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Previous Topic | Next Topic  Pain fibers from cholelithiasis 




 
Kaplan Qbank USMLE



Author4 Posts
  #1

What carries pain sensation of a cholelithiasis?

  #2

CHOLELITHIASIS: pain is mainly through
Sympathetic fibres from Coeliac ganglia. (T7 - T9)
some may run in Right phrenic nerve (C3 - C5) (reason for referred R shoulder pain)

CHOLEDOCHOLITHIASIS: pain is through
Sympathetic fibres from Coeliac ganglia. (T7 - T9)


  #3

Is pain of the entire gut--say a stone in the ureter--also mediated by sympathetic fibers?

  #4

Pain fibres from kidney and ureters accompany SYMPATHETIC NERVES (as in most other viscera)

LAST's ANATOMY P369 E9.
Pain fibres from kidney and ureters -----------> along blood vessels to coeliac plexus--------> Splanchnic nerves --------------------> SYMPATHETIC TRUNK -----------------> Via White rami communicantes to T12 - L1 spinal nerves-------> posterior nerve root----------------> spinal cord.

There is some parasympathetic supply from the vagus, of uncertain function, but it is possible that some afferents run with the vagal fibres, and this may explain the nausea and vomiting that may accompany renal pain.
( This is not my view. I have exactly copied the words from Last's A)

LEARNING ANATOMY IS INTERESTING ISN'T IT?








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