Lymph and sympathetic Flashcards
What lymph drain viscera
celiac, SMnodes, IM nodes, intestinal lymph trunk
what lymph drain foregut
celiac nodes
what lymph drain midgut
superior mesenteric nodes
what lymph drain hindgut
inferior mesenteric nodes
What nodes drain the abdominal wall and primary retroperitoneal organs (kidneys, ureters etc)
lumbar trunk nodes along vertebrae
What is the origin of thoracic duct
cysterna chyli
what is the intestinal lymph trunk
formed from efferent lymph channels of celiac lymph nodes
describe common drainage of intestinal lymph
70% intestinal trunk into left lumbar trunk
30% intestinal trunk to cisterna chyli
Where do inferior mesenteric nodes drain to
superior mesenteric mainly
some into LEFT lumbar trunk
where do superior mesenteric nodes drain to
celiac trunk and intestinal trunk
Bascially all the lymph in abdominal viscera drain via what common path
intestinal lymph trunk
What are the parietal lymph nodes
common iliac nodes, lumbar nodes and left lumbar lymphatic trunk
where do the common iliac nodes drain to
lumbar lymph
where are the lumbar lymph nodes
along aorta and IVC
where do lumbar lymph drain to
right and left lumbar lymph trunks
where do the lumbar lymphatic trunks merge
LV2 to form thoracic duct
what type of inn does the abdominal viscera receive
PAN and SAN
what is the general action os SAN and PAN
SAN–>vasoconstrict, contract sphincter mm, inhibit glandular secretions
PAN–>vasodilation, increased peristalsis, relaxation of sphincter mm
What type of fibers are in the aortic plexus
pre and post ganglionic sympathetic fibers
prevertebral sympathetic ganglia and preganglionic parasympathetic fibers
what are examples of aortic plexuses
celiac superior mesenteric renal intermesenteric superior hypogastric
where is the intermesenteric plexus
course along between SMA and IMA
where is the superior hypogastric plexus
along aorta from IMA to bifurcation and gives rise to hypogastric nn which communicate with inferior hypogastric plexus of pelvis
Where do preganglionic parasympathetic nerse distributed through
vagus n and pelvic splanchnic nn that travel through prevertebral ganglia to be further distributed
Where are the preganglionic nuclei of vagus n
in the brain stem, dorsal moto nucleus
where does vagus n distribute through and wehre are the postganglionic cell bodies
various aortic plexuses to abdominal viscera
located in body walls of organs
what portions of gut is vagus responsible for
foregut and midgut
What does pelvic splanchnic nn inn
descending colon to proximal anal canal (hindgut)
where are the preganglionic cell bodies of the pelvic splanchnic nn
S2-S4 in sacral spinal cord that travel through ventral rami S2-S4 and exit as pelvic splanchnics
Where do pelvic splancnics travel with to distribute and where are postganglionic cell bodies
inferior hypogastric plexus and bodies are in organ
Where does sympathetic inn of the abdomen originate from
preganglionic cell bodies in T5-L2 spinal cord
What are the nn carrying sympathetic inn to abdomen? where do they synapse on
greater, lesser, least, lumbar and sacral
prevertebral ganglia
after SAN synapse on prevertebral ganglia how are they distributed
postganaglionic fibers travel via aortic plexuses
Where are the preganglionic cell bodies for greater splanchnic n
IMLCC T5-T9
where do greater splanchnics synapse
celiac ganglia, some go to Superior mesenteric
Where are the preganglionic cell bodies for lesser slpanchnic nn
IMLCC T10-T11
where do the lesser slpanchnics synapse
aotricorenal and superior mesenteric ganglia
what plexuses do the lesser splanchnic postganglionic fibers travel with
SM and renal plexuses
Where are the preganglionic cell bodies for lesast splanchnic nn
IMLCC T12
where do the least splanchnics synapse
aorticorenal and superior mesenteric
where do the postganglionic fibers of least splanchnics travel with
superior mesenteric and renal plexuses
Where are the preganglionic cell bodies for the lumbar splanchnics
IMLCC T11-T12
where do lumbar splanchnic nn synapse
inferior mesenteric ganglion
where do the postganalgionic fibers of lumbar splanchnic n travel with
various inferior mesenteric plexuses
The celiac prevertebral ganglia receive fibers from what n
greater splanchnic n
the aorticorenal ganglia receive fibers from what n
lesser and least splanchnic nn
the superior ganglia receive fibers from waht nn
greater, lesser, least splanchnics
ther inferior mesenteric prevertebral ganglia receie fibers from what nn
lumbar splanchnic nn
distention hunger nausea travel within what nn
parasympathetic nn (vagus)
the acute pain fibers of viscera travel within what nn
sympathetic nn back to specific spinal cord levels
What are the SAN preganglionic fibers of esophagus
greater splanchnic T5-T9
What are the SAN postganglionic cells of esophageal plexus
