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OS-3 Final > 1. ANS > Flashcards

1. ANS Flashcards

1
Q

Head and neck (including upper esophagus)

A

T1-5

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2
Q

heart

A

T1-6

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3
Q

Lungs

A

T1-7

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4
Q

Upper GI (includes lower esophagus)

A

T5-10

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5
Q

SI/ascending colon

A

T9-11

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6
Q

Ascending and transverse colon

A

T10-L2

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7
Q

Descending and sigmoid colon/rectum

A

T12-L2

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8
Q

adrenal glands

A

T5-10

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9
Q

GU tract (+ bladder)

A

T10-L2

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10
Q

Ureter (upper/lower)

A
  • Upper ureter: T10-11
  • Lower ureter: T12-L2
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11
Q

Upper extremeties

A

T2-7

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12
Q

Lower extremeties

A

T11-L2

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13
Q

Heart, lungs, esophagus, upper GI, SI, kidneys, ascending and transverse colon, upper ureter

A

Vagus N (OA,AA)

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14
Q

Colon, rectum, reproductive organs, bladder, pelvis, lower ureter

A

Pelvic splanchnic N; S2-4 (sacrum)

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15
Q

_____ involuntarily controls body functions and is regulated by what?

A

ANS

Hypothalamus, limbic system and brainstem

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16
Q

Practically every interneuron that receives input from a visceral nociceptor also receives input from a __________

A

somatic source

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17
Q

Almost 80% of interneurons that receive input from somatic structures also receive _________

A

visceral input

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18
Q

There is no evidence for any ______ pathway that transmits ONLY visceral signals from the spinal cord to the brain

A

ascending

19
Q

What nerves transmit parasympathetic information?

A
  • From brainstem nuclei
    • CN 3, 7, 9, 10
  • Intermediate gray matter S2-S4
20
Q

What nerves transmit sympathetic information?

A
  • Intermediolateralcell column, located in the lateral horn of T1-L2
21
Q

Sympathetic ganglia

A
  1. Cervical
    1. superior
    2. Middle
    3. Stellate
  2. Paravertebral (thoracolumbar)
  3. Prevertebral
    1. celiac
    2. Superior mesenteric
    3. Inferior mesenteric
22
Q

What N transmits parasympathetic innervation to Cardiopulm/GI

A

CN10

23
Q

What N transmits parasympathetic innervation to colon, rectum, GU

A

S2-S4

24
Q

What can sustain local reflex activity independent of CNS

A

Enteric NS

25
Q

Sympathetic fibers controls ______ and ______.

A

Vascular (fascia, smooth m, sweat glands AND trunk and extremities)

Visceral (smooth m, cardiac..)

26
Q

Parasympathetic fibers do not control what?

A

Extremeties and vascularature

DO: visceral (same as symp + viscera in head/neck)

27
Q

SENSITIZATION

Progressive amplification of a response follows repeated administrations of a stimulus.

If the stimulus is terminated, what happens?

A

neurons return to baseline

28
Q

Faciltation allows us to to maintain neurons that are in a state of subthreshold excitation by…

A

sending less afferent stimulation to trigger impulse

29
Q

Once established, facilitation can be sustained by _______

A

normal central nervous system (CNS) activity

30
Q

VISCEROSOMATIC REFLEXES tend to have _________ SD that usually affect ________.

Features (3)

A
  • Non-neutral type 2 SD
  • Small rotators
  • Increased moisture, temperature, rubbery (poorly defined) end point)
31
Q

Chapmans reflexes are an example of _________

A

viscerosomatic reflexes

32
Q

What is the process where the body responds to stressors, to maintain homeostasis?

A

Allostasis

33
Q

Frequent of feedback pathways meant to reestablish normal homeostasis. Chronic exposure to stress => atrophy of the hippocampus => affecting feedback, memory and autonomic function

A

ALLOSTATIC LOAD

34
Q

Lymphatic fluid pumps include

A
  1. Thoracic inlet
  2. Thoracic diaphragm
  3. Pelvic diaphragm
35
Q

Transition zones (myofascial pathways)

A
  1. OA (occipitoatlantal)
  2. Cervicothoracic
  3. Thoracolumbar
  4. Lumbosacral
36
Q

Lymphatics receive innervation from the _______ NS. SD may be _________.

A
  • Sympathetic
  • Disabling a pump
37
Q

MI can sometimes present as ________.

A

Upper back pain

-if upper back pain, ask about head, heart and lungs

38
Q

Do viscerosomatic reflexes respond to OMT?

A

No

39
Q

If thoracolumbar junction pain, ask questions about…

A

GI/GU

40
Q

Pt has SOB, cough, lower lobe pneumonia. What kind of OMT do you give?

A
  1. Rib raising
    1. make sure you get Rib 1 on the L to open the thoracic inlet
  2. Subocciptal release
  3. Dome diaphragm
  4. Pedal pump
    1. more walking = less pedal pump
41
Q

A 14 month old male is brought to the doctor’s office with complaints of fussiness, fever, and runny nose. Physical exam shows vital signs stable, with mildly elevated temp. TM’s bulging and red, posterior pharynx mildly erythematous with posterior nasal drainage noted. Heart regular without murmur, lungs clear in all fields.

Biomechanical?

Neurological?

A
  • Treat SD
  • OA/AA

T1-5

Chapmans

Lymphatics

42
Q

URI OMT

A
  1. Thoracic inlet
  2. Rib raising
  3. Ear pull (temporal bone)
  4. Suboccipital release
43
Q

Pt has death in fam; increasing anxiety and palpittions. Sx worsen to CP.

No SOB, diaphoresis, NV, back pain. HR is irregulat

Behavior?

Neuro?

Respiratory circulatory?

A

Behavior? no tobacco/caffeine, get sleep

Neuro? T10-L2/OA/AA

Respiratory circulatory? T1-T6

44
Q

Rib raising affects what what nerve levels?

A

T1-6

T10-12

OS-3 Final (16 decks)

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