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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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