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368 Cards in this Set

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Coelom

- another name for ventral body


- consists of thoracic & abdominopelvic cavaties separated by diaphragm


- not all animal have one


- allows organs to move freely and independently of muscle


- acts as protective cushion for internal organs


- acts as fluid filled hydroskeleton (earthworms)

How Coelom formed

- forms as hollow cavity in mesoderm


- serous membrane is soon filled with organs


- bud from walls & bring membrane with them


- membranes remain as anchor to wall & connections to other organ

- ventral body cavity

Viscera

- Organs found inside Ventral Cavity

Peritoneum

- Serous membrane of the abdomen


- Also contains large sheets of membrane that bind organs to each other & the abdominal wall


- extensions include mesentery, mesocolon, omentum, and ligament

Embryonic Germ Layers

- All tissues and organs develop from 3 primary germ layers


- ectoderm


- mesoderm


- endoderm

Ectoderm

- neural tissue & epidermis

Mesoderm

- muscle tissue


- connective tissue


- bone


- serous membranes


- kidneys


- spleen


- gonads

Endoderm

- lining of gut


- liver


- pancreas


- lungs


- thyroid


- parathyroid glands

Embryological Development sequence

- Zygote


- morula


- blastula


- gastrulation (formation of germ tissue)


- embryonic disc


- neurulation


- coelom formation

Notochord

- long, solid bar of mesoderm


- supports neural tube


- becomes nucleus pulposus in adult

Somites

- some mesoderm in body becomes segmented


- bone & muscle formation in trunk

Coelom

- hollow cavity forms in mesoderm

Thoracic Cavity

- divided into 2 pleural cavities


- mediastinum and pericardial cavity

Mediastinum

- mass of tissue, between pleural cavities


- extends from vertebral column to sternum


- includes all contents of throracic cavity except lungs


- includes heart in pericardial cavity, thymus, esophagus, many large blood and lymph nodes

Membranes

- thin, flexible sheet of tissue


- composed of epithelal layer & underlying Connective Tissue layer


- includes: mucous membranes, serous membranes, cutaneuous membrane, and synovial membranes

Mucous Membranes

- line cavities that open to outside


- produce mucous


-found in lining of respiratory system, GI tract, repro tract, and most of urinary system

Serous Membrane

- line body cavities not open to exterior & covers organs there


- all serous membranes are composed of mesothelium (Simple Squamous) and Areolar Connective Tissue


- Secrete serous fluid


- Parietal layer lines body cavity


- visceral layer covers contained organs

Secrete Serous Fluid

- thin, watery, lubricant


- so organs can move freely

Retroperitoneal

- organs in ventral body cavity (Coelom) but not in peritoneal cavity


- behind part of the parietal peritoneum but not covered with visceral peritoneum


- kidneys, adrenals, aorta, vena cava, bladder, uterus, pancreas, duodenum, part of large intestine, not spleen

Abdominopelvic cavity

- GI tract is initially a linear hollow tube


- tube specializes & elongates & twists- stomach, small & large intestine


- Endoderm organs: liver, pancreas, gall bladder, salivary glands


- mesoderm organs: kidney, adrenal, gonads

Thoracic Cavity

- Mesoderm: Lungs, heart & large vessels

Different names of serous membranes

- Pleura = Lungs


- Pericardium = Heart


- Peritoneum = abdomen

Mesentery

- binds small intestine to posterior abdominal wall


- artery, vein, lymphatic and nerves

Mesocolon

- Binds large intestine to posterior abdominal wall


- seperates stomach & liver from organs below


- includes transverse mesocolon - holds transverse colon to wall


- sigmoid mesocolon - holds transverse colon & coils of small intestine


- rest of large intestine is retroperitoneal

Falciform Ligament

- attaches liver to anterior wall

Lesser Omentum

- arises from serosa of stomach


- suspends stomach from liver

Greater Omentum

- drapes over transverse colon & coils of small intestine


- connects stomach to transverse colon


- has lots of adipose tissue & lymph nodes

Wall of GI Organs

- inner part is called mucosa


- outer part is called serosa

Thoracic Inlet

- neck


- narrow opening at top of thoracic cavity


- defined by clavicles, first ribs, and sternum


- filled with esophagus, trachea, blood vessels


- blood vessels serving arms pass over first rib & under clavicle


- thoracic inlet is sealed with muscle & connective tissue

Diaphragm

- Thoracic Outlet


- divides ventral cavity into thoracic & abdominopelvic cavities


- has a central tendon, muscle extends from this tendon to its attachment to ribs, vertebrae

Openings (Hiatus) in Diaphragm for structures

- Aorta: actually passes behind the diaphragm up against bodies of vertebrae


- Inferior Vena Cava


- Esophagus: opening in esophageal hiatus


- Vagus Nerve: pass through diaphragm with esophagus


- Phrenic Nerve: innervates diaphragm & passes between muscle fascicles of the diaphragm

Pelvic Floor

- there are openings for urethra, vagina, and anus

Inguinal Canal

- each testes starts development attached to posterior body wall


- descend into scrotum, passing through the canal which is over the inguinal ligament


- each one is moved, carries with it a portion of the peritoneal lining into scrotum


- hernia can occur if canal remains open or muscle is weak = a loop of intestine that protrudes through canal

Femoral Canal

- anterior surface: femoral artery, nerve, and vein pass under the inguinal ligament and over the superior pubic ramus


- Posterior surface: spinal nerves L4-S3 aka sciatic Nerve, which passes through the greater sciatic notch & muscles of the pelvic floor, and down the posterior side of the thigh

Cardiovascular System

- heart, blood vessels and Blood

Lymphatic system

- Lymph organs


- Lymph Nodes


- Lymphatic vessels


- Lymph Fluid

Cardiovascular System Function

- Transport O2, nutrients, waste, hormones to/from cells


- participates in regulation of pH, temperature, osmolarity of interstitial fluid


- protection: clotting protects from blood loss, white blood cells protect from microbial invaders


- transmit force for ultrafiltration in the kidney, erection

Blood

- complex connective tissue, consists of fluid & cells

Heart

- main propulsive organ


- muscular pump


- forces blood around body

Vessels

- conduits for blood

Arteries

- distribute blood to cells


- pressure reservoir


- are organs

Veins

- return blood to heart


- volume reservoir


- are organs

Capillaries

- where transfer of materials occurs between blood & tissues


- in organs

General Design of cardiovascular system

- two circuits


- sequence of flow


- parallel distribution


- closed systems

Two circuits of Cardiovascular system

- Pulmonary (Low Pressure and Right Heart)


- Systemic (High Pressure and Left Heart)

Sequence of flow in cardiovascular system

- Artery, arteriole, capillary, venule, and vein


- exceptions: hepatic & hypthalamic portal veins; efferent arteriole in kidney

Parallel Distribution of vessels in cardiovascular system

- ensures fresh blood supply to all organs

Closed system in cardiovascular system

- blood stays in vessels, gets rejuvenated (adds oxygen, add nutrients, and remove wastes)


