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9 Cards in this Set

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  • Back
How do you detect GI problems with OMM screening?
finding spinal facilitations indicate a viscerosomatic or a somatovisceral reflex that correlates with the autonomic innervations at the level of the facilitations
What is the typical pain pattern for cholesithiasis?
lateralized to the right side, and the pain projects to the right side and around to the posterior from the anterior. also, the right shoulder and periscapular pain is common.
What is the typical pain patter for peptic ulcer and how is it different than for cholelithiasis?
just inferior to the xyphoid process, substernal on the right sternal border and 5th ICS just medial to the mid clavicular line. also, wrapping around to the back to the right side and having a periscapular pattern.

the main differentiator is that there is no shoulder pain with peptic ulcer.
What are good GI related Chapman's points to keep in mind?
1. pylorus - sternum above the xyphoid
2. stomach (acidic) - below the 5th rib at the CCJ
3. stomach (peristaltic) - below the 6th left rib at CCJ
4. gall bladder - below 6th right rib at CCJ
What's the autonomic difference in perspective between allopathic and osteopathic medicine?
allopathic - the viscera is the primary functional part of the human body and the ANS relates directly to it and much less importantly is related to the MSK system

osteopathic - the MSK system is the main part of our body because it is used functionally for all ADLs and the viscera are there to support the MSK system. the ANS relates the two equally and in a very important way.
How does a facilitated segment present?
a vertebrae is being constantly stimulated by a chronic problem either V/S, S/V or otherwise. it's caused by a chronic irritation that causes a lowered segmental threshold.
What is a visceral-visceral reflex?
it's a referral pain pattern that occurs when a visceral problem exists that manifests as visceral pain. i.e. URQ pain recognized by pt as cholecystectomy from the past, but is actually an MI and vice versa.
What is a simple solution for post-op n/v and what is the cause?
The cause is an OA dysfunction that alters the autonomics. Um.. just do an OA release.
What are some conditions, post-up, that are helped much by OMM?
constipation, ileus, n/v, infantile colic