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GI > autonomics and lymph > Flashcards

autonomics and lymph Flashcards

1
Q

celiac nodes

A

around celiac trunk
collect lymph from foregut
primary drainage is to intestinal lymph trunk

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2
Q

superior mesenteric nodes

A

around SMA
collect from midgut
primary drainage to celiac nodes
secondary drainage to intestinal trunk

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3
Q

inferior mesenteric nodes

A

around IMA
collect from hindgut
promary drainage to SM nodes
ssecondary to left lumbar trunk

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4
Q

intestinal lymph trunk

A

formed from efferent lymph channels of celiac nodes70% population drains to left lumbatr tunk
30% to cistern chyli

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5
Q

visceral nodes

A

celiac
SM nodes
IM nodes
intestinal lymph trunk

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6
Q

parietal nodes

A

common iliac

lumbar

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7
Q

common iliac nodes

A

collect from pelvis, perineum, LL

drain to lumbar nodes

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8
Q

lumbar nodes

A

lie along aorta (aortic) and IVC (caval)
collect from common iliac nodes, abdominal wall, kidney, ureter, suprarenal glands, some diaphragm, gonads, uterus, uterine tubes,
drain to right and left lumbar lymph trunks

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9
Q

lumbar trunks

A

left receives intestinal trunk and sometimes directly receives efferents from IM ndoes
left and right merge at LV2 to form thoracic duct

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10
Q

thoracic duct

A

forms anterior to LV2

enters thorax via aorta hiatus at TV12

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11
Q

vagus

A

enters through esophageal hiatus at TV10

foregut and midgut

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12
Q

pelvic splanchnic nn

A

parasympathetic to GI tract from descending colon to proximal anal canal (hindgut)
preganglionic cell bodies S2-4
distribute through hypogastric plexus

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13
Q

sympathetics

A

T5-L2
utilize various prevertebral ganglia
postganglionic fibers distribute via aortic plexuses

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14
Q

greater splachnic n

A

T5-9
synapses in celiac ganglia
distribute via celiac and SM plexuses

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15
Q

lesser splanchnic

A

T10-T11
aorticorenal and SM ganglia
SM and renal plexuses

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16
Q

least splanchnic

A

T12
aorticorenal and SM ganglia
SM and renal plexuses

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17
Q

lumbar spanchnics

A

T11-L2
IM ganglion
IM plexus

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18
Q

prevertebral ganglia

A

celiac- from greater splanchnic
aorticorenal- lesser and least
SM-greater, lesser, and least
IM- lumbar splanchnics

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19
Q

abdominal portion of esophagus- sympathetic

A

T5-9 via greater splanchnic
celiac plexus -> distribute along left gastric a
efferent- decreased peristalsis, gland secretion, and vasomotor
afferent- acute pain to T6-9, usually felt substernally at T6

20
Q

abdominal portion of esophagus- parasympathetic

A

vagus
efferent- increased peristalsis, gland secretion, vasomotor
afferent- distension

21
Q

stomach- sympathetic

A

T5-9, greater splanchnic
celiac ganglia, via brr of celiac trunk
efferent- decreased peristalsis, contraction of pyloric sphincter, decreased gland secretion, vasomotor
afferent- acute pain to T6-9

22
Q

stomach- parasympathetic

A

vagus
increased peristalsis, relaxation of sphincter mm, increased gland secretion, vasomotor
afferent- distension

23
Q

small intestine- sympathetic

A

T8-10 greater and lesser
celiac and SM ganglia, distribute via brr of celiac trunk and SMA
efferent- decreased peristalsis, decreased gland secretion, vasomotor
afferent- pain T8-10

24
Q

small intestines- parasympathetic

A

vagus
increased peristalsis, increased gland secretion, vasomotor
afferent- distension

25
Q

cecum, appendix, ascending and transverse colon- sympathetic

A

T10-12 lesser and least
SM, distribute via brr of SMA
efferent- decreased peristalsis, decreases gland secretion, vasomotor
afferent- pain- T10-12, from appendix referred to umbilical region

26
Q

cecum, appendix, ascending and transverse colon- parasympathetic

A

vagus
efferent- increased peristalsis, increased gland secretion, vasomotor
afferent- distension

27
Q

descending and sigmoid colon-sympathetic

A

L1-2 via lumbar splanchnics
IM ganglia, distribute via brr of IMA
efferent- decreased peristalsis, decreased gland secretion, vasomotor
afferent- pain to L1-2

28
Q

descending and sigmoid colon-parasympathetic

A

S2-4, pelvic splanchnics
increased peristalsis, increased gland secretion, vasomotor
distension

29
Q

rectum and anal canal to pectinate line- sympathetic

A

L1-2 lumbar and sacral splanchnics
IM ganglia, via brr of IMA
efferent- decreased peristalsis, decreased galnd secretion, vasomotor

30
Q

rectum and anal canal to pectinate line- parasympathetic

A

S2-4, via pelvic splanchnics
efferent- increased peristalsis, increased gland secretion, vasomotor
afferent- distension and acute pain

31
Q

anal canal inferior to pectinate line

A

inferior rectal nerve

32
Q

spleen- sympthetic

A

T6-8 greater
celiac ganglia
efferent- vasomotor
afferent- pain to T6-8

33
Q

spleen- parasympathetic

A

vagus

vasomotor

34
Q

pancreas-sympathetic

A

T6-9 greater splanchnic
celiac ganglia
efferent- vasomotor
afferent- pain to T6-9

35
Q

pancreas-parasympathetic

A

vagus

efferent- vasomotor and secretion of enzymes

36
Q

liver-sympathetic

A

T6-9 via greater
celiac ganglia
efferent-vasomotor
afferent- pain T6-9

37
Q

liver- parasympathetic

A

vagus

efferent- vasomotor

38
Q

gallbladder and cystic duct- sympathetic

A

T5-9 greater
celiac ganglia
efferent- vasomotor
afferent- pain T6-9

39
Q

gallbladder and cystic duct- parasympathetic

A

vagus
efferent- vasomotor, contraction of gallbladder and cystic duct wall, relaxation of duct sphincters (also under hormonal control)

40
Q

kidney- sympatheitc

A 
T10-L1, lesser, least, and lumbar
aorticorenal and renal ganglia
distribute via renal plexus
efferent- vasomotor
afferent- pain T10-L1
41
Q

kidney-parasympathetic

A

vagus
efferent- vasomotor?
mostly sensory

42
Q

suprarenal gland- sympathetic

A

T8-L1 greater, lesser, least, and lumbar
postganglionic cell bodies in medulla of gland and in aortiorenal ganglia
efferent- vasomotor, liberate NE and epi
afferent- pain to T8-L1

43
Q

suprarenal-parasympathetic

A

vagus

vasomotor

44
Q

proximal ureters

A

sympathetic- T10-11

parasympathetic- T10-11

45
Q

distal ureters

A

T12-L1/2

GI (14 decks)

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