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44 Cards in this Set
- Front
- Back
THree main types of Sensory axons.
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A beta
A delta C |
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A beta
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(mylenated, cutaneous tactile)
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A delta
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(mylenated, non-painful modalities)
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C
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unmylenated, pain receptive (nociceptive)
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Sensory transduction
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Converting energy into electrical signals useful by the nervous system (oscilate from analog to digital)
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Analog and Digital
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Analog (continuous representation of the signal)
Digital (numeric representaiton of the signal (discontinuous)) |
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Pros and Cons of ANalog
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Degrades with distance, but is much easier to manipulate
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What atteches to the ionophore channel to generate a receptor potential?
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Ankyrin attaches. When pressure is added to the skin, it tugs on this and mechanically opens the channel
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REceptor potential
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THey are generated at "insensitive parts of the axon (where an AP cannot be made)
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What happens when there is a larger receptor potential?
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Threshold meets membrane potential earlier
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Receptor potential fact:
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The larger the receptor potential leads to an increase in FREQUENCY of AP
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Analog to digital conversion
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Intensity of stim->amplitude of RP
Amp. of RP -> Frequency of AP Frequency of AP -> Amp. of post synaptic potential |
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Purpose of Lateral Inhibition?
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To intensify the boundary conditions within the CNS
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Interneurons provide what type of feedback?
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Negative Feedback
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3 types of Somatosensory receptors?
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MEchanical REceptors
THermal REceptors Nociceptors |
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Line Labeling Coding:
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Information remains segregated at all levels of the CNS (like with temp)
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THe 3 sensory pathways
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All within CNS
-Epicritic (fine discrimination) -Protopathic -Visceral Pain |
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Epicritic Pathway is also known as_____
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THe Dorsal Column System
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Epicritic pathway senses?
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-Fine Tactile
-2 pt. discriminition -Proprioception -Vibration |
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What can you use to test the epicritic pathway?
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-2 pt. test
-Proprioception at DISTAL joints -Vibration with a 128 Hz tuning fork |
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Two types of primary afferent axons that convey pain:
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A delta fibers
C fibers |
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A delta fibers
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Fast Pain
Sharp pain, short acting Thinly mylenated |
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C fibers
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Slow Pain
Burning Pain Unmylenated |
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THe pathway in which both the slow and fast pain fibers come together to produce "pure pain"?
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ALS The Anterior Lateral System
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ANterior Spinal Artery takes care of what portion in the spinal cord?
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The VENTRAL HORN (grey matter in the spinal cord)
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The Dorsal Spinal artery takes care of what area of the spinal cord?
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The DORSAL HORN and the DORSAL COLUMN
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In the medulla, the posterior spinal artery supplies what?
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Fasciculatis Gracillis, Fasc. Cutaneous, and the Nuclues and Spinal Tract of 5
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In the medulla, the anterior spinal artery supplies what?
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The Medial Meniscus
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In the post central gyrus, the Anterior Cerebral Artery supplies the somatotopic portions that control what?
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The genitals, Toes, Foot, and Leg
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In the post central gyrus, the Middle Cerebral Artery supplies the somatotopic portions that control what?
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Everything Else!
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Spinal REgulation Gate Control Hypothesis
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Activated A Beta fibers act to inhibit local C Fiber pathways, reducing the ascending pain projection
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Descending Pain Modulation pathway
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Portions of the spine release inhibitory (to pain) secretions
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Midbrain
-PAG -Locus Ceruleus |
PAG=Enkephalon
Locus Ceruleus = Norepinephrine |
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Medulla
-Nucleus Raphe Magnus -Nuclues Reticularis Paragigantocellularis |
NRM=Serotonin
NRP=Norepinephrine |
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Peripheral Sensitization
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Axons stimulate local surrounding axons to increase the area of inflamation (axon reflex)
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Central Sensitization
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Certain pathways are blocked by Mg, but with a STRONG stimulus, the Mg is "pushed aside" and then Ca can flow through
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Axon Sprouting
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Due to budding (after an injury usually) non-noxious fibers are placed in contact with noxious ones. PHANTOM LIMB
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"Stocking Glove"
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Numb Hands and Feet (Long nerves).
-Peripheral Neuropathy C: Diabetes, Toxins, Idiopathic |
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Hemihypoesthesia
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-Always CNS lesion
-Lesion MUST be Raustral to trigem nuclie (involves face) -C: Stroke or neoplasm |
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Crossed Hypoesthesia
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-Involves half of face and contralateral body
-Always Brainstem lesion!!! |
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Harlequin
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-Always signifies hemisection of the spinal cord
-Called "brown-sequard" syndrome |
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Harlequin symptoms
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C: Metastatic Tumors, MS, Stab wounds or similiar trauma
-Epicritic lost one one side and protopathic lost on the opposite. Below waist |
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Syringomyelia
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-Cape like distribution
-Typically only effects protopathic modality -Epicritic sensations spared |
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Syringomyelia
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CAused by development of a syrnix (tube or pipe like) expansion in cervical spinal cord
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