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Visceral Flashcards

(52 cards)

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1
Q

SIB-V - Sibson’s Fascia

A

TP: Anterior TP of T7
TP Alt: sup tubercle of 1st rib
Rx: C-sp rot away, Compress upper lung and 1st rib Sup/post/med

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2
Q

PDA-V - Pleural Done Anterior

A

TP: Lateral most aspect of 1st rib anterior
Rx: c sp SB away, Trachea/esophagus medial/sup

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3
Q

MP-V - Media stinum - Phreno-pericardial ligaments

A

TP: Sup 2nd rib 3 cm lateral to sternum
Rx: ipsilateral diaphragm sup and med

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4
Q

CP3-V - Costal Pleura Anterior - rib 3

A

TP: anterior 3rd rib, 7 cm from SC joint
Rx: roll upper rib cage ant/med

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5
Q

OF-V - Oblique Fissure

A

TP: superior 5th rib at SC joint
Rx: HL rot away, Ispi arm in ER, Pull contra arm into add

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6
Q

LP-V - Lateral Pleua

A

TP: Interior 6th rib just medial to coracoid
Rx: Sternum sup/lat

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7
Q

CTF-V Cervicothoracic Fascia

A

TP: Over sup/post aspect of coracoid
Rx: C-sp rot to, Ipsi shoulder ext and add with elbow on therapist, Hyoid to involved side

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8
Q

PDP-V - Pleural Dome Posterior

A

TP: 2nd rib tubercle superior
Rx: Csp rot away, upper lung post,sup,lat

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9
Q

CPP4-V - Costal Pleura

A

TP: 4th rib tubercle sup
Rx; Lung at rib 4 level, post/sup/lat

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10
Q

MED-V - Mediastinum

A

TP: side of T4 spinous process
Rx: lateral sternum medial/superior

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11
Q

BRI-V - Brochus Inferior Lobar

A

TP: 5th rib tubercle sup
Rx: Inf lateral lung (rib 7/8) sup/med

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12
Q

BRS-V - Brochus Superior Lobar

A

TP: 6th rib tubercle sup
Rx: Sup lung (rib1/2) inf/med

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13
Q

ESO-V - Esophagus

A

TP: angle of louis, slightly to L, inf-sup press
Rx: seated slouched, lift stomach sup/left

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14
Q

GHL-V - Gastrohepatic Ligament

A

TP: medial aspect of conjointed 6th and 7th ribs - slightly below xiphisternal jxn
Rx: HL rot away, pull opposite ribs 7-9 medial

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15
Q

TL-V (LEFT)- Triangular Ligament of Live

A

TP: superior 6th rib must medial of coracoid
Rx: ribcage over liver sup/med

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16
Q

TL-V (RIGHT)- Triangular Ligament of Live

A

TP: superior 6th rib must medial of coracoid
Rx: palm over lower rib cage lift sup/lat

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17
Q

FALC-V - Falciform Ligament

A

TP: T10 PVM Right
Rx: contact ribs 8-10 - ant/inf/med towards umbilicus

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18
Q

SPL-V - Spleen

A

TP: medial rib cage on L lateral to superior xiphoid
Rx: Pt SL, Shoulder flexed, hold over spleen rib 9-11, clockwise and posterior glide

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19
Q

DA-V - Duodenum Anterior

A

TP: 7th rib just medial to coracoid
Rx: HL knees towards, sit opposite and pull ipsi arm across

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20
Q

DP-V - Duodenum Posterior

A

TP: 10th rib tubercle sup
Rx: Pt seated, hold ispi arm and pull across for rot opposite

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21
Q

CBD-V - Common Bile Duct

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A

TP: R 6th rib, midline, inf aspect
Rx: Lie on L, lower posterior ribs sup/ant

22
Q

PAN-V - Pancreas

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A

TP: posterior 9th rib lateral to medial scapular border
Rx: Pt forearm across, rot opp, compress forearm post medial

23
Q

PAND-V (LEFT) - Accessory Pancreatic Duct

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A

TP: posterior left 10th rib lateral to medial scapular border
Rx: contact L posterior thorax at T12/L1 - press L to right with sup glide at end

24
Q

PAND-V (RIGHT) - Accessory Pancreatic Duct

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A

TP: posterior R 10th rib lateral to medial scapular border
Rx: contact L posterior thorax at T12/L1 - press L to right with inf glide at end

