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MUDr. Azzat Al-Redouan PNS- Spinal Nerves

PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

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Page 1: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

MUDr. Azzat Al-Redouan

PNS- Spinal Nerves

Page 2: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 3: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Ganglion

Draw a ganglion

Page 4: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 5: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 6: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 7: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 8: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Spinal Nerve

Draw a spinal nerve

Page 9: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

A) Sympathetic

B) Parasympathetic

Spinal Autonomic Nervous System

Page 10: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 11: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 12: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 13: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 14: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Celiac Ganglia

Page 15: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Dermatomes

Page 16: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 17: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 18: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

(1) Saphenous nerve. (2) Deep peroneal nerve. (3) Superficial peroneal nerve.(4) Medial plantar nerve.(5) Lateral plantar nerve.(6) Tibial nerve.(7) Sural nerve.

Page 19: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 20: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Draw the cervical plexus

CERVICAL PLEXUS

Page 21: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 22: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 23: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Right Phrenic n. Palsy

Page 24: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Topography

Page 25: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

brachial plexus – simplified scheme

Page 26: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Dissection Appearance

Page 27: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Dissection Appearance

Page 28: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Draw the brachial plexus

BRACHIAL PLEXUS

Page 29: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

General Overview of Function

Page 30: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Clinical Application – Injuries (Upper Roots) *Injury at supraclavicular portion.

Page 31: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Clinical Application – Injuries(Lower Roots) *Injury Infraclavicular portion, axillary fossa.

Page 32: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Clinical Application – Injuries(Upper Roots Injury) (Lower Roots Injury)

Page 33: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Clinical Application – Anaesthesia

Page 34: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Clinical Application – Imaging (Sonography)*Can detect compression e.g.tumors*Anaesthesia guidance

SupraclavicularInfraclavicular

Page 35: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Axillary view

Page 36: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Long Thoracic n. & Common Injuries

C5-C7

Page 37: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Axillary n. & Common Injuries

C5-C6

Page 38: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Radial n. & Common Injuries

C5-C8

Page 39: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Musculocutaneus n. & Common Injuries

C5-C7

Page 40: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Median n. & Common Injuries

C5-T1

Page 41: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Ulnar n. & Common Injuries

C7-T1

Page 42: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 43: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Examine the function of brachial plexus:

a) on your selfb) on a colleague

Page 44: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Intercostal nerves

Page 45: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Pleural cavity needle Intercostal n. block

Page 46: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

LumbosacralPlexus

Page 47: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 48: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Draw the Lumbar plexus

LUMBAR PLEXUS

Page 49: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 50: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Femoral n.L2-L4

Obturator n.L2-L4

Page 51: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Lumbar plexus Syndrome

Page 52: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 53: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 54: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Draw the Sacral plexus

SACRAL PLEXUS

Page 55: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

S2-S4

Pudendal n. In Obstetric

Page 56: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Sciatic n. & SciaticaL5-S3

Page 57: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 58: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 59: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Common Fibular nerve injuries

L4-S2

Page 60: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Tibial n. - Proximal injury

L4-S3

Page 61: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Tibial n. - distal injury L4-S2

Page 62: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes
Page 63: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Examine the function of sciatic nerve:

a) on your selfb) on a colleague

Page 64: PNS- Spinal Nerves...PNS- Spinal Nerves Ganglion Draw a ganglion Spinal Nerve Draw a spinal nerve A) Sympathetic B) Parasympathetic Spinal Autonomic Nervous System Celiac Ganglia Dermatomes

Ask before being Asked !