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neuraxis
CVM
21
Medical
Graduate
03/14/2010

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Term
where are the centers of CV control in the brain ("CV center")?
Definition
in the medulla and pons of the brain stem
Term
what are the 2 specific nuclei associated generally with specifically CV and other visceral function?
Definition
the nucleus solitarius (visceral afferent nucleus) and the dorsal motor nucleus of the vagus nerve (visceral parasympathetic efferent nucleus)
Term
what kind of control are the CV center and 2 nuclei associated with?
Definition
reflex
Term
what is the neuraxis and how is it activated?
Definition
the neuraxis is the axial part of the CNS, comprising of the brain stem and spinal cord. it is activated by a center in the midbrain (center of consciousness) which uses norepinephrine as its primary neurotransmitter (pupil reactivity is a test to ensure this midbrain center is working)
Term
what are the limbic lobe and system?
Definition
this is the center of emotion and concomitant behavior located deep in the medial sagittal aspects of the cerebrum and has its greatest influence over the hypthalamus
Term
what is the function of the hypothalamus?
Definition
the hypothalamus is the center for convergence and integration of visceral/endocrine activity. in the hypothalamus there are direct connections to the brain stem parasympathetic nuclei and direct connections to the spinal cord sympathetic nuclei
Term
where are the origins for the parasympathetic/craniosacral pathways?
Definition
the cranium: 3,7,9,10
the sacral spinal cord: S2,3,4
Term
where are the origins for the sympathetic/thoracolumbar pathways?
Definition
the thoracic and lumbar spinal cord segments: T1-L2
Term
what does "origin" of a nerve fiber mean?
Definition
the location of the neuron cell body (life center of the nerve cell)
Term
what are ganglia?
Definition
a group of nerve cell bodies outside the CNS
Term
what are the dorsal root ganglia?
Definition
sympathetic chain ganglia, superior cervical chain ganglia, celiac ganglia, aorticorenal ganglia, submucosal and mesenteric ganglia
Term
what do the rami communicantes usually do?
Definition
provide a link between sympathetic ganglia and spinal nerves
Term
where do visceral afferents enter the spinal segments relative to sympathetic efferents?
Definition
at the same vertebral level
Term
parasympathetic innteravation from what cranial nerve involves the heart?
Definition
the vagus (X)
Term
afferent axons paralleling parasympathetics are generally what 2 things in their function?
Definition
reflex and nociceptor
Term
heart muscle would send information about ischmia (due to coronary occlusion) along sympathetic innervation to what spinal cord segments? what other nerves arise from this part of the neuraxis?
Definition
T1-T4, which the ulnar nerve's (C8,T1) innervation is also related to
Term
why is referred pain associated with an MI typically felt on the left?
Definition
the left side of the spinal corde innervates the ventricals predominantly
Term
why would a diabetic be at particularly high risk for problems associated with an MI?
Definition
due to diabetic neuropathy, the nociceptive nerves in the heart may be non-functional
Term
where does convergence occur?
Definition
at the spinal cord dorsal horn of somatic/visceral afferents. spinal cord neurons that transmit information to the cerebrum recieve input from both visceral and somatic structures. because of this convergence and a following single carrier, the cerebrum interprets these signals as arising in essentially the same part of the body
Term
where might divergence of afferent information occur?
Definition
after it has reached the CNS, segments of the neuraxis above and below the entry segment may therefore become activated
Term
what kind of receptors are parasympathetic efferents?
Definition
Ach
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