- oxygenated is stressed, & blood is termed arterial (red) or venous (blue)


- not good or bad, arterial blood comes from kidney but is full of wastes, venous blood comes from intestine but is loaded with nutrients

Pulmonary Circuit

- involves flow between heart & lungs only


- right atrium receives deoxygenated blood from body organs


- right ventricle pumps blood to lungs for gas exchange (not for nourishment of lung tissue)


- blood leaves heart through pulmonary semilunar valve and pulmonary artery

Systematic Circuit

- blood returns from lungs to left atrium via pulmonary vein


- pumped out by left ventricle with great force


- blood nourishes all organs including heart & lungs


- blood leaves heart through aortic semilunar and aorta

Systematic circuit flow

- unidirectional to organs, delivered by arteries and arterioles


- fluid flow leaving organs is via venules to veins & via lymphatics

Portal Flow

- part of systemic flow, an unusual pattern


- artery, arteriole, capillary bed, portal vein, capillary bed, venule, vein


- connected capellary beds are in two different organs, used when materials from first organ need to be seen immediately by second organ; i.e. hepatic portal vein and pituitary portal system

Efferent Arteriole

- in kidney, two capillary beds connected by this one vessel

Hepatic Portal Vein

- connects gut (stomach, small & large intestine) pancreas & spleen to liver


- ensures that all nutrients absorbed are seen by liver first

Pituitary Portal System

- connects hypothalamus to anterior pituitary

Fluid Compartments

- there are four major ones in body, blood, tissue or interstitial fluid, cytosol, and lymph


- others include: cerebrospinal, synovial, peritoneal, pericardial, pleura - all are filtrates of plasma

Blood Fluid Compartment

- 55% plasma, 45% cells & formed elements


- plasma is confined to closed cardiovascular system


- when fluid leaves name is changed intracellular (Cytosol) and extracellular (tissue or interstitial fluid)

Tissue or Interstitial fluid

- extracellular


- all cells float in this, is a filtrate of plasma

Cytosol

- Intracellular


- cell fluid

Lymph

- some tissue fluid is returned to closed cardiovascular system via lymphatic vessels


- every organ has lymphatics except brain & spinal cord

Heart

- two pumps, right and left


- two circuits: Pulmonary (Right Heart) and Systematic (Left Heart)


- separates 2 different kinds of blood; oxygenated & deoxygenated


- Ensures one way flow with valves

Pericardium

- double layered bag that encloses and protects the heart


- composed of fibrous pericardium and parietal pericardium

Fibrous Pericardium

- Dense fibrous Connective Tissue


- connected to diaphragm

Parietal Pericardium

- serous pericardium


- loose areolar connective tissue & mesothelium

Pericardial Cavity

- lies between two serous membrane layers: parietal and visceral


- filled with fluid which reduces friction, cavity provides a space in which heart can move

Visceral Pericardium

- second serous layer


- adheres to heart wall


- made of loose connective tissue & mesothelium

3 layers of Heart Wall

- Epicardium


- Myocardium


- Endocardium

Epicardium

- visceral pericardium


- mesothelium & loose Connective Tissue

Myocardium

- heart muscle and cardiac muscle tissue


- cells joined by intercalated discs w/ gap junctions & desmosomes


- cardiac muscle fibers are mechanically, chemically & electrically connected


- cardiac muscle functions like a single enormous muscle fiber


- called functional syncytium (fused mass of cells)

Endocardium

- loose Connective tissue & endothelium

Fibrous Skeleton

- Connective tissue associated with heart


- each cardiac cell wrapped in fibro-elastic connective tissue & cross linked to others w/ connective tissue


sheets of concentric layers


- wraps around atria and ventricles


- sheets of concentric layers- wraps around atria and ventricles- spiral design helps direct blood flow through heart


- spiral design helps direct blood flow through heart

Functions of fibrous skeleton

- stabilizes positions of muscle fibers & valves


- Supports muscle fibers, blood vessels, nerves in myocardium


- distributes forces of contraction


- helps prevent over expansion of heart


- provides elasticity to return heart to original shape between contractions


- isolates muscle fibers of atria from those of ventricles

Surface Anatomy

- base & apex


- atria, ventricles, and auricles


- coronary & intraventricular sulcus


- major vessels

Internal Anatomy

- Chambers of the heart; atria and ventricles


- valves


- major vessels


- coronary circulation

Atria

- pectinate muscles, auricles, fossa ovalis

Pectinate Muscles

- prominate muscular ridges in right atrium


- serve to slow entry of blood

Fossa Ovalis

- remnant of foramen


- ovale which allowed blood to flow between atria and fetus

Ventricles

- choradae tendonae


- papillary muscles


- trabeculae carnae


- intraventricular septum

Trabeculae Carneae

- folds of muscle in ventricle wall


- serve to slow entry of blood into ventricle

Chordae tendoneae

- tendons that attach papillary muscle to Atrio Ventricular valves

Valves

- tricuspid valve


- bicuspid valve (mitral)


- aortic & pulmonary semilunar valve


- one way valves

Major Vessels

- superior & inferior vena cava & coronary sinus all deliver blood to right atrium


- pulmonary veins feed left atrium


- blood exits via aorta & pulmonary artery

Coronary Circulation

- coronary arteries, coronary sinus

RIGHT SIDE VS. LEFT SIDE:


Right Side

- Pumps to pulmonary system


- walls are thinner


- lungs are very close


- pulmonary vessels are short, resistence is low


- Normal Pulmonary artery pressure at rest: 8-20 mm Hg

RIGHT SIDE VS. LEFT SIDE


Left Side

- pumps to systematic circulation


- walls are much thicker 2-4x


- When contracts, diameter decreases & lenght shortens


- very effectice pump


- bulges into right ventricle & improves it's pumping action


- Normal systematic pressure at rest 120 mm Hg/80 mm Hg

Conducting System of Heart

- 2 kinds of cardiac muscle fibers: contractile and conducting


- 1% cardiac muscle cells become autorhythmic or self-excitable, conducting cells which act as pacemaker cells setting rhythm for entire heart and form conducting system

Conducting system

- route for conducting impulses throughout heart muscle they ensure that heart chambers contract in a coordinated manner


- parts include: Sinotrial Node, Atrioventricular Node, AV bundle and conduction myofibers

Synoatrial Node

- SA Node


- is pacemaker


- atria contract, then ventricles, ventricles contract from apex

Atrioventricular Node

- Internodal pathways


- normally slows conduction of the impulse as it travels from the atria to the ventricles providing a delay between activation and contraction of the ventricles

Atrioventricular Bundle

- Bundle of His


- receives the muscle impulse from the AV node and extends into the interventricular septum before dividing into left and right bundles


-conduct the impulse to conduction fibers called purkinje fibers

Purkinje Fibers

- begin within the apex of the heart and extend throughout the walls of the ventricles


- larger than other cardiac muscles


- impulse conduction is extremely rapid, consistent with the large size of the cells, and the impulse spreads immediately througout the ventricular myocardium

Physiology of heart

- Pacemaker potentials initiate cardiac contraction


- cardiac cycle= one heart beat, which consists of systole and diastole


- heart sounds=valves closing


- autonomic control of heart rate via sympathetic and parasympathetic

EKG (ECG)

- electrocardiogram


- external record of electrical activity of heart


- can detect heart murmurs which are abnormal sounds due to blood regurgitation through faulty valves

Coronary Heart Disease

- coronary arteries are narrow, blood flow is reduced which leads to heart muscle damage


- leading cause of death in U.S.


