Osteopathic Management of GI Disorders

Question 1

Sympathetic innervation of the thoracic esophagus is from ________ and abdominal esophagus is from ________.

Answer 1

T3-T5, T5-T8

Question 2

Sympathetic viscerosomatic reflexes from GERD will present at ________ (lower esophagus) or ________ (stomach).

Answer 2

T5-T6, T10

Question 3

Esophageal spasm can have sympathetic viscerosomatic reflexes from ________ on the ________ side.

Answer 3

T5-T10, right

Question 4

Gastric sympathetic viscerosomatic reflexes will be found at ________ on the ________ side.

Answer 4

T5-T10, left

Question 5

The UGI pattern that is classically seen is composed of what?

Answer 5

C2 left
T3-T6 right (esophagus)
T5-T10 left (stomach)
T6-T8 right (duodenum)

Question 6

Peripheral diaphragm inflammation can lead to referred pain in the ________ below the ________.

Answer 6

Back, inferior angle of the scapula

Question 7

In cholecystitis, if the diaphragm is agitated, you could see referred pain in the right shoulder via the ________ nerve coming from _______ spinal levels.

Answer 7

Phrenic, C3-C5

Question 8

Sympathetic viscerosomatic reflexes for the gallbladder and liver are found at ________ on the ________.

Answer 8

T5-T10, right

Question 9

Sympathetic viscerosomatic reflexes for the appendix are found at ________ on the ________ side.

Answer 9

T9-T12, right

Question 10

In irritable bowel syndrome, sympathetic viscerosomatic reflexes for the small intestine would be found at ________ and for the large intestine would be found at ________.

Answer 10

T8-T11, T10-L3

Question 11

Sympathetic innervation of the pancreas is from ________ and is typically ________.

Answer 11

T5-T9, bilateral (tends to be more right sided)

Question 12

Sympathetic innervation of the ascending and proximal 2/3 of the transverse colon are at ________ on the ________ and ________, respectively.

Answer 12

T10-L1, right, bilaterally

Question 13

Sympathetic innervation of the descending colon is from ________ on the ________.

Answer 13

L1-L3, left

Question 14

The anterior Chapman’s point for the esophagus is the ________.

The posterior Chapman’s point for the esophagus is ________.

Answer 14

2nd rib space

Between the spinous process and transverse process of T2

Question 15

The anterior Chapman’s point for the stomach is the ________ on the ________.

The posterior Chapman’s point for the stomach is ________ on the ________.

Answer 15

5th and 6th rib space, left

Between the transverse processes of T5 and T6, and T6 and T7, right

Question 16

The anterior Chapman’s point for the liver is the ________ on the ________.

The posterior Chapman’s point for the liver is ________ on the ________.

Answer 16

5th and 6th rib space, right

Between the transverse processes of T5 and T6, and T6 and T7, right

Question 17

The anterior Chapman’s point for the gallbladder is the ________ on the ________.

The posterior Chapman’s point for the gallbladder is ________ on the ________.

Answer 17

6th rib space, right

Between the transverse processes of T6 and T7, right

Question 18

The anterior Chapman’s point for the ascending colon is the ________ on the ________.

The posterior Chapman’s point for the ascending colon is from the ________ to the ________.

Answer 18

IT band (lateral thigh), right

Transverse processes of L2-L4, iliac crest