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Peripheral nervous system
Cranial and spinal nerves
Sensory (afferent) nerves
Contain axons of sensory neurons bringing information to the CNS
Motor (efferent) nerves
Carry the axons of motor neurons towards muscle.
somatic nervous system
Contains afferent AND efferent fibers - carrying both sensory and motor information
Ganglia
Cell bodies of neurons grouped together in masses
Epineurium
Outer surface of a nerve
Fascicles
Bundled groups of axons within the nerve
Perineurium
Wraps around each fascicle in a nerve
Endoneurium
Surrounds individual axons
Spinal nerves
31 pairs of nerves arising from the spinal cord
Cervical nerves
8 pairs
Thoracic nerves
12 pairs
Lumbar nerves
5 pairs
Sacral nerves
5 pairs
Coccygeal nerves
1 pair
Dermatome
Region of skin that carries sensory information through a specific pair of spinal nerves to the spinal cord and up to the brain.
Gray matter
Contains the cell bodies of neurons and is where neurons synapse with the interneurons of the CNS
White matter
Contains the axons of neurons
Ventral root
Contains the axons of efferent motor neurons, which conduct impulses away from the cord towards muscle or glands.
Dorsal (posterior) ramus
Contains nerves serving the dorsal portions of the trunk, carrying somatic motor info to the back muscles and sensory information to and from the skin and muscles of the back
Ventral (anterior) ramus
Contains nerves serving the ventral parts of the trunk and the upper and lower limbs carrying visceral motor, somatic motor, and sensory information to and from the body surface, structures in the body wall, and the limbs
Rami communicantes
Branches off of the ventral ramus that communicate with the sympathetic trunk. Can be gray (unmyelinated) or white (myelinated)
Plexus
Network of interconnecting nerves
Meninges
Dura mater, arachnoid mater, pia mater
The connective tissue wrapped around an individual axon is called
Endoneurium
Spinal nerves are mixed, which means
They contain sensory and motor neurons
Which part of the spinal nerve contains afferent fibers?
Dorsal root
Which part of the spinal nerve contains motor fibers?
Ventral root
True or false: A dermatome is the area of skin that provides sensory input to one pair of spinal nerves
True
The motor division of the peripheral nervous system contains:
Sympathetic system, parasympathetic system, autonomic system, somatic system
The _____ carries information from the lateral and ventral sides of the body, somatosensory and proprioceptors from the body surface, body wall, and limbs.
Ventral ramus
True or false: All motor neurons enter the rami communicantes and the sympathetic chain before routing to their effectors.
False
True or false: there are 12 pairs of cervical nerves.
False
Sensation
Biochemical or electrochemical changes at the cellular level in a receptor cell that detect an imbalance in homeostasis or a change in the environment
Perception
Identification, interpretation, and organization of the sensory signal that allows for construction of an appropriate response.
Response
An action or change in behavior that occurs as a result of a stimulus.
Ascending tracts
Carry sensory info from the PNS to the CNS
Descending tracts
Carry output from the brain, to the spinal cord, and out to the periphery
Sensory receptors
Detect a specific stimulus and convert the stimulus into electrochemical signals that are sent to the central nervous system (CNS)
4 main types of sensory receptors
Nociceptors, Thermoreceptors, Mechanoreceptors, Chemoreceptors
Nociceptors
Detect pain
Thermoreceptors
Detect changes in temperature
Mechanoreceptors
Respond to touch, pressure, vibration, sense of sound, balance
Meissner's corpuscles
Detect fine touch and vibration
Lamellar corpuscles (pacinian corpuscles)
Respond to deep pressure
Root hair plexuses
Wrap around a hair follicle, perceiving information when a hair follicle moves
Baroreceptors
Sense changes in pressure within organs. Found in blood vessels and the digestive, urinary, and respiratory tracts.
Proprioceptor
Monitor tension and stretch in muscles to prevent tearing or overstretching
Chemoreceptors
Detect chemical stimuli
Exteroceptor
Detect stimuli coming from the external environment
Telereceptors
Specialized to detect stimuli from a far distance, such as photoreceptors for vision and hair cells for hearing.
Interoceptors
Detect stimuli from internal organs and tissues.
