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21 Cards in this Set
- Front
- Back
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What is true visceral pain?
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Early, Irritation/Stretch/Spasm, Poorly localized, Deep burning
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What is Viscerosomatic pain?
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Involves facilitated segment, Hypersympathetic tone, Somatic Changes, express as MuscSkel sx
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Once establised facilitation can be sustained by _______ _______ _________?
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Normal CNS activity
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What is the reflex of "Morley"?
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Direct transfer of inflammatory irritation
From viscera to peritoneum (DOES NOT ENTER THE SPINAL CORD) |
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What is the reflex of "morley" repsonsible for on physical/sx?
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ABD rigidity, ABD pain, Rebound tenderness
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Where does phrenic pain refer to?
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Ispilateral shoulder
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What is the thoracic level for sympathetics to the upper GI system?
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T5-T9
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What is the thoracic level for midgut sympathetics (small intestine to mid transverse colon)?
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T10-11
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What is the side effect of increased sympathetic tone in the GI system?
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↓ mucosal defenses against acid (from vasocontriction and alteration of the HCO3- and mucus buffers)
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What is the note about disease processes that Korr noted?
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They all have hypersympathetic activity
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Where is the hindgut or lower half of colon's sympathetics arise from?
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T12-L2
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What are some symptoms of hypersympathetic activity?
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Ileus, constipation, ABD distention, Flatulence
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What is innervated by the right vagus?
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Lesser curvature of Stomach
Liver/Gallbladder Small Bowel Right and mid-transverse colon |
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What is innervated by the left vagus?
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Greater curvature of stomach
Ends of duodenum |
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What parasympathetic levels supply the left half of the colon?
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S2-S4
Pelvic splanchnic nerves |
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What is the sx/side effects of hyperparasympathetic activity?
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↑ secretion of all GI glands
↑ bowel motility (diarrhea) |
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What route do the lymphatic vessels take in the GI system?
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Follow the mesenteries (therefore easily affected by dysfunction)
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Where is the cisterna chyli located?
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L1-L2
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What might affect drainage of the lymphatics?
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Poor efficacy of the diaphragm
Torsion of fascias around lymph channels |
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What are the 3 diapraghms?
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thoracolumbar, thoracic inlet, and pelvic
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What are three sympathetic ganglia?
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celiac, superior mesentary, and inferior mesentary
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