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GROSS ANAT B3 > nerve and blood supply > Flashcards

nerve and blood supply Flashcards

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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

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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

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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

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A

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

22
Q

L 1/3 T.COLON

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A

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

23
Q

ASC COLON

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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

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A

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

25
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
26
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
27
peritoneum
parietal: somatic n PILSO phrenic ilioh lower intercostal subcostal ilioi obturator visceral: autonomic
28
PARATHYROID
middle and sup cervical ganglia BS: inf.thyroid art same veins and LN like thyroid
29
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
30
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
31
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
32
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
33
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
34
pituitary gland
ant lobe:sup.hypophyseal post lobe: inf.hypophyseal both br of int.carotid read hypophyseal portal system and hypothalamohypophyseal tract in notes
35
desc colon
art:left colic and sigmoid br of IMA nerve: parasymp:pelvic splanchnic nerve symp:sup and inf mesenteric plexuses
36
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
37
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
38
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
39
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
40
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
41
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
42
spermatic cord
art:inf vesicle art,middle rectal art v: same LN: sup: ext iliac inf: int.iliac
43
vas deferens
art: vesical art give br v: pampiniform v plexus,testicular vein,vesical venous plexus----int.iliac LN: ext iiac
44
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
45
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
46
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

GROSS ANAT B3 (4 decks)

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