GI exam part 3 cards

Question 1

What are the nerves associated with Osteopathic treatment of GI system?

Answer 1

collateral or prevertebral ganglia

Question 2

What is the celiac ganglia level?

Answer 2

It is from T5-T9

Question 3

What is the superior mesenteric ganglia level?

Answer 3

T10-T11

Question 4

Inferior mesenteric ganglia level:

Answer 4

It is from T12- L2 and right above umbilicus

Question 5

What are the autonomic effects on GI?

Answer 5

Sympathetic: decrease the motility and secretions, vasoconstriction, contraction of sphincters.

Question 6

What are the 3 big ways to treat sympathetic system in GI?

Answer 6

chapman’s point, sympathetic chain VSR levels, vasoconstriction.

Question 7

What do all disease processes have in common?

Answer 7

sympathetic hyperactivity

Question 8

What do GI lymphatics drain into?

Answer 8

They go from cysterna chyli to thoracic duct.

Question 9

Tx approach is wheat for osteopathic approach?

Answer 9

Tx somatic dysfunction of VSR level. Rib raising. Paraspinal inhibition, all targeted at sympathetics

Question 10

Parasympathetics tx:

Answer 10

vagus nerve with OA treatment, sacral rocking, sacral inhibition, lymphatics like thoracic inlet release

Question 11

What are the symptoms involved:

GERD
PUD
Diarrhea
IBD
IBS
Diverticular

Answer 11

GERD: increase sympathetics

PUD: increase sympathetics

Diarrhea: sacral inhibition

Constipation: sacral rocking

IBD: chapman’s point on lower ribs ( 8-11).

VSR levels 7- 11. superior mesenteric and celiac ganglia

Superior mesenteric and celiac ganglia. Chapman’s point on lower ribs 8-11.

Question 12

What are the levels for the celiac ganglia?

What are the inferior mesenteric levels?

What are the levels for the superior mesenteric ganglia?

Answer 12

T5-T9, and it goes from the stomach to duodenum.

T12-L2, the left colon to the rectum.

T10-T11: jejunum to right colon + kidneys and adrenals