GI Cases DSA

Question 1

stomach peristalsis chapman anterior

Answer 1

left 6th ICS between MCL and sternum

Question 2

stomach hyperacidity chapman anterior

Answer 2

left 5th ICS between MCL and sternum

Question 3

stomach, duodenum, pancreas sympathetics

Answer 3

T7 on right

Question 4

gallbaldder symapthetics

Answer 4

T6-8 on right

Question 5

small intestine sympathetics

Answer 5

T8-12

Question 6

distal third of large intestine sympathetics

Answer 6

T12-L2

Question 7

increased sympathetic in stomach

Answer 7

decreased mucous and delayed pyloric sphincter relaxation (more contracted sphincter)

Question 8

parasympathetics to GI organs**

Answer 8

vagus - esophagus to proximal 2/3 of large intestine

pelvic splanchnics (S2-4) distal 1/3 of large intestine

Question 9

embryo of core muscles

Answer 9

develop from same lateral plate mesoderm as smooth m of digestive tract

Question 10

core

Answer 10

described as functional unit of transversus abdominus, pelvic floor muscles, diaphragm, multifidus

Question 11

lactose intolerant women

Answer 11

have increased post-partum pelvic pain

Question 12

eating lots of chilis

Answer 12

can cause inhibition of transversus abdominus

Question 13

4 factors of bloating

Answer 13

1 - subjective sensation of bloating
2 - objective abdominal distension
3 - volume of abdomen contents
4 - changes to muscular activity

Question 14

infantile colic

Answer 14

uncontrollable crying in infant less than 3 months of age

diagnosis of exclusion

Question 15

red flags for colic

Answer 15

apnea, cyanosis, resp distress, vomiting, bloody stools

Question 16

management of colic

Answer 16

• diet modification
• hypoallergenic formula
• high fiber formula
• soy based formula
• lactase therapy
• anticholinergics

Question 17

postoperative ileus

Answer 17

abdominal operation complication

for longer than 48 hours

Question 18

OMT for post-op ileus

Answer 18

reducing sympathetics

augmenting parasympathetics

Question 19

use of OMT within 48 hours after a major GI operation

Answer 19

less post-op time to flatus

shorter post-op hospital length of stay

Question 20

colic

Answer 20

crying and fussing more than 3 hours a day, days a week, and for more than 3 days a week

inconsolable

onset at 2-6 weeks old typically lasts 3 months

Question 21

wessel criteria

Answer 21

for colic definition

Question 22

breastfeeding

Answer 22

no protective effect on development of colic

Question 23

depression and colic

Answer 23

there is an association

Question 24

epigenetics

Answer 24

effect on emotional and behavioral systems

Question 25

h. pylori

Answer 25

seen with colic

Question 26

10 years after colic

Answer 26

recurrent abdominal pain

allergic diseases

psych disorders

Question 27

children with migraine

Answer 27

lots had colic when infant

Question 28

trigeminal nerve

Answer 28

mediator of headache

facilitation can occur

Question 29

fennel extract tea

Answer 29

for colic

Question 30

probiotics for colic

Answer 30

l. reuteri

Question 31

OMT for colicky baby

Answer 31

OA
mid thoracic
thoracolumbar junction
lumbar spine
pelvic diaphragm

Question 32

child ribs

Answer 32

more horizontal orientation