Abdominal Autonomics Flashcards
Fill out the diagram for the flow of information in the nervous system
What is the stress gland that is only innervated by the sympathetic system?
adrenal glands
Which spinal nerves contribute to the sympathetic nervous system?
What nervous system components contribute to the parasympathetic nervous system?
- Sympathetic
- T1-L2
- Parasympathetic
- brainstem
- S2-S4
Sympathetic preganglionic neurons that carry information to the GI system synapse at which ganglion?
Parasympathetic?
- Sympathetic
- prevertebral or para-aorta
- parasympathetic
- intramural
Describe the pathway of sympathetic nerves that woudl reachthe GI
cell bodies in lateral horn grey matter
out ventral roots
to spinal nerve
to ventral rami
throuh white rami
into sympathetic trunk
up/down
exit on spanchnic nerves (organ nerves)
through diaphragm
synapse in ganglia (prevertebral or paraaorta)
perivascular plexus to organs
Describe the route for parasympathetic nerves that innervate the Gi tract
Vagus (nuclei in brainstem ) or S2-S4 (intermediate gray matter in spinal chord
directly to guts, or using sympathetic archeticture – might go through a sympathetic ganglion to get to the gut w/ out synapsing
to organs (synapse)
What is the general brakdown of vertebral levels that sympathetically innervate the foregut, midgut and hindgut?
More specifically, what is the innervation to the liver, appendix, and sigmoid colon?
- foregut
- T5-T9
- midgut
- T8-T11
- hindgut
- T11-L2
This is VERY general
- liver
- T5-T9
- appendix/cecum
- T10
- sigmoid colon
- T12-L2
Why do we think of the kidney being innervated my sympathetically like the hindgut?
The kidneys start low and ascend
so, as they do so they drag their nerves with them
What is the breakdown of greater spanchnic nerves, lesser splanchnic nerves, least splanchnic, and lumbar spanchnic ?
Where is each of their destinations?
- greater
- T5-T9
- celiac ganglion
- lesser
- T10-T11
- superior mesenteric
- aorticorenal (paired)
- least (right next to the diaphragm)
- T12
- Renal plexus (synapsing occurring inside them)
- Lumbar splanchnic nerves directly off the sympathetic drunk
- L1-3
- intermesenteric plexus
- inferior mesenteric ganglion
Why is L3 spanchnic nerve a thing if the origins end at L2?
fibers from L2 continue down the trunk and exit at the level of L3 onto the L3 spanchnic nerve to make its way into the intermesenteric plexus & inferior mesenteric ganglion
How do post ganglionic sympathetic fibers reach their destination? Provide an example for the liver.
follow as a plexus covering on the vasculature to organs
- liver
- greater splanchnic to celiac ganglion
- this is next to celiac trunk,
- takes common hepatic
- to proper hepatic
- to the liver
What is differnet about the sympathetic innervation reaching the adrenal gland?
will take sympathetic archetecture, like celiac ganglion, but it will not synapse in the ganglion
the medulla of the adrenal glands is the ganglion
chromuffin cells are what receive information from the preganglionic sympathetic fibers
once stimulated the chromuffin cells will release their epinephrine/norepinephrine
Sympathetics additionally control the adrenal gland by controling the vasculature surrounding the gland
What is the breakdown for parasympathetic origination for the foregut, midgut and hindgut?
- vagus
- foregut and midgut
- stomach to 2/3 mark transverse colon
- S2-S4
- hindgut
- last 1/3 transverse colon to sigmoid colon/rectum
Which unpaird vascular branches provide arterial supply to the foregut, midgut and hindgut?
- foregut
- celiac trunk
- midgut
- superior mesenteric
- hindgut
- inferior mesenteric
Parasympathetic nerves follow these arterial divisions to reach the respective parts of the gut
How does the vagal esophageal plexus form in the abdomen?
esophageal plexus reforms into vagal trunks that run on the anterior and posterior aspect of the esophagus as it enters the hiatus in the diaphragm
the anterior is formed more from the left vagus nerve whereas the posterior is formed more from the right vagus nerve
formed more so from the left vagus nerve, will sit on the anterior aspect of the esophagus at it enters the hiatus in the diaphragm