12: Viscerosomatics

Question 1

Upper GI sympathetics

Answer 1

T5-10

Question 2

SI sympathetics

Answer 2

T9-11

Question 3

Ascending and transverse colon symps

Answer 3

T10-L2

Question 4

Descending and sigmoid colon/rectum symps

Answer 4

T12-L2

Question 5

Which two GI tract parts use S2-S4 for parasymps? (Rest use vagus nerve/OA/AA)

Answer 5

Colon and rectum

Question 6

Long term outcome of rib raising

Answer 6

Prolonged reduction of sympathetic outflow

Question 7

What does paraspinal inhibition do?

Answer 7

Decrease sympathetic tone

Question 8

What does suboccipital release do?

Answer 8

Normalize parasympathetic tone

Question 9

Describe a Chapman’s point

Answer 9

1. Deep to skin in loose CT or deep fascia
2. Often paired anterior/posterior
3. Small, about 2-3mm
4. Smooth, firm, dense

Question 10

Chapman point esophagus ant/post

Answer 10

Ant: btwn ribs 2-3 parasternal
Post: lateral to T2 SP

Question 11

Stomach chapman point

Answer 11

Ant: between Rib 5-6, 6-7 on LEFT at costochondral junction
Post: lateral to T5/T6 SP on LEFT

Question 12

Liver chapman points

Answer 12

Ant: between Rib 5-6, 6-7 on RIGHT at costochondral junction
Post: lateral to T5/T6 SP on RIGHT

Question 13

Gallbladder chapman points

Answer 13

Ant: btwn Rib 6-7 at costochondral junction on right
Post: lateral to T6

Question 14

Pancreas chapman points

Answer 14

Ant: btwn Ribs 7-8 at costochondral junction on right
Post: lateral to T7 SP

Question 15

SI chapman points

Answer 15

Ant: between ribs 8-11 bilaterally at costochondral junction
Post: lateral to SP T8-10