12: Viscerosomatics Flashcards
Upper GI sympathetics
T5-10
SI sympathetics
T9-11
Ascending and transverse colon symps
T10-L2
Descending and sigmoid colon/rectum symps
T12-L2
Which two GI tract parts use S2-S4 for parasymps? (Rest use vagus nerve/OA/AA)
Colon and rectum
Long term outcome of rib raising
Prolonged reduction of sympathetic outflow
What does paraspinal inhibition do?
Decrease sympathetic tone
What does suboccipital release do?
Normalize parasympathetic tone
Describe a Chapman’s point
- Deep to skin in loose CT or deep fascia
- Often paired anterior/posterior
- Small, about 2-3mm
- Smooth, firm, dense
Chapman point esophagus ant/post
Ant: btwn ribs 2-3 parasternal
Post: lateral to T2 SP
Stomach chapman point
Ant: between Rib 5-6, 6-7 on LEFT at costochondral junction
Post: lateral to T5/T6 SP on LEFT
Liver chapman points
Ant: between Rib 5-6, 6-7 on RIGHT at costochondral junction
Post: lateral to T5/T6 SP on RIGHT
Gallbladder chapman points
Ant: btwn Rib 6-7 at costochondral junction on right
Post: lateral to T6
Pancreas chapman points
Ant: btwn Ribs 7-8 at costochondral junction on right
Post: lateral to T7 SP
SI chapman points
Ant: between ribs 8-11 bilaterally at costochondral junction
Post: lateral to SP T8-10