Physical Diagnosis OMT Integration

Question 1

Viscerosomatic reflexes: PSNS Influence

Answer 1

1) Vagus (CN10 via OA and AA) - everything above/below diaphragm proximal to mid-transverse colon
2) Pelvic splanchnic nerve (S2-S4) - everything below diaphragm distal to mid-transverse colon

Question 2

Viscerosomatic reflexes: SNS Influence
T1-T4
T1-T6
T2-T8
T5-L2
T11-T12

Answer 2

T1-T4 - H/N, heart (via cervical ganglia)
T1-T6 - heart and lungs
T2-T8 - UE
T5-L2 - all of GI tract and pelvis
T11-T12 - LE

Question 3

Viscerosomatic reflexes: SNS Influence on the GI tract and pelvis.
T5-T9 - nerve&raquo_space; G&raquo_space; organ
T10-T11 - nerve&raquo_space; G&raquo_space; organ
T12-L2 - nerve&raquo_space; G&raquo_space; organ

Answer 3

T5-T9 - Greater splanchnic n&raquo_space; celiac G&raquo_space; upper GI, liver, duodenum, pancreas
T10-T11 - Lesser splanchnic n&raquo_space; sup. mesenteric G&raquo_space; small intestines, R colon, adrenals, gonads, kidneys, upper half of ureter
T12-L2 - Least spanchnic n&raquo_space; inf mesenteric G&raquo_space; lef tcolon, pelvis, lower half of ureter, baldder, genetalia

Question 4

What does the right lymphatic duct drain?

Answer 4

right side of head, R UE, heart, lungs

Question 5

What does the left lymphatic duct drain?

Answer 5

everything R duct does not drain (everything except the right side of head, R UE, heart, lungs)

Question 6

Tx order for lymphatics:

Answer 6

1. RELEASE THORACIC OUTLET
   Area 1: thoracic inlet down to thoracoabdominal diaphragm
   Area 2: abdominal diaphragm down to pelvic diaphragm
   Area 3: UE (or Area 4, whichever is worse)
   Area 4: LE
   Area 5: H/N