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Flashcards in OAT GI patient Deck (24)
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1

most common GI disorder in adulst seeking medical help

IBS

2

GI OMT is directed towards what mechanisms of improving QoL

improving blood/lymphatic flow
balancing autonomics

3

ddx for LUQ pain

splenomegaly
splenic infarct
splenic abcess
splenic rupture

4

DDX for epigastric pain

acute MI
acute pancreatitis
chronic pancreatitis
PUD
GERD
gastritis/gastropathy
fuctional dyspepsia
gastroapresis

5

DDX for RUQ pain

biliary colic
acute cholecystitis
acute cholangitis
sphincter of oddi dysfunction
acute hepatitis
perihepatitis
liver abscess
budd-chiaris syndrome
portal vein thrombosis

6

how to determine whether SD is primarily MSK or secondary to viscerosomatic refelx

FAILURE OF SD TO RESPOND TO OMT POINTS TO VISCEROSOMATIC PROBLEMS

7

prolonged afferent activiyt leads to _______ of hte neurons and corresponding spinal segments

facilitation
abnormal sensory stimulus from ovverstreched visceral organ spindle sensitizes two interneurosn in spinal cord
exaggerated output to initiating site (increase in muscle tension) as well as brain (increased pain awareness) and lcoal cutaneous changes (tissue texture changes)

8

visceral disturbances cause activation of _______ and results in somatic hcanges _______

activates somatic muscle activity
results in somatic changes paraspinally

9

direct transfer of inflammatory irritation from viscer to peritoneum - not reflexing through visceral afferent reflex

percutaneous reflex of morley
appendicits --> peritonitis
responsible for abodminal wall rigidity and pain/ rebound tenderness

10

sympathetic components in the GI system

thoracic splachnic nerve --> the celiac and superior mesenteric ganglion

11

parasympathetic component in the GI system

vagus n - CN X
pelvic splachnic n S2-S4

12

sympathetics to distal esophagus, stomach, proximal duodenum, liver, gall bladder, spleen, portions of pancreas

celiac ganglion (t5-T9)

13

sympathetics to distal duodenum, portions of the pancreas, jejunum, ascending colon, proximal 2/3 of the transverse colon

superior mesenteric ganglion T10 - T11)

14

sympathetics to distal 1/3 of the trasnverse colon, descending colon, sigmoid colon, rectum

inferior mesenteric ganglion T12-L2

15

parasympathetics to lesser curvature of stomach, liver/gallbladder; small bowel, right colon to mid-transverse colon

right vagus n

16

parasympathetics to greater curvature of stomach, ends at duodenum

left vagus n

17

parasympathetics to descending colon, sigmoid colon, rectum

pelvic splachnic nerve - S2-S4

18

gastroparesis, GERD, achalassia, cyclic vomiting syndrome, IBS, reflux esophagitis are all under

autonomic neuropathy

19

anti-inflammatory foods

olive oil
tomatoes
walnuts and almonds
spinach and kale
salmon and mackerel
blueberries and oranges

20

when to stop OMT

relaxation of soft tissue in treated area is noted
altered autonomic tone has occured
pierpheral vasodilation - increase in skin temperature/redness/sweating
increasein HR or RR
urgency to use the restroom

21

neurological mode tx includes

paraspinal inhibition
AA muscle energy
OA muscle nergy
SI gapping
sacral rocking and inhibtiion

22

CI for Soft tissue

fracture or dislocation
neurologic entrapment syndromes
serious vascular compromise
local malignancy
local infection
bleeding disorders

23

CI for luympahtics

malignancy of the lympahtics system

24

CI for ME

fracture, avulsion, dilocaiton of involved joint
infection, hematoma, or tera of invovled muscle
severe osteoporosis
metastatic dz of bone or muscle
cervical spine instability (rheumatologic conditions)