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Where is the brain located?
In the cranial cavity
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What are the functions of the brain?
- Sensory perceptions
- Issues moto commands
- Memory
- Reasoning
- Coordinates muscular movements
- Regulates visceral (organ) activities
- Personality
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What are the 4 major parts of the brain?
- Cerebrum (last portion to develop)
- Diencephalon (inner part)
- Brain stem (midbrain, pons and medulla oblongata)
- Cerebellum
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What makes up the Cerebrum?
- 2 hemispheres connected by a bridge of nerve fibers called the corpus callosum (L & R)
- The two hemispheres are separately the falx cerebri (midsagittal plane)
- Largest
- Gyri: ridges
- Sulci: shallow grooves
- Fissures: deep grooves
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Frontal lobe of cerebrum
Primary MOTOR area
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Parietal lobe of cerebrum
- Posterior to frontal lobe
- Primary SENSORY area
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Temporal lobe of cerebrum
Inferior to frontal and prietal lobes
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Occipital lobe of the cerebrum
Posterior portion of cerebrum
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What is the insula?
- we still don't know much about it
- Deep
- Covered by parts of frontal, parietal and temporal lobes
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What is gray matter?
- Unmyelinated cell bodies (no sheath)
- Cerebral cortex (surface/magic shell): superficial portion of the hemispheres consit of thin layer (2-5 mm thick)
- Consistd mostly of the *nerve cell bodie of nuclei (which appear gray in color)
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What is white matter?
- Beneatht he cortex
- Consists of mostly *myleinated nerve anons (has white sheath, appears white in color)
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What is the Basale Ganglia?
- Masses of gray matter that are located deep within the cortex of the cerebrum
- Caudate nucleus, putamen,a nd globus padillus
- *Relay states for MOTOR impulses originating in the cerebral cortex and can inhibit motor functions by searching dopamine (=movement)(NT) (Parkinsons)
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Where is the diencephalon located?
Bwtween the cerebral hemispheres and above the brain stem. (Deep)
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What does the diecephalon consist of?
Mostly gray matter
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What are the regions of the diecephalon?
- Thalamus
- Hypothalamus
- Limbic system
- Optic tracts
- Optic chiasma
- Infundibulum (stalk)
- Posterior pituitary gland (right behind bridge of nose)
- Pineal gland
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*What does the thalamus do?
Receives sensory impulses and channels them to appropriate regions of the cortex for interpretation.
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What does the hypothalamus do?
Regulates heart rate, arterial BP, body temperature, water and electrolyte balance, controls hunger and body weight.
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*What does the Limbic System do?
Controls emtions (also memory and smell)
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What is the function of the brain stem?
Connects the brain and spinal cord
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What makes up the brain stem?
- Midbrain
- Pons (connects it with cerebellum)
- Medulla oblongata
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Where is the midbrain located?
Lies between the diencephalon and the pons
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Where is the pons located?
Separates the midbrain from the medulla oblongata
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Where and what is the medulla oblongata?
- Enlarged superior continuation of the spinal cord (lower end)
- -Olives (bundles of nerve fibers)
- -Nucleus gracilis and cuneatus (receive sensory impulses from the spinal cord)
- -"Centers" formed by nuclei
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What are the functions of the "Centers" formed by nuclei (of the medulla)?
- Cardiac center: controls heart rate
- Vasomotor center: alters blood pressure by controlling dilation and constriciton of bl. vessels
- Respiratory center: regulates rate, rhythm and depth of breathing
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What is reticular formation?
- Located throughout the brainstem and is a network of nerve fibers connected by small nucli (spread out)
- Deals with psychological disorders - filtering issues
- Functions:
- Receives sensory impulses from the spinal cord & responds by activating the cerebral cortex into a state of wakefulness (high energy)
- "Fliters" incoming sensory impulses (passes them along or disregards them)
- Regulates and coordinates motor activities
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What is the Cerebellum?
- Old or Little Brain
- Is an error detection & correction center
- Has 2 hemisoheres
- Consists of an outer cortex (gray matter) and inner cortex(white matter) which are connected by a structure called the vermis (worm)
- Communicates with other parts of the CNS via cerebellar peduncles
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*What is the function of the cerebellum?
*Functions: to coordinate skeletal muscle activity and maintain posture (affect behavior, what makes you you)
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How many spinal nerves are there?
- 31
- Numbered superior to inferior in each spinal region (C1-C8, T1-T12, L1-L5, S1-S5 and Co1)
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Where does the spinal cord end?