- symptoms range from mild angina to heart attack


- symptoms start w' 75% narrowing of a coronary artery

myocardial infarction

- gross necrosis of myocardial tissue due to interrupted blood supply


- damage will affect both contraction and conduction


- heart attack


arteriosclerosis

- group of disease characterized by thickening of the walls of arterie & loss of elasticity

Treatement of coronary artery disease

- drug therapy


- angioplasty


- bypaass grafting

Vessels

- often compared to pipes but are more dynamic they pulsate, constrict, dilate & even proliferate as demanded by changing needs of body


- include arteries, veins, and capillaries

Arteries

- carry blood away from heart


- thick walled have relatively small lumen


- carry blood under high pressure


- thick wall enables arteries to withstand pressure from heart


- never have valves

Veins

- carry blood to heart


- walls are thinner than arteries, relatively large lumen


- blood under low pressure


- have valves= epithelial lining folds back on itself to form valves, only found in extremities

Tunica Interna

- Intima


- endothelium: simple squamous cells


- lines all parts of cardiovascular system


- basement membrane


- internal elastic membrane or lamina made of elastic fibers


- well developed and lots of it in artery


- poorly developed or even missing in vein

Tunica Media

- smooth muscle w/ some elastic fibers in muscle cells


- dominant part of arterial wall in artery (differs in elastic vs. muscular artery)


- smaller amount of muscle in vein

Tunica Externa

- adventicia


- outermost layer, external elastic membrane


- fibrous and areolar connective tissue, with lots of collagen and elastic fibers, which forms common sheath around companion arteries and veins

elastic arteries or conducting arteries

- large, thick walled, close to heart


- have largest lumen and more elastin than any other vessel type


- elastin present in all 3 tunics, but tunica media contains most


- includes aorta & its major branches

Abundance of elastin in elastic artery

- allows vessel to withstand great pressure & contribute to moving blood forward via elastic recoil during diastole


- expands when heart contracts & recoil after, maintaining blood flow during diastole

Muscular Arteries or distributing arteries

- distribute blood to specific organs


- have thickest media of all vessels


- mostly muscle, less elastic tissue


- muscle cann constrict or relax


- helps regulate blood flow

arterioles

- considered small arteries, they deliver blood to capillaries


- have small amount of muscle in walls


- muscle that responds to innervation and vasoactive hormones to regulate blood pressure and blood flow

Veins

- blood pressure low in veins


- pressure decreases as blood goes through capillary beds


- not enough pressure to return to heart and overcome gravity


- therefore problems with venous return, especially from lower limbs

Anatomy that helps with venous return

- presence of valves in veins prevents backflow


- veins can take advantage of arterial flow, as artery expands it squeezes companion vein (Milks it)


- Veins run through skeletal muscle, as muscle contracts it compresses vein & pushes blood towards heart


- breathing, inspiration, creates negative pressure in thoracic cavity, which helps to suck blood up to heart

Venules

- considered small veins


- bring blood from capillaries to veins, merge to form veins

Capillaries

- connect arterioles & venules


- not organs themselves, but are parts of the organs they sit inside


- found 2-3 cells away from every cell in body except cartilage and cornea


- vast number= increase of surface are


- have only endothelial cells and small amount of connective tissue

Capillaries are

- site of exchange: only place vessel walls are thing enough for this


- grow & regress: depending on need


- Regulatory Devices: have pre-capillary sphincters=rings of smooth muscle


- respond to sympathetic nerves, hormones, local chemicals


- constrict or dilate opening into capillaries and thereby control perfusion of capillary bed

Capillary beds

- capillaries do not function independently, ie beds


- have metarteriole followed by throughfare channel, with attached tru capillaries


- if pre-capillary sphincters are clodes, blood goes through metarteriole shunt


- not possible to have all capillary beds open at once


- amount of blood flowing into capillary bed is regulated by nerves, hormones, local chemicals

3 major designs of capillaries

- continuous


- fenestrated


- sinusoidal

Continuous Capillary

- most common type


- endothelial cells are joined by tight junctions, basement membrane is continuous


- intercellular clefts between endothelial cells


- exchage is limited to small molecules which must pass across capillary wall


- found in skeletal & smooth muscle, lungs and skin


- unique variant in brain and testes, Blood brain/testes barrier

structure and where found

Fenestrated Capillaries

- have pore called fenestrations in endothelial cell membrane


- allow large amount of fluid movement across capillary wall


- useful for filtration & absorption


- found in small intestine, kidney, endocrine organs

Sinusoidal Capillaries

- larger in diameter; blood moves through more slowly


- have large fenestrations and clefts & discontinuous basement membrane


- structure allows the passage of large molecules such as proteins and blood cells


- Found in liver, spleen, red bone marrow

anastomoses

- vessels that connect two or more arteries supplying the same body region


- occur between vens and between arteries and veins as well


- provide alternate routes for blood to reach organs

End arteries

- arteries that do not anastomose


- if blocked, blood supply to whol segment of organ is interrupted produces necrosis of that part of organ

Vessel Blood Supply

- arteries and veins need to be nourished by capillaries


- walls are too thick for diffusion supply from lumen


- large arteries, tunica interna is nourished by diffusion


- pressure is too great there for capillaries- they would be flattened


- veins must be completely nourished by capillaries because they carry venous blood

Vasa Vasorum

- vessels that supply blood to vessel walls

Blood distribution

- 60% systematic veins & venules=blood reservoir (especially liver,spleen, skin)


- 15% systemic arteries & arterioles


- 5% in systemic capillaries

Blood

- fluid that circulates in the cardiovascular system


- fluid connective tissue: cells + groud substance = Plasma + Fiber (Fibrin)

Hematology

- study of blood


- clicicians examine this tissue more often than any other to determine cause of disease

Functions of Blood

- transportation: oxygen, nutrients, wastes, hormones, heat


- regulation: pH, temperatures


- Protection: prevents blood loss by clotting mechanism


- Prevents/limits infection via actions of white blood cells & 2 plasma proteins:antibodies,complement

Components of Blood

- Plasma


- Cells

Plasma

- liquid portion of blood


- consists of water with dissolved solute; electrolytes, nutrients, gases, wastes, regulatory substances, vitamins, and eplasma proteins