Ex: baroreceptors
Osmoreceptors
Primary present in hypothalamus. Type of intercepter that detects changes in the solute concentrations of blood.
Types of exteroceptors
Somatosensory, chemoreceptors, telereceptors
Types of interoceptors
Baroceptors, chemoreceptors, stretch receptos, osmoreceptors, proprioceptors
A patient's blood has increased sodium (hypernatremia) because their receptors to trigger thirst, which increases blood volume and dilutes the plasma is not occurring.
Osmoreceptor
A patient's sight is deteriorating
Photoreceptors
A patient's heart rate is dysregulated, as the body is not accurately detecting blood pressure changes.
Baroreceptors
Patient has difficulty walking across uneven terrain and is uncoordinated.
Proprioceptors
Patient has pain insensitivity.
Nociceptors
Special sensory nerves
Carry info responsible for sight, smell, hearing, balance
Olfactory (I)
Smell
Optic (II)
Vision
Oculomotor (III)
Eye movement, pupil constriction
Trochlear (IV)
Eye movement
Trigeminal (V)
Facial sensation; mastication
Abducens (VI)
Eye movement
Facial (VII)
Facial expression, taste, saliva, tear secretion
Vestibulocochlear (VIII)
Hearing and balance
Glossopharyngeal (IX)
Taste, swallowing, saliva secretion
Vagus (X)
Parasympathetic control over visceral organs (heart, smooth muscles of GI tract)
Accessory (XI)
Shoulder and neck movement
Hypoglossal (XII)
Tongue movement
Cervical plexus
Composed of ventral rami from spinal nerves c1-c5 and branches into nerves in the posterior neck and head.
Phrenic nerve
Major nerve of the cervical plexus that connects to the diaphragm at the base of the thoracic cavity from spinal nerves c3, c4, c5.
Brachial plexus
C5-T1
Axillary nerve
Supplies deltoid, teres minor, long head of triceps brachia, skin of shoulder, muscles of skin and skin of superior thorax
Radial nerve
Supplies triceps brachii, as well as twelve muscles in the forearm controlling wrist and finger extension.
Median nerve
Supplies flexor muscles of the forearm and the skin of the first three and a half fingers.
Ulnar nerve
Supplies part of the flexor muscles of the forearm, wrist, and hand, as well as the skin of half the ring finger and pinky finger.
Musculocutaneous nerve
Responsible for the flexor muscles of the arm, including the biceps brachii and brachialis
Lumbar plexus
T12-L4. Has an anterior and a posterior division which branch into nerves to supply the pelvis and lower extremities
Major nerves of the lumbar plexus
Ilohypogastric, ilio-inguinal, genitofemoral, femoral, obturator, lateral femoral cutaneous
Femoral nerve
Innervates the hip flexors and knee extensors
Lateral femoral cutaneous nerve
Receives sensory info from the skin of the anterior, lateral, and posterior surfaces of the thigh
Obturator nerve
supplies the adductor muscles of the medial thigh.
Sacral plexus
L4-S4.
Major nerves of the sacral plexus
Sciatic, superior and inferior gluteal
Sciatic nerve
Largest nerve in the human body, supplies the inferior trunk and posterior surface of the thigh to innervate hip extensors and knee flexors. Two main branches - common fibular (peroneal), and tibial
Common fibular (peroneal) nerve
Innervates the lateral aspect of the lower leg and foot
Tibial nerve
Innervates the posterior lower leg and posterior foot
Superior and inferior gluteal nerves
Innervate the gluteal muscles of the hip
Atrophy
Muscles are not stimulated, leading to muscle tissue loss
Entrapment
When a nerve is compressed between two structures
Carpal tunnel syndrome
Compression of the median nerve in the carpal tunnel, leading to decreased sensation in the first three digits and half of the fourth digit. Can lead to atrophy.
Sciatica
Increased pressure on the sciatic nerve from surrounding muscles. Results in pain along the sciatic nerve.
Which nerve is damaged in carpal tunnel syndrome?
Median
The _____ nerve stimulates the diaphragm to contract.
Phrenic
Which nerve plexus does the nerve that stimulates the diaphragm arise from?
Cervical plexus
The largest nerve in the body, the sciatic nerve, arised from which plexus?
Sacral plexus