Lumbar Plexus Flashcards

1
Q

Subcostal nerve spinal root contributions and what does it innervate?

A
T12
Motor: rectus abdominis, pyramidalis
Transversus abdominis 
internal oblique
External oblique 
Sensory to skin of anterior and lateral body wall and upper gluteal area
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2
Q

Iliohypogastric spinal nerve contribution and innervation?

A

L1 (+T12)
Motor: transversus abdominis, internal oblique, external oblique
Sensory to suprapubic region and upper gluteal region
Carries afferent and efferent fibers for abdominal reflex

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3
Q

Ilioinguinal n

A

L1
Motor: transversus abdominis and internal oblique
Sensory: root of penis and anterior scrotum, skin of mons pubis and labia majora
Skin of medial and upper thighs in males and afferent of cremasteric reflex

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4
Q

Genitofemoral n

A

L1, L2
Pierces Psoas major m near L3
Genital branch: motor to cremaster (efferent) and sensory to anterior scrotum or labia majora
Femoral branch: innervate skin of thigh

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5
Q

Lateral femoral cutaneous nerve

A

L2, L3

Sensory to skin of anterolateral and posterolateral thigh

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6
Q

Femoral n

A

L2, 3, 4
Largest branch
Motor: iliacus, anterior thigh mm
Sensory: anterior and medial thigh and leg

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7
Q

Obturator n

A

L2,3,4 (anterior)
Motor: medial thigh
Sensory to hip joint, skin, medial thigh

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8
Q

Accessory obturator n

A

L3,4

Motor: pectineus m

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9
Q

Lumbosacral trunk

A

L4, L5

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10
Q

Preganglionic sympathetic fibers originate from where?

A

spinal cord at T5 to L2

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11
Q

Where do autonomic sympathetic fibers synapse?

A

prevertebral ganglia located near aorta

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12
Q

What parasympathetic n supplies fibers to forgut and midgut derivatives of the abdomen?

A

vagus

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13
Q

What do sacral parasympathetics go to? (S2,3,4)

A

hindgut derivatives: lower abdomen and pelvis

Pelvic splanchics

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14
Q

What does the anterior vagal trunk supply preganglionic fibers to?

A

stomach, liver, gall bladder, duodenum and pancreas

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15
Q

What does the posterior esophageal plexus contain fibers of? what does it supply preganglionic fibers to?

A

contains fibers from both left and right vagus that forms posterior vagal trunk
Supplies to stomach and intestines

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16
Q

What are the preaortic autonomic plexuses ?

A

celac, superior mesenteric, aorticorenal, aortic, and inferior mesenteric plexus

17
Q

What do the preaortic autonomic plexuses continue as?

A

Superior hypogastric plexus, inferior hypogastric plexus and common/external/internal iliac plexuses

18
Q

What type of axons does the somatic nervous system have?

A

thick and myelinated = fast conduction

19
Q

What type of axons does the autonomic nervous system have?

A

thin, some myelinated = slower conduction

20
Q

What are autonomic plexuses?

A

collection of sympathetic postganglionic axons and parasympathetic preganglionic axons as well as some visceral sensory axons

21
Q

What does the hypogastric plexus innervate?

A

pelvic viscera = autonomic control of urinary and reproductive function

22
Q

Describe the axon lengths of pre and post ganglionic parasympathetic fibers and the neurotransmitter

A

Pre-long and ACh
Post-short and ACh
Specific

23
Q

Describe the axon lengths of pre and post ganglionic sympathetic fibers and the neurotransmitter

A

Pre-short and branched; ACh

Post-long and branched; NE

24
Q

Sympathetics causes a heightened sense of alertness due to stimulation of what system?

A

reticular activation system

25
Q

Where are preganlionic sympathetic neuron cell bodies housed?

A

lateral horn of T1-L2 spinal cord

26
Q

What connects the spinal nerves to each sympathetic trunk?

A

rami communicantes: carry preganglionic sympathetic axons from T1-L2 spinal nerves

27
Q

White rami are associated with what spinal nerve?

A

only T1-L2

28
Q

Gray rami are associated with what spinal nerves?

A

all, including cervical, sacra, and coccygeal spinal nerves: can disperse through all parts of the body

29
Q

What are the 4 sympathetic pathways?

A

spinal nerve pathway: blood vessel and skin
Postganglionic sympathetic nerve pathway: Glands, heart, lung
Splanchnic nerve pathway: visceral, abdominal organs, bladder
Adrenal medulla pathway

30
Q

What are the sympathetic splanchnic nerves?

A

greater, lesser, least thoracic
Lumbar splanchnic
Sacral splanchnic

31
Q

Effects of the parasympathetic nervous system tend to be _____ and ______. There (is/isnt) mass activation seen

A

discrete and localized

isnt

32
Q

What cranial nerves are parasympathetics?

A

oculomotor, facial, glossopharyngeal, and vagus

33
Q

The vagus nerve is associated with what organs?

A

heart, respiratory, bronchial passages, esophagus, and abdominal viscera