Visceral Affarent Paths - S Flashcards

1
Q

What types of fibers are utilized in the visceral-somatic reflex pathway? What are sx of this reflex arc?

A

Alpha (muscle fibers) and gamma (intrafusal fibers) motor neurons

Muscle spasms or increased muscle tone (hypertonia)

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2
Q

Where do the primary neurons of the Visceral Affarent Pathways ascend in after entering the SC?

A

Fasciculus proprius

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3
Q

What are visceral R’s and where are they located, and what do they detect?

A

Bare n endings located in walls of blood vessels and viscera

Detect stretch and ischemia

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4
Q

What does a prefrontal lobotomy treat? What are the associated symptoms?

A

Eliminates the affective component of pain, though pain can still be discriminated/sensed, the pt does not care that they are in pain

Apathy, occasional euphoria, irritability, socially inappropriate behaviors

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5
Q

What is referred pain? What are some examples of it?

A

Visceral pain being projected by the brain as somatic pain instead (triggering a visceral-somatic reflex)

myocardial ischemia referred to the left axillary region
Gall bladder pain referred to area beneath shoulder blade
Ureter distention d/t a kidney stone referred to the loin and groin regions

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6
Q

What is the phantom limb phenomenon? What are associated sx?

A

Post amputation sx where the distorted perception of the limb still exists via a cortex that’s conditioned to remember something is there

Pain, aches, thermal sensations

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7
Q

GVA fibers in the cranial region terminate where? What CNs are associated with this?

A

Nucleus tractus solitarius

CN: 7, 9, 10

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8
Q

What is the significance of the secondary connection/NTS-dorsal motor nucleus (X) pathway?

A

When this pathway is compromised, GERD (gastro-esophageal reflux disease) can occur

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9
Q

GVA pathways in the cranial region, for this section’s purpose.. What the CN 7, 9, and 10 innervate?

A

7: soft palate
9: poster 1/3 of tongue, oropharynx
10: larynx, pharynx, thoracic and abdominal viscera

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10
Q

What muscle is under parasympathetic control in the visceral (GVA) bladder reflex by S2-4?

A

Detrusor muscle

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11
Q

What is atonic bladder? What does it result in?

A

D/t lesions of dorsal roots (affarents) of S2-4 or dorsal funiculi

flaccid bladder and increased bladder capacity, voluntary voiding possible but incomplete

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12
Q

What is reflex bladder? What does it cause?

A

Transection of SC above S2 interrupts the lateral reticulospinal tracts (LRST) to SAN (sacral autonomic nucleus)

inability to voluntarily void (urinary retention), reflex may return after spinal shock but remember.. WITHOUT voluntary control

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13
Q

Draw out the carotid body reflex.

A

See notes

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14
Q

Draw out the carotid sinus reflex.

A

See notes

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15
Q

Draw out the gag reflex.

A

See notes

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16
Q

Draw out the laryngeal expiration reflex (cough reflex).

A

See notes

17
Q

Draw out the bladder reflex.

A

See notes

18
Q

Draw out the connections from the VAN.

A

See notes

19
Q

The Visceral-Visceral pathway from the VAN travels along what two secondary pathways?

A

Sympathetic: intermediolateral cell column

Parasympathetic (to para nuclei): dorsal motor nucleus of vagus, SAN

20
Q

Where is the VAN (visceral affarent nucleus) located?

A

S2-S4