerves involved in the Pharyngeal plexus
IX
X
XI
Innervates all muscles of Palate and Pharynx
Pharyngeal plexus
2 exceptions of Pharyngeal plexus
🔹Tensor veli palatini (V3)
🔹Stylopharyngeus (IX)
Innervates the superior pharyngeal constrictor
Pharyngeal plexus
Foramen of exit of CN X - Vagus nerve
Jugular foramen
Vagus nerve has parasympathetic innervation of what organs
🔹Heart 🔹Lungs 🔹Digestive tract (stomach, intestines) 🔹Kidney 🔹Liver
If you cut the vagus nerve, what happens to the heart’s function
Increase force of contraction and heart rate
Parasympathetic innervation of vagus nerve to heart =
Decrease force of contraction and heart rate
“VAGUS ang nag papaVAGAL ng heart”
Once you cut the vagus nerve, digestive tract =
Slow or decreased digestion
kasi parasympathetic func sa stomach is increased digestion = rest and digest
Gag reflex - motor func
Vagus nerve - CN X
Gag reflex - sensory
Glossopharyngeal - CN IX
Base of the tongue: general and taste sensation
Vagus nerve
The nerve that ENTERS and EXITS the skull
Spinal accessory nerve (XI)
Where does the CN XI enter?
Foramen magnum
Where does the CN XI exit?
Jugular foramen
Muscles that are innervated by CN XI
🔹Trapezius
🔹Sternocleidomastoid
Dse assoc with sternocleidomastoid
Torticollis aka “Wry neck”
Sternocleido mastoid rotates chin towards what side
Opposite side of the body
Foramen of exit of Hypoglossal nerve
Hypoglossal canal
May sariling canal si bakla
Innervates extrinsic muscles of tongue except Palatoglossus
Hypoglossal nerve
Extrinsic muscles innervated by Hypoglossal nerve
Genioglossus
Styloglossus
Hyoglossus
Palatoglossus is innervated by
Pharyngeal plexus (IX, X, XI)
Moves tongue inferiorly and anteriorly
Genioglossus
Move tongue inferiorly
Hyoglossus
Moves tongue superiorly and posteriorly
Styloglossus
Moves tongue superiorly towards palate and moves palate inferiorly towards tongue
Palatoglossus
Longest intracranial nerve
Trochlear nerve CN IV
Largest nerve supplying HEAD and NECK
Trigeminal nerve CN V
What is neuralgia in CN V (trigeminal)
Tic Douloureux
DOC for Tic Douloureux aka Trigeminal neuralgia
Tegretol (Carbamazepine)
Largest cranial nerve supplying the Human Body
CN X - Vagus nerve
Largest nerve in the human body
Sciatic nerve
What is the Wandering nerve
CN X - Vagus nerve
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
What innervates the submandibular and sublingual glands
CN VII - Chorda tympani
What cranial nerve assoc with Chorda tympani
CN VII - Facial nerve
What cranial nerves with Parasympathetic innervation
Parasympathetic:
III - Pupil: Miosis = Pupillary constriction
VII - Subli/Submd = increase saliva secretion
IX - Parotid = increase saliva
X - Heart = decrease rate
GIT = increase metabolism
What are the Vit K-dependent clotting factors produced by the Liver
CF II - Prothrombin
VII - Stable factor
IX - Christmas factor
X - Stuart factor
CF 1
Fibrinogen
CF 2
Prothrombin
CF 3
Thromboplastin (Tissue factor)
CF 4
Calcium
CF 5
Labile factor
CF 7
Stable factor
CF 8
Antihemophilic factor
CF 10
Stuart factor
CF 11
