INP Castilla Lecture Flashcards

1
Q

Layers of the Meninges

A

Extradural Space => Dura Mater => Subdural Space =>Arachnoid Mater => Subarchnoid Space => Pia Mater

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2
Q

Number and Organization of spinal nerves /Vertebrae

A

31, 8 Cervical (7 vertebrae), 12 thoracic, 5 lumbar, 1 coccygeal

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3
Q

Both Sensory and Motor Signals travel through… besides the muscles of the deep back & skin of the back?

A

Anterior Rami

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4
Q

Arrangement of How the Spinal nerves exit through the vertebrae?

A

C1-C7 exit superior to their vertebrae, C8 exits inferior to the C7 Vertebra, T1 onward exit inferiorly

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5
Q

Nerve Plexus

A

collection of nerves of different segments with specific targets, either somatic or visceral in PNS

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6
Q

Major Somatic Plexuses to Know (Voluntary)

A

Brachial Plexus - Upper Limb

Lumbosacral Plexus - Lower Limb and Pelvic region

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7
Q

Visceral Plexus (Involuntary)

A

target specific visceral organs, receiver contribution from sympathetic and parasympathetic nerves

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8
Q

Cervical Plexus

A

Ant Rami of C1-C4 Spinal Nerves
-Innervate muscles in neck/cutaneous to neck and head
Contains ANSA CERVICALIS and PHRENIC NERVE

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9
Q

Cauda Equina

A

tail of nerves that comes after the conus medularis (end of spinal cord)

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10
Q

The Spinal cord is enlarged in what two areas and what do they innervate?

A

Cervical => innervates the arms

lumbar => innervates the legs

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11
Q

Space outside of the meninges containing vessels, nerves, and fat. Fills space within vertebral canal

A

Extradural space

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12
Q

Tough outermost covering of the meninges

A

Dura mater

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13
Q

Potential space in pathological situations

A

Subdural space

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14
Q

Thin meshword membrane that abuts the dura

A

arachnoid mater

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15
Q

space in meninges that contains cerebrospinal fluid

A

subarachnoid space

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16
Q

thin membrane that adheres to the spinal cord

A

pia mater

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17
Q

Where do we do a lumbar puncture and why?

A

Between L3 and L4 vertebra, so we do not damage the spinal cord

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18
Q

If we feel an itch what is the nerve signaling pathway

A

Anterior rami => spinal nerve => posterior root =>anterior root => anterior rami

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19
Q

Typical components within a spinal nerve?

A

Somatic sensory, visceral sensory, autonomic motor, somatic motor

20
Q

Splanchnic Nerves

A

innervate many visceral organ systems throughout body

21
Q

Ansa Cervicalis

A

part of the cervical plexus it innervates some strap muscles

22
Q

Phrenic nerve

A

part of the cervical plexus it provides somatic motor innervation to the diaphragm (C3,4,5) keeps diagphragm alive

23
Q

complex collection of nerves from the spinal cord travelling through the neck and axilla to innervate muscles of the skin in the upper limb and shoulder

A

Brachial Plexus

24
Q

What plexus is formed from the anterior rami of the C5 - T1 Spinal segments

A

Brachial Plexus

25
Q

How is the brachial plexus divided proximal to distal

A

Roots => Trunks => Divisions => Cords => Branches

26
Q

What nerve of the brachial plexus innervates the Anterior Arm Compartment, and skin over the lateral forearm

A

Musculocutaneous

27
Q

What nerve of the brachial plexus innervates most of the anterior compartment of the forearm, and some muscles (thumb muscles) of the hand, and some skin of the hand

A

Median

28
Q

What nerve of the brachial plexus innervates a little of the anterior forearm, and most of the muscles of the had, and some skin of the hand

A

Ulnar

29
Q

What nerve of the brachial plexus innervates the posterior compartment of the arom and forearm and skin over the posterior upper extremities.

A

Radial

30
Q

What nerve of the brachial plexus controls flexion of the elbow?

A

Musculocutaneous

31
Q

What nerve of the brachial plexus controls flexing of the wrist and some fingers/thumb?

A

Median nerve

32
Q

What nerve of the brachial plexus controls movement of the hand?

A

Ulnar

33
Q

What nerve of the brachial plexus controls extension of the elbow and wrist?

A

Radial

34
Q

Upper Brachial Plexus injury?

A

Neck injury, damages Musculocutaneous Nerve, patient cant flex the elbow

35
Q

Lower Brachial Plexus Injury?

A

Armpit injury, damages ulnar nerve, weak hand motions

36
Q

Intercostal Nerves

A

Anterior rami of thoracic spinal nerves, DO NOT FORM PLEXUS, Somatic motor innervation to intercostal muscles, lower continue to innervate ab wall muscles, Cutaneous dermatomes of trunk

37
Q

Lumbosacral Plexus

A

Lower limb and Gluteal System, conects the two plexuses

38
Q

What are the nerves of the Lumbosacral Plexus

A
Femoral nerve -
Obturator Nerve, 
Sciatic Nerve
   -Tibial Nerve
   -Common Fibular Nerve
Pudendal Nerve
39
Q

Which nerve of the Lumboscarcal Plexus innervates the anterior thigh and what is its function?

A

Femoral, extension of knee

40
Q

Which nerve of the Lumboscarcal Plexus innervates the medial thigh, and what is its function?

A

Obturator, adduct legs

41
Q

Which nerve of the Lumboscarcal Plexus innervates the posterior thigh, leg, foot and what is its function?

A

Sciatic nerve, has a tibial and fibular branch

42
Q

What branch of the sciatic nerve innervates the posterior legan and most of foot?

A

Tibial Nerve

43
Q

What branch of the sicatic nerve innervates the anterior and lateral leg?

A

Common Fibular Nerve

44
Q

What is the “shameful nerve” and what does it innervate?

A

pudendal, it inervates the perineum and external genitalia

function: somatic sensory to erectile tissue and muscles of continence

45
Q

Pain perceived at a location that is not injury site?

A

perceived pain

46
Q

Why does perceived pain happen?

A

Incoming signals from visceral and somatic afferents coming to the same spinal segment “confuse” the brain into thinking that the visceral pain is coming from elsewhere.

47
Q

Appendix and Heart perceived pain sites?

A

Pain on belly button, pain on Upper limb