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68 Cards in this Set

  • Front
  • Back

NERVOUS SYSTEM

CNS- Brain and Spinal Cord


PNS - CN, Ganglion, Plexus, SN

Peripheral Nervous System has 2 functional System

ANS - visceral organs (heart), involuntary, CN 10 (maVagal) bradycardia


SNS - (somatic) skeletal, skin, joints

Removal or Incision of Vagus Nerve

VAGOTOMY = increases HR

What nerve causes wrist drop

Radial Nerve

What nerve causes Ape hand

Median Nerve

What nerve causes Guttering

Ulnar Nerve

Largest in Cervical Plexus

C3 [C4] C5 PHRENIC NERVE

Largest in Brachial Plexus

C5 C6 C7 C8 T1 Radial/Musculospiral Nerve

Largest in Lumbar Plexus

L2 L3 L4 Femoral/Ant. Crural Nerve

Largest in Sacral Plexus

Sciatic N = fat wallet, injection palsy, piriformis syndrome

Ganglia

Purely Cholinergic

Shorter and more diffuse pre-ganglionic neuron that releases Epinephrine at post-ganglion

Sympathetic

Pre-ganlionic and Post-ganglionic releases AcH and more localized

Parasympathetic

Two neuron hook up regulated by Hypothalamus

ANS

Rest and Digest

[P]arasympathetic


[P]ahinga

Fight or Flight

[S]ympathetic


[S]tress

Thoracolumbar

Sympathetic


T1-L3

CranioSacral

Parasympathetic


CN 1973 [10]


S2 S3 S4 -innervation of Urinary Bladder

Horner's Syndrome

T1 - SYMPATHETIC


1.Ptosis/drooping of eyelids (partial) 20% of eye opening is supplied by Mueller's muscle


2.Miosis - constriction of pupils


3.Anhydrosis - no sweating


4.Enopthalmus■☆■

Adrenergic Responce

Sympathetic NS

Parasympathetic

⬆Peristalsis


⬆Gastric Juice


⬆Pancreatic Juice


⬆Saliva CN 7 & 9

Parasympathetic

⬆HR


⬆Cardiac Output


⬆Stroke Volume


⬆Cardiac Force

Sympathetic

⬇Peristalsis


⬇Constipation

Sympathetic

Psychogenic Erection

Sympathetic L1 L2 L3

Reflexogenic Erection

Parasympathetic S2 S3 S4

Mydriasis - Pupil dilation

Sympathetic

Miosis - CN 3 Constr3ction of Pupil

Parasympathetic

⬆ Urine Output

Parasympathetic

⬇ Urine Output

Sympathetic

Ejaculation, Shoot and Eject

Sympathetic

Erect and Point

Parasympathetic

How many Spinal Nerves? Enumerate each level

31 pairs


Cervical 8


Thoracic 12


Lumbar 5


Sacral 5


Coccygeal 1


The level of Spinal Cord's Tip

L1-L2 best ☞ L1

Level of lumbar puncture/tap

L4-L5

Spinal Cord Length

42 - 45 cm or 16.5 - 17.7 inch

Spinal Cord diameter

1 - 1.5 cm or 10-15 mm

Brachial Plexus arises from?

Ventral (Antrerior) Rami of C5 C6 C7 C8 T1

A strip of skin supplied by a single root

Dermatomes


28 dermatomes assessed clinically


(C1 removed and S4 S5 is counted as one)

Assess the integrity of reflex arc

Deep Tendon Reflex (DTR)


-monosynaptic reflex ( one efferent and one afferent)

5 Components of Reflex Arc

1. Receptor - Stretch


2. Afferent - Neuron


3. Center - Spinal Cord


4. Efferent - Neuron


5. Effector Organ - Muscle


Enumerate Dermatome levels

C2 occiput


C3 Supraclavicular


C4 AC joint

Biceps Reflex

[C5] C6

Brachioradialis Reflex

C5 [C6]

Triceps Reflex

[C7] C8

Patella ( Knee Jerk)

L3 [L4]

Achilles (Ankle) Jerk

[S1] S2

Medial Hamstring Reflex

L5 S1

Lateral Hamstring Reflex

S1 S2

Tibialis Posterior Reflex

L4 L5

Jaw Jerk

CN 5

A group of muscle innervated by a single root

Myotome

Bone or Fascia innervated by a single root

Sclerotome

C5 Myotome


Enumerate muscles involved and movement available

C6 Myotome


Enumerate muscles involved and movement available

C7 Myotome


Enumerate muscles involved and available movement

C8 Myotome


Enumerate muscles involved and movement available

T1 Myotome


Enumerate involved muscles and available movement

Muscle in frowning

Muscle for Surprise

Occipitofrontalis

Kissing muscle

Muscle responsible for smile (laugh)

Zygomaticus Major

Muscle for grimace

Risorius

Muscle for distaste

Procerus

Muscle for Doubt

Mentalis

Muscle for blowing/sucking

Buccinator

Muscle for egad

Muscle for Winking