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GROSS ANAT B3 > nerve and blood supply > Flashcards

nerve and blood supply Flashcards

1
Q

ureter

A

abd part art: renal art,gonadal art, colic art
pelvic part art: br fr common iliac, br of int iliac-sup vesical,inf vesical,uterine
v:same

symp: T11- L1/2 vix least and lumbar splanchnic n
parasymp: s2-24 via renal,aortic and hypogastric plexuses

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2
Q

UB

A

art: sup and inf vesical art fr anr trunk iny iliac
uerinr,vaginal
v: drain into internal iliac vein
LN: ext iliac

symp: T11-L2
parasymp: S2,S3,S4 via pelvic splanchnic nerve and vesical plexus
voluntary ctrl of ext.urethral sphincter: pudendal nerves

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3
Q

male urethra

A

art:
int.pudendal,inf vesicle,prostatic,rectal
v:
ant: dorsal vein of penic -int iliac vein
post:prostatic and vesical venous plexus—-int iliac
n:
EUS: perineal br of int.pudendal

IUS:
parasymp- inf.hypogastric plexus
symp-sacral splanchnic n

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4
Q

penis

A

art:
deep art of penis
dorsal art- glans,prepuce,distal c.spongiosum
art of bulb–bulb and proximal c.spongiosum
skin,prepuce—SF dorsal v—ext pudendal v
glans,corpura cavernosa—deep dorsal vein—prostatic plexus and int pudendal v

LN:
skin: SF inguinal
glands and distal spongy urethra—- deep inguinal LN
prox spongy,cavernous bodies—int.iliac

sensory:S2-S4 through pudendal n
skin of root: ilioinguinal n
skin others: dorsal nerve of penis
motor: perineal br of pudendal n
parasymp(erection): s2-s4-prostatic nerve plexus- cavernous nerve of penis
symp(ejaculation): preganglionoc fr T10-L2 synapse at post g cell bodies in inf.mesenteric ganglion

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5
Q

scrotum

A

ANT 1/3:ant scrotal nerve, genital br of genitofemoral n
post 2/3: post.scrotal n, perineal br of lat.cutaneous n
dartos muscle:genital br of genitofemoral n

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6
Q

testis

A

symp: t10,t11
refered pain at middle lower abd wall

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7
Q

epididymis

A

symp: T11-L1

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8
Q

prostate

A

art: inf.vesicle art,middle reactal.int.pudendal
V: important! refer notes
LN: int.iliac, ext.iliac,sacral
parasymp: pelvic splachnic n via inf.hypogastric plexus
symp: L1 through hypogastric plexus

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9
Q

ovary

A

art: uterine and ovarian art
v:pampiniform pleaxus—ovarian v—r:IVC—-L:L.RENAL V
aortic and hypogastric plexuses
symp:T10-T11
parasymp: S2-S4

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10
Q

uterine tube

A

art: uterine and ovarian art
vLpampiniform pleaxus and uterine v
SYMP:T10-L2
PARASYMP: S2-S4 VAGUS AND PELVIC SPLANCHNIC

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11
Q

uterus

A

art:uterinr br ont.iliac,ovarian art fr abd aorta
v:uterine,ovarian,vaginal drain into int iliac v

nerve plexuus within broad lig
symp:T12-L1
parasymp: pelvic splanchnic nerve

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12
Q

vagina

A

art:
vaginal art
upper part: uterine art
v: drain into int.iliac v
n:
lower:pudendal.n
upper: symp fibres from ing hypogastric plexus,L1,L2
parasymp:pelvic splanchnic n

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13
Q

adrenal g

A

art: sup suprarenal,middle suprarenal,inf suprarenal
v: r suprareanl v—IVC
L suprarenal v—-L renal v
symp:T8-L1

LN: PARAAORTIC GRP

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14
Q

kidney

A

symp: T10-L1
parasymp:vagus nerves

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15
Q

spleen

A

coeliac plexus

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16
Q

rectum

A

hypogastric plexus
symp: L1,L2 through lumbar splanchnic nerves, periarterial plexus
parasymp: S2-S4 via pelvic splanchnic

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17
Q

anal canal

A

REFER TABLE IN NOTES

abv pectinate: inf hypogastric plexus
below pectinate: inf.rectal nerve

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18
Q

gall bladder

A

symp and para :celiac plexus,hepatic plexus
T7-T9 reffered pain to inf angle right scapula

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19
Q

liver

A

symp: coelic plexus
para: hepatic br of ant.vagal trunk
BS:80% fr portal vein,20% fr hepatic art
LN: refer map in notes

20
Q

pancreas

A

symp:splanchnic n
para: vagus
art
head and neck: br fr sup and inf pancreaticoduodenal art
body and tail: br fr splenic art
vein
upper part head,neck,tail,body:splenic v
uncinate process and lower head:SMV

LN
-pancreaticosplenic
-coeliac
-SM

21
Q

r 2/3 tranverse colon

A

parasymp:vagus br
art: middle colic art
LN:SM nodes

22
Q

L 1/3 T.COLON

A

PARA: PELVIC SPLACHNIC
art:asc br left colic
LN:IM LN

23
Q

ASC COLON

A

symp: SM plexus via lesser and greater splanchnic nerve
para: vagus
art: marginal art of Drummond( anastomosis of ileocolic and right colic br of SMA
v: corresponding veins dr into SMV

24
Q

appendix

A

symp:T10
art:appendicular art fr inf br of ileocolic art
v:post.caecal v-SMV-portal v
LN: SM nodes

25
Q

caecum

A

symp:SM plexus
para: vagus n
BS:
-anterior and posterior caecal arteries fr desc br of ileocolic art
v: ileocolic vein deain into SMV
LN: ileocolic LN

