Anatomy 2 Flashcards

1
Q

What levels do the abdominopelvic splanchic nerves come off at?

A

T5 - L2

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2
Q

Do sympathetic chains run the full length of the vertebral column?

A

Yes

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3
Q

Where do sympathetic nerves travel between?

A

Sympathetic chain and spinal nerves’ anterior ramus

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4
Q

How do sympathetic nerve fibres get from CNS to kidneys, ureters and bladder?

A

Leave spinal cord at T10 and L2
enter sympathetic chains
Leave chain with abdominopelvic splanchic nerves
Synapse at abdominal sympathetic ganglia located around AA

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5
Q

Within what do parasympathetic nerve fibres leave the CNS?

A

4 cranial nerves and sacral spinal nerves

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6
Q

What cranial nerve innervates the kidneys and ureter?

A

Vagus (X)

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7
Q

Describe the parasympathetic innervation of the bladder?

A

Pelvic splanchic nerves carrying parasympathetic nerve fibres

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8
Q

What level do the pelvic splanchic nerves leave the CNS?

A

S2 S3 and S4

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9
Q

Look up Pudendal nerve

A

x

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10
Q

Where is kidney pain usually felt?

A

Loin -

posterior aspect of the flank region on affected side

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11
Q

Where is pain from the bladder usually felt?

A

Suprapubic region (midline)

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12
Q

Where is pain caused by a calculus obstructing the ureter be felt?

A

loin to the groin on affected side

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13
Q

What pain can be felt in the perineum?

A

Perineal urethra pain

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14
Q

Where do the visceral afferents from the kidneys re-enter the spinal cord?

A

T11 and L1

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15
Q

What are differentials for loin pain?

A
Skin origin - HZV
Muscular 
Vertebrae
spinal nerve root compression
lower lobe pneumonia
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16
Q

What dermatome region does loin pain occur in?

A

T11 and L1

17
Q

Where do the visceral afferents from the ureters re-enter the spinal cord?

A

T11 and L2 - groin pain dermatome

18
Q

What can cause groin pain?

A

hernias (inguinal or femoral)
Lymphadenopathy
Testicular pathology

19
Q

Where do the visceral afferents from the bladder re-enter the spinal cord?

A

bladder touching peritoneum - T11 to L2

Bladder not touching peritoneum - S2, S3, S4

20
Q

What are causes of suprapubic pain?

A

Hindgut organs - e.g. sigmoid

other single midline pelvic organs whose aspects touch the peritoneum e.g. uterus