Plasma Proteins

- Albumins: exert osmotic pressure, transport steroid hormones


- Globulins: transport fats, iron; one category are the immunoglbulins (antibodies)


- Fibrinogen: important in blood clotting, becomes fibrin

Cells

- also called formed elements because not everything is a cell


- basic groups include, red blood cells, white blood cells, platelets

Hematocrit

- whole blood is centrifuged


- the % packed RBCs, the liquid plasma

Serum

- plasma minus the clotting factors


- if whole blood is allowed to clot

Formation of Blood Cells

- process is called hemopoiesis


- after birth, occurs in red bone marrow


- proximal epiphyses of humerus & femur, sternum, ribs, cranial bones, vertebrae, pelvis

Pleuripotent hemopoietic stem cells or hemocytoblast

- all blood derives from single kind of stem cell

5 types of cells that develop from hemocytoblasts

- Proerythroblasts: erythrocytes


- myeloblasts: granulocytes: neutrophils, basophils, eosinophils


- monoblasts: monocytes


- Lymphoblasts: lymphocytes- B & T cells


- megakaryoblasts: platelets

Erythrocytes anatomy

- red blood cells


- small cells used as reference to help ID other cells


- biconcave disc: more surface area & flexible shape allows squeezing through capillaries


- red because of hemoglobin


- membranes contain proteins that determine blood type (A,B,O, AB, Rh +,-)

Hemogoblin

- oxygen carrying pigment bound to protein

Erythrocytes function

- carry gases


- Oxygen (Iron atom held by heme


- CO2 (Protein, globin)

Erythrocyte life span/numbers

- live 120 days


- have no organelles, cant do repairs, lots of wear & tear on membrane squeezing thru caps


- worn out cells removed & destroyed by fixed macrophages in spleen & liver

Production of Erythrocytes

- erythropoiesis, stimulated by erythropoietin, a hormone made by kidneys


- hemotocrit= % RBCs in blood, normal is 38-46% females, 40-54% males

Platelets

- formed from megakaryocytes in red bone marrow


- cell fragments, no nucleus, but stain dark due to granules


- help plug small holes in damaged blood vessels


- granules contain chemicals that upon release help to form clots


- removed by phagocytes in spleen, liver

Leukocytes anatomy

- Whiteblood cells


- well defined nucleus & organelles


- ameboid, usually leave blood & travel to site of infection


- can live for years, especially memory lymphocytes, some days, and during infections only few hours

Classification of white blood cells

- Granular which includes eosinophils, basophils, and neutrophils


- agranular which includes monocytes and lymphocytes

G= EBN


AG= ML

Granular

- cytoplasm has granules that stain differentially


- nuclei are lobed

Eosinophils

- affinity for acidic stains, stain red, have distinct bilobed nucleus


- fairly rare 3-5%


- leave capillaries & enter tissue fluid


- release histaminase to counter effects of histamine


- phagocytize antigen-antibody complexes


- effective against certain parasitic worms


- high count indicates allergic condition or parasitic infection

Basophils

- affinity for basic stains- granules stain dark blue


- granules contain histamine & heparin; like mast cells which are fixed in CT


- nucleus is S shaped, often obscured by blue granules


- migrate sites of injury, involved in inflammatory & allergic reactions

Neutrophils

- granules are lysosomes, contain 20 different kinds of enzymes


- multilobed nucleus, sometimes called polymorphonuclear leukocytes


- most common type


- phagocytic, arrive first on the scene of an infection


- chemicals released from microbes & from inflamed tissue attract them=chemotaxis


- arrive from blood by diapedesis

Diapedesis

movement through capillary walls

Agranular

- cytoplasm stains uniformly


- no granules


- ameboid

Monocytes

- large cells, have kidney shaped nucleus & ligth pale blue cytoplasm


- phagocytes differentiate into macrophages


- take longer to reach site of infection than neutrophils, arrive in large numbers, destroy more microbes


- macrophages are the cells that activate B & T lymphocytes

Lymphocytes

- have very large nucleus, adheres to one side of cell membrane, cytoplasm stains sky blue


- most are lymph nodes


- two kinds of lymphocytes: B & T cells

T Cells

- killer cells


- shoot virally infected & cancerous cells with protein bullets (Perforin)

B Cells

- introduction to antigen


- differentiate into plasma cells whic make antibodies


- antibodies facilitate destruction of bacteria by several mechanisms

Lymphatic System consists of

- Special cells: Lymphocytes & macrophages


- Fluid: Lymph


- Lymphatic Vessel: Carry lymph (Lymphatics)


- Lymphatic Tissue: loose Connective Tissue; framework of reticular fibers, with cells hanging in framework


- Lymphatic Organs: Bone marrow, thymus, spleen, lymph nodes


- Lymphatic Nodules: tonsils, lymphatic nodules

MALT

- Mucosal associated lymphatic tissue

Function of Lymphatic System

- two functions


- Circulatory and immune

Circulatory function of Lymphatic System

- performed by vessels


- drains interstitial fluid which serves as an aid to venous return of fluid


- also transports dietary fats

Immune function of lymphatic system

- performed by cells, tissues, organs


- system provides protection from pathogens


- cells (Macrophages, B & T lymphocytes) eat and shoot pathogens


- tissues & some organs provide the sites for immune function


- marrow & thymus are where immune cells are born & educated

Lymph

- virtually identical to tissue fluid, no event changes it


- some proteins do leak from capillaries & are returned to blood via lymph


- fact that proteins fit in means that bacteria & viruses can also

Lymph Vessels

- similar to veins but thinner


- same tunics, have more valves, follow similar drainage courses


- artery, vein, lymphatic & nerve usually run together


- vessels include; capilaries => lymphatic vessels => lymphatic ducts => subclavian veins

Lymphatic Capillaries

- unique


- blind-ended & overlapping endothelial cells, the overlap permits fluid to flow in when pressure is higher outside but not back out, these capillaries have very high permeability


Lacteal

- specialized liymphatic capillary on villi of small intestine


- transport of fat from intestine to blood

Flow of lymph

- mainatined by skeletal muscle contraction


- helped by valves & respiration


- every organ has lymphatis exept avascular tissue, CNS, splenic pulp, and bone marrow

Lymph trunks & duct

- 2 major lymphatic vessels dump lymph back into venous flow just before it enter the heart


- thoracic duct and right lymphatic duct

Thoracic Duct

- begins as dilation called cisterna chyli at L2


- runs from there to junction of internal jugular and left subclavian veins


- main collecting duct of lymphatic system


- collects from left side of head, neck, chest, left arm & entire body inferior to diaphragm

