samo, sarim,faster guys - neemhakeem

[ArchivalUser]

could you please explain nbme1 section 3 q4
about cholecystectomy.what exactly are they asking in that Q?

[ArchivalUser]

hi neemhakeem
just back from my work
plez the second time u should type the question
explanation :the question ask about the pathogenesis of why cause episodic colic due to sphincter of oddi problem ,the answer is the spasm in the sphincter due to failure of relaxation due to absence of enteric plexus like myenteric plexus
the same mechanism like achalesia and hirschsprung
hope this is help

[ArchivalUser]

thanks.sorry for incovenience .i was just about to copy the question since i realised my mistake.thanks again.hope you get a good score.

[ArchivalUser]

thanks

[ArchivalUser]

CC loss of enteric inhibitory motor innervation

agree with faster.

in Achalasia the inhibitory transmitter is VIP that we loss
in stenosed Sphincter of oddi the inhibitory transmitter is CCk that we loss

both are examples of Non-adrenergic Non-cholinergic inhibitory enteric motor innervation.