intro spinal cord and spinal nerves 10_23

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Jan 9, 2024

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Lab: Part 1: Practice applying knowledge from Ch11 (functional organization of nervous tissue, neuron signaling) Part 2: Spinal Cord and Spinal nerves anatomy To do prior to lab: 1. Study for the Lab Quiz . Remember, the lab quiz this week will include pictures of nerves and cells of nervous system covered in previous exercise. You will need to identify neurons by structure, function and location. You will also need to identify locations and functions of glial cells. 2. Check your understanding of nervous system (covered in lecture) by answering critical questions below. You will need to upload the entire exercise as a single PDF (30% penalty if not incorrect format). Make sure all answers are in your own words. Failing to answer the questions in your own words violates academic integrity. Be as specific and detailed as possible in your answers to showcase your understanding of muscle physiology. Don’t give one word responses, explain how you came to this conclusion. A. List two differences between white matter & gray matter. Give an example of each in the CNS and PNS. ( 2pts ) B. Mature neurons are unable to give rise to brain tumors. Explain why this is so. However, as you know, people do get brain tumors. If neurons are unable to give rise to tumors of the nervous system, what cells do form brain tumors? ( 2pts ) C. In multiple sclerosis, there is progressive and intermittent damage to the myelin sheath of peripheral nerves. This results in poor motor control of the affected area. Why does destruction of the myelin sheath affect motor control? ( 3pts ) D. Let’s apply our knowledge of action potentials to understand the general mechanisms of anesthesia. Read the simplified explanation of anesthesia and answer the questions 1-8 below: Specific neurons maintain state of consciousness when depolarized , but we enter the state of unconsciousness when anesth etics hyperpolarize them. The anesthetic binds to and opens a certain kind of K + channel, which increases K + “leak” current , while voltage-gated potassium channels are unaffected . This inhibits the neurons, and therefore you aren’t conscious of the surgeons performing the procedure.” 1. At resting membrane potential, does sodium leak in or out of the cell? Why is it leaking in/out? Mention the role of electrochemical gradients in your answer. ( 2pts ) 2. In your own words, compare depolarization and hyperpolarization and explain how each of them would relate the threshold potential. ( 2pts ) 3. When person is conscious, certain neurons conduct action potentials. Describe in detail depolarization of a neuron to threshold. Make sure to mention graded potential, chemically and voltage gated channels in your answer ( 2pts ) 4. What is meant by the statement “anesthesia inhibits the neurons?” ( 1pts ) (Hint: mention membrane potential and threshold in your answer).
5. How are leak potassium channels are different than voltage-gated potassium channels? Where are they located? Are they open or closed at resting membrane potential? ( 2pts ) 6. If the anesthesia opens more potassium leak channels, why are neurons less likely to produce action potentials? ( 2pts ) 7. Before surgery, pre-op blood work confirms that the patient does not have hyperkalemia (high extracellular potassium concentration). Hyperkalemia must be corrected before surgery because it can make neurons and muscle cells more excitable. Explain the underlying mechanism of why cells are more excitable during hyperkalemia. ( 3pts ) 8. Similar types of potassium channels are found in skeletal muscle plasma membranes. Would you expect general anesthesia to enhance or inhibit muscle contraction? Explain how you came to this conclusion. ( 2pts ) Anatomy practice: ( 4 pts for completion of labeling ) 1. Read about the anatomy of the spinal cord (Chapter 12) 2. Identify and label the features of the spinal cord inside the vertebrae on a figure below. Use figures 12. 1 for reference. Indicate two major areas where the spinal cord is enlarged and explain the reasons for the enlargement. a. Cervical enlargement (enervates shoulder and arms) b. Lumbar (lambosacral) enlargement (enervates pelvic region and legs) c. Conus medullaris d. Cauda equina e. Filum Terminale 3. Identify and label spinal nerves (use figure 12.13 for reference ) Cervical nerves (C 1 – C 8 ) Thoracic nerves (T 1 – T 12 ) Lumbar nerves (L 1 – L 5 ) Sacral nerves (S 1 – S 5 ) Coccygeal nerve (Co 1 ) 2
4. Identify and label protective structures of the spinal cord on a figure below. Use figure 12.2 for reference. a. Vertebra b. Epidural space c. Dura mater d. Subdural space e. Arachinoid mater f. Subarachnoid space g. Pia mater 5. Identify the anatomical structures within the section of spinal cord. Use figure 12.3 for reference. a. Gray matter i. Posterior (dorsal) gray horn ii. Anterior (ventral) gray horn iii. Lateral gray horn iv. Gray commissure b. White matter i. Anterior median fissure (wider) ii. Posterior median sulcus iii. White columns 3
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1. Dorsal column (funiculus) 2. Lateral column (funiculus) 3. Ventral (anterior) column funiculus c. Central canal d. Spinal nerve i. Dorsal root (sensory) ii. Dorsal root ganglion iii. Ventral root (motor) iv. Nerve Obtain a prepared slide of the cross section of the spinal cord, take a picture or draw what you see. Examine slide carefully under low power and identify spinal cord features. 4
6. Understand what nerve plexuses are and identify four major nerve plexuses. Use Figures 12.13 for reference. Be able to identify specific nerves arising from each plexus. Plexus (plexuses plural): network of interweaving anterior rami of spinal nerves. The nerve plexuses split into multiple “named” nerves that innervate various body structures. Be able to identify the plexuses and nerves on diagrams uploaded to Bb and know general areal they innervate. Your textbook does a great job with describing the innervation. a. Cervical plexus (C 1 – C 5 ) (enervates shoulder, back of head and neck) i. Phrenic nerve (innervates diaphragm) b. Brachial plexus (C 5 – C 8 , T 1 ) (enervates pectoral girdle and arms) i. Axillary nerve (serves muscles of shoulder) ii. Radial nerve (supplies extensor muscles) iii. Median nerve (flexor muscles of forearm + lateral surface of palm & hand) iv. Musculocutanious nerve (flexors of lateral surface of forearm) v. Ulnar nerve (around medial epicondyle) c. Lumbar plexus (L 1 – L 4 ) (enervates lower abdominopelvic region and anterior thigh) i. Femoral nerve (innervates anterior thigh) d. Sacral plexus (L 4 – S 4 ) (enervates buttocks, posterior thigh) i. Sciatic nerve (composed of 2 nerves in a common sheath); they split by the knee 1. Tibial nerve 2. Fibular nerve Check your understanding of nerve innervations solving the following questions. Use Ch12 to for reference: 5
E. Skier breaks his ankle. As part of his treatment, the ankle and leg are placed in a plaster cast. Unfortunately, the cast is too tight around the proximal portion of the leg and presses against the neck of the fibula. Predict where the patient will experience tingling or numbness in the leg. ( 2pts ) F. A cancer patient has his left lung removed. To reduce the space remaining where the lung is removed, the diaphragm on the left side paralyzed to allow the abdominal viscera to push the diaphragm upward. What nerve is cut? ( 1pts ) 6
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