Plasmathromboplastin Antecedent
CF 12
Hagemann factor
CF 13
Fibrin stabilizing factor
Clotting factor deficient in Hemophilia A
CF 8 - Antihemophilic factor (8 - A - Anti)
Deficient in Hemophilia B
CF 9 - Christmas factor
Deficient in Hemophilia C
CF 11 - Plasma thromboplastin antecedent
Most important clotting factor
CF 8 - Antihemohilic factor
Cloting time
8 to 15 minutes
Bleeding time
1 to 3 mins
Bleeding is possible to stop even without blood clot because of
Platelet plug
2 components of blood clot
Platelets and Fibrin
Meshlike structure
Fibrin
Electrolyte important for blot clotting
Calcium
2 pathways in coagulation cascade
Intrinsic and extrinsic pathways
Pathway wherein body is capable of forming blood clot without exposure to external environment
Intrinsic pathway
Pathway in formation of blood clot wherein body is exposed to external environment
Extrinsic pathway
Common factor of INTRINSIC and EXTRINSIC pathway
CF 10 - Stuart factor
What are attached to CF 10
“CaVX”
Calcium
CF V - Labile factor
Precursor of Fibrin
Fibrinogen
Best to form blot clot: for clotting factors to meet
Pressure pack
CaVX waits for
Prothrombin
Converts Prothrombin to Thrombin
Ca V X
Precursor of Thrombin
Prothrombin (II)
Liver produces what clotting factor that is also the precursor of fibrin
Fibrinogen (I)
Thrombin waits for what clotting factor to produce Fibrin (XIII)
CF 1 - Fibrinogen
In hemophelia:
Problem?
Clotting time =
Bleeding time =
✔️Clotting time increased
✔️Normal bleeding time
Lab test that measures how fast can the EXTRINSIC pathway activate Factor 10 (stuart factor)
“PeT”
Prothrombin time
Normal PT (Prothrombin time)
PT = 9 to 13s
Lab test that measures how fast can INTRINSIC pathway activate Factor X
Partial prothrombin time (“PTiT”)
Normal PTT (Partial thromboplastin time)
PTT = 25 to 35s
Normal bleeding time
1-3s
boards = 2-3s
Normal platelet count
150,000-450,000 cells/mL
Normal RBC count
5M cells/mL
Life span of platelets
10 days
Most numerous papillae
Filiform
Only papillae without taste buds
Filiform
Mushroom or fungus shape. Loc at the TIPS and SIDES of tongue
Fungiform
Found posterolaterally of tongue
Foliate
✔️Found in V shape sulcus of tongue.
✔️Largest
✔️Least numerous papillae
Circumvallate
4 sensory branches of CN V3
🔹Long buccal nerve
🔹Lingual nerve
🔹IAN - mental/incisive nerve
🔹Auriculotemporal nerve
4 motor branches of CN V3
TIME muscles
4 other muscles that is innervated by CN V3
🔹Tensor tympani
🔹Tensor veli palatini
🔹Mylohyoid
🔹Ant belly of digastric
Innervates the buccal mucosa of mandibular molars
Long buccal nerve
Anterior /3 of tongue (general)
Lingual nerve
Anterior 2/3 of tongue (taste)
Chorda tympani of Facial nerve (CN VII)
Posterior 1/3 of tongue (general and taste)
CN IX - Glossopharyngeal
Base of tongue (general and taste)
CN X - Vagus nerve
Terminal branch of IAN
🔹Mental nerve (go for this✨)
🔹Incisive nerve
Innervates the lower anterior teeth
Incisive nerve
Exit of nasopalatine nerve or “Nerve of Scarpa”
Incisive foramen
Innervates the TMJ and Scalp
Auriculotemporal nerve