Cisterna Chyli

- drains lymph from legs and chyle from intestine

Right Lymphatic Duct

- drains from upper right side of body


- lymph enters blood at juncture of internal jugular vein and subclavian vein


- flows directly into brachiocephalic vein

Lymphatic Tissue

- reticular tisse, loose, reticular fibers are laid down by fibroblasts


- form a network that holds lymphocytes & macrophages


- can also be found in liver

What occurs in lymphatic tissue

- most infection occur


- most infectious organisms are destroyed


- most circulating lymphocytes gather


- most antigen challenges occur


- most effector & memory lymphcytes are produced

Location of Lymphatic Tissue

- Lymphoid organs: thymus, spleen, nodes


- Lymphoid tissues: localized patches in MALT, GALT, Peyer's patches, tonsils

Primary Lymphatic Organs

- Red bone marrow & thymus gland


- site of production & education of lymphocytes B&T cells

Secondary lymphatic organs

- lymph nodes and spleen


- site of immune function


- attack vs pathogens

Anatomy of visceral organs in lymphatic system

- outer capsule


- trabeculae


- stroma


- parenchyma


- cortex


- medulla


- hilus

Outer Capsule

- Dense Connective Tissue

Trabeculae

- outer capsule extends into organs as struts

Stroma

- framework

Parenchyma

- functional part

Cortex of lymph

- outer part

Medulla of lymph

- inner part

Hilus

- depression on surface where vessels enter, leave organ

Lymph Nodes

- Lymphatic vessels run through these


- oval or bean shaped structures located along lenght of vessels


- located in armpit, groin, neck, behind knee, breasts, omentum, mesentary


- most spreading of cancer occurs through lymphatic system

Anatomy of lymph nodes

- Stroma


- perenchyma

Stroma of Lymph node

- framework which is made of capsule, trabeculae, reticular fibers and fibroblasts

Perenchyma

- 2 parts, cortex and medulla

Cortex of Lymph node

- follicles: regions of densely packed lymphocytes, B cells & macrophages in outer part, and t cells are deeper


- Germinal Center: where B cells => plasma cells


- medulla: b lymphocytes & plasma cells are packed into cords

Function of lymph nodes

- only organs that filter lymph


- flow is one way, directed by valves, from afferent vessels, through sinuses, out efferent vessels


- foreign material trapped by reticular fibers, destroyed by mactophages & lymphocytes


- efferent lymphatics & blood vessels enter/leave at hilus

Spleen

- largest mass of lymphatic tissue in body, built like lymph node


- found on left side of body, has indentations for stomach, kidney, part of large intestine

Anatomy of spleen

- covered w/ dense Connective Tissue capsule, that is covered w visceral peritoneum


- has no afferent lymphatic vessels, does not filter lymph


- filters blood much like a node filters lymph


- served by splenic artery of celiac trunk


- drains into hepatic portal vein

White Pulp of spleen

- lymphatic tissue


- arranged around central arteries


- performs immune function

Red Pulp of spleen

- cords of splenic tissue


- arranged around blood sinusoids


- blooed enters pulp and is checked for dead RBCs by cells in splenic cord


- blood then exits spleen via splenic venules

Function of Spleen

- main function is phagocytosis of RBCs & bacteria


- RBC particles are bound to protein, sent to liver to make bile


- serves as site for B cell proliferation into plasma cells


- major source of antibodies in body


- serves as reservoir for blood


- lymph nodes can take over if spleen removed

MALT

- Mucosa associated lymphoid tissue

Tonsils

- form ring at junction of oral cavity & pharynx


- positioned for immune surveillance


- fight pathogens that are inhaled or ingested


- perform immune surveillance on mucus from mouth and nasal cavity unlike nodes

Thymus Gland

- bilobed gland located in mediastinum, poterior to sternum, medial to lungs


- covered w/ CT capsule


- regresses after puberty, fat & CT replace thymus tissue

Immune function of Lymphatic cells

- check for & remove pathogens, cancerous cells


- Lymphocytes are part of specific immune response


- lymp organs & tissues are site of WBC production & attacks


- areolar CT is also site of immune function, especially as found in dermis & mucous membranes

Basic outline of immune functions

- 3 major crisis: infection or invasion, Injury, and cancer


- 2 major responses: inflammation & specific Immune response

Inflammation

- occurs in response to injury or infection


- initiated by mast cells that release histamine & heparine


- purpose is to bring blood warriors, elevate temperature, seal off area, pain offers protection

Histamine

- Causes leaky capillaries


- reddening, swelling, hot, and pain

Heparin

- anticoagulant


- acts on tissue fluid, allows cells to move freely through

Macrophages

- phagocytize and invaders


- present antigen


- clean up debris like dead cells


- bind & engulf foreign invaders & antibodies coated pathogens

Plasma Cells

produce antibodies

Fibroblasts

- repair tissue


- scar tissue

B Cells

- must recognize antigen and be activated by helper t cells


- happens in nodules, nodes, spleen


- B cells become plasma cells, then make antibodies, which act against bacteria & free viruses

T Cells

- Recognize antigen & be activated by helper T cells


- kill via shooting with perforin


- act against virus infected cells & cancer cells

Nervous system

- information system


- communicates, controls, coordinates and shares function with the endocrine system


- hard-wired


- unique feature is that cells generate electrical impulses & conduct them

Neurons

- generate an electrical impulse


- non-mitotic after second year of life

Neuroglia

- connective tissue cells for NS as there is no CT ther


- cant generate impulses

Basic anatomy

- cells: neuron & neuroglial cells


- tissue: nervous tissue


- Organs: brain & spinal cord; nerves & ganglia


- System: unified anatomically: all parts are same tissue & physically connected

Organization

- anatomical: CNS & PNS; sensory & motor, somatic & autonomis, S & PS


- Functional: information flow, receptor, sensory, integrator, motor and effector

Central Nervous System (CNS)

- housed in bone


- brain and spinal cord

Peripheral Nervous System

- includes all nerves which radiate to and from CNS as well as ganglia


- includes 2 division; Sensory and Motor

Sensory of PNS

- Special & general


- somatosensory & Visceral

Special sensory

- limited to head & face


- vision, hearing, equilibrium, taste, smell

General Sensory

- Body wide receiving ability


- touch, temperature, pressure, proprioception, pain

Somatic sensory

- sensory input that is conciously perceived from receptors


- sense external environment


- eyes, ears, and skin

Visceral Sensory

- Input that is not consciously perceived from receptors of blood vessels and internal organs


- sense internal environment


- heart etc

Somatic Motor

- targets skeletal muscle and is voluntary


- skeletal muscle responds

Autonomic Motor

- targets smooth & cardiac muscle, glands, involuntary

Sympathetic (autonomic)

- fight or flight

Parasympathetic (Autonomic)

- rest and digest

Functional Organization of Nervous System

- Sensory receptors


- sensory neuron


- integrator


- motor neuron


- effector

Sensory receptor

- Special receivers/transducers; can detect temp, press, sound, position, light


- Pass information via nerves, where it is interpreted and assigned value


- purpose: constantly sample external and internal environment in order to respond and maintain homeostasis

