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Flashcards in Osteopathic Approach To The GI Patient Deck (19)
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1
Q

What are the top 2 common GI disorders patients present with?

A

IBS and GERD

2
Q

OMT for the GI patient is directed towards improving what?

A

Lymph/Blood flow and balancing autonomics

3
Q

What do we need to determine for the biomechanical model for the GI patient?

A

Determine whether the SD is primarily MSK or secondary to viscerosomatic reflex. If SD doesn’t respond to OMT, it points to a viscerosomatic problem.

4
Q

How do you describe intra-peritoneal organs and what are those specific organs?

A

They have mesentery and peritoneum.

Stomach, jejunum, ileum, superior part of duodenum, liver, and spleen.

5
Q

How do you describe an extra peritoneal organ, what are the two types, and what specific organs fall in each category?

A

No mesentery. Retro and infra.
Cecum, ascending and descending colon, pancreas, other parts of duodenum, upper 2/3 rectum.
Lower rectum.

6
Q

What is the span of the abdominal cavity?

A

Diaphragm to pelvic diaphragm

7
Q

The viscera is highly sensitive to what 4 sensory signals?

A

Stretch, spasm, ischemia and inflammation

8
Q

2 characteristics of visceral pain and 2 characteristics of somatic pain?

A

Burning and poorly localized for visceral and sharp and well localized for somatic.

9
Q

Where does phrenic pain refer to?

A

Ipsilateral shoulder

10
Q

Visceral pathology results in somatic changes where?

A

Paraspinally

11
Q

What is the percutaneous reflex of Morley and give an example?

A

Transfer of inflammation from viscera to peritoneum. Appendicitis to peritonitis.

12
Q

Thoracic and Lumbar Splanchnic nerves lead to which ganglia?

A

Thoracic lead to celiac and superior mesenteric and lumbar leads to inferior mesenteric ganglia.

13
Q

What are we thinking with the respiratory circulatory model with a GI patient?

A

Pelvic Diaphragm and Lymphatics

14
Q

Any form of SD to the pelvic diaphragm leads to what which causes what 3 things?

A

Fluid stasis. Pelvic congestion, VS pain, and inability to clear infections efficiently.

15
Q

What are the three large collecting intestinal nodes for the gut and what organs drain to them? What is the pathway after the nodes back to the venous system?

A
  1. Celiac: stomach, duodenum, liver and spleen.
  2. Superior mesenteric: jejunum, ileum, ascending and proximal transverse
  3. Inferior mesenteric: distal transverse, descending, sigmoid, and rectum.
    Cysterna chyli at L1-l2 right of abdominal aorta, thoracic duct, and subclavian vein.
16
Q

As far as the metabolic model, what does hyperthyroidism and hypothyroidism lead to in the GI patient?

A

Hyper is diarrhea and hypo is constipation

17
Q

What does hypercalcemia and hypokalemia lead to in the GI patient?

A

Constipation

18
Q

What does hyperkalemia lead to in the GI patient?

A

Diarrhea

19
Q

As far as acid base imbalance, what does diarrhea and vomiting lead to in the GI patient?

A

D: leads to metabolic acidosis
V: metabolic alkalosis with hypokalemia