(10) OAT GI Flashcards
Most common GI disorder in adults seeking medical help
IBS
What are the pacinian corpuscles in the GI tract activated by?
Stretch and spasm
True ____ pain is poorly localized
Visceral
Caused by irritation/stretch/spasm. Characterized by vague sx, crampy, deep aches, sweating, pallor
True somatic pain is ____ localized
Well localized
Asymmetric, sharp, aggravated by specific motions. Additive effect to visceral pain
Phrenic pain localizes where?
Ipsilateral shoulder
Visceral pathology results in somatic changes _____
Paraspinally (ipsilateral)
What is the Percutaneous reflex of morley?
Direct transfer of inflammatory inflamamtion from viscera to peritoneum
Usually located directly over inflamed organ
Responsible for rebound tenderness and guarding
(e.g. Appendicitis)
What spinal levels go to the celiac ganglion?
T5-10
Distal esophagus, stomach, proximal duodenum, liver, GB, spleen, some of the pancreas
What spinal levels go to the superior mesenteric ganglion?
T10-T11
Distal duodenum, portions of the pancreas, jejunum, ascending colon, proximal 2/3 of the transverse colon
What spinal levels go to the inferior mesenteric ganglion?
T12-L2
Distal 1/3 of the transverse colon, descending colon, sigmoid colon, rectum
What is the relationship between the abdominal diaphragm and the pelvic diaphragm?
Move together
Inhalation - both move inferiorly
Exhalation - both move superiorly
What path does lymph take to get to the L subclavian vein?
Collect in intestinal nodes => cisterna chyli (L1-L2) => thoracic duct => L subclavian V.
_____ chapman’s points are primarily diagnostic
Anterior
_____ chapman’s points are focused on treatment
Posterior
Contraindications to soft tissue treatment
Fx or dislocation
Neurologic entrapment
Serious vascular compromise
Local malignancy
Local infection
Bleeding disorder
Liver pump with recoil activation
Colon release