celiac plexus that distribute via left gastric a
What are the efferent and afferent of esophageal plexus
efferent: decreased peristalsis, descreased gland secretion, vasomotor
afferent: acute pain to T6-T9
where is pain from esophageal plexus felt usually
substernally at T6
Describe PAN in esophageal plexus
preganglionic fibers in vagus, postganglionic cells in walls of organs
efferent is increased peristalsis, icnreased gland secretion, vasomotor
afferent: distention
The stomach autonomic fibers distribute via what plexus
celiac
describe preganglionic fibers and postganaglionic cells of the SAN to stomach
preganlgionic gibers are T5-T9 greater splanchnic
postganaglionic cell bodies in celiac ganglia and distribute via celiac trunk
what is the efferent and afferent actions of SAN of celiac plexus
efferent: dec peristalsis, contraction of pyloric sphincter mm, decreased gland secretion
afferent: acture pain T6-T9
describe the PAN of stomach via celiac plexus
preganglionic in vagu n
postganglionic cells in wall or organ
efferend :inc peristalsis, galnd secretion, relax sphincter mm, vasomotor
afferent: distention
What are the autonomic fibers of the SI
celiac and superior mesenteric plexus
Describe the pre and pos gangliionic parts of SAN to SI
preganglionic fibers from T8-T10 via greater and lesser splanchnic nn
postganglionic cell bodies located in celiac and superior mesenteric ganglia
what are the efferent and afferent actions of the autonomics SAN to SI
efferent: dec peristalsis, gland secretion, and vasomotor
afferent: acture pain T8-T10
descirbe the PAN of the SI
preganglionics in vagus
postganglionic cells in wall of organ
efferent: increased peristalsis, gland secretion and vasomotor
afferent: distention
Where are the autonomic fibers for cecum, ascending colon and transverse colon
superior mesenteric plexus
describe the pre and post ganglionic inn of cecum, ascent colon and trans colon
preganglionic gibers from T10-T12 via lesser and least splanchnic nn
postganglionic cells in superior mesenteric ganglia
what are the efferent and afferent actions of the SAN of cecum, appendix, ascending and trans colon
efferend: decreased peristalsis, gland secretion and vasomotor
afferent: acute pain t10-T12 (appendix is around umbilicus)
Describe the PAN to the cecum, appendix, ascending and trans colon
preganglionic fibers in vagus
postganglionic cells in wall or organ
efferent: increased peristalsis, gland secretion and vasomotor
afferent: distention
Where are the autonomic fibers to the descending and sigmoid colon
inferior mesenteric plexus
describe the pre and post gangliionic SAN to descending and sigmoid colon
preganglionic fibers from L1-L2 via lumbar splanchnic nn
postganaglionic cells in inferior mesenteric ganglia
describe efferent and afferent SAN of descending colon and sigmoid
efferet: decreased peristalsis, gland secretion, vasomotor
afferent: acute pain L1-L2
describe PAN of desceding and sigmoid colons
preganglionics with pelvic splanchnic nn from S2-S4
postganglionic cells in wall of organs
efferent: increased peristalsis, gland secretion and vasomotor
afferent: distention
Where are the autonomic fibers of the rectum and anal canal superior to pectinate line
inferior hypogastric plexus
describe pre and post ganagliionic information for rectum and anal canal
preganglionic gibers from L1-L2 via lumbar and sacral splanchnic nn
postganglionic cells in inferior mesenteric ganglia
what is the afferent and efferent SAN info for rectum and anal canal
efferent only: decreased peristalsis, gland secretion and vasomotor
describe the PAN to rectum and anal canal
preganglionics travel with pelvic splanchnic nn from S2-S4
postganglionic cells in walls of organs
efferent: increased perstalsis, gland secretion and vasomotor
afferent: distension AND acute pain
what inn the anal canal inferior to the pectinate line
inferior rectal n
Autonomic fibers to the spleen travel with what
celiac plexus
Where would you see referred pain from spleen
T6-T8
The pancreas receieves ANS via what
celiac and superior mesenteric plexuses
referred pain from pancreas is seen where
T6-T9
What is the effferent of PAN to pancreas
secretion of enzymes
The liver receives autonomic fibers via what
celiac plexus
refferred pain from liver is seen wehre
T6-T9
autonomic fibers to gallbladder and cystic duct are from where
celiac plexus
referred pain for gallbladder and cystic duct are seen wehre
T6-T9 and phrenic sometimes
what is the PAN efferent to gallbladder and cystic duct
vasomotor, contraciotn of gallbladder and cystic duct wall, relax sphincters
The autonomic fibers to kidney distribute where
renal plexus
referred pain from kidneys are seen wehre
T10-L1 flank pain
The autonomic fibers to suprarenal distrubte where
renal plexus
referred pain for suprarenal glands are seen wehre
T8-L1