Sensory Neuron

- sensory information must be sent to integrator for interpretation


- travels along afferent/sensory neuron

Integrator

- found in CNS,


- info gathered, sorted, deciphered, integrated & judgements are made


- response can be "thats fine" or "no", we need to respond, or make an adjustment to maintain homeostasis

Motor Neuron

- information is sent from integrator to effector via efferent or motor neuron

Effector

- are muscle or gland


- organs make changes in conditions being monitored

Neurons

- can conduct electrochemical impulses & can store information


- functional cells of the NS


- can add fine branches & connections but cannot divide after 2 year of life


- processes of fibers(axons and dendrites) can regenerate if neurilemma remains in PNS only

Cell Body (Soma)

- contains nucleus, cytoplasm, nissl bodies, neurofibrils and axon hillocks

Neurofibrils

radiate out of dendrites into cell body & into axon


- cytoskeletal structure


- carry neurotransmitters from cell body to end of axon=transaxonal transport

Axon Hillock

- impulse initiation area, contains no nissl bodies

Dendrites and axons

- cell processes/extensions


- dendrites transmit info to cell body, can range from 1 to several thousand per cell


- axon transmit info away from cell body, always one per cell body, releases neurotransmitters

Nerve Fiber

- long axon

Synapse

- space between 2 neurons, site of neurotransmiiter release


- 3 parts: axon terminal, synaptic cleft, post-synaptic membrane

3 types of structural classification

- multipolar


- bipolar


- unipolar

Multipolar

- largest, most common


- all motor neurons are multipolar


- any neuron whose cell body is in central nervous system is multipolar


- also ganglia of autonomis nervous system

Bipolar

- one process that branches to form dendrites & one other process, an axon


- confined to special senses

Unipolar

- bipolar but cell body is off to one side


- associated only with general sensory fibers,


- only in dorsal root ganglia


- transmit info on touch, pressure, pain, temperature, position

Functional Classification

- sensory neurons


- motor neurons


- interneurons

Sensory Neurons

- transmit info towards CNS; have peripheral & central process


Motor Neurons

- transmit info away from central nervous system


- all multipolar

Interneurons

- association neurons


- confined to central nervous system

Neuron FUnction

- nerve impulses


- polarized, can change polarity over time & conduct change down lenght of process


- axons conduct action potentials or nerve impulses


- dendrites & cell bodies conduct gragded potentials


- synapses relase & receive neurotransmitters

Neuroglia

- supporting cells


- provide metabolic support, electrical insulation


- highly mitotic


- prevent electrical interference

Neuroglia found in central nervous system

- astrocytes


- oligodendrocytes


- microglia


- ependymal

Astrocytes

- star shaped


- have perivascular feet that atttach to neurons & blood vessels


- help control ionic environment


- blood brain barrier

Oligodendrocytes

- fewere branches than astrocytes


- form myelin sheath around large CNS axons


- one cell wraps part of several axons

Microglia

- small cells


- macrophages of Central nervous system

Ependymal

- form epithelial lining of ventricles & central canal


- form cerebralspinal fluid in ventricles


- ciliated to move CSF in central canal

Neuroglia found in PNS

- Schwann cells


- satellite cells

Schwann cells

- form neurolemma & myelin sheath which insulate large axons


- small diameter axons, schwann cells hold several axons in neurlemma, but no myelin sheath forms

Satellite Cells

- surround sensory neuron cell bodies within ganglia,


- regulate exchange of nutrients and wastes between neurons and interstitial Fluid

Myelination

- insulation: accomplished with neurogliagl cells & myelin


- serves to insulate & protect fibers


- increase rate of impulse conduction


Gray matter

- unmyelinated axons, cell bodies and dendrites


- require less wiring

White matter

- myelinated fibers running between different parts of CNS


- white matter axons traveling to similar destinations form bundles called tracts

PNS organs

Nerves & ganglia

Nerves

- bundles of axons


- axons in nerves conduct information between sensory receptors/effectors and the CNS


- van be regenerated if cell body is not destroyed & myelin sheath remains


Two kinds of nerves

- cranial and spinal

Cranial Nerve

- originate in brain


- radiate away from brain


- usually short (except Vagus)


- innervate structures of face & head


Spinal Nerves

- originate in spinal cord


- typically long


31 pairs


- 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccyx

Nerve anatomy

- epineurium: fibrous CT outside of nerve


- perineurium: covers fascicles


- endoneurium: areolar CT, covers individual fibers

Ganglia

- collection of neuron cell bodies outside the CNS


- two kinds: sensory and autonomic ganglia

Sensory Ganglia

- contain sensory neuron cell bodies (unipolar and bipolar)

Autonomic Ganglia

- contain postganglionic ANS cell bodies & dendrites


- synapse with ANS pre-ganglionic neurons

Neuronal circuits/pathways

- wiring diagram of NS

Pathways

- route followed by series of nerve impulses from origin in dendrites of 1 neuron to arrival elsewhere in body

Tracts

-collection of nerve fibers in CNS having the same origin, destination, function

Circuit

- arrangement of interneurons in specific patterns


- serial, diverging, converging, reverberating and parallel

Reflex arc

- most simple neuronal circuit, neural pathway


- rapid, automati motor responses to stimuli


- unlearned, involuntary, unpremeditated

5 parts of reflex arc

- receptor (Sensor), sensory neuron (Afferent), interneuron, motor neuron (Efferent), effector

Location of reflex arc parts

- sensory receptor: found all over body


- sensory neuron: fiber in nerve, cell body ganglion


- interneuron: in CNS; complexity of response relates to # of interneurons, simple reflex has only 1


- motor neuron: cell body in cord or brain, axon leaves & becomes part of nerve


- Effector: muscle and Glands

Complex neuronal circuits/pathways

- differ from reflex arcs because they have more than one interneuron

Protection & covering of Spinal Cord

- meninges


- dura mater


- arachnoid


- pia mater

Meninges

- CT coverings that encircle brain & spinal cord

Dura mater

- dense fibrous CT

Arachnoid

- collagen & elastic fibers

Pia Matter

- delicate CT with collagen


- vascular

Conus medullaris

- tapers end of spinal cord


- there are cervical & lumbar enlargements

Cauda Equina

- collection of roots

Denticulate ligament

- anchors spinal chord laterally


- protects from shock & displacement


- extensions of pia mater that fuse with dura

Terminal Filament of Pia

- fuses with terminal filament of dura (filum terminale) coccygeal ligament

Posterior Horn (Gray Matter)

- general sense neurons terminate here


- synapse with interneurons

Lateral Horn ( Gray matter)

