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autonomics and lymph Flashcards

1
Q

celiac nodes

A

around celiac trunk
collect lymph from foregut
primary drainage is to intestinal lymph trunk

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2
Q

superior mesenteric nodes

A

around SMA
collect from midgut
primary drainage to celiac nodes
secondary drainage to intestinal trunk

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3
Q

inferior mesenteric nodes

A

around IMA
collect from hindgut
promary drainage to SM nodes
ssecondary to left lumbar trunk

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4
Q

intestinal lymph trunk

A

formed from efferent lymph channels of celiac nodes70% population drains to left lumbatr tunk
30% to cistern chyli

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5
Q

visceral nodes

A

celiac
SM nodes
IM nodes
intestinal lymph trunk

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6
Q

parietal nodes

A

common iliac

lumbar

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7
Q

common iliac nodes

A

collect from pelvis, perineum, LL

drain to lumbar nodes

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8
Q

lumbar nodes

A

lie along aorta (aortic) and IVC (caval)
collect from common iliac nodes, abdominal wall, kidney, ureter, suprarenal glands, some diaphragm, gonads, uterus, uterine tubes,
drain to right and left lumbar lymph trunks

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9
Q

lumbar trunks

A

left receives intestinal trunk and sometimes directly receives efferents from IM ndoes
left and right merge at LV2 to form thoracic duct

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10
Q

thoracic duct

A

forms anterior to LV2

enters thorax via aorta hiatus at TV12

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11
Q

vagus

A

enters through esophageal hiatus at TV10

foregut and midgut

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12
Q

pelvic splanchnic nn

A

parasympathetic to GI tract from descending colon to proximal anal canal (hindgut)
preganglionic cell bodies S2-4
distribute through hypogastric plexus

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13
Q

sympathetics

A

T5-L2
utilize various prevertebral ganglia
postganglionic fibers distribute via aortic plexuses

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14
Q

greater splachnic n

A

T5-9
synapses in celiac ganglia
distribute via celiac and SM plexuses

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15
Q

lesser splanchnic

A

T10-T11
aorticorenal and SM ganglia
SM and renal plexuses

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16
Q

least splanchnic

A

T12
aorticorenal and SM ganglia
SM and renal plexuses

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17
Q

lumbar spanchnics

A

T11-L2
IM ganglion
IM plexus

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18
Q

prevertebral ganglia

A

celiac- from greater splanchnic
aorticorenal- lesser and least
SM-greater, lesser, and least
IM- lumbar splanchnics

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19
Q

abdominal portion of esophagus- sympathetic

A

T5-9 via greater splanchnic
celiac plexus -> distribute along left gastric a
efferent- decreased peristalsis, gland secretion, and vasomotor
afferent- acute pain to T6-9, usually felt substernally at T6

20
Q

abdominal portion of esophagus- parasympathetic

A

vagus
efferent- increased peristalsis, gland secretion, vasomotor
afferent- distension

21
Q

stomach- sympathetic

A

T5-9, greater splanchnic
celiac ganglia, via brr of celiac trunk
efferent- decreased peristalsis, contraction of pyloric sphincter, decreased gland secretion, vasomotor
afferent- acute pain to T6-9

22
Q

stomach- parasympathetic

A

vagus
increased peristalsis, relaxation of sphincter mm, increased gland secretion, vasomotor
afferent- distension

23
Q

small intestine- sympathetic

A

T8-10 greater and lesser
celiac and SM ganglia, distribute via brr of celiac trunk and SMA
efferent- decreased peristalsis, decreased gland secretion, vasomotor
afferent- pain T8-10

24
Q

small intestines- parasympathetic

A

vagus
increased peristalsis, increased gland secretion, vasomotor
afferent- distension

25
cecum, appendix, ascending and transverse colon- sympathetic
T10-12 lesser and least SM, distribute via brr of SMA efferent- decreased peristalsis, decreases gland secretion, vasomotor afferent- pain- T10-12, from appendix referred to umbilical region
26
cecum, appendix, ascending and transverse colon- parasympathetic
vagus efferent- increased peristalsis, increased gland secretion, vasomotor afferent- distension
27
descending and sigmoid colon-sympathetic
L1-2 via lumbar splanchnics IM ganglia, distribute via brr of IMA efferent- decreased peristalsis, decreased gland secretion, vasomotor afferent- pain to L1-2
28
descending and sigmoid colon-parasympathetic
S2-4, pelvic splanchnics increased peristalsis, increased gland secretion, vasomotor distension
29
rectum and anal canal to pectinate line- sympathetic
L1-2 lumbar and sacral splanchnics IM ganglia, via brr of IMA efferent- decreased peristalsis, decreased galnd secretion, vasomotor
30
rectum and anal canal to pectinate line- parasympathetic
S2-4, via pelvic splanchnics efferent- increased peristalsis, increased gland secretion, vasomotor afferent- distension and acute pain
31
anal canal inferior to pectinate line
inferior rectal nerve
32
spleen- sympthetic
T6-8 greater celiac ganglia efferent- vasomotor afferent- pain to T6-8
33
spleen- parasympathetic
vagus | vasomotor
34
pancreas-sympathetic
T6-9 greater splanchnic celiac ganglia efferent- vasomotor afferent- pain to T6-9
35
pancreas-parasympathetic
vagus | efferent- vasomotor and secretion of enzymes
36
liver-sympathetic
T6-9 via greater celiac ganglia efferent-vasomotor afferent- pain T6-9
37
liver- parasympathetic
vagus | efferent- vasomotor
38
gallbladder and cystic duct- sympathetic
T5-9 greater celiac ganglia efferent- vasomotor afferent- pain T6-9
39
gallbladder and cystic duct- parasympathetic
vagus efferent- vasomotor, contraction of gallbladder and cystic duct wall, relaxation of duct sphincters (also under hormonal control)
40
kidney- sympatheitc
``` T10-L1, lesser, least, and lumbar aorticorenal and renal ganglia distribute via renal plexus efferent- vasomotor afferent- pain T10-L1 ```
41
kidney-parasympathetic
vagus efferent- vasomotor? mostly sensory
42
suprarenal gland- sympathetic
T8-L1 greater, lesser, least, and lumbar postganglionic cell bodies in medulla of gland and in aortiorenal ganglia efferent- vasomotor, liberate NE and epi afferent- pain to T8-L1
43
suprarenal-parasympathetic
vagus | vasomotor
44
proximal ureters
sympathetic- T10-11 | parasympathetic- T10-11
45
distal ureters
T12-L1/2

GI (14 decks)

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