Abdominopelvic ANS Flashcards
What two systems deliver visceroMOTOR activity?
SNS
ParaNS
What are the two types of visceroSENSORY activity?
Non-pain stimuli
Visceral pain: ischemia, distension, injury
Where do I find SNS PRE-ganglionic cells?
Interomediolateral (IML) of T1-L2
How do SNS PRE-ganglionic cells get to the paravertebral ganglia?
IML => anterior roots => spinal nerve => WHITE rami communicans => paravertebral ganglia
What options does the SNS PRE-ganglionc cell have once its in the paravertebral ganglion?
Synapse and exit
Ascend/descend, synapse, and exit
Exit as SPLANCHNICs without synapsing, synapsing instead with PREvertebral ganglia in the abdominopelvis.
What are the 3 thoracic splanchnic nerves and their origin?
Greater = T5-T9 vertebrae
Lesser = T10-T11 vertebrae
Least = T12 vertebrae
Where are the post-synaptic neurons that thoracic splanchnic nerves will synapse with?
Prevertebral ganglia
What is the main difference between lumbar and thoracic splanchnic nerves?
Lumbar splanchnics don’t bundle up.
Where are the PREvertebral ganglia of the abdomen located?
Celiac ganglia (by the celiac trunk)
Superior Mesenteric ganglia (by the superior mesenteric)
Aorticorenal ganglia (by the renal artery leaving the aorta)
Intermesenteric ganglia (Just above the inferior mesenteric artery)
Inferior mesenteric ganglia (by the inferior mesenteric artery)
Note:
All of the prevertebral ganglia are named for the ARTERY they are near.
Where are post-SNS ganglia located in the abdomen?
In each of the big PREvertebral ganglia. They then follow the arteries.
What is the pathway of the greater splanchnic nerve?
It goes down to the celiac ganglia, synapses, and then sends its POST-ganglionic axons to follow the celiac arteries to the foregut organs.
Forms the celiac plexus.
What is the pathway of the lesser splanchnic nerve?
It goes down to the superior mesenteric ganglia, synapses, and then sends it POST-ganglionc axons to follow the superior mesenteric arteries to the midgut organs.
Forms the superior mesenteric plexus.
ALSO
Helps innervate the aorticorenal ganglia with the least splanchnic nerve via following renal arteries.
What innervates the inferior mesenteric ganglion?
Lumbar splanchnic nerves. Follows the same pattern as all the other abdomen innervations.
Innervates hindgut organs.
What innervates the superior hypogastric plexus?
Lumbar AND sacral splanchnics.
Note:
It usually follows the iliac branches, but sometimes moves down to the inferior hypogastric plexus.
What innervates the inferior hypogastric plexus?
SACRAL splanchnic nerves.
Note:
There are TWO, a left and a right inferior hypogastric plexus. Generally goes straight to the pelvic organs, BUT sometimes goes back up to the superior hypogastric plexus.
What carries the PARAsympathetics PRE-ganglionic axons down to the abdomen?
Vagus nerve
It forms the Anterior and Posterior vagal trunks, running along down the esophagus.
What does the anterior vagal trunk innervate?
Liver and gallbladder
What does the posterior vagal trunk innervate?
Goes to all the plexi (celiac, superior mesenteric, aorticorenal, and gonadal)
Note:
They have NOT synapsed yet. They are still pre-ganglionics.
What innervates the hindgut?
S2-S4 spinal cord, aka the pelvic splanchnic nerves.
How do the pelvic splanchnic nerves get to the hindgut?
They join the inferior hypogastric plexi, go up to the superior hypogastric plexus, and then ascend up to the inferior mesenteric plexus.
What generally innervates the foregut and midgut?
Vagus nerve via the anterior and posterior vagal trunks.