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;
106 Cards in this Set
- Front
- Back
|
Heart |
T1-T4 |
|
|
where does the celiac ganglion get its preganglionic fibers from and what organs does it send its postganglionic fibers to |
T5-T9 FOREGUT distal esophagus stomach proximal doudenum liver gall bladder spleen parts of pancreas |
|
|
where does the superior mesenteric ganglion get its preganglionic fibers from and what organs does it send its postganglionic fibers to |
T10-T11 MIDGUT distal duodenum parts of pancreas jejunum ileum ascending colon prox 2/3 transverse colon |
|
|
pain from the structures of the celiac ganglion will be perceived to be coming from what area |
epigastric |
|
|
what is the corresponding nerve to the celiac ganglion |
greater splanchnic nerve |
|
|
pain from the structures of the Superior Mesenteric ganglion will be perceived to be coming from what area |
umbilical |
|
|
where does the inferior mesenteric ganglion get its preganglionic fibers from and what organs does it send its postganglionic fibers to |
T11-L2 HINDGUT distal 1/3 transverse colon descending colon sigmoid colon rectum |
|
|
what is the corresponding nerve to the superior mesenteric ganglion |
lesser splanchnic nerve |
|
|
what is the corresponding nerve to the inferior mesenteric ganglion |
least splanchnic nerve |
|
|
pain from the structures of the inferior Mesenteric ganglion will be perceived to be coming from what area |
hypogastric |
|
|
what provides parasympathic fibers to the foregut (celiac ganglion) |
vagus nerve |
|
|
what provides parasympathic fibers to the midgut (sup mesenteric ganglion) |
vagus nerve |
|
|
what provides parasympathic fibers to the hindgut (inf. mesenteric ganglion) |
pelvic splanchnic nerves from the sacrum |
|
|
HIP FLEXORS |
FIG SPART Flexor Iliopsoas Gracilus Sartorius Pectineus Adductor longus and brevis Rectus femoris TFL |
|
|
Hip EXTENSORS |
EGSS B Extensors Gluteus max. Semimem. Semiten. Biceps femoris |
|
|
External Rotators |
ER PIG SOQ External Rotators Piriformis Iliopsoas Gemelli Brothers Sartorius Obturator int. Quadratus Femoris |
|
|
Internal Rotators |
IRGGSST Internal Rotators Glut. med and min Gracilis semimem semiten TFL |
|
|
ADductors |
AD AD POG ADductor ADductor mag, long, brev, minimus Pectineus obturator externus gracillis |
|
|
ABductors |
glut. med and min. TFL portons of glut max |
|
|
upper cross weak |
deep cervical flexors rhomboids serratus anterior |
|
|
upper cross tight |
upper traps levator scap pecs |
|
|
lower cross weak |
glutes abs |
|
|
lower cross tight |
iliopsoas (hip flexors) erector spinae (lumbar extensors) |
|
|
muscles of pelvic diaphragm |
levator ani coccygeus arcus tendinous levator plate |
|
|
T10-T11 |
adrenals kidneys upper URETER Gonads (ovaires and testes) synapse at SMG |
|
|
T12-L2 |
LOWER ureters SEX STUFF except gonads (uterus, vagina, clitoris, vas defe, prostate, fallopian tubes, sem vesicles) bladder URETHRA synapse at IMG |
|
|
what does the vagus nerve innervate for parasymps for the GU system |
kidneys ovaries testes upper ureter |
|
|
what do the pelvic splanchnic nerves innervate for parasymps for the GU system |
lower ureter bladder prostate |
|
|
internal oblique origen/insertion |
iliac crest, pouparts ligament, lumbar fascia inserts: 6 lowest ribs, linea alba, crest of pubes |
|
|
QL origen
|
iliac crest L3-L5 transverse processes |
|
|
QL insertion |
12th rib trans processes L3-L5 |
|
|
psoas major origen |
T12-L5 vertebrae |
|
|
psoas major insertion |
LESSER trocantor of femur |
|
|
reflex lost at L4 |
patellar pain and sensory loss in ant thigh and medial leg |
|
|
reflex lost at L5 |
hamstrings weak dorsi flex sensory loss GREAT TOE, dorsum foot, lat. calf pain: back to buttock, lat thigh and calf |
|
|
relfex lost at S1 |
achilles weak plantar flex pain back to but, post thigh and calf |
|
|
Nociceptive sites |
outer annular fibers longitudinal ligaments capsules of facets erector spinae muscles paraspinous ligaments |
|
|
general principle of the sympathetics of the GI tract |
the GI Sympathetics arise from the lateral horn of T1-L2 and terminate @ Pre-Vertebral Ganglia on the Abdominal Aorta; They do not terminate at the paravertebral bodies |
|
|
how does referred pain get to the inf angle of the scap in acute cholecystitis |
by spreading to the peripheral dia. |
|
|
how does referred pain get to the right shoulder in acute cholecystitis |
central portion of the dia bc the phrenic nerve innervates it |
|
|
descending colon viscerosomatic reflex |
L1-L3 left side |
|
|
ascending and transverse vis. som. relfex |
T11-L1 rght for ascending b.l. for transverse |
|
|
appendix vis. som relfex |
T9-T12 right |
|
|
Small intestine vis. som. reflex |
T8-T10 b.l. (R>L) |
|
|
esophagus vis. som relfex |
T3-T6 right |
|
|
kidney vis. som |
T9-L1 ipsilat |
|
|
ureter and bladder vis. som |
T11-L3 |
|
|
urethra visc. som |
T11-L2 |
|
|
parasymp prox ureter |
occ, C1, C2 |
|
|
distal ureter parasymp |
S2-S4 |
|
|
bladder and urethra parasymp |
S2-S4 |
|
|
posterior chapmans point for kidney |
T12 and L1 misway bw spinous and transverse processes |
|
|
what connects to the perirenal fascia |
