Renal DSA and CIS - Objectives SRS

Question 1

Parasympathetics to the kidney and proximal ureter?

Answer 1

Vagus

Question 2

Parasympathetics to the Distal Ureter

Answer 2

Pelvic Splanchnics S2-4

Question 3

Parasympathetics to the bladder?

Answer 3

Pelvic splanchnics

Question 4

What do the various sources of parasympathetic innervation to the ureters cause?

Answer 4

Peristalsis

Question 5

What nerve is responsible for voluntary relazation of the external urethral sphincter?

Answer 5

Pudendal n.

Question 6

Sympathetic innervation to the kidneys and ureters begins in sympathetic cell bodies located in the spinal cord at what leve?

Answer 6

T10-L1

Question 7

The pregang fibers for the kidney and upper ureter synapse primarily in the __________. While those for the lower ureter synapse primarily in the ______________?

Answer 7

Superior mesenteric collateral ganglion

Inferior mesenteric collateral ganglion

Question 8

Sympathetic stimulation of the kidneys causes what?

Answer 8

1. Vasoconstriction of afferents
2. Decreased GFR
3. decrease urine output
   4.

Question 9

Sympathetic stimulation to the bladder arise from?

Answer 9

Cell bodies in the T10-L2 levels

Question 10

Sympathetic tone to the ureters causes?

Answer 10

Decreased peristalsis and possible ureterospasm

Question 11

Sympathetic innervation to the bladder does what?

Answer 11

Relaxes detrusor muscle and contracts both the trigone and the internal sphincter.

Question 12

Renal lymphatics draining the capsule and parenchyma flow into the ________________ nodes before traveling up to the __________ and _______

Answer 12

Preaortic nodes

Thoracic duct

L. Subclavian vein

Question 13

Interference with the lymphatic drainage of the renal system has been shown to do what?

Answer 13

Cause a rise in oncotic pressure of the interstitium which leads to inability of the kidney to concentrate urine

Question 14

BE able to describe the pathophys mechanisms of somatic dysfunctions potentially present in the renal patient.

Answer 14

REview all the shit from renal.

Question 15

What are the steps you should use in formulating a treatment plan for the patient with renal issues

Answer 15

1. PErform an O/A./CB (cranial basilar) Decompression and release
2. Treat any somatic dysfunction found in the thoracolumbar
3. Treat any somatic dysfunction in the lumbosacral area and pelvis and/or perform lumbosacral pelvic soft tissue and articulation, and/or lumbosacral pelvis decompression/release.

Question 16

To summarize, what are the OMM tx goals in the patient with impaired GU tract function associated with chronic UTI, prostatits, urinary calculi, urinary incontinence and retention.

Answer 16

1. Normalize ANS tone to bladder and urethra (T12-L2)
2. Normalize ANS tone to kidneys and ureters (T10-L1)
3. Normalize pudendal innervation of the external urethral sphincter
4. Promote venous and lymphatic flow from all pelvic organs. This flow depends on the synchronous active motion of the thoracic diaphragm and passive motion of the pelvic diaphragm.
5. Improve arterial and lymphatic circulation in order to ensure maximum tissue level saturation of oxygen. Natural immunity, antibiotics and other drugs to the GU tract.