Cranial Nerves IX, X, XI.pptx

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Mathew Joseph

Glossopharyngeal Vagus Accessory

Health & Medicine

Cranial Nerves IX,X,XI
Dr Mathew Joseph MBBS, MD(AIIMS), BCC(Palliative Medicine)
Assistant Professor
Department of Anatomy
Amala Institute of Medical Sciences, Thrissur

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The sciatic nerves branches from your lower back through your hips and buttocks and down each leg. Sciatica refers to pain that travels along the path of the sciatic nerve Nerve roots: L4-S3. Motor functions: Innervates the muscles of the posterior thigh (biceps femoris, semimembranosus and semitendinosus) and the hamstring portion of the adductor magnus (remaining portion of which is supplied by the obturator nerve). Indirectly innervates (via its terminal branches) all the muscles of the leg and foot. Sensory functions: No direct sensory functions. Indirectly innervates (via its terminal branches) the skin of the lateral leg, heel, and both the dorsal and plantar surfaces of the foot.

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The main artery of the lower limb is the femoral artery. It is a continuation of the external iliac artery (terminal branch of the abdominal aorta). The external iliac becomes the femoral artery when it crosses under the inguinal ligament and enters the femoral triangle. In the femoral triangle, the profunda femoris artery arises from the posterolateral aspect of the femoral artery. It travels posteriorly and distally, giving off three main branches: Perforating branches – Consists of three or four arteries that perforate the adductor magnus, contributing to the supply of the muscles in the medial and posterior thigh. Lateral femoral circumflex artery – Wraps round the anterior, lateral side of the femur, supplying some of the muscles on the lateral aspect of the thigh. Medial femoral circumflex artery – Wraps round the posterior side of the femur, supplying its neck and head. In a fracture of the femoral neck this artery can easily be damaged, and avascular necrosis of the femur head can occur.

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The lungs are a pair of spongy, air-filled organs located on either side of the chest (thorax). The trachea (windpipe) conducts inhaled air into the lungs through its tubular branches, called bronchi. The bronchi then divide into smaller and smaller branches (bronchioles), finally becoming microscopic. The bronchioles eventually end in clusters of microscopic air sacs called alveoli. In the alveoli, oxygen from the air is absorbed into the blood. Carbon dioxide, a waste product of metabolism, travels from the blood to the alveoli, where it can be exhaled. Between the alveoli is a thin layer of cells called the interstitium, which contains blood vessels and cells that help support the alveoli.

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What is the small intestine? The small intestine is part of your digestive system. It makes up part of the long pathway that food takes through your body, called the gastrointestinal (GI) tract. When food leaves your stomach, it enters the small intestine, also called the small bowel. The small bowel connects to the large bowel, also called the large intestine or colon. The intestines are responsible for breaking food down, absorbing its nutrients and solidifying the waste. The small intestine is the longest part of the GI tract, and it is where most of your digestion takes place. What are the different parts of the small intestine? The small intestine has a beginning section, a middle section and an end section. Although there is no real separation between the parts, they do have slightly different characteristics and roles to play. Duodenum The duodenum is the first part of the small intestine that the stomach feeds into. It’s a short, descending chute (about 10 inches long) that curves around the pancreas in a “C” shape before connecting to the rest of the coiled intestines. Jejunum The remaining small intestine lays in many coils inside the lower abdominal cavity. Its middle section, called the jejunum, makes up a little less than half of this remaining length. The jejunum is characterized by many blood vessels, which give it a deep red color. Ileum The ileum is the last and longest section of the small intestine. Here the walls of the small intestine begin to thin and narrow, and blood supply is reduced. Food spends the most time in the ileum, where the most water and nutrients are absorbed. FUNCTION What does the small intestine do? The small intestine is where most of the long process of digestion takes place. It: Systematically breaks food down. Absorbs nutrients. Extracts water. Moves food along the gastrointestinal tract. There’s a lot involved in all this. The process can take up to five hours. How do the different parts of the small intestine work? Duodenum To help break food down, the small intestine receives digestive juices from other organs in your digestive system, including your liver, gallbladder and pancreas. Ducts from these organs feed into the duodenum. Hormone glands in the lining of the duodenum signal these organs to release their chemicals when food is present. Jejunum After chemical digestion in the duodenum, food moves into the jejunum, where the muscle work of digestion picks up. Nerves in the intestinal walls trigger its muscles to churn food back and forth (segmentation), mixing it with digestive juices. Other muscle movements (peristalsis) keep the food moving gradually forward. Mucosa The walls of the small intestine are lined with a dense mucosa with many glands that both secrete and absorb. In the jejunum and the ileum, the mucosa secretes small amounts of digestive enzymes and lubricating mucus while absorbing nutrients from your food.

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The framework of the nose consists of bone and cartilage. Two small nasal bones and extensions of the maxillae form the bridge of the nose, which is the bony portion. The remainder of the framework is cartilage and is the flexible portion. Connective tissue and skin cover the framework. Air enters the nasal cavity from the outside through two openings: the nostrils or external nares. The openings from the nasal cavity into the pharynx are the internal nares. Nose hairs at the entrance to the nose trap large inhaled particles. Paranasal sinuses are air-filled cavities in the frontal, maxilae, ethmoid, and sphenoid bones. These sinuses, which have the same names as the bones in which they are located, surround the nasal cavity and open into it. They function to reduce the weight of the skull, to produce mucus, and to influence voice quality by acting as resonating chambers.

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What is a Gland? An organised collection of secretory epithelial cells. Most glands are formed during development by proliferation of epithelial cells so that they project into the underlying connective tissue. Some glands retain their continuity with the surface via a duct and are known as EXOCRINE GLANDS. Other glands lose this direct continuity with the surface when their ducts degenerate during development. These glands are known as ENDOCRINE glands.

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These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/

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Dr. Faiza delivers an insightful lecture on the distinguishing characteristics of skeletal, smooth, and cardiac muscles, offering a comprehensive understanding of their histology, physiological anatomy, electrophysiological properties, and contractile mechanisms. Through meticulous tabulation and comparison, she aims to equip learners with a detailed comprehension of the unique features and functionalities of each muscle type. Beginning with a detailed exploration of histological differences, Dr. Faiza outlines key distinctions such as multinucleation in skeletal muscle, mononucleation in smooth and cardiac muscles, and the presence of striations in skeletal and cardiac muscles. She meticulously elucidates the structural arrangement of each muscle type, highlighting their cellular morphology and organization within tissues. Transitioning to physiological anatomy, Dr. Faiza navigates through various aspects including innervation, level of control, initiation of contraction, and modification by hormones. By delineating the role of the somatic nervous system in skeletal muscle control, and contrasting it with the autonomic nervous system's influence on smooth and cardiac muscles, she offers a nuanced understanding of neural regulation in muscle physiology. Furthermore, Dr. Faiza delves into electrophysiological properties, elucidating the mechanisms underlying action potential generation, duration, and ionic basis in each muscle type. Through insightful analysis, she reveals how differences in action potential characteristics contribute to variations in muscle contraction speed, duration, and resistance to fatigue. Finally, Dr. Faiza meticulously examines the contractile mechanisms of skeletal, smooth, and cardiac muscles, shedding light on the sliding filament theory, mechanisms of calcium action, and speed of contraction. By comprehensively comparing these mechanisms, she provides learners with a deep understanding of the intricate processes governing muscle contraction and function. Through engaging presentation and meticulous analysis, Dr. Faiza's lecture serves as a valuable resource for students seeking a thorough understanding of the fundamental differences between skeletal, smooth, and cardiac muscles.

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