1: Visceral Layer Palpation Flashcards
What organ can be palpated under the Xiphoid process?
Liver
List the layers from skin to organ
Skin–>SubQ fat—>Rectus sheath—>Rectus abdominus m.—>Deep investing fascia—> Transversalis fascia—> Peritoneum—>Empty Space—> Organ
The following describes what Tx: Layer palpation Local listening Motion testing BLT
Indirect treatment of visceral organs
Direct mesenteric colon release treats what problem?
Constipation
What direction do you move when treating using direct mesenteric release?
Start distally (sigmoid colon) and move proximally, pulling medially on the tissues towards umbilicus
Chapman for Liver
Right 5th intercostal space
Chapman of Liver + Gallbladder
Right 6th intercostal space
Chapman for Stomach Peristalsis
L 6th intercostal space
Chapman for Stomach Acidity
L 5th intercostal space
Viscerosomatic reflex level for duodenum
T5-9
VSR level for spleen
T7 on Left
VSR level for gallbladder
T5-9 on Right
VSR level for pancreas
T7 on Left
VSR level for stomach
T5-9 on Left
VSR level for liver
T5-9 on Right
VS reflex for Right colon
T10-11
VS reflex for Left colon
T12-L2
VS reflex for appendix
T12
VSR for adrenals, kidneys, ovaries, testes
T10-11
Greater splanchnic
T5-9
Lesser splanchnic
T10-11
Least splanchnic
T12
Lumbar splanchnic
L1-L2
Ganglion for distal esophagus, stomach, liver, gallbladder, spleen, portions of pancreas, and proximal duodenum
Celiac
Ganglion for distal 1/3 of transverse colon, descending colon, sigmoid, rectum; lower half of ureter, bladder, genitalia
Inferior Mesenteric
Ganglion for portions of pancreas, duodenum, jejunum, ileum, ascending colon, prox. 2/3 of transverse colon, ADRENALS, GONADS, KIDNEYS, and upper 1/2 of ureter
Superior mesenteric
Absolute contraindications to visceral manipulation
Acute abdomen, appendicitis, pancreatitis, splenomegaly, GI obstruction, abd. aortic aneurysm, post abd./pelvic sx, GI infection, tumor
Relative contraindications to visceral manipulation
Abd. hernia/diathesis; pain of unknown origin,