Syndrome associated with STURGE-WEBER Syndrome (Path of CN V - birthmark)
Portwine stain
Other name for Sturge-Weber syndrome
Encephalogeminal Angiomatosis
Is a rare congenital neurological and skin disorder. It is one of the phakomatoses and is often assoc with portwine stains of the face, glaucoma, seizures, mental retardation, and ipsilateral leptomeningeal angioma
Sturge-Weber syndrome (Encephalotrigeminal angiomatosis)
Foramen of exit of Abducens nerve (CN VI)
SOF
What muscle is innervated by CN VI
Lateral rectus of the eye
Foramen exit of Facial nerve
Stylomastoid foramen
Control scalp muscles around ear
Auricular nerve (Facial nerve)
Innervates the Posterior belly of Digastric
Facial nerve
5 major branches in Parotid gland (Facial nerve)
“The Zebra Bump My Car”
Temporal Zygomatic Buccal Mandibular Cervical
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
Parasympathetic innervation of Facial nerve (Chroda tympani)
Submandibular and sublingual gland
3 other names for CN VIII
🔹Vestibulocochlear nerve
🔹Acoustic nerve
🔹Auditory nerve
Foramen of exit of CN VIII - Vestibulocochlear nerve
Internal acoustic meatus
Nerve for sense of Hearing
Vestibulocochlear nerve
3 parts of the outer ear
🔹Auricle
🔹Ear canal
🔹Tympanic membrane/Eardrum
Examples of Elastic Cartilages
🔹Pinna/Auricle
🔹Epiglottis
🔹Eustachian tube
What is found in the middle ear
🔹Auditory Ossicles
🔹Eustachian tube
What structures are found in the inner ear
🔹Cochlea
🔹Semicircular canals
Receptor organ for hearing
Organ of corti
Sensory receptors for hearing
“Hair-ing”
Hair cells
Contains semicircular fluids for balance
Semicircular canals
Foramen of exit of CN IX - Glossopharyngeal nerve
Jugular foramen
Nerves that exits in the Jugular foramen
IX - Glossopharyngeal
X - vagus
X - Spinal accessory nerve
Parasympathetic innervation of Glossopharyngeal nerve
Parotid gland
General and taste sensation of Posterior 1/3 of the tongue
Glssopharyngeal (CN IX)
Nerves involved in the Pharyngeal plexus
IX
X
XI
Innervates all muscles of Palate and Pharynx
Pharyngeal plexus
2 exceptions of Pharyngeal plexus
🔹Tensor veli palatini (V3)
🔹Stylopharyngeus (IX)
Innervates the superior pharyngeal constrictor
Pharyngeal plexus
Foramen of exit of CN X - Vagus nerve
Jugular foramen
Vagus nerve has parasympathetic innervation of what organs
🔹Heart 🔹Lungs 🔹Digestive tract (stomach, intestines) 🔹Kidney 🔹Liver
If you cut the vagus nerve, what happens to the heart’s function
Increase force of contraction and heart rate
Parasympathetic innervation of vagus nerve to heart =
Decrease force of contraction and heart rate
“VAGUS ang nag papaVAGAL ng heart”
Once you cut the vagus nerve, digestive tract =
Slow or decreased digestion
kasi parasympathetic func sa stomach is increased digestion = rest and digest
Gag reflex - motor func
Vagus nerve - CN X
Gag reflex - sensory
Glossopharyngeal - CN IX
Base of the tongue: general and taste sensation
Vagus nerve
The nerve that ENTERS and EXITS the skull
Spinal accessory nerve (XI)
Where does the CN XI enter?
Foramen magnum
Where does the CN XI exit?
