GI Cases DSA Flashcards
stomach peristalsis chapman anterior
left 6th ICS between MCL and sternum
stomach hyperacidity chapman anterior
left 5th ICS between MCL and sternum
stomach, duodenum, pancreas sympathetics
T7 on right
gallbaldder symapthetics
T6-8 on right
small intestine sympathetics
T8-12
distal third of large intestine sympathetics
T12-L2
increased sympathetic in stomach
decreased mucous and delayed pyloric sphincter relaxation (more contracted sphincter)
parasympathetics to GI organs**
vagus - esophagus to proximal 2/3 of large intestine
pelvic splanchnics (S2-4) distal 1/3 of large intestine
embryo of core muscles
develop from same lateral plate mesoderm as smooth m of digestive tract
core
described as functional unit of transversus abdominus, pelvic floor muscles, diaphragm, multifidus
lactose intolerant women
have increased post-partum pelvic pain
eating lots of chilis
can cause inhibition of transversus abdominus
4 factors of bloating
1 - subjective sensation of bloating
2 - objective abdominal distension
3 - volume of abdomen contents
4 - changes to muscular activity
infantile colic
uncontrollable crying in infant less than 3 months of age
diagnosis of exclusion
red flags for colic
apnea, cyanosis, resp distress, vomiting, bloody stools
management of colic
- diet modification
- hypoallergenic formula
- high fiber formula
- soy based formula
- lactase therapy
- anticholinergics
postoperative ileus
abdominal operation complication
for longer than 48 hours
OMT for post-op ileus
reducing sympathetics
augmenting parasympathetics
use of OMT within 48 hours after a major GI operation
less post-op time to flatus
shorter post-op hospital length of stay
colic
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
wessel criteria
for colic definition
breastfeeding
no protective effect on development of colic
depression and colic
there is an association
epigenetics
effect on emotional and behavioral systems
