Ach: Nerves of the Abdomen Flashcards

1
Q

What are the two types of nerves found in the abdomen and pelvis?

A

Somatic (phrenic)

Autonomic (motor and sensory)

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2
Q

What are the two anatomical divisions of the nerves that supply the abdomen and pelvis?

A

Sympathetic (T1-L2)

Parasympathetic (brain stem and spinal cord segments S2-S4)

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3
Q

sympathetics

A

INHIBIT peristalsis and vasoconstrict

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4
Q

parasympathetics

A

STIMULATE peristalsis, relax sphincters, stimulate glandular secretion

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5
Q

What makes up the visceral efferent nerves?

A
  1. sympathetic nerves (T1-L2)

2. parasympathetic nerves (CN X, S2, S3, S4)

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6
Q

What are the two types of visceral efferent sympathetic nerves that serve the abdomen and pelvis?

A
  1. thoracic splanchnics

2. lumbar splanchnics

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7
Q

thoracic splanchnics

A

PREganglionic sympathetic fibers from T5-T12 of the spinal cord that pass through the sympathetic trunk w/out synapsing and travel to prevertebral ganglia/plexuses

greater splanchnic (T5-T9)
lesser splanchnic (T10-11)
Least splanchnic (T12)
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8
Q

lumbar splanchnics

A

PREganglionic sympathetic branches

exit from lumbar sympathetic trunk at L1-L4

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9
Q

Where does the sympathetic outflow end?

A

L2 spinal cord level

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10
Q

Where do the lumbar splanchnic nerves from L1-L2 spinal cord exit?

A

travel down the sympathetic trunk and exit at L3 and L4 and synapse in prevertebral ganglia and plexuses.

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11
Q

What are the two types of visceral efferent parasympathetic nerves?

A
  1. Vagus nerves

2. Pelfvic splanchnic nerves (S2-4)

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12
Q

Vagus nerve (parasympathetic visceral efferent)

A

Supply organs PROXIMAL to left colic flexure (foregut and midgut)

PREganglionic parasympathetic that DO NOT SYNAPSE in prevertebral ganglia, pass through plexuses and follow arteries to the wall

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13
Q
Pelvic splanchnics (parasympathetic visceral efferent)
exit?
A

Organs DISTAL to left colic flexure (hindgut)

PREgang exit from S2-4 spinal cord levels>
ascend to abdomen via hypogastric plexuses>
synapse on POSTgang fibers in organs distal to left colic flexure

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14
Q

What are the two types of visceral afferent fibers?

A

Sympathetic and parasympathetic

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15
Q

Sympathetic visceral afferent fibers: path

A

Viscera> splanchnic nerves> dorsal root ganglia at T1-L2 of the spinal cord

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16
Q

Sympathetic visceral afferent fibers: carry?

A

sensory information

visceral pain from organs to CNS (dull and vague)

17
Q

What is referred pain?

A

spinal cord segments receive both somatic and visceral sensory input that converges on second order neurons.

visceral pain is experienced in somatic tissues supplied by the same cord segment

18
Q

Parasympathetic visceral afferent nerves: proximal vs distal to L colic flexure

A

Proximal: Fibers> sensory ganglion of the VAGUS

Distal: fibers: dorsal root ganglia S2-S4 in the PELVIC SPLANCHNIC NERVES

19
Q

Parasympathetic visceral afferent nerves: function?

A

provide sensory limb for homeostatic reflexes and pain sensation from some pelvic organs

20
Q

Where do preganglionic sympathetic fibers of thoracic and lumbar splanchnic nerves synapse?

A

ganglia

21
Q

Where are postganglionic sympathetic fibers located?

A

fibers follow blood vessels to the organ they supply

22
Q

Where are preganglionic parasympathetic fibers located?

A

pass THROUGH plexuses and DO NOT SYNAPSE.

follow arteries to a specific portion of the gut>
snapse on postganglionic parasympathetic neurons in the muscular wall

23
Q

Celiac ganglion/plexus: location?

A

encircles the celiac trunk

24
Q

Celiac ganglion/plexus: receive?

A

greater and lesser splanchnic nerves (sympathetic) that synapse there

25
Q

Celiac ganglion/plexus: offshoots?

A

aorticorenal plexus (receives the lesser splanchnic)

26
Q

Celiac ganglion/plexus: what passes through w/out synapsing?

A

vagal preganglionic parasympathetis

27
Q

superior and inferior mesenteric ganglia/plexus and intermesenteric plexus: location?

A

On the AORTA surrounding the SMA and IMA

plexus extends btwn the SMA and IMA

28
Q

superior and inferior mesenteric ganglia/plexus and intermesenteric plexus: synapses here?

A

upper two lumbar splanchnics (L1,2)

29
Q

superior mesenteric plexus: passes through?

A

vagal fibers

30
Q

Is there vagal input to the intermesenteric or inferior mesenteric plexuses?

A

NO –vagus supplies parasympathetics to the foregut and midgut ONLY

31
Q

superior hypogastric plexus: locate?

A

level of bifurcation of hte aorta L5

32
Q

superior hypogastric plexus: receives?

A

PREgang sympathetic fibers from L3/4 splanchnic nerves

33
Q

superior hypogastric plexus: divides into?

A

R and L hypogastric nerves that descend into the pelvis and contribute to the IHP

34
Q

superior hypogastric plexus: what passes through and doesn’t synapse?

A

Preganglionic sympathetic fibers from S2-4 but synapse on organ wall distal to splenic flexure