SOMATIC AND SPECIAL SENSES (Anatomy and Physiology Correlation for NHPC Exam)

 INTRODUCTION

The sensory system enables the body to perceive, interpret, and respond to changes in the internal and external environment. It consists of sensory receptors, neural pathways, and sensory centers in the brain.Sensations are classified into:1. Somatic (General) Senses – widely distributed across the body.2. Special Senses – localized in specialized organs.



SOMATIC (GENERAL) SENSES

Somatic senses arise from receptors in the skin, muscles, joints, and viscera. They provide information about touch, pressure, temperature, pain, and body position.



Pathways of Somatic Sensation

- Dorsal Column Pathway: carries fine touch, vibration, and proprioception.  Pathway: Receptors → Dorsal root ganglion → Medulla → Thalamus → Somatosensory cortex (postcentral gyrus).- Spinothalamic Tract: carries pain and temperature.  Pathway: Receptors → Dorsal horn of spinal cord → Crosses to opposite side → Thalamus → Cortex.


Clinical Correlation

- Loss of touch/proprioception → lesion in dorsal column.- Loss of pain/temperature → lesion in spinothalamic tract.- Diabetic neuropathy → damage to peripheral receptors → decreased sensation.- Referred pain → visceral pain perceived in somatic areas due to shared pathways.


SPECIAL SENSES

Special senses are highly specialized and localized in distinct organs: Vision, Hearing, Equilibrium, Taste, and Smell.


Vision

Anatomy: Eyeball with three layers – fibrous (sclera, cornea), vascular (choroid, ciliary body, iris), and nervous (retina). Physiology: Light enters cornea → pupil → lens → retina. Rods (dim light), cones (color). Optic nerve transmits to occipital lobe.Clinical: Myopia, Hypermetropia, Cataract, Glaucoma, Color blindness.


Hearing and Equilibrium

Anatomy: External ear (pinna, canal), Middle ear (ossicles), Inner ear (cochlea for hearing, semicircular canals for balance). Sound → Tympanic membrane → Ossicles → Oval window → Cochlea → Hair cells → Auditory nerve → Temporal lobe.

Equilibrium: Static (vestibule) and Dynamic (semicircular canals).



Taste (Gustation)

Receptors: Taste buds on papillae. Nerves: Facial (VII) – anterior 2/3, Glossopharyngeal (IX) – posterior 1/3, Vagus (X) – epiglottis.

Primary tastes: Sweet, Sour, Salty, Bitter,


Smell (Olfaction)

Olfactory epithelium in nasal cavity roof contains receptors.

Impulses via Olfactory nerve (I) → Bulb → Temporal lobe.


Clinical: Anosmia, Hyposmia.



Integration and Perception

All sensory signals reach the sensory cortex for perception. The thalamus acts as a relay center except for smell, which goes directly to the cortex.



Key Exam Points

• Receptors: mechanoreceptors, thermoreceptors, nociceptors, proprioceptors.• Tracts: Dorsal column (fine touch), Spinothalamic (pain/temp).• Retina: Rods and cones.• Organ of Corti: Hearing receptor.• Semicircular canals: Dynamic balance.• Taste cranial nerves: VII, IX, X.• Olfactory nerve (I): Smell.• Thalamus lesion: sensory loss opposite side.






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