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OS3 Exam 1 > Exam #1 Study Guide > Flashcards

Exam #1 Study Guide Flashcards

1
Q

Sympathetic innervation to the kidney

Ureter (upper and lower halves)

Bladder

What does it cause?

A

Kidney: T10-L1

Upper half of ureter: T10-T11
Lower half of ureter: T12-L2

Bladder: T10-L2

Vasoconstriction, ureteroconstriction, constriction of internal urethral sphincter

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2
Q

Parasympathetic innervation to the kidney

Ureter (upper and lower halves)

Bladder

What does it cause?

A

Kidney: vagus n.

Upper half of ureter: vagus n.
Lower half of ureter: S2-S4

Bladder: S2-S4

Peristalsis along ureters, contracts bladder to urinate

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3
Q

Anterior Chapman’s points of:

Adrenal glands

Kidney/ureters

Bladder

Urethra

A

Adrenal glands: 2 in. above and 1 in. lateral to umbilicus

Kidney/ureters: 1 in. above and 1 in. lateral to umbilicus

Bladder: umbilicus

Urethra: inner edge of pubic ramus near pubic symphysis

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4
Q

Posterior Chapman’s points of:

Adrenal glands

Kidney

Ureters

Bladder/urethra

A

Adrenal glands: intertransverse spaces between T11 and T12

Kidney: intertransverse spaces between T12-L1

Ureters: intertransverse spaces between L1-L2

Bladder/urethra: superior edge of L2 TP

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5
Q

What neurologic areas affect the kidneys? (3)

A

OA - vagus n. - PSNS

T10-L2 - SNS

Sacrum/pelvic splanchnics - PSNS

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6
Q

What angles classify Scoliosis as mild, moderate or severe?

A

Mild: 5-15

Mod: 20-45

Severe: >50

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7
Q

What makes the Cobb angle?

A

Formed by intersection of a line parallel to the superior end plate of the most cephalad vertebra, with the line most parallel to the inferior end plate of the most caudad vertebra.

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8
Q

At what angle does respiratory function become impaired in Scoliosis?

A

> 50

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9
Q

Anterior CP of the myocardium

Posterior CP of the myocardium

A

2nd ICS along sternal border

Intertransverse space between T2-3

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10
Q

Anterior CPs of the bronchus, upper lung and lower lung

A

Bronchus: 2nd ICS along sternal border
Upper lung: 3rd ICS along sternal border
Lower lung: 4th ICS along sternal border

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11
Q

Posterior CPs of the bronchus, upper lung and lower lung

A

Bronchus: lateral to T2 SP
Upper lung: intertransverse spaces between T2-3 and T3-4
Lower lung: intertransverse spaces between T4-5

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12
Q

In HF, you want to be cautious to not…

A

“overwhelm the circulatory system and exacerbate symptoms”

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13
Q

How does lymphatic flow lead to peripheral edema in HF?

A

HF -> decreased ability of thoracic duct to empty ->dilation of thoracic duct -> peripheral edema

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14
Q

What is the 5 model approach in treating HF?

Biomechanical
Neurological
Respiratory/Circulatory
Metabolic/Energetic/Immune
Behavioral
A

Biomechanical - treat cervical/thoracic/rib SDs

Neurological - OCMM, paraspinal inhibition to T1-6 (SNS), suboccipital release (PSNS), treat CPs

Respiratory/Circulatory - rib raising

Metabolic/Energetic/Immune - treat diaphragmatic and thoracic cage dysfunctions, lymphatic pumps, CHF meds (diuretics, etc)

Behavioral - monitor fluid and salt intake, monitor diet/lifestyle

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15
Q

Anterior Chapman’s points for:

Esophagus
Liver
Gb
Pancreas
SI
Appendix
A 
Esophagus: 2nd ICS BL
Liver: 5th ICS on right
Gb: 6th ICS on right
Pancreas: 7th ICS on right
SI: BL 8-10th ICS 
Appendix: 12th rib tip on right
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16
Q

Posterior Chapman’s points for:

Esophagus
Stomach acidity
Stomach (peristalsis)
Spleen
SI (upper, middle, lower)
A 
Esophagus: BL T2
Stomach acidity: T5-6 on left
Stomach (peristalsis): T6-7 on left
Spleen: T7-8 on left
SI (upper, middle, lower): all BL - T8-9, T9-10, T11-12
17
Q

Posterior Chapman’s points for:

Liver
Gb
Pancreas
Pylorus

A

Liver: T5-6 on right
Gb: T6-7 on right
Pancreas: T7-8 on right
Pylorus: rib 10 on right at the costotransverse joint

18
Q

Anterior Chapman’s points for:

Stomach acidity
Stomach
Spleen
SI (upper, middle, lower)

A

Stomach acidity: 5th ICS on left
Stomach: 6th ICS on left
Spleen: 7th ICS on left
SI (upper, middle, lower): 8-10th ICS BL

19
Q

Sympathetic component of GI system

Parasympathetic component of GI system

A

SNS

  • thoracic splanchnic n. -> celiac and superior mesenteric ganglion
  • lumbar splanchnic n. -> inferior mesenteric ganglion

PSNS

  • vagus n.
  • pelvic splanchnic n. (S2-4)
20
Q

What is the SNS innervation by the celiac ganglion? (7)
What are the spinal levels?

What splanchnic n. feeds this ganglion?

A

T5-9

Distal esophagus, stomach, proximal duodenum, liver, Gb, spleen, part of pancreas

Greater splanchnic n.

21
Q

What is the SNS innervation by the superior mesenteric ganglion? (5)
What are the spinal levels?

What splanchnic n. feeds this ganglion?

A

T10-11

Distal duodenum, part of pancreas, jejunum, ascending colon, proximal 2/3 of transverse colon

Lesser splanchnic n.

22
Q

What is the SNS innervation by the inferior mesenteric ganglion? (4)
What are the spinal levels?

What splanchnic n. feeds this ganglion?

A

T12-L2

Distal 1/3 of transverse colon, descending colon, sigmoid colon, rectum

Least splanchnic n.

23
Q

The vagus n. does the PSNS innervation of how much of the GI tract?

A

Upper GI and half of lower GI tract

Rt vagus n. - lesser curvature, liver/Gb, SI, right colon to mid-transverse colon

Lt vagus n. - greater curvature of stomach, ends at duodenum

24
Q

What innervates the other 1/2 of the lower GI tract?

A

Pelvic splanchnic n. (S2-4) - descending colon, sigmoid colon, rectum

OS3 Exam 1 (14 decks)

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