how to create barcode in asp.net using c# DISORDERS OF THE AUTONOMIC NERVOUS SYSTEM, RESPIRATION, AND SWALLOWING 453 in Microsoft Office

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DISORDERS OF THE AUTONOMIC NERVOUS SYSTEM, RESPIRATION, AND SWALLOWING 453
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SOMATIC NERVES Skin
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SYMPATHETIC NERVES Afferent autonomic fiber Vasomotor Sudomotor Pilomotor fibers Skin
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Gray rami (post-ganglionic)
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White rami (preganglionic)
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Paravertebral ganglion
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Splanchnic nerve Skeletal muscle
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Prevertebral ganglion
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Postganglionic visceral nerves to smooth muscle of inner organs and visceral blood vessels
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Figure 26-1 Sympathetic out ow from the spinal cord and the course and distribution of sympathetic bers The preganglionic bers are in heavy lines; postganglionic bers are in thin lines (Reproduced by permission from Pick)
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of the facial nerve traverse the tympanic cavity as the chorda tympani and eventually join the submandibular ganglion; cells of this ganglion innervate the submandibular and sublingual glands Axons of the inferior salivatory nerve cells enter the glossopharyngeal nerve and reach the otic ganglion through the tympanic plexus and lesser super cial petrosal nerve; cells of the otic ganglion send bers to the parotid gland Preganglionic bers, derived from the dorsal motor nucleus of the vagus and adjacent visceral nuclei in the lateral reticular formation, enter the vagus nerve and terminate in ganglia situated in the walls of many thoracic and abdominal viscera; the ganglionic cells give rise to short postganglionic bers that activate smooth muscle and glands of the pharynx, esophagus, and gastrointestinal tract (up to the descending colon) and of the heart, pancreas, liver, gallbladder, kidney, and ureter The sacral part of the parasympathetic system originates in the lateral horn cells of the second, third, and fourth sacral segments Axons of these sacral neurons, constituting the preganglionic bers, traverse the sacral nerves and synapse in ganglia that lie within the walls of the distal colon, bladder, and other pelvic organs Thus, the sacral autonomic neurons, like the cranial ones, have long preganglionic and short postganglionic bers a feature that permits a circumscribed in uence upon the target organ Probably the neurons that activate striated muscle differ from those that innervate glands and smooth muscle In the sacral segments, for example, the neurons that activate the external sphincters (voluntary muscle) differ from others that supply the smooth muscle of bladder and rectocolon In 1900, Onufrowicz (calling himself Onuf) described a discrete, compact group of relatively small cells
in the anterior horns of sacral segments 2 to 4 These neurons were originally thought to be autonomic in function, mainly because of their histologic features There is now more compelling evidence that they are somatomotor, innervating the skeletal muscle of the external urethral and anal sphincters (Holstege and Tan) Neurons in the intermediolateral cell column of sacral cord segments innervate the detrusor of the bladder wall In passing, it is worth noting that in motor system disease, in which bladder and bowel functions are usually preserved until late in the disease, the neurons in Onuf s nucleus, in contrast to other somatomotor neurons in the sacral cord, tend not to be involved in the degenerative process (Mannen et al) The Sympathetic Nervous System (Fig 26-3) The preganglionic neurons of the sympathetic division originate in the intermediolateral cell column of the spinal gray matter, from the eighth cervical to the second lumbar segments Low and Dyck have estimated that each segment of the cord contains about 5000 lateral horn cells and that, in late adult life, there is an attrition of 5 to 7 percent per decade Axons of the nerve bers originating in the intermediolateral column are of small caliber and are myelinated; when grouped, they form the white communicating rami These preganglionic bers synapse with the cell bodies of the postganglionic neurons, which are collected into two large ganglionated chains or cords, one on each side of the vertebral column (paravertebral ganglia), and several single prevertebral ganglia Axons of the sympathetic ganglion cells are also of small caliber but are unmyelinated Most of the postganglionic bers pass
PART 2
CARDINAL MANIFESTATIONS OF NEUROLOGIC DISEASE
Descending autonomic pathways Accessory oculomotor nucleus (Edinger-Westphal) III Salivatory Superior nuclei Inferior Dorsal vagal nucleus X VII IX
Hypothalamus Ciliary ganglion Eye and lacrimal gland Sphenopalatine ganglion Blood vessels and glands of head Otic ganglion Submandibular ganglion
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