Jugular foramen
Muscles that are innervated by CN XI
🔹Trapezius
🔹Sternocleidomastoid
Dse assoc with sternocleidomastoid
Torticollis aka “Wry neck”
Sternocleido mastoid rotates chin towards what side
Opposite side of the body
Foramen of exit of Hypoglossal nerve
Hypoglossal canal
May sariling canal si bakla
Innervates extrinsic muscles of tongue except Palatoglossus
Hypoglossal nerve
Extrinsic muscles innervated by Hypoglossal nerve
Genioglossus
Styloglossus
Hyoglossus
Palatoglossus is innervated by
Pharyngeal plexus (IX, X, XI)
Moves tongue inferiorly and anteriorly
Genioglossus
Move tongue inferiorly
Hyoglossus
Moves tongue superiorly and posteriorly
Styloglossus
Moves tongue superiorly towards palate and moves palate inferiorly towards tongue
Palatoglossus
Longest intracranial nerve
Trochlear nerve CN IV
Largest nerve supplying HEAD and NECK
Trigeminal nerve CN V
What is neuralgia in CN V (trigeminal)
Tic Douloureux
DOC for Tic Douloureux aka Trigeminal neuralgia
Tegretol (Carbamazepine)
Largest cranial nerve supplying the Human Body
CN X - Vagus nerve
Largest nerve in the human body
Sciatic nerve
What is the Wandering nerve
CN X - Vagus nerve
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
What innervates the submandibular and sublingual glands
CN VII - Chorda tympani
What cranial nerve assoc with Chorda tympani
CN VII - Facial nerve
What cranial nerves with Parasympathetic innervation
Parasympathetic:
III - Pupil: Miosis = Pupillary constriction
VII - Subli/Submd = increase saliva secretion
IX - Parotid = increase saliva
X - Heart = decrease rate
GIT = increase metabolism
What are the Vit K-dependent clotting factors produced by the Liver
CF II - Prothrombin
VII - Stable factor
IX - Christmas factor
X - Stuart factor
CF 1
Fibrinogen
CF 2
Prothrombin
CF 3
Thromboplastin (Tissue factor)
CF 4
Calcium
CF 5
Labile factor
CF 7
Stable factor
CF 8
Antihemophilic factor
CF 10
Stuart factor
CF 11
Plasmathromboplastin Antecedent
CF 12
Hagemann factor
CF 13
Fibrin stabilizing factor
Clotting factor deficient in Hemophilia A
CF 8 - Antihemophilic factor (8 - A - Anti)
Deficient in Hemophilia B
CF 9 - Christmas factor
Deficient in Hemophilia C
CF 11 - Plasma thromboplastin antecedent
Most important clotting factor
CF 8 - Antihemohilic factor
Cloting time
8 to 15 minutes
Bleeding time
1 to 3 mins
Bleeding is possible to stop even without blood clot because of
Platelet plug
2 components of blood clot
Platelets and Fibrin
Meshlike structure
Fibrin
Electrolyte important for blot clotting
Calcium
2 pathways in coagulation cascade
Intrinsic and extrinsic pathways
Pathway wherein body is capable of forming blood clot without exposure to external environment
Intrinsic pathway
Pathway in formation of blood clot wherein body is exposed to external environment
Extrinsic pathway
Common factor of INTRINSIC and EXTRINSIC pathway
CF 10 - Stuart factor
What are attached to CF 10
“CaVX”
Calcium
CF V - Labile factor
Precursor of Fibrin
Fibrinogen
Best to form blot clot: for clotting factors to meet
Pressure pack
CaVX waits for
Prothrombin
Converts Prothrombin to Thrombin
Ca V X
Precursor of Thrombin
Prothrombin (II)
Liver produces what clotting factor that is also the precursor of fibrin
Fibrinogen (I)
Thrombin waits for what clotting factor to produce Fibrin (XIII)
CF 1 - Fibrinogen
In hemophelia:
Problem?
Clotting time =
Bleeding time =
✔️Clotting time increased
✔️Normal bleeding time
Lab test that measures how fast can the EXTRINSIC pathway activate Factor 10 (stuart factor)
“PeT”
Prothrombin time
Normal PT (Prothrombin time)
PT = 9 to 13s
Lab test that measures how fast can INTRINSIC pathway activate Factor X
Partial prothrombin time (“PTiT”)
Normal PTT (Partial thromboplastin time)
PTT = 25 to 35s
Normal bleeding time
1-3s
boards = 2-3s
Normal platelet count
150,000-450,000 cells/mL
Normal RBC count
5M cells/mL
Life span of platelets
10 days
Most numerous papillae
Filiform
Only papillae without taste buds
Filiform
Mushroom or fungus shape. Loc at the TIPS and SIDES of tongue
Fungiform
Found posterolaterally of tongue
Foliate
✔️Found in V shape sulcus of tongue.
