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OMM > Exam 1/17 > Flashcards

Exam 1/17 Flashcards

1
Q

GI tract is linked to holistic mechanism via

A

Vascular system

also linked to neuromuscular system via viscerosomatics

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2
Q

Acute Abdomen Signs

A

Lack of bowel sounds
High pitched tinkling bells sound
Abdominal wall rigidity w pain or rebound tenerness
Abn areas of tympani or dullness

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3
Q

Viscerosomatic Reflexes are segmentally _____

A

Specific

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4
Q

Viscerosomatic Finding:

Esophagitis

A

T3 Right

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5
Q 
Viscerosomatic Finding:
Peptic Ulcer (stomach)
A

T5- T6 Left

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6
Q

Viscerosomatic Finding:

Duodenum

A

T6- T8 Right

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7
Q

Viscerosomatic Finding:

Cholecstitis

A

T9-T10 Right

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8
Q

Viscerosomatic Finding:

Pancreatitis

A

T5-T9 Bilateral block reaction

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9
Q

Viscerosomatic Finding:

Acute Hepatitis

A

T5-T10 Right

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10
Q

Viscerosomatic Finding:

Acute Gastroenteritis

A

T3-L2

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11
Q

Viscerosomatic Finding:

Appendicitis

A

T9-T12 Right

Tip of 12th rib right

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12
Q 
Viscerosomatic Finding:
Mesenteric Adenines (small intestine)
A

T8-T11 bilateral

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13
Q

Viscerosomatic Finding:

IBS

A

T8-L2 Bilateral

S2

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14
Q

Viscerosomatic Finding:

Colitis

A

T11-L3

S2

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15
Q

Viscerosomatic Finding:

Ovarian Disease

A

T10-T11

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16
Q

Collateral ganglia are located

A

Anterior wall of abdominal aorta

Btw xiphoid process and umbilicus

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17
Q

Celiac Ganglion controls

A 
Stomach
Liver
GB
Spleen
Part of pancreas
Part of Duodenum
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18
Q

Superior mesenteric Ganglion controls

A 
Part of pancreas
Part of Duodenum
Jejunum
Ilium
Ascending Colon
Proximal 2/3 of transverse colon
19
Q

Inferior Mesenteric Gangion controls

A

Distal 1/3 transverse colon
Descending colon
Sigmoid colon
Rectum

20
Q

Sympathetic Nervous system mediated GI complaints

A

Constipation
Abd pain
Flatulence
Distension

21
Q

Parasympathetic Nervous System mediated complaints

A 
Headache
N/V
Diarrhea
Cramping pain
GB pain (constriction of biliary ducts)
22
Q

Stop OMT treatment when pt shows signs of _____

A

Vasodilation

  • Increased skin temp/ redness
  • Sweating
  • Increased HR/ RR
23
Q

“functional” before a diagnosis means

A

They know what the disease is, but not the etiology

24
Q

Constipation is common with inadequate _____ and _____

A

Fiber and

Water

25
Q

Required Reading on IBS

A

IBS-D has somatic dysfunctions of the OA/ AA/ C2 Overactive PNS –> hyperactive motility
Treat IBS-D with COUNTERSTRAIN
IBS-C is lower thoracic/ upper lumbar dysfunction (near collateral ganglions)
Treat IBS-C w COUNTERSTRAIN or HVLA

26
Q

Required Reading Neonatal Jaundice

A

neonatal massage promotes bilirubin
excretion decreasing the length of hospital stay
Allows parent active role in baby’s health

27
Q

Required Reading MOPSE

A

Study to see if OMT helps old people w pneumonia
Thoracic and Cervical ST, Rib raising, doming diaphragm, Suboccipital (PNS), Thoracic inlet, Thoracic and Pedal lymph pump
15 mins, 2x daily

28
Q

Required Reading on Exercise and COPD

A

Trial still on-going

No conclusions

29
Q

Gray Turner Sign

A

Bruising of flanks
Sign of retroperitoneal hemorrhage
Due to abd trauma, ruptured aortic aneurysm, ruptured cyst, ectopic pregnancy

30
Q

Cullen’s Sign

A

Superficial Periumbilical bruising and edema

Due to intraperitoneal hemorrhage

31
Q

Cholylithiasis

A

Stones in GB

32
Q

Cholydocholithiasis

A

Stones in the Common Bile Duct

33
Q

Biliary Colic

A

Stones/ Sludge (from ABX) increasing tension on GB wall
Episodes sporadic and unpredictable
Pain is constant
Radiating to R Scapular Tip
Cholecystectomy will not improve symptoms
*Labs will all be within normal limits

34
Q

Uncomplicated Biliary Colic

A

Pain poorly localized and visceral
Benign abd exam
WITHOUT rebound tenderness or guarding
Absence of fever

35
Q

Acute Cholecystitis

A 
Well-localized RUQ pain
Rebound and Guarding
Positive Murphy Sign
Fever
Absence of peritoneal signs
Tachy and Diaphoretic
Absent or Hypoactive bowel sounds
36
Q

Gallstone Complications

A

Ascending cholangitis –> sepsis, shock
Pancreatic pseudocyst after chronic pancreatic disease
Perforation
Porcelain gallbladder (needs resection)
Chronic GB disease causes fibrosis (resection difficult)
Pancreatitis w autodigestion from enzyme release

37
Q

Charcot Triad

A

Fever
Jaundice
RUQ pain
*indicates ascending cholangitis

38
Q

Cutaneous and Scleral Icterus indicates

A

Choledocholithiasis with

Common Bile Duct obstruction

39
Q

Cullen sign or Grey-Turner Sign can be indicative of

A

Severe acute gallstone pancreatitis

40
Q

Osteopathic Approach to GB issues

A

Increased SNS relaxes GB and biliary ducts
Increased PNS contraction of GB and biliary ducts
Circulatory stasis –> tissue congestion

41
Q

If the GB is inflamed, it can irritate the _____

A

Diaphragm

42
Q

Treatment for GB issues

A 
IV hydration and analgesics
NPO
Vitamins, Thiamine
Insulin
OMT
Social worker eval
43
Q

Goal of OMT in GI treatment

A

Does NOT treat the disease

Removes/ Reduces functional impediment

OMM (3 decks)

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