25
JEJ-V - Jejunum
TP: adjacent to umbilicus TP Alt: outer rim of iliac crest midway btwn ASIS and PSIS Rx: Hip flex, add, ER, Traction
26
ILM-V - Ileum
TP: Reflected head of Rectus Femoris Rx: Contact below umbilicus in a post/lat/inf direction
27
TMC-V Transverse Mesocolon
TP: 8th rib on a line medial to coracoid process Rx: contact slightly sup/lat to umbilicus - sup/lat/post
28
CECM-V - Cecum Medial
TP: Sup/Med PSIS (R) TP alt: posterior aspect of right medial femoral condyle Rx: R hip flex, Add R hip, contact cecum - post/inf/lat
29
CECL-V -Cecum Lateral
TP: Lateral 1/3 of piriformis - sup to sup greater Troch, add hip to find taut band Rx: Hip flexed 40, contact cecum - inf/med
30
SIG-V - Sigmoid
TP: sup/med PSIS(L) TP alt: posterior left medial condyle Rx: L hip flex, Add R hip, contact cecum - post/inf/lat
31
PER-V - Parietal Peritoneum
TP: 9th rib - ant axillary line - lateral to coracoid Rx: contact inf to umbilicus - press towards TP - if resistant check EPF-V
32
AC-V, DC-V - Ascending/descending colon (former FOT-V)
TP: Located over superiolateral ischial tuberosity Rx: stand opp side, trunk rot away, forearm across, compress post/ipsi
33
KS-V - Kidney Superior
TP: superior 11th rib tubercle Rx: HL knees away, contact Kidney from ant - post/med/sup
34
KI-V - Kidney Inferior
TP: superior 12th rib tubercle Rx: HL knees away, contact Kidney from ant - post/lat/inf
35
BL-V - Bladder
TP: Posterior pubic bone Rx: Stand opposite, Add ipsilateral leg, cross contra over, roll ipsi leg towards
36
URT-V - Ureter
TP: 2cm inf and lateral from inf aspect of PSIS Rx: trunk rot away, contact kidney and press inf/med
37
BRD-V - Broad Ligament/vesicoplevic Ligaments
TP: sup AIIS Rx: bladder lateral/inf
38
MUL-V - Median Umbilical Ligament
TP: Medial superior pubic bone (just lateral to symphysis Rx: palm over umbilicus glide inf/lat/post
39
OM-V - Obturator Membrane
TP: In soft tissue depression btwn pectineus/adductor longus - press post/lat Rx: supine with leg extended, compress greater troch med, ant/inf
40
EPF-V - Endopelvic Fascia
TP: over superior medial sacrotuberous ligament TP alt: sup tubercle of 9th rib Rx: towel - press perineal body ant/sup/lat
41
UES-V - Upper Esophageal Sphincter
TP: PVM T6 Rx: HL away, c-sp flex, cricoid cartilage lat/inf/post
42
GES-V - Gastro Esophaeal Sphincter
TP: Mid 6th rib L (nipple line) Rx: HL away, contact btwn xiphoid and 6th rib, pull medial and CCW rot
43
PYL-V - Pylorus
TP: Superior 8th rib tubercle LEFT Rx: HL away, 5 fingers above umbilicus and slightly L, CCW
44
ODI-V - Sphincter of Oddi
TP: Superior 8th rib tubercle RIGHT Rx: HL away, 3 finger diagonally up from umbilicus, CCW
45
DJ-V - Dudenojenjunal Junction
TP: suprior lateral aspect of L PSIS lat->med Rx: HL away, 2" 45deg up from umbilicus, CCW
46
ICV-V - Iliocecal Valve
TP: suprior lateral aspect of R PSIS lat->med Rx: HL away, 1/3 of the way from ASIS towards umbilicus, CCW
47
BSPH-V - Bladder External Urethral Sphincter
TP: Anterior inf aspect of pubic symphysis Rx: towel, CCW of External Uretheral Spinchter
48
LOT-V - Ligament of Treitz
TP: PVM of T10/T11 L side Rx: inferior sternum and gastroesophageal sphincter towards duodenojejuunal jxn
49
ANAL-V - External Anal Sphincter
TP: anterior tip of coccyx, ant/inf to sup/post Rx: Towel, rotate anal sphincter CCW
50
PCAR3-V - Pericardial Sac at 3rd Rib
TP: Inf rib 3, 4-5cm lat to SC joint Rx: Sternum toward TP, rotate CW toward aortic arch - may need some inf translation
51
PCAR4-V - Pericardial Sac at 4th Rib
TP: Inf rib 4, 4-5cm lat to SC joint Rx: Sternum toward TP, rotate CW toward aortic arch - may need some inf translation
52
PCARP-V - Pericardial Sac, Phrenic Attachment
TP: central, superior aspect of xiphisternal jxn Rx: Sternum CW and inferior

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