Exam 3 Nerves Flashcards
What is the innervervation of the external oblique muscle?
Anterior primary rami of lower 6 thoracic nerves
What is the innervation to the anterior abdominal wall?
Lower 6 thoracic nerves
What is the innervation of the internal oblique muscle?
Anterior primary rami of lower 6 thoracic and first lumbar nerves
Innervation of transversus abdominis?
Anterior primary rami of lower 6 thoracic and first lumbar nerves
Innervation of rectus abdominis muscle?
Anterior primary rami of the lower 6 thoracic nerves
Innervation of pyramidalis muscle?
Subcostal nerve
What nerves are enclosed by the rectus sheath?
Anterior primary rami of the lower 6 thoracic nerves
What nerve transmits through the inguinal canal?
ilioinguinal nerve
Innervation of cremaster muscle?
Genital branch of genitofemoral nerve (L1,L2)
What are the two branches of the ilioinguinal nerve?
Femoral branch and anterior scrotal/anterior labial nerve
What does the femoral branch of the ilioinguinal nerve supply?
Suppliers the upper medial part of the thigh
What does the anterior scrotal/anterior labial nerve supply?
Anterior scrotal: root of penis and anterior part of scrotum
Anterior labial: mons pubis and anterior part of labia majora
The parietal peritoneum is supplied by what nerves?
1) phrenic nerve
2) ilioinguinal
3) iliohypogastric
4) intercostal
5) subcostal
P
Ilio
Ilio
Costal
Costal
The parietal peritoneum is very sensitive to what?
Pain
What nerves supply the visceral peritoneum?
Autonomic nerves
What is the sympathetic innervation of the foregut?
Greater splanchnic nerves (T5-T9)
Lesser splanchnic nerves (T10-T11)
What is the sympathetic division of the midgut?
Greater splanchnic nerves (T5-T9)
Lesser splanchnic nerves (T10-T11)
What is the sympathetic innervation of the hindgut?
Lumbar splanchnic nerves (L1-L2)
What is the parasympathetic innervation of the foregut?
Vagus nerve
What is the parasympathetic innervation of the midgut?
Vagus nerve
What is the parasympathetic innervation of the hindgut?
Pelvic splanchnic nerves (S2-S4)
What effects are produced from the sympathetic activation of the gastrointestinal tract?
Decreases motility and tone and contracts sphincters
What are the effects of parasympathetic activation of the gastrointestinal tract?
Increase motility and tone, and relaxes sphincters
Which nervous system activation of the gastrointestinal tract contracts sphincters and decreases motility?
Sympathetic nervous system
What is the enteric nervous system?
It is a regional nervous system of nerves specific to the gut. It is semi independent of the CNS
Where is the submucosal plexus?
Within the submucosa near border with muscularis externa
Postganglionic fibers from the submucosal plexus supply what?
Supplies muscularis mucosae and mucus secreting glands
Where is the myenteric plexus?
Between circular and longitudinal layers of muscularis externa
Postganglionic fibers of the myenteric plexus supply what?
The circular and longitudinal smooth muscle layers of muscularis externa and stimulate peristalsis
The submucosal plexus and myenteric plexus are part of what nervous system?
Enteric nervous system
The nerve supply to the stomach is from what plexus?
Celiac plexus
What is the sympathetic innervation of the stomach?
Greater splanchnic nerves (T5-T9)
What is the parasympathetic innervation of the stomach?
Vagus nerve
What is the innervation of the duodenum?
Autonomic fibers from the celiac and superior mesenteric plexuses
What is the innervation of the jejunum and ileum?
Autonomic fibers from the superior mesenteric plexus
What is the innervation of the liver?
Autonomic and pain fibers are from the hepatic plexus which is an extension of the celiac plexus
The hepatic plexus is an extension of what other plexus?
Celiac plexus…
Just checking!
What is the innervation of the gall bladder?
Autonomic and pain fibers from the celiac plexus
What is the innervation of the pancreas?
Autonomic and pain fibers from the celiac plexus
What is the innervation of the spleen?
Mainly sympathetic from celiac plexus
What two nerves supply the parasympathetic innervation a to the abdominal viscera?