Between the level of L1 and L2 (conus medullaris)
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How do lumbar, sacral and coccygeal spinal nerves travel?
As a bundle (cauda equina) through the spinal canal
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*How are spinal nerves formed?
By the merging of the dorsal root (sensory) and ventral root (motor)
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What are the branches of the spinal nerve after it exits the IVF?
- Meningeal (sinuvertebral) branch
- Posterior branch (dorsal ramus)
- Anterior branch (ventral branch)
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*Posterior branch of the spinal nerve
- (dorsal ramus) sensory branch
- Innervates (supplies) muscles (motor) and skin of the back
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Describe the Plexuses (cervical and lumbarsacral)
- Network of cervical, lumbar and sacral ventral rami
- Spinal nerve fibers are sorted and combined into named individual nerves
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Ventral rami (motor) of the thoracic spinal nerve
- Do NOT form Plexuses, but instead travel between ribs (intercostal spaces) where they are called intercostal nerves
- They innervate (supply) intercostal and upper abdominal muscles and the skin of the throax and abdomen
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*What is the location and function of the Cervical Plexus?
- Lies deep in gthe neck and is formed by the ventral rami of C1-C4 (not the upper extremity)
- Nerves formed by the cervical plexus innervate muscles and skin of the NECK (not the face)
- *Nerve fibers fromt he ventral rami C3, 4 & 5 form the phrenic nerve which innervates the diaphragm ("C3, 4&5 keep the diaphragm alive")
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What is the location and function of the Brachial Plexus?
- Located between the neck and axilla (arms and upper extremities)
- Formed by the ventral rami of C5-8 and T1 (nerve roots)
- It innervates the skin, joints and muscles of the shoulder, chest and upper limbs.
- Travels with the subclavian artery and its contination, the axillary artery b/t the anterior and middle scalene muscles and b/t the pectoralis minor and the upper ribs
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What are the major branches of the Brachial Plexus?
- Musculocutaneous nerve
- Ulnar nerve
- Median nerve
- Radial nerve
- Axillary nerve
- Others:
- Lateral and medial pectoral nerves
- Dorsal scapular nerve
- Thoracodorsal nerve
- Suprascapular nerve
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Musculocutaneous nerve
Innervates the coracobrachialis, biceps brachii and brachialis muscles. It ends by forming the lateral antebrachial cutaneous nerve which innervates the skin of the lateral forearm
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Ulnar nerve
- (pinki)
- innervates the flexor carpi ulnaris and the medial half of the flexor digitorum profundous muscles and skin of the hand (deep muscles and fingers)
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Median nerve
innervates all of the muscles of the anterior forearm except the flexor carpi unlaris and it innervates some of the muscles and skin fo the hand (thumb action)
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Radia nerve
innervates the triceps, brachioradialis and the extensor muscles of the forearm as well as the skin of the posterior forearm and hands (back of arm)
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Axillary nerve
Innervates the teres minor and deltoid and skin of the superior, lateral and posterior regions of the arm
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What is the location and function of the Lumbosacral Plexus?
- Formed by the ventral rami from T12, L1-5 S1-5 and the coccygeal nerves
- Everything from the waist down (iliac crest)
- The nerves formed by this plexus innervate the skin, joints and muscles of the lower abdominal wall, external gentalia, buttocks, thighs, legs and feet
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Major branches of the Lumbrosacral Plexus are:
- Obtuator nerve
- Femoral nerve
- Siatic nerve
- Others:
- Pudendal nerve - innervates muscles of the perineum (floor of the pelvis) and sensory from the external genitalia
- Interior gluteal nerve
- Superior gluteal nerve
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Obturator nerve
Innervates the adductors muscles (except pectineus) and skin fo the medial thigh
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Femoral nerve
Innervates iliacus, sartorius, pectineus and quadricepts femoris and skin of the thigh and legs
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Sciatic nerve
- Consists of two divisions in the posterior thigh (tibial and fibular) that innervate the hamstring muscles
- Proximal to the knee it splits into the tibial and common fibular (peroneal) nerves
- Tibial nerve innervates the posterior leg muscles and the foot
- Common fibular nerve innervates muscles of the anterior and lateral leg
- They both innervate the skin and joints of the gluteal region and lower limbs
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*What/where are the Dermatomes?
- Regions (areas) on the skin innervated from nerve fibers that originate from a specific spinal cord level (sensory not motor)
- Sensory fibers from each spinal cord level will innervate skin of the body in a characteristic pattern that varies in size and shape from person to person
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