✔️Largest
✔️Least numerous papillae
Circumvallate
4 sensory branches of CN V3
🔹Long buccal nerve
🔹Lingual nerve
🔹IAN - mental/incisive nerve
🔹Auriculotemporal nerve
4 motor branches of CN V3
TIME muscles
4 other muscles that is innervated by CN V3
🔹Tensor tympani
🔹Tensor veli palatini
🔹Mylohyoid
🔹Ant belly of digastric
Innervates the buccal mucosa of mandibular molars
Long buccal nerve
Anterior /3 of tongue (general)
Lingual nerve
Anterior 2/3 of tongue (taste)
Chorda tympani of Facial nerve (CN VII)
Posterior 1/3 of tongue (general and taste)
CN IX - Glossopharyngeal
Base of tongue (general and taste)
CN X - Vagus nerve
Terminal branch of IAN
🔹Mental nerve (go for this✨)
🔹Incisive nerve
Innervates the lower anterior teeth
Incisive nerve
Exit of nasopalatine nerve or “Nerve of Scarpa”
Incisive foramen
Innervates the TMJ and Scalp
Auriculotemporal nerve
Syndrome associated with STURGE-WEBER Syndrome (Path of CN V - birthmark)
Portwine stain
Other name for Sturge-Weber syndrome
Encephalogeminal Angiomatosis
Is a rare congenital neurological and skin disorder. It is one of the phakomatoses and is often assoc with portwine stains of the face, glaucoma, seizures, mental retardation, and ipsilateral leptomeningeal angioma
Sturge-Weber syndrome (Encephalotrigeminal angiomatosis)
Foramen of exit of Abducens nerve (CN VI)
SOF
What muscle is innervated by CN VI
Lateral rectus of the eye
Foramen exit of Facial nerve
Stylomastoid foramen
Control scalp muscles around ear
Auricular nerve (Facial nerve)
Innervates the Posterior belly of Digastric
Facial nerve
5 major branches in Parotid gland (Facial nerve)
“The Zebra Bump My Car”
Temporal Zygomatic Buccal Mandibular Cervical
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
Parasympathetic innervation of Facial nerve (Chroda tympani)
Submandibular and sublingual gland
3 other names for CN VIII
🔹Vestibulocochlear nerve
🔹Acoustic nerve
🔹Auditory nerve
Foramen of exit of CN VIII - Vestibulocochlear nerve
Internal acoustic meatus
Nerve for sense of Hearing
Vestibulocochlear nerve
3 parts of the outer ear
🔹Auricle
🔹Ear canal
🔹Tympanic membrane/Eardrum
Examples of Elastic Cartilages
🔹Pinna/Auricle
🔹Epiglottis
🔹Eustachian tube
What is found in the middle ear
🔹Auditory Ossicles
🔹Eustachian tube
What structures are found in the inner ear
🔹Cochlea
🔹Semicircular canals
Receptor organ for hearing
Organ of corti
Sensory receptors for hearing
“Hair-ing”
Hair cells
Contains semicircular fluids for balance
Semicircular canals
Foramen of exit of CN IX - Glossopharyngeal nerve
Jugular foramen
Nerves that exits in the Jugular foramen
IX - Glossopharyngeal
X - vagus
X - Spinal accessory nerve
Parasympathetic innervation of Glossopharyngeal nerve
Parotid gland
General and taste sensation of Posterior 1/3 of the tongue
Glssopharyngeal (CN IX)
Nerves involved in the Pharyngeal plexus
IX
X
XI
Innervates all muscles of Palate and Pharynx
Pharyngeal plexus
2 exceptions of Pharyngeal plexus
🔹Tensor veli palatini (V3)
🔹Stylopharyngeus (IX)
Innervates the superior pharyngeal constrictor
Pharyngeal plexus
Foramen of exit of CN X - Vagus nerve
Jugular foramen
