OMM for GI Flashcards

(49 cards)

1
Q

What are the CNs that are a part of the parasympathetic system?

A

3 7 9 10

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2
Q

What is the sacral portion of the parasympathetic system?

A

S2, S3, S4

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3
Q

What are the effects of the parasympathetic system on the GI arterioles?

A

None

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4
Q

What are the effects of the parasympathetic system on the GI musculature?

A

Peristalsis and relaxed sphincter

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5
Q

What are the effects of the parasympathetic system on the liver?

A

Promotes glycogen synthesis

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6
Q

What are the effects of the parasympathetic system on the Glands?

A

Copious secretions

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7
Q

What spinal levels are the ganglia located at?

A

T1 - L2

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8
Q

What are the effects of the sympathetic system on the glands?

A

Decreases secretions

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9
Q

What are the effects of the sympathetic system on the blood vessels?

A

constriction

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10
Q

What are the effects of the sympathetic system on the GI musculature?

A

Decreases peristalsis

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11
Q

What are the effects of the sympathetic system on the gallbladder?

A

Relax

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12
Q

What are the effects of the sympathetic system on the GI arterioles?

A

constriction

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13
Q

When is increased tone most often seen?

A

Disease or trauma state

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14
Q

What happens to lymphatics with increased sympathetic tone?

A

Decreased flow

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15
Q

What are the sympathetic nerves that supply the head and upper extremity?

A

Cervical ganglia

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16
Q

What are the sympathetics to the Lower extremities?

A

Lumbar splanchnic nerves

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17
Q

What happens when there is a decrease in lymphatic flow?

A

Boggy/spongy tissue with lower pH

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18
Q

What happens when there is a flattening of the diaphragm?

A

Decreases the volume displacement and pressure gradient leading to decreased lymphatic drainage, congestion, and decreased CO

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19
Q

What is the most important diaphragm for increasing lymphatic flow?

A

Inlet

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20
Q

Look at the table for viscero-somatic reflexes

21
Q

What are the nerve organ bits that are located in the GI tract?

A

Pacinian corpuscles and free nerve endings

22
Q

Visceral pain is poorly localized. What is the supposed effects along the spine?

23
Q

What is the progression of pain sensation in the abdomen?

A

Visceral (poorly localized)

Somatic (well localized)

24
Q

What are the spinal levels that are affected with the upper GI?

25
What are the spinal levels that are affected with the lower GI?
T9-L2
26
Which side are paraspinal muscles tight on with abdominal pain?
Same side as the involved organ
27
What happens when there is handling of the bowel?
Causes secondary viscero-visceral reflexes
28
Increased sympathetic tone leads to what problems in the GI system?
Increased vascular tone, reducing flow to the tissues
29
What is the effect of sympathetic overtone on the GI mucosa?
Increases its sensitivity to pH
30
What happens to sympathetic overtone with the gallbladder?
Relaxes
31
Thoracic splanchnic nerves go where?
Celiac ganglion
32
Lumbar splanchnic afferents go where?
Inferior mesenteric ganglion
33
What connects that first 2 cervical nerves?
CN X
34
What does the left/anterior vagus innervate in the GI system?
Stomach and duodenum
35
What does the right/posterior vagus innervate in the GI system?
Small intestines, right colon, and organs and glands up to the mid transverse colon
36
True or false: everything innervated by the vagus are intimately bound together and are capable of readily transmitting reflexes
True
37
What do S2-4 innervate in the GI tract?
Descending colon and rectum
38
What happens when there is hyperactivity of both the symp and parasymps?
IBS
39
What happens to nutrition with impaired lymphatic flow?
impaired d/t increased fibrosis
40
What is the innervation of the left crus? Right?
``` Left = L1-2 Right = L1-3 ```
41
What is the effect of symp overtone on the crus?
Increased tautness of the tissues, decreases lymphatic flow
42
What are the attachment sites of the diaphragm?
costal cartilages of 7-12, xiphoid process
43
Innominate and sacral dysfunctions may lead to what?
Torsions within the levator ani musculature, thus tethering the sigmoid colon and rectum
44
Right shoulder pain can be suggestive of what?
gallbladder pain
45
Why do you treat the OA with GI complaints?
Where vagus exits
46
What type of motion should be used to increase parasympathetic tone?
Slow
47
What does addressing the sacrum do for the GI?
S2-4 nerves
48
What spinal levels do you want to look at in the ribs?
T5-12
49
What are the lymphatic treatments for the GI?
Myofascial release Diaphragm Pect traction Lymph pump