1) Vagus nerve
2) pelvic splanchnic nerves (S2-4)
The vagus nerve supplies preganglionic parasympathetic fibers to what structures of the abdominal viscera?
Esophagus
Stomach
Small intestine
Large intestine (through right 2/3 of transverse colon)
What other abdominal viscera receive their parasympathetic innervation from the vagus?
Kidney
Liver
Pancreas
Spleen
How does pelvic splanchnic nerves supply preganglionic parasympathetic fibers to the left 1/3 of the transverse colon?
Through the upper part of the anal canal
Where do the preganglionic parasympathetic fibers carried by the vagus and pelvic splanchnic nerves synapse?
The py synapse in terminal ganglia which lie within organs they innervate
Where are the preganglionic sympathetic cell bodies of the abdominal viscera located?
Within spinal cord segments T1-L2
How does the sympathetic trunk enters the abdomen?
By passing posterior to the medial accurate ligament.
It descends on the vertebral column, medial to the posts major muscle
Where does the right trunk of the sympathetic trunk lie?
Behind the inferior vena cava
Where does the left trunk of the sympathetic trunk lie?
Lateral to the aorta
Both sides of the sympathetic trunk continue into the pelvis Anterior to what?
Anterior to the sacrum
What two things make up the sympathetic nerve supply to the abdominal viscera?
Sympathetic trunk which gives rise to the splanchnic nerves
What gives rise to thoracic and lumbar splanchnic nerves?
The sympathetic trunk… We literally just went over this!
What do the thoracic and. Lumbar splanchnic nerves contain within them?
Preganglionic sympathetic and afferent fibers
What levels do the thoracic and lumbar nerves arise from, and what are their names?
Greater splanchnic nerve (T5-T9)
Lesser splanchnic nerves (T10-T11)
Least splanchnic nerves (T12)
Lumbar splanchnic nerves (L1-L4)
Sympathetic innervation to the stomach through the right 2/3 of the transverse colon originates in what spinal cord segments?
Originates in the 5th through 11th thoracic spinal cord segments
Sympathetic innervation to the left 1/3 of the transverse colon through the upper part of the anal canal originates from what spinal cord segments?
Originates in lumbar spinal cord segments
The preganglionic fibers from the 5th through 11th spinal segments pass through the sympathetic trunk and are carried by greater and lesser splanchnic nerves to where?
Celiac and superior mesenteric plexuses, where they synapse
The preganglionic fibers from the lumbar segments pass through the sympathetic trunk and are carried by the lumbar splanchnic nerves to where?
To the inferior mesenteric plexus
The celiac, superior mesenteric, and inferior mesenteric ganglia contain the cell bodies of which neurons?
Postganglionic sympathetic neurons
The preganglionic sympathetic fibers carried by the splanchnic nerves synapse in the ganglia of the celiac, superior and inferior mesenteric ganglia, it travels to the ganglia of the organs they innervate through what?
Periarterial plexus
The fibers carrying pain sensation for the area from the stomach to the middle of the of the sigmoid colon run with sympathetic to where?
Thoracic and lumbar spinal sensory ganglia
The visceral afferent fibers carrying reflex information for the area from the stomach to the middle of the sigmoid colon run with what?
Runs with the vagus to Vagal sensory ganglia
Both pain sensation and reflex information from what area is carried to spinal sensory ganglia of S2, S3, and S4?
From the distal to the middle of the sigmoid colon
The various autonomic plexuses of the abdomen lie where?
In front of the aorta and extend along its branches
What do the various autonomic plexuses of the abdominal viscera contain?
1) parasympathetic fibers
2) sympathetic fibers
3) afferent fibers
4) autonomic fibers
The autonomic plexuses of the abdomen are named for the arteries which they lie upon. What are they?
1) celiac plexus
2) superior mesenteric plexus
3) aortic plexus
4) inferior mesenteric plexus
The portion of the aortic plexus between the superior and inferior mesenteric arteries is called what?
Intermesenteric plexus
The aortic plexus continues downward to form the superior hypo gastric plexus just below what?
The bifurcation of the aorta