Vagus nerve has parasympathetic innervation of what organs
🔹Heart 🔹Lungs 🔹Digestive tract (stomach, intestines) 🔹Kidney 🔹Liver
If you cut the vagus nerve, what happens to the heart’s function
Increase force of contraction and heart rate
Parasympathetic innervation of vagus nerve to heart =
Decrease force of contraction and heart rate
“VAGUS ang nag papaVAGAL ng heart”
Once you cut the vagus nerve, digestive tract =
Slow or decreased digestion
kasi parasympathetic func sa stomach is increased digestion = rest and digest
Gag reflex - motor func
Vagus nerve - CN X
Gag reflex - sensory
Glossopharyngeal - CN IX
Base of the tongue: general and taste sensation
Vagus nerve
The nerve that ENTERS and EXITS the skull
Spinal accessory nerve (XI)
Where does the CN XI enter?
Foramen magnum
Where does the CN XI exit?
Jugular foramen
Muscles that are innervated by CN XI
🔹Trapezius
🔹Sternocleidomastoid
Dse assoc with sternocleidomastoid
Torticollis aka “Wry neck”
Sternocleido mastoid rotates chin towards what side
Opposite side of the body
Foramen of exit of Hypoglossal nerve
Hypoglossal canal
May sariling canal si bakla
Innervates extrinsic muscles of tongue except Palatoglossus
Hypoglossal nerve
Extrinsic muscles innervated by Hypoglossal nerve
Genioglossus
Styloglossus
Hyoglossus
Palatoglossus is innervated by
Pharyngeal plexus (IX, X, XI)
Moves tongue inferiorly and anteriorly
Genioglossus
Move tongue inferiorly
Hyoglossus
Moves tongue superiorly and posteriorly
Styloglossus
Moves tongue superiorly towards palate and moves palate inferiorly towards tongue
Palatoglossus
Longest intracranial nerve
Trochlear nerve CN IV
Largest nerve supplying HEAD and NECK
Trigeminal nerve CN V
What is neuralgia in CN V (trigeminal)
Tic Douloureux
DOC for Tic Douloureux aka Trigeminal neuralgia
Tegretol (Carbamazepine)
Largest cranial nerve supplying the Human Body
CN X - Vagus nerve
Largest nerve in the human body
Sciatic nerve
What is the Wandering nerve
CN X - Vagus nerve
What innervates the Parotid gland
CN IX - Glossopharyngeal nerve
What innervates the submandibular and sublingual glands
CN VII - Chorda tympani
What cranial nerve assoc with Chorda tympani
CN VII - Facial nerve
What cranial nerves with Parasympathetic innervation
Parasympathetic:
III - Pupil: Miosis = Pupillary constriction
VII - Subli/Submd = increase saliva secretion
IX - Parotid = increase saliva
X - Heart = decrease rate
GIT = increase metabolism
What are the Vit K-dependent clotting factors produced by the Liver
CF II - Prothrombin
VII - Stable factor
IX - Christmas factor
X - Stuart factor
CF 1
Fibrinogen
CF 2
Prothrombin
CF 3
Thromboplastin (Tissue factor)
CF 4
Calcium
CF 5
Labile factor
CF 7
Stable factor
CF 8
Antihemophilic factor
CF 10
Stuart factor
CF 11
Plasmathromboplastin Antecedent
CF 12
Hagemann factor
CF 13
Fibrin stabilizing factor
Clotting factor deficient in Hemophilia A
CF 8 - Antihemophilic factor (8 - A - Anti)
Deficient in Hemophilia B
CF 9 - Christmas factor
Deficient in Hemophilia C
CF 11 - Plasma thromboplastin antecedent
Most important clotting factor
CF 8 - Antihemohilic factor
Cloting time
