nerve and blood supply Flashcards
ureter
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
UB
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
male urethra
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
penis
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
scrotum
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
testis
symp: t10,t11
refered pain at middle lower abd wall
epididymis
symp: T11-L1
prostate
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
ovary
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
uterine tube
art: uterine and ovarian art
vLpampiniform pleaxus and uterine v
SYMP:T10-L2
PARASYMP: S2-S4 VAGUS AND PELVIC SPLANCHNIC
uterus
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
vagina
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
adrenal g
art: sup suprarenal,middle suprarenal,inf suprarenal
v: r suprareanl v—IVC
L suprarenal v—-L renal v
symp:T8-L1
LN: PARAAORTIC GRP
kidney
symp: T10-L1
parasymp:vagus nerves
spleen
coeliac plexus
rectum
hypogastric plexus
symp: L1,L2 through lumbar splanchnic nerves, periarterial plexus
parasymp: S2-S4 via pelvic splanchnic
anal canal
REFER TABLE IN NOTES
abv pectinate: inf hypogastric plexus
below pectinate: inf.rectal nerve
gall bladder
symp and para :celiac plexus,hepatic plexus
T7-T9 reffered pain to inf angle right scapula
liver
symp: coelic plexus
para: hepatic br of ant.vagal trunk
BS:80% fr portal vein,20% fr hepatic art
LN: refer map in notes
pancreas
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
r 2/3 tranverse colon
parasymp:vagus br
art: middle colic art
LN:SM nodes
L 1/3 T.COLON
PARA: PELVIC SPLACHNIC
art:asc br left colic
LN:IM LN
ASC COLON
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
appendix
symp:T10
art:appendicular art fr inf br of ileocolic art
v:post.caecal v-SMV-portal v
LN: SM nodes
caecum
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
duo
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
peritoneum
parietal: somatic n
PILSO
phrenic
ilioh
lower intercostal
subcostal
ilioi
obturator
visceral: autonomic
PARATHYROID
middle and sup cervical ganglia
BS:
inf.thyroid art
same veins and LN like thyroid
stomach
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
diaphragm
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
thyroid
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
ant abd wall nerve supply
-lower 5 intercostal n
-subcostal n
- iliohypogastric n
-ilioinguinal n
T7-over xiphoid.p
T10-band of skin at umbilicus level
L1- suprapubic area
ant abd wall blood supply
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
pituitary gland
ant lobe:sup.hypophyseal
post lobe: inf.hypophyseal
both br of int.carotid
read hypophyseal portal system and hypothalamohypophyseal tract in notes
desc colon
art:left colic and sigmoid br of IMA
nerve:
parasymp:pelvic splanchnic nerve
symp:sup and inf mesenteric plexuses
sigmoid colon
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
pancreas
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
LIVER
blood supply
80% portal vein
20%hepatic art
N:
symp: symp fibers fr coeliac plexus
parasymp: fibers fr hepatic br of ant vagal trunk
gall bladder
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
bile duct
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
FEMALE EXT GENETALIA
ART:BR OF INTERNAL PUDENDAL ART
BR.OF EXT PUDENDAL ART
V:PLEVUS DRAIN INTO INTERNAL ILIAV V
N: BR FR PUDENDAL N
spermatic cord
art:inf vesicle art,middle rectal art
v: same
LN: sup: ext iliac
inf: int.iliac
vas deferens
art:
vesical art give br
v: pampiniform v plexus,testicular vein,vesical venous plexus—-int.iliac
LN: ext iiac
testes
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
scrotum:
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
female urethra
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
