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72 Cards in this Set
- Front
- Back
Esophagus's sympathetic innervation
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T2-T8
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Upper GI organs
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Stomach, Liver, Gallbladder, spleen, parts of duodenum and pancreas
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Upper GI sympathetic innervation
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T5-T9
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Middle GI tract organs
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Parts of pancreas and duodenum, jejunum, ilium, right colon
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Middle GI tract sympathetic innervation
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T10-T11
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Lower GI tract organs
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Left colon and rectum
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Lower GI sympathetic innervation
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T12-L2
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Greater splanchnic nerve spinal cord level
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T5-T9
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Lesser splanchnic nerve spinal cord level
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T10-T11
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Lesser splanchnic nerve synapses at this ganglion
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Superior Mesenteric Ganglion
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Greater splanchnic nerve synapses at this ganglion
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Celiac Ganglion
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Spinal cord level of least splanchnic nerve
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T12
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Spinal cord level of lumbar splanchnic nerve
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L1, L2
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Lumbar splanchnic nerves synapses at this ganglion
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Inferior mesenteric ganglia
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Nerve that innervates the lower 2/3 of esophagus
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Vagus (CN X)
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Side of vagus n. that's on the greater curvature of the stomach and pyloric sphincter
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Left
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Side of vagus n. that innervates upper GI tract, liver, gallbladder and right half of the colon
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Right
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Spinal cord level of pelvic splanchnic nn.
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S2-S4
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Innervates the left colon and pelvis
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Pelvic Splanchnic Nerves
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Hyperactivity of this ANS leads to flatulence
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Sympathetics
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Hyperactivity of this ANS causes constipation and distension
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Sympathetics
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Increased acid secretion is the effect of this ANS activity
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Parasympathetics
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Nausea and vomiting is the effect of this ANS hyperactivity
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Parasympathetic
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Viscerosomatic reflexes synapse with these neurons
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Internuncial
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Viscerosomatic reflexes results in
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facilitation
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Sympathetic reflex of the esophagus
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T3 right
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Sympathetic reflex of the stomach
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T5-T8 left
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Sympathetic reflex of the duodenum
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T7, T8 right
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Sympathetic reflex of small intestine
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BL T8-T10
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TART in L2-L3 Left rotated
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Descending Colon
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Dermatome of the right of the apendiceal viscerosomatic reflex
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12th
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Lymph flow from pancreaticosplenic node flows too
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Celiac nodes
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Anterior Chapman points for pancreas
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Lateral to costal cartilage between 7th and 8th rib on right
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Posterior Chapman points for pancreas
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Between 7th and 8th spinous process
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Bile duct sympathetic innervation
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Right T6
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Somatic reflex of gallbladder
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Rt T5
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Upper GI reflex
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C2 Left, T3 Right, T5 left, T7 Right
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Exit of the vagus nerve (foramen)
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Jugular
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Techniques to consider for pancreatitis
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OA decompression, iliosacral mobilization, JSCS psoas, Thoracic/lumbar mobilization, A/P treatment diaphragm
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Includes a myriad of disorders that involves inflammatory changes in the gastric mucosa
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Gastritis
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Refers to damage to discrete mucosal defect in portions of the GI (gastric or duodenal) exposed to acid or pepsin
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Peptic Ulcer
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Increased sympathetics will lead to ____ mucosal sensitivity to H+ secretion
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Increase
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Mucous protection lining of the stomach is mediated by
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Prostaglandin
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Reduced mucoid lining integrity is caused by prolonged (ANS) activity
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Sympathetics
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Foods to avoid with GERD
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High fat meals, chocolate, caffeinated products, peppermints oils, spearmint oils, alcohol, acidic and spicy foods
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Common nutrient that stimulates gallbladder
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Fat
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Lymphatic drainage of the retroportal node
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Abdominoaortic nodes
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Lymphatic drainage of the abdominoaortic nodes
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Thoracic duct
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Respiratory Chapman's Reflex
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Between 6th and 7th ribs near the costochondral junction
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An IBD classically presenting diarrhea and rectal bleeding
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Ulcerative colitis
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This IBD manifests with abdominal pain, diarrhea and weight loss. Bleeding may occur if lower part of the colon is affected
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Chron's
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While differenciating IBS and IBD in a patient over 50, this should be considered
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Colon Cancer
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Chapman reflex of the proximal portion of the Right iliotibial band
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iliocecal area
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Chapman reflex of the middle portion of the Right iliotibial band
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Ascending colon & Hepatic flecture
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Chapman reflex of the distal portion of the Right iliotibial band
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2/5th of transverse colon
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Chapman reflex of the proximal portion of the Left iliotibial band
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Sigmoid area
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Chapman reflex of the middle portion of the Left iliotibial band
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Descending Colon & Splenic flecture
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Chapman reflex of the distal portion of the Left iliotibial band
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Left 3/5th of transverse colon
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"Second brain" that produce neurochemicals (Michael Gershon)
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GALT
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Vertebral attachments of the right crus
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L1-L3, (L4)
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Vertebral attachments of the left crus
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L1-L2, (L3)
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Rib attachments of the thoracoabdominal diaphragm
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R6-R12
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Pharmacologic consideration for IBS
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>Stool Bulking Agents – Increased dietary fiber
>Antispasmodics >Anti-diarrheal Agents >Antidepressants >Antiflatulence Therapy |
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Foods to avoid in IBS
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coffee, disaccharides, egumes, cabbage
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“Functional inhibition of propulsive bowel activity, regardless of the pathogenic mechanism.” There is no physical obstruction to the passage of the luminal contents of the bowel
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Ileus
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Acute colonic pseudoobstruction AKA
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Ogilvie’s Syndrome
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More than 3 days post surgery ileus; All segments of the bowel decreased to absent BS; Distention; Emesis; XR: gas in small intestine and colon
What type of ileus |
Paralytic post op ileus
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Ileus resolves spontaneously after 2-3 days; More severe in colon
decreased to absent BS; Mild distention; Pain; XR: gas in small intestine and colon What type of ileus? |
Post op ileus
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Peristalsis is absent or ineffective; no physical obstruction to the passage of the luminal contents
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Paralytic or adynamic
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Somatic dysfunction due to neurogenic impulses from an incision of the soma causing post op ileus
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Somatovisceral
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Somatic dysfunction due to fondling the bowels in surgery causing post op ileus
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Viscerosomatic
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Mesenteric lifts is activated by
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Having the patient take shallow breath to use Respiratory Force
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