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Clinical pharmacy 2024/2025                  Level 2 Pharm D                       Physiology and Pathophysiology (MD303)


         •  PNMT catalyzes the conversion of norepinephrine to epinephrine, a step that,

            requires cortisol from the nearby adrenal cortex.










































                                  Types of ganglia in Sympathetic NS




                    Paravertebral ganglia                         Collateral (prevertebral) ganglia

         ➢  Double row of sympathetic ganglia              •  Sympathetic ganglia which lie between

             located on either side of the spinal              the paravertebral ganglia and the target

             cord.                                             organ.

         ➢  Ganglia within each row are

             interconnected ➔ forming                      •  The ANS nerves that innervate the pelvic

             sympathetic chain of ganglia parallels            viscera continue through the

             the spinal cord.                                  paravertebral ganglia without synapsing.

                                                           •  They form splanchnic nerves that

         o  Divergence: Preganglionic fiber                    synapse in collateral ganglia.

             branch to synapse with numerous               •  Include:

             postganglionic neurons                            a.  Celiac ganglia




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