GI System- Da Boz Flashcards
KARIN Y YOU SO PRETTY?
CUZ
3 ways to affect sympathetics?
Ganglia, Chapman’s, Viscerosomatics
Sympathetics for Esophagus?
T2-T6
Sympathetics for Stomach?
T5-T9 (L)
Sympathetics for Liver/GB?
T6-T9
Sympathetics for Pancreas?
T7-T9 (L)
Sympathetics for Small Intestine?
T7-T11
Sympathetics for Colon and Rectum?
T10-L2
Parasympathetics for Colon + Rectum?
Right Colon= Vagus, Left Colon+Rectum = S2-S4
What are the sympathetic effects on the GI system?
Decreased motility, Decreased secretions, Contraction of sphincters, vasoconstriction.
What are the parasympathetic effects on the GI system?
Increased motility, Increased secretions, Relaxation of sphincters, vasodilation
Poorly localized, vague gnawing pain is what kind of pain?
True Visceral Pain
You have liver or gallbladder irritation. Where do you feel viscerosomatic pain?
The shoulder! (C3,4,5 keep the diaphragm alive and innervate shoulder!)
What kind of pain do you feel when you have DIRECT irritation of peritoneum and abdominal wall?
Somatic Pain
Ribs 8-9, 9-10, 10-11 Chapman’s are for what?
Small intestine!
KNOW CHAPMAN’S!
…….
Never do lymph techniques over a temperature of what?
101.5
How would you treat GERD with OMT?
Increase sympathetics- Aggressive ribraising for T4,5,6 (<30Sec)
Or OA decompression
How would you treat Gastritis/Peptic ulcer with OMT
Ribraising T5-T9 (<30sec to stimulate sympathetics)
To decrease parasym= OA decompression
How would you treat Diarrhea with OMT?
Decrease para- Sacral Inhibition
Increase Sym- Stimulate T12-L2 with aggressive soft tissue
How would you treat Constipation with OMT?
Increase Para- Sacral rocking
Decrease Sym- Paraspinal inhibition
Where would you treat Crohn’s?
T7-T11, Superior mesenteric ganglia; Chapman’s of Lower Ribs
Where would you treat Ulcerative Colitis?
T12-L2, Inferior mesenteric ganglia; Chapman’s of Femur
How would you treat IBS with OMT? (It is HYPERsympathetic state)
VS- T11-L2
Chapman’s- Femur
Ganglia- Inferior mesenteric
How would you treat Diverticular disease with OMT?
VS- T12-L2
Chapman’s- Femur
Ganglia- Inferior Mesenteric