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Gastrointestinal > OMM for GI > Flashcards

OMM for GI Flashcards

1
Q

What are the CNs that are a part of the parasympathetic system?

A

3 7 9 10

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2
Q

What is the sacral portion of the parasympathetic system?

A

S2, S3, S4

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3
Q

What are the effects of the parasympathetic system on the GI arterioles?

A

None

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4
Q

What are the effects of the parasympathetic system on the GI musculature?

A

Peristalsis and relaxed sphincter

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5
Q

What are the effects of the parasympathetic system on the liver?

A

Promotes glycogen synthesis

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6
Q

What are the effects of the parasympathetic system on the Glands?

A

Copious secretions

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7
Q

What spinal levels are the ganglia located at?

A

T1 - L2

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8
Q

What are the effects of the sympathetic system on the glands?

A

Decreases secretions

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9
Q

What are the effects of the sympathetic system on the blood vessels?

A

constriction

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10
Q

What are the effects of the sympathetic system on the GI musculature?

A

Decreases peristalsis

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11
Q

What are the effects of the sympathetic system on the gallbladder?

A

Relax

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12
Q

What are the effects of the sympathetic system on the GI arterioles?

A

constriction

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13
Q

When is increased tone most often seen?

A

Disease or trauma state

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14
Q

What happens to lymphatics with increased sympathetic tone?

A

Decreased flow

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15
Q

What are the sympathetic nerves that supply the head and upper extremity?

A

Cervical ganglia

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16
Q

What are the sympathetics to the Lower extremities?

A

Lumbar splanchnic nerves

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17
Q

What happens when there is a decrease in lymphatic flow?

A

Boggy/spongy tissue with lower pH

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18
Q

What happens when there is a flattening of the diaphragm?

A

Decreases the volume displacement and pressure gradient leading to decreased lymphatic drainage, congestion, and decreased CO

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19
Q

What is the most important diaphragm for increasing lymphatic flow?

A

Inlet

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20
Q

Look at the table for viscero-somatic reflexes

A
21
Q

What are the nerve organ bits that are located in the GI tract?

A

Pacinian corpuscles and free nerve endings

22
Q

Visceral pain is poorly localized. What is the supposed effects along the spine?

A

SDs

23
Q

What is the progression of pain sensation in the abdomen?

A

Visceral (poorly localized)

Somatic (well localized)

24
Q

What are the spinal levels that are affected with the upper GI?

A

T5-T11

25
Q

What are the spinal levels that are affected with the lower GI?

A

T9-L2

26
Q

Which side are paraspinal muscles tight on with abdominal pain?

A

Same side as the involved organ

27
Q

What happens when there is handling of the bowel?

A

Causes secondary viscero-visceral reflexes

28
Q

Increased sympathetic tone leads to what problems in the GI system?

A

Increased vascular tone, reducing flow to the tissues

29
Q

What is the effect of sympathetic overtone on the GI mucosa?

A

Increases its sensitivity to pH

30
Q

What happens to sympathetic overtone with the gallbladder?

A

Relaxes

31
Q

Thoracic splanchnic nerves go where?

A

Celiac ganglion

32
Q

Lumbar splanchnic afferents go where?

A

Inferior mesenteric ganglion

33
Q

What connects that first 2 cervical nerves?

A

CN X

34
Q

What does the left/anterior vagus innervate in the GI system?

A

Stomach and duodenum

35
Q

What does the right/posterior vagus innervate in the GI system?

A

Small intestines, right colon, and organs and glands up to the mid transverse colon

36
Q

True or false: everything innervated by the vagus are intimately bound together and are capable of readily transmitting reflexes

A

True

37
Q

What do S2-4 innervate in the GI tract?

A

Descending colon and rectum

38
Q

What happens when there is hyperactivity of both the symp and parasymps?

A

IBS

39
Q

What happens to nutrition with impaired lymphatic flow?

A

impaired d/t increased fibrosis

40
Q

What is the innervation of the left crus? Right?

A 
Left = L1-2
Right = L1-3
41
Q

What is the effect of symp overtone on the crus?

A

Increased tautness of the tissues, decreases lymphatic flow

42
Q

What are the attachment sites of the diaphragm?

A

costal cartilages of 7-12, xiphoid process

43
Q

Innominate and sacral dysfunctions may lead to what?

A

Torsions within the levator ani musculature, thus tethering the sigmoid colon and rectum

44
Q

Right shoulder pain can be suggestive of what?

A

gallbladder pain

45
Q

Why do you treat the OA with GI complaints?

A

Where vagus exits

46
Q

What type of motion should be used to increase parasympathetic tone?

A

Slow

47
Q

What does addressing the sacrum do for the GI?

A

S2-4 nerves

48
Q

What spinal levels do you want to look at in the ribs?

A

T5-12

49
Q

What are the lymphatic treatments for the GI?

A

Myofascial release
Diaphragm
Pect traction
Lymph pump

Gastrointestinal (42 decks)

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