• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/72

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

72 Cards in this Set

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