spjokes Forum Senior

Topics: 3 Posts: 88
| | 06/19/06 - 03:28 PM  
 
   
 
|   #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)
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| rman Forum Senior
Topics: 39 Posts: 123
| | 06/19/06 - 04:37 PM  
 
   
 
|   #3 |
Is pain of the entire gut--say a stone in the ureter--also mediated by sympathetic fibers?
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| spjokes Forum Senior

Topics: 3 Posts: 88
| | 06/19/06 - 05:49 PM  
 
   
 
|   #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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