26
Q

duo

A

symp:T9-T10,COELIAC PLEXUS
PARA: VAGUS
BS:
-up to level of major duodenal papilla: sup.pancreaticoduodenal art
- below that; inf pancreaticoduodenal art
1st part receice xtra fr: r.gastric,supraduodenal art of Wilkie,Retroduodenal br of gastroduodenal art,some br fr r.gastroepiploic

vein: corespond to art and drain into SMV- portal vein

27
Q

peritoneum

A

parietal: somatic n
PILSO
phrenic
ilioh
lower intercostal
subcostal
ilioi
obturator

visceral: autonomic

28
Q

PARATHYROID

A

middle and sup cervical ganglia
BS:
inf.thyroid art
same veins and LN like thyroid

29
Q

stomach

A

symp:T6-T10
para; r and l vagal n

bs: look at notes fro br and location
-left gastric
- right gastric
-r.gastroepiploic
-l.gastroepiploic
-short gastric
LN-look at notes for diagram

30
Q

diaphragm

A

motor: r and l phrenic
sensory: lower 5 intercostal and subcostal

BS: SIMP SL
-sup phrenic art
-inf phrenic art
-perocardiophrenic
-musculophrenic
-sup epigastric
-lower 5 intercostal,subcostal art

31
Q

thyroid

A

nerves from middle cervical ganglion(main),sup and inf cervical ganglion

art: sup.thyroid br of ECA,Inf thyroid art br of thyrocervical trunk of first part subclavian, arteria thyroidea Ima fr aortic arch

vein: sup.thyroid,middle thyroid,inf thyroid,Kocher’s vein

LN
upper part:via pre-laryngeal nodes to jugulodigastric LN
lower: viz pre-tracheal and para-tracheal nodes to juguloomohyoid

32
Q

ant abd wall nerve supply

A

-lower 5 intercostal n
-subcostal n
- iliohypogastric n
-ilioinguinal n

T7-over xiphoid.p
T10-band of skin at umbilicus level
L1- suprapubic area

33
Q

ant abd wall blood supply

A

art
-midline:sup and inf epigastric(fr int thoracic and ext iliac)
-lat:intercostal,subcostal,superficial circumfle art
inguinal area: superficial epigastric,superficial circumfelx iliac, sup.ext.pudendal

vein:
-axillary vein>lat thoracic>SVC
-GSV>sup circumflex iliac, sup epigastric, anastomoses with lat thoracic and dain ito IVC

LN
SUPERFICIAL LN:
-ant axillary(abv umbilicus)
-post axillary(abv iliac crest)
- medial inguinal(below umbilicus)
-lat inguinal (below iliac crest)

DEEP LN
-int.thoracic nodes
-post.mediastinal
-ext.iliac
-para aortic

34
Q

pituitary gland

A

ant lobe:sup.hypophyseal
post lobe: inf.hypophyseal
both br of int.carotid

read hypophyseal portal system and hypothalamohypophyseal tract in notes

35
Q

desc colon

A

art:left colic and sigmoid br of IMA
nerve:
parasymp:pelvic splanchnic nerve
symp:sup and inf mesenteric plexuses

36
Q

sigmoid colon

A

art:3-4 sigmoid br of IMA, recurent br of sup rectal art
v:IMV
LN: IM grp
nerve:
paras:pelvic splanchnic n
symp:sup and inf mesenteric plexuses

37
Q

pancreas

A

art:
head n neck:br fr sup and inf pancreaticoduodenal art
body and tail:br fr splenic art
v:
upper part head,neck,body,tail:splenic v
uncinate process and lower part head: SMV
LN:pancreaticosplenic,coeliac,SM
N:
symp:splanchnic.n
parsymp:vagus

38
Q

LIVER

A

blood supply
80% portal vein
20%hepatic art
N:
symp: symp fibers fr coeliac plexus
parasymp: fibers fr hepatic br of ant vagal trunk

39
Q

gall bladder

A

art:
cystic art fr right hepatic art
v: cystic veins
LN: cystic node of Lund
N:
symp:ceoliac and hepatic plexus
parasymp: fibers fr R phrenic n
surface marking: tip of right 9th costal cartilage

40
Q

bile duct

A

art:
upper: cystic art
middle:hepatic art proper
lower:post br of sup.pancreaticoduodenal art
V: SAME VEINS
LN: hepatic grp

N: hepatic plxus fr coeliac plexus

41
Q

FEMALE EXT GENETALIA

A

ART:BR OF INTERNAL PUDENDAL ART
BR.OF EXT PUDENDAL ART
V:PLEVUS DRAIN INTO INTERNAL ILIAV V
N: BR FR PUDENDAL N

42
Q

spermatic cord

A

art:inf vesicle art,middle rectal art
v: same
LN: sup: ext iliac
inf: int.iliac

43
Q

vas deferens

A

art:
vesical art give br
v: pampiniform v plexus,testicular vein,vesical venous plexus—-int.iliac
LN: ext iiac

44
Q

testes

A

art: testicular art
V: pampiniform v p—–testicular v—R: ivc—–L:left renal v
LN:
preaortic and paraaortic
n:
symp: T10,T11
reffered pain: t10,t11

45
Q

scrotum:

A

art:
post.scrotal art
ant scrotal br
cremastic art
v:same
LN: sup inguinal
n:
ant 1/3:ant.scrotal,genital br genitofemoral
dartos:genital br genitofemoral
post 2/3: post.scrotal.n
perineal br of post cutaneous nerve of thigh

46
Q

female urethra

A

art: vaginal, int,pudendal,sup vesical
v: vesicle venous plexus—int pudendal—-int iliacEUS: perineal br of int.pudendal

IUS:
parasymp- inf.hypogastric plexus
symp-sacral splanchnic n

GROSS ANAT B3 (4 decks)

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