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OS III Midterm > Visceral OMT Lab > Flashcards

Flashcards in Visceral OMT Lab Deck (13)
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1

Indications for large intestine visceral OMT

Constipation
IBS
Other functional disorders
Viscerosomatic reflex findings

2

Relative contraindications for large intestine visceral OMT

Peritonitis
Colon obstruction
Recent abdominal surgery

3

What parts of the colon are retroperitoneal?

Ascending, descending, and sigmoid

Note that in healthy ppl colon tapers from proximal to distal

4

Note sympathetic (cord level, splanchnic nerves, collateral-prevertebral ganglia) and parasympathetic innervation associated with stomach, duodenum, liver, GB, pancreas, and spleen

Sympathetics: T5-9, greater splanchnic n., celiac collateral-prevertebral ganglion

Parasympathetic: vagus (CN X)

5

Note sympathetic (cord level, splanchnic nerves, collateral-prevertebral ganglia) and parasympathetic innervation associated with small bowel, proximal 2/3 of colon, kidneys, adrenals

Sympathetic: T10-11, lesser splanchnic nn, superior mesenteric ganglion

Parasympathetic: vagus (CN X)

6

Note sympathetic (cord level, splanchnic nerves, collateral-prevertebral ganglia) and parasympathetic innervation associated with distal 1/3 colon, lower ureters, bladder, pelvic organs

Symp: T12-L2, least splanchnic, inferior mesenteric

Parasympathetic: sacral (pelvic), splanchnic (S2-4)

7

Posterior colon chapmans reflex

A triangular area reaching from the transverse processes of L2-4 reaching to the crest of the ilium

[direct fascial relationship between the descending or ascending colon, depending on the side, and quadratus lumborum m]

8

Indications for small intestine visceral OMT

Indigestion
Delayed gastric emptying
Cholestasis
Other functional disorders
Viscerosomatic reflex findings

9

Relative contraindications for small intestine visceral OMT

Peritonitis
Splenomegaly
Recent abdominal surgery

10

Indications for liver visceral OMT

Passive congestion of liver and spleen

CHF (esp. right sided failure)

May increase immune competence in pts with infectious processes

Consider in pts with parenchymal dz of liver or spleen as it may affect the disease process by modulating blood and lymph fluid dynamics

Liver visceral dysfunction

11

Contraindications for liver visceral OMT

Fractures, dislocations in the thorax

Lymphatic system malignancy

Traumatic disruption of liver, spleen, or adjacent organs

Acute hepatitis

Friable hepatomegaly or splenomegaly as in mononucleosis or sickle cell anemia

12

Cord level of liver sympathetic innervation

T7-9

13

HIGH YIELD: goals of mesenteric/colonic release

1. Enhance lymphatic and venous drainage

2. Alleviate congestion secondary to visceral ptosis/dysfunction