8 to 15 minutes
Bleeding time
1 to 3 mins
Bleeding is possible to stop even without blood clot because of
Platelet plug
2 components of blood clot
Platelets and Fibrin
Meshlike structure
Fibrin
Electrolyte important for blot clotting
Calcium
2 pathways in coagulation cascade
Intrinsic and extrinsic pathways
Pathway wherein body is capable of forming blood clot without exposure to external environment
Intrinsic pathway
Pathway in formation of blood clot wherein body is exposed to external environment
Extrinsic pathway
Common factor of INTRINSIC and EXTRINSIC pathway
CF 10 - Stuart factor
What are attached to CF 10
“CaVX”
Calcium
CF V - Labile factor
Precursor of Fibrin
Fibrinogen
Best to form blot clot: for clotting factors to meet
Pressure pack
CaVX waits for
Prothrombin
Converts Prothrombin to Thrombin
Ca V X
Precursor of Thrombin
Prothrombin (II)
Liver produces what clotting factor that is also the precursor of fibrin
Fibrinogen (I)
Thrombin waits for what clotting factor to produce Fibrin (XIII)
CF 1 - Fibrinogen
In hemophelia:
Problem?
Clotting time =
Bleeding time =
✔️Clotting time increased
✔️Normal bleeding time
Lab test that measures how fast can the EXTRINSIC pathway activate Factor 10 (stuart factor)
“PeT”
Prothrombin time
Normal PT (Prothrombin time)
PT = 9 to 13s
Lab test that measures how fast can INTRINSIC pathway activate Factor X
Partial prothrombin time (“PTiT”)
Normal PTT (Partial thromboplastin time)
PTT = 25 to 35s
Normal bleeding time
1-3s
boards = 2-3s
Normal platelet count
150,000-450,000 cells/mL
Normal RBC count
5M cells/mL
Life span of platelets
10 days
Most numerous papillae
Filiform
Only papillae without taste buds
Filiform
Mushroom or fungus shape. Loc at the TIPS and SIDES of tongue
Fungiform
Found posterolaterally of tongue
Foliate
✔️Found in V shape sulcus of tongue.
✔️Largest
✔️Least numerous papillae
Circumvallate
4 sensory branches of CN V3
🔹Long buccal nerve
🔹Lingual nerve
🔹IAN - mental/incisive nerve
🔹Auriculotemporal nerve
4 motor branches of CN V3
TIME muscles
4 other muscles that is innervated by CN V3
🔹Tensor tympani
🔹Tensor veli palatini
🔹Mylohyoid
🔹Ant belly of digastric
Innervates the buccal mucosa of mandibular molars
Long buccal nerve
Anterior /3 of tongue (general)
Lingual nerve
Anterior 2/3 of tongue (taste)
Chorda tympani of Facial nerve (CN VII)
Posterior 1/3 of tongue (general and taste)
CN IX - Glossopharyngeal
Base of tongue (general and taste)
CN X - Vagus nerve
Terminal branch of IAN
🔹Mental nerve (go for this✨)
🔹Incisive nerve
Innervates the lower anterior teeth
Incisive nerve
Exit of nasopalatine nerve or “Nerve of Scarpa”
Incisive foramen
Innervates the TMJ and Scalp
Auriculotemporal nerve
Syndrome associated with STURGE-WEBER Syndrome (Path of CN V - birthmark)
Portwine stain
Other name for Sturge-Weber syndrome
Encephalogeminal Angiomatosis
Is a rare congenital neurological and skin disorder. It is one of the phakomatoses and is often assoc with portwine stains of the face, glaucoma, seizures, mental retardation, and ipsilateral leptomeningeal angioma
Sturge-Weber syndrome (Encephalotrigeminal angiomatosis)