ist 2 Ch. of Neurophys

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ambershahbaz  on March 20, 2009

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Downstate Ot 10'

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ist 2 Ch. of Neurophys

Pacinian Corpuscles, Ruffinis endings, Free nerve endings
Name mechanoreceptors in the subcutaneous layer of skin?
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Pacinian Corpuscles, Ruffinis endings, Free nerve endings Name mechanoreceptors in the subcutaneous layer of skin?
Merckels Disks, Meissners Corpuscles, and Hair follicules Name mechanoreceptors in the superficial layer of skin?
Merkels Disk and Ruffinis Endings Which mechanoreceptors are slowly adaptive so they generate a sustained response during long stimulus?
Meisners Corpuscle and Pacinian Corpuscle (the rapid vibrators) Which mechanoreceptors are rapidly adapting to stimulus so they respond quickly at first but then stop firing?
one receptor that responds to mechanical, chem., and thermal pain stimuli polymodal nociceptor
Pacinian Corp and Ruffini end Which mechanoreceptors have a large receptive field?
Meissners corp and Merkels disk (M&M is small for a guy) Which mechanoreceptors have a small receptive field?
a decreased threshold for pain, an increased intensity of painful stimuli hyperalgesia
warning system for harmful stimuli, w/drawel reflexes, helps us find an infection, know to rest an injury, prevent muscoloskeletall damage what are the roles of pain?
higher density of mechanorec., have tons of receptor types w/ small recep. fields, more brain tissue devoted to sensory info on finger why are fingertips better at Braille than the elbow?
homunculus A somatotopic map is sometimes called a what?
the density of sensory input receives from that part, and importance of sensory input the size of the cortex devoted to each body part is correlated with what?
Transcutaneous Electrical Nerve Stimulation, stimuli goes to area close to pain which overstimulates and causes temp. pain releif Whats TENS and whats it do?
higher, discriminate The smaller a receptive field, the _____the density of receptors and the more ____they'll be.
nonhairy glaberous skin
periaquaductal grey, opiods, endorphins Name 3 descending pain regulators
certain neurons in dorsal horn are excited by both large myelinated sense axons and small unmyelinated pain axons. If they fire simultaneously an interneuron inhibits signal, but if pain fires alone the signal goes thru Melzak and Wall's Gate Theory of Pain?
Most-fingers, then lips, then big toes. Least-calf, then back, then forearm During tactile discrimination test which body parts are most sensitive, least?
slowest, unmyelinated, pain, itch, temp C-fibers
slower, least myelin (thin), pain and temp Delta fibers
2nd fastest, mechanorec. of skin, 2nd largest myelinated Beta fibers
fastest transmission, most myelin, largest, cary info from proprioceptors of skeletal mm (alpha males have large muscles) Alpha Fibers
directly depolarizes neuronal membraines to make nociceptors more sens. to increase chance of act. potential K+ ions
ascending fibers from viscera and skin run close together and sometimes cause you to feel visceral sensation in the skin Referred Pain
Subst. P Initially causes pain, but w/ repeated exposure the receptor b/ms desensitized In hot peppers, capsaicin causes release of what , which causes what?
Glutamate (released from synapt. vescicles in nociceptor a. terminal) and Subst. P (released from storage granules in theterminal) Name and describe 2 neurotransmitters in pain pathway?
A-delta for acute pain (Pain that comes on quickly, can be severe, but lasts a relatively short time) and C-fibers for itch and long chronic pain Name 2 types of primary pain afferants?
reduce prostaglandin synth. w/out GI side effects, bbut has neg. cardiovasc. side effects. Ex: celebrex and bextra COX-2 Inhibitors
ensures natural mucus lining to protect stomach A function of COX-1?
COX-2 and COX-2 `What 2 enzymes are necessary for prostaglandin synthesis?
direct stretch or bending of nociceptive membrane and subst. released by damages cells at injury site What opens the ion channels of nociceptors?
inhibits both COX 1and COX 2, ex. motrin, advil, aleve. GI side effects NSAIDs?
increase pain in tissues surrounding a damaged area. Ex. touch an area right beside a wound Secondary hyperalgesia
pain in or on an area of damaged tissue. Ex: touch a wound and it hurts more than normal primary algesia
mechanical, extreme temp, O2 deprivation, chem exposure What types of stimuli activate nociceptors?
small recep field so more dense, slow response, superficial pressure (Small Steve Merkle applied superficial pressure to his small wound) Merkels Disk
light touch and vibration, superficial, small fielld, rapid adapting (small meissners vibrators lightly and rapidly touch my clit) Meissners Corp
rapid adapt., large recep field, subcutaneous, deep touch and vibration (large pacinian vibrator deeply and rapidly touches my vagina) Pacinian Corp
slower transmissions, itch stimulus Free nerve endings
subcutaneous, stretch to skin, slow response, large fields (Do the Ruffinis stretch slowly to get larger ROM) Ruffinis ends
polypeptide that binds to receptor molecules that activate ion channel opening in some nocicep., directly depolarizes nocicep., stimulates long lasting intracell changes to make ion channels more senst. bradykinin
supress the release of glutamate fom presyn term and inhibits postsyn term by hyperpolarization. Prevent passage of pain signals thru dorsal horn to higher brain levels What do endorphins do at the cellular level?
area of skin innervated by R and L dorsal roots of a single spinal segment dermatone
sensitive to phys distortion like bending or stretching. Monitor skin contact, heart b. vessel pressure, stretch of dig. organs and bladder, force against teeth mechanoreceptors
free branching unmyelinated nerve endings that signal a body tissue is being or is at ris of being hurt nociceptor
in dorsal root ganglion and cranial n ganglion Where do primary afferant axon's cell bodies lie?
axons that bring info receptors to the CNS Primary Afferant Axons
all in CNS but more concentrated in areas that process nocicep. info.; are endogenous opiod-like subst which are small proteins or peptides Endorphins
act by binding tightly and specifically to several types of opoid recep., applied systemically or epiduraly opioids
a chem relesased by the enzymatic breakdown of a lipid membrain, most pain meds act to inhibit it, they increase sensitivity of nociceptors to pain stimuli, but don't directly elicit pain prostaglandin
peptide neurotransmitter synth and released by nociceptors, activ of 1 branch leads to activ. of surrounding branches, causes vasodilation, and tells mast cells to relase histamine Subst P
swelling, redness, and membraine depolarization at nocicep and sensitized other nocicep. at injured site histamine
PAG's descending neurons are sent to raphe nuclei in medulla, synase and those fibers are then sent to dorsal horn of spinal cord where serotonin is released and depresses nociceptors Periaqueductal Grey Matter

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