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GI I > Lymph and sympathetic > Flashcards

Lymph and sympathetic Flashcards

1
Q

What lymph drain viscera

A

celiac, SMnodes, IM nodes, intestinal lymph trunk

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2
Q

what lymph drain foregut

A

celiac nodes

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3
Q

what lymph drain midgut

A

superior mesenteric nodes

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4
Q

what lymph drain hindgut

A

inferior mesenteric nodes

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5
Q

What nodes drain the abdominal wall and primary retroperitoneal organs (kidneys, ureters etc)

A

lumbar trunk nodes along vertebrae

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6
Q

What is the origin of thoracic duct

A

cysterna chyli

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7
Q

what is the intestinal lymph trunk

A

formed from efferent lymph channels of celiac lymph nodes

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8
Q

describe common drainage of intestinal lymph

A

70% intestinal trunk into left lumbar trunk

30% intestinal trunk to cisterna chyli

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9
Q

Where do inferior mesenteric nodes drain to

A

superior mesenteric mainly

some into LEFT lumbar trunk

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10
Q

where do superior mesenteric nodes drain to

A

celiac trunk and intestinal trunk

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11
Q

Bascially all the lymph in abdominal viscera drain via what common path

A

intestinal lymph trunk

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12
Q

What are the parietal lymph nodes

A

common iliac nodes, lumbar nodes and left lumbar lymphatic trunk

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13
Q

where do the common iliac nodes drain to

A

lumbar lymph

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14
Q

where are the lumbar lymph nodes

A

along aorta and IVC

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15
Q

where do lumbar lymph drain to

A

right and left lumbar lymph trunks

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16
Q

where do the lumbar lymphatic trunks merge

A

LV2 to form thoracic duct

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17
Q

what type of inn does the abdominal viscera receive

A

PAN and SAN

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18
Q

what is the general action os SAN and PAN

A

SAN–>vasoconstrict, contract sphincter mm, inhibit glandular secretions
PAN–>vasodilation, increased peristalsis, relaxation of sphincter mm

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19
Q

What type of fibers are in the aortic plexus

A

pre and post ganglionic sympathetic fibers

prevertebral sympathetic ganglia and preganglionic parasympathetic fibers

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20
Q

what are examples of aortic plexuses

A 
celiac
superior mesenteric
renal
intermesenteric
superior hypogastric
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21
Q

where is the intermesenteric plexus

A

course along between SMA and IMA

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22
Q

where is the superior hypogastric plexus

A

along aorta from IMA to bifurcation and gives rise to hypogastric nn which communicate with inferior hypogastric plexus of pelvis

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23
Q

Where do preganglionic parasympathetic nerse distributed through

A

vagus n and pelvic splanchnic nn that travel through prevertebral ganglia to be further distributed

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24
Q

Where are the preganglionic nuclei of vagus n

A

in the brain stem, dorsal moto nucleus

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25
Q

where does vagus n distribute through and wehre are the postganglionic cell bodies

A

various aortic plexuses to abdominal viscera

located in body walls of organs

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26
Q

what portions of gut is vagus responsible for

A

foregut and midgut

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27
Q

What does pelvic splanchnic nn inn

A

descending colon to proximal anal canal (hindgut)

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28
Q

where are the preganglionic cell bodies of the pelvic splanchnic nn

A

S2-S4 in sacral spinal cord that travel through ventral rami S2-S4 and exit as pelvic splanchnics

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29
Q

Where do pelvic splancnics travel with to distribute and where are postganglionic cell bodies

A

inferior hypogastric plexus and bodies are in organ

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30
Q

Where does sympathetic inn of the abdomen originate from

A

preganglionic cell bodies in T5-L2 spinal cord

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31
Q

What are the nn carrying sympathetic inn to abdomen? where do they synapse on

A

greater, lesser, least, lumbar and sacral

prevertebral ganglia

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32
Q

after SAN synapse on prevertebral ganglia how are they distributed

A

postganaglionic fibers travel via aortic plexuses

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33
Q

Where are the preganglionic cell bodies for greater splanchnic n

A

IMLCC T5-T9

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34
Q

where do greater splanchnics synapse

A

celiac ganglia, some go to Superior mesenteric

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35
Q

Where are the preganglionic cell bodies for lesser slpanchnic nn

A

IMLCC T10-T11

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36
Q

where do the lesser slpanchnics synapse

A

aotricorenal and superior mesenteric ganglia

37
Q

what plexuses do the lesser splanchnic postganglionic fibers travel with

A

SM and renal plexuses

38
Q

Where are the preganglionic cell bodies for lesast splanchnic nn

A

IMLCC T12

39
Q

where do the least splanchnics synapse

A

aorticorenal and superior mesenteric

40
Q

where do the postganglionic fibers of least splanchnics travel with

A

superior mesenteric and renal plexuses

41
Q

Where are the preganglionic cell bodies for the lumbar splanchnics

A

IMLCC T11-T12

42
Q

where do lumbar splanchnic nn synapse

A

inferior mesenteric ganglion

43
Q

where do the postganalgionic fibers of lumbar splanchnic n travel with

A

various inferior mesenteric plexuses

44
Q

The celiac prevertebral ganglia receive fibers from what n

A

greater splanchnic n

45
Q

the aorticorenal ganglia receive fibers from what n

A

lesser and least splanchnic nn

46
Q

the superior ganglia receive fibers from waht nn

A

greater, lesser, least splanchnics

47
Q

ther inferior mesenteric prevertebral ganglia receie fibers from what nn

A

lumbar splanchnic nn

48
Q

distention hunger nausea travel within what nn

A

parasympathetic nn (vagus)

