ANS anatomy & physiology 3 Flashcards
Signs of Horner syndrome include: (select 3)
a. contralateral hyperhidrosis
b. ipsilateral miosis
c. ipsilateral enophthalmos
d. contralateral ptosis
e. ipsilateral hyperhidrosis
f. ipsilateral flushing of the skin
b. ipsilateral miosis
c. ipsilateral enophthalmos
f. ipsilateral flushing of the skin
Branches from the sympathetic trunks divide into
somatic and visceral groups
Somatic groups generally travel to effectors in
spinal nerves
Visceral groups are distributed to the effectors
via plexuses
The stellate ganglion (cervicothoracic) is a confluence of the
inferior cervical ganglion and the T1 ganglion
Blockade of the stellate ganglion results in
Horner’s syndrome
Horner’s syndrome is comprised of
ipsilateral ptosis
miosis
anihidrosis
flushed skin
nasal congestion
enophthalmos
Sympathetic ganglia are not simple ________________stations
one-to-one relay
The SNS has a postganglionic to preganglionic nerve ratio of about 30:1
Visceral postganglionic sympathetic fibers to visceral effectors are distributed via four plexuses:
cardiac
celiac
aortic
hypogastric plexus
The somatic group SNS efferents stimulate:
vasoconstriction of cutaneous arterioles
sweat gland secretions
piloerector muscle contraction
All “route 1 to relay” postganglionic fibers travel as
somatic groups
“Route 2 to relay” paths provide postganglionic sympathetic fibers to both
somatic and visceral groups
SNS efferents to the head travel along the
internal carotid and vertebral arteries
The thoracic viscera receive SNS efferents distributed through the
cardiac, pulmonary, and esophageal plexuses
The superior, middle, and inferior cervical ganglia are a trio of interconnected ganglia that distribute
somatic and visceral efferents to the head, neck, and thoracic cavity
The Horner’s syndrome mnemonic is
Very Homely PAM (vasodilation Horner Ptosis anhidrosis miosis)
The largest sympathetic plexus is the
Celiac plexus
What is another name for the stellate ganglion?
cervicothoracic ganglion
What three skin structures receive sympathetic innervation via spinal nerves?
cutaneous arterioles
sweat glands
piloerector muscles