- autonomic motor neuron cell bodies here


- innervate smooth muscle, cardiac muscle, glands

Anterior Horn

- somatic motor neuron cells bodies here


- innervate skeletal muscle

Posterior White Column

- contains axons of one ascending sensory tract


- general sensory axons of neurons carry information


- meissner corpuscles, and joint receptors

Lateral White Column

- contains both sensory and motor tracts

Anterior white column

has both sensory & motor tracts

Dorsal root ganglia

- one for each segment of the cord


- carry general sensory information

Autonomic ganglia

- sympathetic trunk ganglia


- collateral ganglia


- PS ganglia

Spinal Cords two basic Functions

- highway: nerve impulse conduction, contain tracts carrying information to'from brain


- integration center: serves as integrating center for spinal reflexes

Dermatome

- cutaneous area receiving most of its innervation from one spinal nerve


- area of skin that provides sensory input to the posterior roots of one pair of spinal nerves or to one spinal cord segment

Myotome

- muscle group innervated by one spinal nerve


- note each spinal nerve innervaates one dermatome and one myotome

Plexus

- network of interweaving anterior rami of spinal nerves

Basic anatomy of nerves

- two roots leave spinal cord: ventral contain motor fibers, and dorsal root contains sensory fibers


- ventral and dorsal roots join & from a mixed nerve


- nerve passes through intervertebral foramen & divides into branches called rami

Dorsal Ramus

- serves deep muscle & skin of dorsal surface of trunk

Ventral Ramus

- serves muscles & structures of upper, lower extremities, and lateral & ventral trunk

Rami communicantes

- hold components of autonomic nervous system

Brain function

- conducts integration part of information flow


- interpretation of sensory input


- control of motor output


- integration => thought , emotion, memory, intellect


- gray matter is cell bodies= cortex and nuclei


- white matter= myelinated fibers

Brain Development

1. ectoderm origin of NS


2. Neural Tube


3. 3 primary vesicles


4. Overgrowth of Telencephalon


5. Ventricles follow growth


6. gray & white matter

Ectoderm origin of Nervous System

- neural plate, neural groove folds becomes neural tube, made of neuroblasts => neurons & glial cells


- neural crest cells => mass of cells between neural tube & skin ectoderm can migrate. becomes dorsal ganglia, spinal nerves, cranial nerves, ANS ganglia, adrenal medulla


- notochord: supports tube before bone forms, becomes nucleus pulposus

2. Neural Tube

- hollow


- walls form central nervous system and central cavity


- ventricles and central canal


- anterior tube becomes brain


- posterior becomes spinal cord

3. 3 primary vesicles form

- Prosencephalon = forebrain


- mesencephalon = midbrain


- rhombencephalon = hindbrain

3. 5 secondary vesicles form from 3 vesicles

- telencephalon = cerebral hemispheres & basal nuclei


- diencephalon = thalamus & hypothalamus


- mesencephalon = midbrain


- metencephalon = pons & cerebellum


- myelencephalon = medulla oblongata

4. Telencephalon overgrows

- Sprouts 2 swellings that become cerebral hemispheres that are seperated by longitudinal fissure


- grows forward & then back over diencephalon, w/ smell center at tip of horn

5. ventricle follow growth

- those in telecephalon become lateral ventricles


- diencephalon => 3rd Ventricle


-mesencephalon => cerebral aqueduct


- metencephalon => 4th ventricle


- myelencephalon => 4th ventricle

6. Gray & white matter

- inner layer of cells, near ventricles becomes basal nuclei, while other gray matter cells migrate & form cortex


- connections become myelinated => white matter, fiber tracts


- processes grow towards specific targets in branching like pattern

7. Summary of vesicles

- Telencephalon => cerebrum: hemispheres, cortex, nuclei, lateral ventricles


- diencephalon => thalamus, hypothalamus, third ventricle


- mesencephalon => midbrain; red nucleus, substantia nigra, aqueduct


- metencephalon => pons & cerebellum fourth ventricle


- myelencephalon => medulla oblongata and fourt ventricle

Medulla

- tracts & nuclei, 4th ventricle


- pyramids: contain motor tracts, from cerebrum to spinal cord


- olives: conduct proprioceptive info to cerebellum, contribute to equilibrium


- regulates, swallow, hiccup, vomit, cough, sneeze


- cranial nerves 9-12

Pons

- tracts and nuclei


- connects 2 lobes of cerebellum


- Middle cerevellar peduncles: tracts connect cortex, pons to cerebellum


- superior cerebellar peduncles: tracts connect cerebellum, midbrain, to cortex


- inferior cerebellar peduncles: tracts that bring proprioceptive info from vestibular nuclei & cord longitudinal tracts are motor & sensory tracts


- respiratory control


- Cranial nerves 5-8

Midbrain

- tracts and nuclei


- corpora quadrigemina: Superior colliculi => moves head in response to visual, inferior colliculi => moves head in response to auditory


- nuclei: incluede red nuclei, substantia nigra, peraqueductal gray


- 3-4 cranial nerves

Red nuclei

- subcortical somatic motor center


- part of reticular formation, iron pigment

z

Substantia Nigra

- functionally linked to basal nuclei axons project to globus pallidus


- has inhibitory effect


- addiction

Periaqueductal Gray

- surrounds aqueduct, involved in fight/flight

Reticular Activating System

- reticular formation


- brings us on line each morning, off line at night

Thalamus

- relay station for all sensory information except smell


- Relays info, processes, organizes and amplifies information


- 12 nuclei

Hypothalamus

- 12 nuclei


- ANS control of effectors


- emotions/behaviors


- homeostasis


- pituatary gland

Purkinje cells

- only output neurons of cerebellar cortex

Cerebellum function

- ensures smooth coordinated body movements


- compare motor plan from cortex with sensory input on current movements, equilibrium, and makes adjustments by sending info back to cortex


- adjusts posture to maintain equilibrium

3 functional area in cortex

- motor: primary motor cortex, broca's area


- sensory: Primary somatosensory cortex


- association: prefrontal cortex, language areas, insula

Frontal Lobe

- Controls precise skilled voluntary movements


- precentral gyrus: primary motor cortex


- pyramidal cells here project in pyramidal tracts to motor neurons


- serves as memory bank


- broca;s area controls speech

Parietal

- processes somatic sensory input


- touch pressure pain and temp


- postcentral gyrus: primary somatosensory cortex

Occipital

- Processes visual input, interprets shape, color and movement

Temporal

- processes auditory in put


- coordinates visual & auditory aspects of language


- Wernickes area is for speech

Insula

- deep to temporal


- function not clear


- may have roles in language, equilibrium and regulation of visceral function

Putamen part of lentiform

- acts closely with caudate


- cotrols muscular movement at subconcious level

caudate

controls large automatic movements


- arm swinging

globus pallidus

regulates muscle tone by exiting and inhibiing the thalamus

Association fibers

- connect gyri in same hemispheres

commisural fibers

- connect 2 hemispheres


- corpus callosum, anterior and posterior commissure


Projection fibers

- forms ascending & descending tracts


- internal capsule, corona radiata

Function of lymbic system

- emotional brain


- projects to hypothalamus => generates visceral responses to emotion, and to cortex to coordinate thought & emotion


