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16 Cards in this Set
- Front
- Back
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Functional versus Organic disorder...what are they and use of OMT in each
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Functional: present as a symptom but doesn't have a clear organic cause, normally due to some mechanical dysfunction or increase sympathetics (burping, nausea, constipation, etc) OMT is a PRIMARY tx
Organic: a condition that has an organic or pathologic cause. OMT is an ADJUNCT tx |
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Organic or functional? (name for each)
Irritable bowel syndrome Inflammatory bowel disorder Pancreatitis Stress Induced gastritis |
IBS- Functional
IBD- Organic Pancreatitis- Organic Stress- Functional |
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optimizing digestive functioning for the patient with OMT includes...3
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Normalize autonomic function
Enhance efficiency of circulatory/lymphatic system Optimize patient’s response to medication |
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remember the Thoracic inlet
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most of our lymph flow travels through here, so having dysfunction here can really **** your house
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what is a non-pharmacological suggestion you can encourage for people with chronic constipation
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physical activity-->increase peristalsis
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sympathetic trunks are chains of paravertebral ganglia that terminate by uniting to form the ....
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ganglion impar
on the ventral aspect of the coccyx |
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what provides PNS innervation to the whole GI tract from mouth to mid-transverse colon? Where could you treat this with OMT
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Vagus nerve
C1 C2 tx |
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sympathetic reflexes occur between what spinal levels?
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T1-L2
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if you palpate a Chapman's point will it refer pain elsewhere?
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NO
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pt has rebound tenderness... what does this mean (general)
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Rebound tenderness is always significant and should prompt at least laboratory evaluation (CBC, C-reactive protein) and perhaps imaging studies or referral.
DO NOT DO OMT ON THESE PTS this is a visceral pain that requires medical intervention |
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45 year old female presents complaining of recurrent episodes of right upper quadrant pain.
Pain radiates to right shoulder. Patient rates pain 7/10. Pain is accompanied with nausea and once also with vomiting. Symptoms are worse in evening, and sometimes disturbs sleep. Symptoms worse after a fatty meal or a green salad. |
Cholecystitis
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if a pt had cholecystitis where would their tissue texture changes be
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Right sided paravertebral tissue texture changes at T6-9 due to facilitation.
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chapman's points
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spinal changes
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49 year old female patient with 1 year history of intermittent biliary colic and gallstones. After most recent event, which included nausea and vomiting, patient elected for cholecystectomy.
Due to inflammation and patient obesity, an open procedure was performed to remove the gall bladder after failed laparoscopic attempt. Patient sent to floor to recover, placed on IV fluids and IM pain medication, allowed sips of water. |
Post Operative Ileus
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possible tx for post operative Ileus?
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Treatment:
Inhibitory technique applied for two minutes to rib angle 5 thru 9 bilaterally. Balanced ligamentous technique applied to T7. Bilateral Bowel lift (mesenteric lift Incisional myofascial release (Gentle indirect) |