49
Q

the acute pain fibers of viscera travel within what nn

A

sympathetic nn back to specific spinal cord levels

50
Q

What are the SAN preganglionic fibers of esophagus

A

greater splanchnic T5-T9

51
Q

What are the SAN postganglionic cells of esophageal plexus

A

celiac plexus that distribute via left gastric a

52
Q

What are the efferent and afferent of esophageal plexus

A

efferent: decreased peristalsis, descreased gland secretion, vasomotor
afferent: acute pain to T6-T9

53
Q

where is pain from esophageal plexus felt usually

A

substernally at T6

54
Q

Describe PAN in esophageal plexus

A

preganglionic fibers in vagus, postganglionic cells in walls of organs
efferent is increased peristalsis, icnreased gland secretion, vasomotor
afferent: distention

55
Q

The stomach autonomic fibers distribute via what plexus

A

celiac

56
Q

describe preganglionic fibers and postganaglionic cells of the SAN to stomach

A

preganlgionic gibers are T5-T9 greater splanchnic

postganaglionic cell bodies in celiac ganglia and distribute via celiac trunk

57
Q

what is the efferent and afferent actions of SAN of celiac plexus

A

efferent: dec peristalsis, contraction of pyloric sphincter mm, decreased gland secretion
afferent: acture pain T6-T9

58
Q

describe the PAN of stomach via celiac plexus

A

preganglionic in vagu n
postganglionic cells in wall or organ
efferend :inc peristalsis, galnd secretion, relax sphincter mm, vasomotor
afferent: distention

59
Q

What are the autonomic fibers of the SI

A

celiac and superior mesenteric plexus

60
Q

Describe the pre and pos gangliionic parts of SAN to SI

A

preganglionic fibers from T8-T10 via greater and lesser splanchnic nn
postganglionic cell bodies located in celiac and superior mesenteric ganglia

61
Q

what are the efferent and afferent actions of the autonomics SAN to SI

A

efferent: dec peristalsis, gland secretion, and vasomotor
afferent: acture pain T8-T10

62
Q

descirbe the PAN of the SI

A

preganglionics in vagus
postganglionic cells in wall of organ
efferent: increased peristalsis, gland secretion and vasomotor
afferent: distention

63
Q

Where are the autonomic fibers for cecum, ascending colon and transverse colon

A

superior mesenteric plexus

64
Q

describe the pre and post ganglionic inn of cecum, ascent colon and trans colon

A

preganglionic gibers from T10-T12 via lesser and least splanchnic nn
postganglionic cells in superior mesenteric ganglia

65
Q

what are the efferent and afferent actions of the SAN of cecum, appendix, ascending and trans colon

A

efferend: decreased peristalsis, gland secretion and vasomotor
afferent: acute pain t10-T12 (appendix is around umbilicus)

66
Q

Describe the PAN to the cecum, appendix, ascending and trans colon

A

preganglionic fibers in vagus
postganglionic cells in wall or organ
efferent: increased peristalsis, gland secretion and vasomotor
afferent: distention

67
Q

Where are the autonomic fibers to the descending and sigmoid colon

A

inferior mesenteric plexus

68
Q

describe the pre and post gangliionic SAN to descending and sigmoid colon

A

preganglionic fibers from L1-L2 via lumbar splanchnic nn

postganaglionic cells in inferior mesenteric ganglia

69
Q

describe efferent and afferent SAN of descending colon and sigmoid

A

efferet: decreased peristalsis, gland secretion, vasomotor
afferent: acute pain L1-L2

70
Q

describe PAN of desceding and sigmoid colons

A

preganglionics with pelvic splanchnic nn from S2-S4
postganglionic cells in wall of organs
efferent: increased peristalsis, gland secretion and vasomotor
afferent: distention

71
Q

Where are the autonomic fibers of the rectum and anal canal superior to pectinate line

A

inferior hypogastric plexus

72
Q

describe pre and post ganagliionic information for rectum and anal canal

A

preganglionic gibers from L1-L2 via lumbar and sacral splanchnic nn
postganglionic cells in inferior mesenteric ganglia

73
Q

what is the afferent and efferent SAN info for rectum and anal canal

A

efferent only: decreased peristalsis, gland secretion and vasomotor

74
Q

describe the PAN to rectum and anal canal

A

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

75
Q

what inn the anal canal inferior to the pectinate line

A

inferior rectal n

76
Q

Autonomic fibers to the spleen travel with what

A

celiac plexus

77
Q

Where would you see referred pain from spleen

A

T6-T8

78
Q

The pancreas receieves ANS via what

A

celiac and superior mesenteric plexuses

79
Q

referred pain from pancreas is seen where

A

T6-T9

80
Q

What is the effferent of PAN to pancreas

A

secretion of enzymes

81
Q

The liver receives autonomic fibers via what

A

celiac plexus

82
Q

refferred pain from liver is seen wehre

A

T6-T9

83
Q

autonomic fibers to gallbladder and cystic duct are from where

A

celiac plexus

84
Q

referred pain for gallbladder and cystic duct are seen wehre

A

T6-T9 and phrenic sometimes

85
Q

what is the PAN efferent to gallbladder and cystic duct

A

vasomotor, contraciotn of gallbladder and cystic duct wall, relax sphincters

86
Q

The autonomic fibers to kidney distribute where

A

renal plexus

87
Q

referred pain from kidneys are seen wehre

A

T10-L1 flank pain

88
Q

The autonomic fibers to suprarenal distrubte where

A

renal plexus

89
Q

referred pain for suprarenal glands are seen wehre

A

T8-L1

GI I (14 decks)

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