- consolidating & retrieving memory

Lymbic system includes

- hippocampus


- amygdala


- fornix

Hippocampus

- encodes, consolidates, retrieves memories of facts & events

Amygdala

- pereceives fear, stimulates appropriate sympathetic response


- forms memories based entirely on their emotional impact

Fornix

- tract with association fibers from hippocampus to mammilary bodies of hypothalamus

Choroid Plexuses

- creates CSF in ventricles


- covered in ependymal cells

Cranial Nerce I

- olfactory


- smell

Cranial Nerve II

Optic


vision

Cranial Nerve III

- Oculomotor


- innervates eye muscle


- focuses and constricts pupil

Cranial Nerve IV

- Trochlear


- eye muscle control

Cranial Nerve V

- Trigeminal


- innervates muscles of mastication


- sensory touch, pain, temperature, muscle sense

Cranial Nerve VI

- Abducen


- eye muscle control

Cranial Nerve VII

- facial


- innervates muscles of facial expression


- two thirds of tongue

Cranial Nerve VIII

- conducts equilibrium and auditory sensations to brain

Cranial Nerve IX

- receives taste and touch from posterior of tongue

Cranial Nerve X

- vagus


- innervates head and neck


- innervates thoracic and abdominal cavities

Cranial Nerve XI

- innervates trapezius, sternocleidomastoid


- accesory

Cranial Nerve XII

- Innervates intrinsic and extrinsic tongue muscles

Autonomic Nervous System

- means without conscious control, involuntary, automatic


- separates into somatic and autonomic motor divisions

Somatic Motor (ANS Com..)

- Effector: skeletal muscle


- action: voluntary, always excitatory


- origin: ventral gray horn of spinal cord


- outflow: 1 neuron (CNS=>effector)


-CNS control centers: frontal lobe-motor cortex, basal nuclei, cerebellum, substantia nigra, red nucleus

Autonomic Motor (ANS Comp..)

Effector: cardiac & smooth muscle, glands, dual innervation S & PS


- Action: involuntary, excitatory or inhibitory


- Origin: lateral gray horn of spinal cord, and Cranial nerve nuclei


- Outflow: 2 neurons (CNS=>effector) has ganglia


- CNS control centers: hypothalamus, medulla, amygdala

Dorsal Root Ganglia vs. autonomic ganglia

- DRG: contain general sensory, unipolar cell bodies and no synapses


- AG: contain voluntary, motor, multipolar cell bodies, and synapses

Neural Crest Cells

- very mobile


- give rise to dorsal root ganglia & autonomic ganglia

Sympathetic Vs. Parasympathetic

- organs receive dual s & PS innervation


- Coordinated effects


- sympathetic initiates autonomic resposnes approriate for fight or flight


- Parasympathetic appropriate for rest & digest

Sympathetic (comp..)

function: fight or flight


origin: thoraco-lumbar regions of spinal cord


-neurons: short pre-, long postganglionic


ganglia: sympathetic trunk & collateral, near vertabrae bodies


Output/action: divergent 1:30, diffuse, bodywide action


neurotransmitter: Acetyl Choline and Norepinephrine

Parasympathetic (Comp..)

Function: rest/digest


Origin: cranio sacral, regions of CNS


Neurons: long pre-, short postganglionic


Ganglia: terminal, in target organ wall


Output/Action: focused 1:6, limited, specific action


Neurotransmitter: Acetyl Choline & Acetyl Choline

Sympathetic trunk Ganglia

- found lateral & adjacent to spinal cord

Collateral Ganglia

- larger in size, fewer in number


- found next to aorta


- ganglia sit in CT where key arteries leave aorta


- includes celiac, superior mesenteric & inferior mesenteric ganglia

Terminal Ganglia

- these are parasympathetic trunk Ganglia


- small & numerous


- near or in the walls of innervated organs like the heart, glands and smooth muscle

Vagus Nerve

- 75% of PS output &serves thoracic and upper abdominal structures

4 pathways to effectors Sympathetic

1. Spinal Nerve Pathway: serves skin of neck, torso and limbs


2. Postganglionic Sympathetic Pathway: serves head, neck, thoracic viscera


3. splanchnic nerve pathway: serves abdominal/ pelvic viscera


4. Adrenal Medulla Pathway: serves adrenal gland

Spinal Nerve Pathway 3 pathway options

- stay at same spinal level: preganglionic enter white communicating ramus, postganglionic leaves gray communicating ramus


- Ascend to upper spinal level: preganglionic enter white communicating ramu, travel to upper ganglia, leaves gray communicating ramus


- descend to lower spinal level: enter white communicating ramus, travel to lower ganglia, leaves gray communicating ramus

Postganglionic sympathetic nerve pathway

- preganglionic enters white communicating ramus, stays at same level or travels to upper ganglia, does not leave ganglion through gray communicating ramus, extends from ganglia

Splanchnic Nerve Pathway

- pre- enters white communicating ramus, enters or passes through sympathetic ganglia at same level or lower level, travels in splanchnic nerves to prevertebral ganglia, exits prevertebral ganglia

Adrenal Medulla Pathway

- Pre- enters white communicating ramus, passes through sympathetic ganglia, synapses with neurosecretory cells of adrenal medulla,


- secretes epinephrine/noreepinephrine


- no postganglionic fibers

Pyramidal/Corticospinal

- conscious, voluntary control of skeletal muscles


- 1st neuron: cell body in precentral gyrus, axon projects to anterior gray horn at appropriate level of cord, axons dessucate in medulla


- 2nd neuron: cell body in anterior gray horn, exits cord via ventral root, innervates skeletal muscle via spinal nerves

Extrapyramidal

- Subconcious, do not originate in frontal lobe


- postural, muscle tone, and maintain balance

Dorsal Column pathway

- discriminative touch, conscious propioception


- Sensory receptors: Meissner's corpuscles, joint receptors


- 1st neuron: unipolar, sensory, cell body in dorsal root ganglion, posterior horn, to white column


-2nd neuron: axons decussate in medulla=>thalamus in medial lemniscus tract


-3rd neuron: cell body in thalamus, projects to postcentral gyrus

Spinothalamic Pathway

- Crude touch, pain, temperature


- Sensory receptors: free nerve endings, pacinian corpuscles


-1st neuron: unipolar, sensory, cell body in dorsal root ganglion, posterior horn synapses


- 2nd neuron: ccell body in posterior horn, axon decussates=>lateral white column=> thalamus


-3rd neuron: cell body in thalamus, projects to postcentral gyrus

Spinocerebellar pathway

-subconscious proprioception


-receptor: muscle spindle, golgi tendon organ


- 1st neuron: unipolar, sensory, cell body in dorsal root ganglion, axon enters cord via dorsal root, posterior horn, synapses


-2nd Neuron: cell body in posterior horn=>lateral white column=>cerebellum no dcussation, only 2 neurons, subconcious information