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44 Cards in this Set

  • Front
  • Back
THree main types of Sensory axons.
A beta
A delta
C
A beta
(mylenated, cutaneous tactile)
A delta
(mylenated, non-painful modalities)
C
unmylenated, pain receptive (nociceptive)
Sensory transduction
Converting energy into electrical signals useful by the nervous system (oscilate from analog to digital)
Analog and Digital
Analog (continuous representation of the signal)
Digital (numeric representaiton of the signal (discontinuous))
Pros and Cons of ANalog
Degrades with distance, but is much easier to manipulate
What atteches to the ionophore channel to generate a receptor potential?
Ankyrin attaches. When pressure is added to the skin, it tugs on this and mechanically opens the channel
REceptor potential
THey are generated at "insensitive parts of the axon (where an AP cannot be made)
What happens when there is a larger receptor potential?
Threshold meets membrane potential earlier
Receptor potential fact:
The larger the receptor potential leads to an increase in FREQUENCY of AP
Analog to digital conversion
Intensity of stim->amplitude of RP
Amp. of RP -> Frequency of AP
Frequency of AP -> Amp. of post synaptic potential
Purpose of Lateral Inhibition?
To intensify the boundary conditions within the CNS
Interneurons provide what type of feedback?
Negative Feedback
3 types of Somatosensory receptors?
MEchanical REceptors
THermal REceptors
Nociceptors
Line Labeling Coding:
Information remains segregated at all levels of the CNS (like with temp)
THe 3 sensory pathways
All within CNS
-Epicritic (fine discrimination)
-Protopathic
-Visceral Pain
Epicritic Pathway is also known as_____
THe Dorsal Column System
Epicritic pathway senses?
-Fine Tactile
-2 pt. discriminition
-Proprioception
-Vibration
What can you use to test the epicritic pathway?
-2 pt. test
-Proprioception at DISTAL joints
-Vibration with a 128 Hz tuning fork
Two types of primary afferent axons that convey pain:
A delta fibers
C fibers
A delta fibers
Fast Pain
Sharp pain, short acting
Thinly mylenated
C fibers
Slow Pain
Burning Pain
Unmylenated
THe pathway in which both the slow and fast pain fibers come together to produce "pure pain"?
ALS The Anterior Lateral System
ANterior Spinal Artery takes care of what portion in the spinal cord?
The VENTRAL HORN (grey matter in the spinal cord)
The Dorsal Spinal artery takes care of what area of the spinal cord?
The DORSAL HORN and the DORSAL COLUMN
In the medulla, the posterior spinal artery supplies what?
Fasciculatis Gracillis, Fasc. Cutaneous, and the Nuclues and Spinal Tract of 5
In the medulla, the anterior spinal artery supplies what?
The Medial Meniscus
In the post central gyrus, the Anterior Cerebral Artery supplies the somatotopic portions that control what?
The genitals, Toes, Foot, and Leg
In the post central gyrus, the Middle Cerebral Artery supplies the somatotopic portions that control what?
Everything Else!
Spinal REgulation Gate Control Hypothesis
Activated A Beta fibers act to inhibit local C Fiber pathways, reducing the ascending pain projection
Descending Pain Modulation pathway
Portions of the spine release inhibitory (to pain) secretions
Midbrain
-PAG
-Locus Ceruleus
PAG=Enkephalon

Locus Ceruleus = Norepinephrine
Medulla
-Nucleus Raphe Magnus
-Nuclues Reticularis Paragigantocellularis
NRM=Serotonin

NRP=Norepinephrine
Peripheral Sensitization
Axons stimulate local surrounding axons to increase the area of inflamation (axon reflex)
Central Sensitization
Certain pathways are blocked by Mg, but with a STRONG stimulus, the Mg is "pushed aside" and then Ca can flow through
Axon Sprouting
Due to budding (after an injury usually) non-noxious fibers are placed in contact with noxious ones. PHANTOM LIMB
"Stocking Glove"
Numb Hands and Feet (Long nerves).
-Peripheral Neuropathy
C: Diabetes, Toxins, Idiopathic
Hemihypoesthesia
-Always CNS lesion
-Lesion MUST be Raustral to trigem nuclie (involves face)
-C: Stroke or neoplasm
Crossed Hypoesthesia
-Involves half of face and contralateral body
-Always Brainstem lesion!!!
Harlequin
-Always signifies hemisection of the spinal cord
-Called "brown-sequard" syndrome
Harlequin symptoms
C: Metastatic Tumors, MS, Stab wounds or similiar trauma
-Epicritic lost one one side and protopathic lost on the opposite. Below waist
Syringomyelia
-Cape like distribution
-Typically only effects protopathic modality
-Epicritic sensations spared
Syringomyelia
CAused by development of a syrnix (tube or pipe like) expansion in cervical spinal cord