Exam 3 Lecture 5 Flashcards

1
Q

How does the Posterior Spinal Vein differ than the artery?

A

1 Large vein in the middle and 2 Large veins on either side [similar to artery placement]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
A
  1. Right vertebral artery
  2. Left vertebral artery
  3. Anterior Spinal Artery
  4. Great Radicular Artery [Artery of Adamkiewicz]
  5. L side
  6. R side
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Heart Pain

A

L side of body b/c R side has lower pressures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Appendix Pain

A

RLQ parietal pain; umbilicus [T10] visceral/referred pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Parietal Pain:

A

Sharp, high localized; Connective Tissue Pain; Lateral Inhibition works

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Ways to help the cord during Aortic clamping?

A

Give Anti-inflammatory and slow metabolic rate of the cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Pathway of Ventral Spinocerebellar Tract?
*What type of info

A

Ventral Spinocerebellar Tract - Superior Cerebellar Peduncle - Cerebellum
*Motor/Sensory Info

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is Ischemic Reperfusion Injury?
*How do we get this
*How do we prevent this

A

When the Aorta has been clamped too long, it becomes ischemic; the clamp is let go too quickly and blood rushes to the arteries, causing for blood to pour in and hyper-oxygenation
*Prevent by assessing O2 status of Pt before and by unclamping the Aorta slowly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How many Anterior Spinal Arterial Feed Vessels in the thorax do we have?

A

2-3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Your hand is hit with a hammer. List what you would feel in order

A

Pressure of hammer - Sharp Pain - Dull/Achy pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How many Radicular Arteries do we have per cord level?

A

4 [post/ant] x L and R side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Anterior Corticospinal Tract, again..
*% of motor pathway

A

Motor Cortex - Internal Capsule - Ventrobasal Complex - Brainstem - Anterior Corticospinal Tract - XOVER at level of cord to talk to motor neuron
*17%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Stomach Pain

A

Heartburn [referred to heart]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Equation for CPP with values

A

MAP - ICP [10 mmHg]
*Normal: 50-100 mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where do Posterior Spinal Arteries get their Blood From?
* 1-2 are Upper
*3 is Lower

A
  1. Vertebral Arteries
  2. Anterior Inferior Cerebellar Artery/ Posterior Inferior Cerebellar Artery
  3. Intercostal Arteries
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In to Out, Radicular Artery connections

A

Aorta - Intercostal Arteries - Radicular Arteries - Spinal Cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What % of Spinal Blood Supply is from Posterior Spinal Arteries
*Per each artery?

A

25%; 12.5% each

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
A
  1. Amygdala
  2. Hypothalamus [diencephalon]
  3. Cingulate Gyrus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Kidney Pain

A

Back [referred]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How many Anterior Spinal Arterial Feed Vessels total do we have?

A

5-7 total

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Visceral Pain:

A

Dull, Achy; NO lateral inhibition; internal organ pain [usually referred]; poor localization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What % of Spinal Blood Supply is from Anterior Spinal Artery

A

75%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How many sets of Intercostal arteries do we have?
*How many total?

A

12; 24 total

24
Q

Referred Pain:

A

Pain felt in body that is remote from actual pain site [usually visceral pain]

25
Q

Where is the Abdominal Aorta located?

A

Abdominal Cavity

26
Q
A
  1. Basilar Artery
  2. Vertebral Artery
  3. Anterior Spinal Artery
  4. Posterior Spinal Artery
  5. Anterior Radicular Artery
  6. Posterior Radicular Artery
27
Q

At what level is the GRA?
*Range? 75%
*Absolute Range? 25%

A

T10
75%: T9-T12
25% T5-L5

28
Q

What is the mesenteric artery attached to?

A

The Aorta

29
Q

To repair an AA, what must the surgeon do?
*What must you be aware of: 2 things
*How to fix 2nd issue

A

Clamp the Aorta; watch for ischemia and increased CSF pressure by 10 mmHg [insert a drain]

30
Q

At every level, we do not have 4 arteries feeding the cord; we are lucky to have _ artery/arteries?

A

1

31
Q

Where does the Spinal Branch Sit?

A

On the Dorsal Root Ganglia

32
Q

What is the Most important Anterior Feed Vessel?
*What is it branched off of, and which direction?
*Fraction of Spinal cord perfusion

A

Great Radicular Artery [Artery of Adamkiewicz]/GRA
*Branched off Aorta on L side
*2/3 spinal cord perfusion

33
Q

Pathway of Dorsal Spinocerebellar Tract?
*What type of info

A

Dorsal Spinocerebellar Tract - Inferior Cerebellar Peduncle - Cerebellum
*Golgi Tendon Reflex/Muscle Spindles Information

34
Q

How many Posterior Spinal Arteries do we have?
*Location

A

2; sits on either side of Posterior Median Fissure

35
Q

The higher the GRA anatomically, the _ the AA repair will be?

A

Safer

36
Q
A
  1. Thoracic Aorta
  2. Abdominal Aorta
  3. Intercostal Arteries
37
Q
A
  1. Cingulate Gyrus
38
Q

How many Anterior Spinal Arterial Feed Vessels in the neck do we have?

A

2

39
Q

Where is the Anterior Spinal Artery Located?

A

Anterior Median Fissure/Sulcus

40
Q
A
  1. Posterior Spinal Arteries
  2. Anterior Spinal Artery
  3. Vasocorona Artery [inferior is coronal arteries]
  4. Posterior Segmental Medullary Artery [Posterior Radicular]
  5. Anterior Segmental Medullary Artery [Anterior Radicular]
  6. Intercostal Artery
41
Q

Top part of the aorta is called?

A

Thoracic Aorta

42
Q
A
  1. Posterior/Dorsal SpinoCerebellar Tract
  2. Anterior/Ventral SpinoCerebellar Tract
    3.
    4.
  3. Superior Cerebellar Peduncle
  4. Ventral Spinocerebellar Tract
  5. Inferior Cerebellar Peduncle
  6. Ventral SpinoCerebellar Tract
  7. Dorsal Spinocerebellar Tract
43
Q
A
  1. Anterior Radicular Artery
  2. Posterior Intercostal Artery
  3. Thoracic Aorta
  4. Dorsal Branch
  5. Spinal Branch
44
Q

Another name for Radicular Arteries? [anterior/posterior]

A

Segmental, Medullary

45
Q

What is inferior to the Abdominal Aorta?

A

Renal Arteries

46
Q

Liver Pain

A

From liver Capsule; liver does not pain sensor

47
Q

3 Parts of the Limbic System, in Order

A
  1. Amygdala
  2. Hypothalamus [diencephalon]
  3. Cingulate Gyrus
48
Q

What kind of Fibers are Skeletal Muscle, Muscle Spindles, and Tendons?

A

A, Alpha fibers

49
Q

What sensors can DCML pathway contain?

A

A to D fibers

50
Q

Biggest risk for Aortic X-clamp above the GRA?

A

Paralysis/ Loss of Motor Function

51
Q

What fibers are located in the ANS?

A

B, C fibers

52
Q

How many Anterior Spinal Arterial Feed Vessels in the lumbar do we have?

A

1-2

53
Q

Lateral CorticoSpinal Tract, again..
*% of Motor Pathway

A

Motor Cortex - Internal Capsule - Thalamus [Ventrobasal Complex] - Brainstem - Decussation of Pyramids - Lateral Corticospinal Tract
*80%

54
Q

What sensors are the DCML Lateral Inhibition

A

A, Beta Fibers

55
Q

From In to Out, Intercostal Arteries

A

Intercostal Arteries - Dorsal Branch - Spinal Branch - Cord