Visceral

Question 1

True or false: OMM is indicated for an SBO

Answer 1

True?

Question 2

True or false: OMM is not appropriate for an Ileus

Answer 2

False?

Question 3

What does the celiac artery supply? (5)

Answer 3

• Liver
• Stomach
• Abdominal esophagus
• Spleen
• Superior half of both the duodenum and pancreas

Question 4

The SMA supplies what organs?

Answer 4

-Distal 1/3 of duodenum to half of transverse colon

Question 5

The IMA supplies what part of the gut?

Answer 5

Last half of the transverse colon to the rectum

Question 6

Complaints of HA, nausea, vomiting, diarrhea, and cramps result from what part of the ANS?

Answer 6

Parasympathetic

Question 7

What are the branches of the SMA? (4)

Answer 7

• Jejunal
• Ileocolic
• Right Colic
• Middle colic

Question 8

What are collateral ganglia?

Answer 8

Unpaired, abdominopelvic (prevertebral ganglia)

Question 9

What are the three major collateral ganglia of the abdomen?

Answer 9

Celiac
SMA
IMA

Question 10

What is the location of the ileo-cecal valve?

Answer 10

1/3 way on a line from the R ASIS to umbilicus, then a little superior

(McBurney’s point)

Question 11

What is the location of the duodenal jejunal junction?

Answer 11

On a line from the left mid clavicle to the umbilicus, then 2/3 cm on line up from umbilicus

Question 12

Where is the sphincter of Oddi located?

Answer 12

On a line from right mid clavicle to umbilicus, then 2-3 cm on line up from umbilicus

Question 13

Where is the pylorus located?

Answer 13

6-7 cm above the umbilicus

Question 14

Where is the cardiac/gastro esophageal junction located?

Answer 14

1/2 -1 in above the xiphoid process

Question 15

Visceral organs are suspended from the dorsal surface of the abdominal cavity by what? What are these?

Answer 15

Mesenteries–folds of peritoneum

Question 16

What are the three branches of the IMA?

Answer 16

• Left colic
• Sigmoid arteries
• Superior rectal arteries

Question 17

The cisterna chyli receives lymphatic drainage from what part of the body?

Answer 17

Everything below the diaphragm

Question 18

Where does the thoracic duct enter the abdomen?

Answer 18

Through the aortic hiatus

Question 19

What are the indications for re-doming the diaphragm?

Answer 19

• GERD
• hiatal hernias
• Biliary colic

Question 20

How is the cisterna chyli pump performed? How long?

Answer 20

Add a pulsating force (LA/HF) to the cisterna chyli for 1-2 minute

Question 21

How is the thoracic pump performed?

Answer 21

Pulsate in the medial left clavicle

Question 22

What is the nerve the supplies most of the PNS of the abdomen? Where does this nerve exit the skull?

Answer 22

CN X

Jugular foramen

Question 23

Does the right or the left vagus nerve supply innervation to the greater curvature of the stomach?

Answer 23

Left

Question 24

What are the cell bodies that are found in the sympathetic chain?

Answer 24

Second order neurons

Question 25

What are the spinal levels of the celiac ganglion?

Answer 25

T5-T9

Question 26

What are the spinal levels of the superior mesenteric ganglion?

Answer 26

T10-T11

Question 27

What are the spinal levels of the inferior mesenteric ganglion?

Answer 27

T12-L2

Question 28

Where is the superior mesenteric ganglion located?

Answer 28

midway between xiphoid process and umbilicus

Question 29

Where is the inferior mesenteric ganglion located?

Answer 29

At the level of the umbilicus

Question 30

Where is the celiac ganglion located?

Answer 30

Just inferior to the xiphoid process

Question 31

How is the celiac ganglion inhibition performed?

Answer 31

1. Spread fingers along the linea alba 2. Take in a breath against resistance 3. With inhalation, take past barrier

Question 32

What are the indications for a celiac ganglion inhibition/linea alba treatment?

Answer 32

- Abdominal distension | - Slowed GI motility

Question 33

How, generally, is counterclockwise function of the intestines treated?

Answer 33

Inhibit the most inferior sphincter by Fascially loading the sphincter and following it into the dysfunctional direction

Question 34

True or false: oftentimes treating the most inferior dysfunctional sphincter will resolve sphincter SDs superiorly

Answer 34

True

Question 35

The CT pathways of the mesenteries provide passages for what three things?

Answer 35

- Arterial blood supply - Venous and lymphatic return - ANS

Question 36

What are the indications for a mesenteric lift?

Answer 36

IBS Constipation Ileus

Question 37

How is a mesenteric lift performed?

Answer 37

Gently move intestines with scoop-like motion at right angles to mesenteric attachment until restriction of motion is felt Pt takes a partial breath in and hold, while dr takes up slack