QL psoas throacolumbar fascia iliac fascia |
|
|
what does pyelo present w |
fever dysuria bl flank pain pyeuria hematuria |
|
|
prostate symp |
t12-L2 |
|
|
prostate parasymp |
s2-s4 |
|
|
prostate chapmans points |
lat thigh from trocantor to the knee lat pubic symph BW spinous process of L5 and PSIS |
|
|
ovary and teste symp |
T10-11 |
|
|
uterus symps |
t10-l2 para: s2-s4 |
|
|
ovary chapmans |
sup aspect of junction of the pubs bw t9/t10 and t10/t11 transverse processes |
|
|
uterine chapmans |
junction of ramus of pubs and ischium bw l5 spinous process and psis |
|
|
what is not tested in thorax |
felxion and extension bc ribs are in the way |
|
|
what is not tested in the lumbar |
rotation bc orientation of facets do hip drop instead of side bending |
|
|
order of an omm appointment |
Hx structural exam RROM layer by layer (static then dynamic) intersegmental testing (entirely dynamic) |
|
|
what does the iliolumbar ligament blend with |
sacroiliac lig. |
|
|
piriformis origen and insertion |
origen: ant surface sacrum insertion: greater trochanter of femur external rotator |
|
|
cholecystitis tenderpoint |
posterior over angle of right ninth rib |
|
|
ankylosing spondilitis symptoms |
young people in their 20s morning stiffness that improve during the day bilateral pain pain worse with rest; better w activity pain wakes them up at night alternating buttock pain pain > 3 months |
|
|
ankylosing spondilitis signs |
SI joint tenderness loss of lumbar lordosis chest pain is costochondral movement high ESR CRP psoas and piriformis restriction |
|
|
ankylosing spondilitis tx |
NSAIDS SI joint steroid injections ANTI TNFs if NSAID fail exercise! |
|
|
psoas major function |
flex thigh stabilize the trunk an SB the lumbar spine dec. lumbar lordosis |
|
|
psoas somatic innervation and sight of referred pain |
L1-L3 anterior thigh |
|
|
what does compensation for a psoas spasm look like |
L5-S1 are not attached to the psoas so thet compensate for the loss of extension by further going into extension |
|
|
psoas spasm signs |
push off thighs to stand (hard to stand from sitting) lumbosacral pain groin or ant. thigh pain tenderpint on medial ASIS occurs after heavy lifting |
|
|
position to tx and relax psoas |
external rotation in frog position counter strain then inomm. while supine then tx throaco lumbar dysf. then do ME |
|
|
spinal stenosis causes |
disk degen hypertrophy of ligamentum flavum osteophyte formation all usually at L4/L5 |
|
|
spinal stenosis signs |
pain first in butt that moves down neurogenic claudication that gets better w rest extension hurts, flexion doesn't therefore lean forward on object to stay in flexion |
|
|
spinal stenosis tx |
drugs usually don't fix the problem home exercise address innominate |
|
|
short leg syndrome cause of symptoms |
these are usually due to the sacral base unleveling due to the short leg |
|
|
short leg syndrome symptoms |
30s and 40s worse later in the day dull achy lumbosacral pain |
|
|
short leg syndrome presentation |
pelvic shift to the long leg lumbar convexity to the short leg long leg side will have forward torsion pattern at the sacrum |
|
|
ts of SLS |
level the sacral base |
|
|
piriformis syndrome presentation |
achy glutteal pain worsened by prolonged sitting pain on the post. thigh |
|
|
most common sign of cervical stenosis |
gait ataxia |
|
|
upper motor neuron signs |
hoffman reflex Babinski clonus tone |
|
|
difference bw vasc claudication and neurogenic |
vasc is not improved by posture and has diminished distal pulses |
|
|
what is the SLR best for |
L4 L5 S1 |
|
|
what is the best test for clinical diagnosis of high lumbar disc herniation |
femoral nerve stretch test tests L1 L2 L3 |
|
|
what is centralization and what happens during it |
It is a series of movements the pt. is taken through; the pain gets better during the movements becoming less distal and more proximal |
|
|
waddell signs |
tenderness simulation distraction regional over reaction 3/5 is signifi. and must consider psychological factors |
|
|
what is one of the first responses to pain |
change in muscle tone |
|
|
core muscles |
abs in front gluts and paraspinals in back diaphragm as roof pelvic floor and hip girdle on bottom |
|
|
what do side planks activate |
QL and obliques |
|
|
bridge activates the |
glut max |
|
|
clamshell activates the |
glute med |
|
|
superman activates the |
lower traps |
|
|
the no monies activates the |
rhomboids and lower traps |
|
|
the airplane activates the |
upper traps |
|
|
gonad chap points |
pubic bone T9-T10 vertebrae |
|
|
adrenal chapmans |
periumbilical, T11 |
|
|
uterus chapmans |
pubic ramus, lateral thigh, L5 |
|
|
bladder chapmans |
periumbilical, L1 |
|
|
prostate chapmans |
lateral thigh, sacral base |
|
|
psoas mechanism pain illustrations |
T12-L1 compression fractures may present as pain at L5 hypermobile L5/S1 thoracolumbar is usually asymptomatic |
|
|
what can rib cage dysfunction alter |
QL tone abdominal tone diaphragm |
|
|
sequence for locating the AGR of pelvis |
innominate shears ceph and caudad pubic shears innominate (ant/post/inflare/outflare) sacral dysfunctions (unilat shears and torsion) unilateral pattern screen for AGR |
