Reproductive system CIS Flashcards

1
Q

Nerves for erection

A

Pudendal N- S2,3,4 (somatic)

Pelvic Splanchnic N- S2,3,4 (Parasympathetic)

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2
Q

Nerves for Orgasm

A

Lumbar Splanchnic N. L1,2 (sympathetic)

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3
Q

Nerves for Ejaculation

A

Lumbar Splanchnic N via hypogastric N (sympathetics) to Vas and Seminal vesicles

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4
Q

What promotes lymphatic flow?

A
  • Pelvic diaphragm (active)

- Thoracic diaphragm (passive)

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5
Q

Anterior chapman point of prostate

A

Posterior margin if ITB

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6
Q

Anterior chapman point of ovaries/testes

A

Supra pubic bone

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7
Q

Other facilitation in erection

A

L1-2
Sacrum
Inferior Mesenteric Ganglion

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8
Q

Supine lumbar ME

A

Patient supine with knees bent
- Rotation: knees L or R
- Sidebend: feet L or R
Standard ME cycle

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9
Q

Pelvic Diaphragm Redoming

A

Patient supine with knees bent

  • Fingers in ipsilateral Ischial Rectal Fossa on pelvic diaphragm
  • Pt contracts pelvic floor, ME cycle
  • Perform B/L
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10
Q

Congestive stage

A
  • Poor drainage from legs
  • Greater volume
  • Ball-valve effect
  • Impaired diaphragmatic motion
  • Volume of abdomen

Treat: sacral, lumbar, thoracic, cervical

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11
Q

Useful techniques for pregnant woman in congestive stage

A
  • SI joint articulation

- Supine sacral MET

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12
Q

Structure and function dysfunctions in dysmenorrhea

A

structural dysfunction: lymphatic and venous congestion- impedes the ability of the pelvic cavity to drain vascular and lymphatic fluids causing edema

Treat junctional areas to target diaphragms and improve fluid motion:

  • Thoracolumbar junction
  • Lumbosacral junction
  • Diaphragms
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13
Q

Viscerosomatic dysfunction in dysmenorrhea

A

Visceral irritaiton causes reflex changes at the:

  • Thoraco-lumbar junction
  • Lumbosacral junction
  • Sacrum/sacroiliac joints
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14
Q

Lumbo-sacral junction HVLA

A
  1. Evaluate for LSJ rotation
  2. Place pt on side with rotation side up
  3. Isolate to the LSJ from below and above
  4. Log roll to gain mechanical advantage
  5. Thrust into the barrier
  6. Recheck your findings
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15
Q

Sacral rocking

A

Effective for fluid mobilization.
Takes the sacral base anteriorly into the “extension phase” of the craniosacral mechanism which is equivalent to performing a CV4 cranial technique.
Improves pt’s parasympathetic outflow to the involved organ

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16
Q

Reasons for impotence

A

Reduction of parasympathetic tone resulting in the impairment of erectile capabilities

Reduction of sympathetic activity resulting in dysfunctional ejaculation disorders

Hypersympathetic tone producing premature ejaculation could come from the facilitation of the thoracolumbar level, L1-2

17
Q

Where is pain arising from fallopian tubes refer to?

A

Flank, iliac fossa, and down the anterior thigh to the knee

18
Q

Where is uterine pain felt?

A

Thoracolumbar junction, abdomen, and occassionally the sacral region

19
Q

What muscle may be a cause of anovulation?

A

Chronic psoas spasm

It is also reflective of the genitoiliopsoatic syndrome where chronic ovarian inflammation causes relfex psoas spasm

20
Q

Why is there congestion in the pregnant pt?

A

More blood gets to the tissues than can be returned by the venous system- Therefore the lymphatic system is essential

21
Q

What comprises the valveless venous system and how can it produce stress

A

The CNS, spinal cord, and bony vertebral column

The valveless system can produce patterns of flow which result in venous congestion in the tissues they are supposed to drain and decrease organ function

22
Q

When does primary dysmenorrhea occur?

A

only with ovulatory cycles

23
Q

How is the LS junction named when performing the pelvic roll

A

Named based on the position of ease.

If the left side of the pelvis lifts easier, inducing rotation to the right, then the LS junction is rotated right.

24
Q

Articular technique for the sacroiliac joint AKA Zink airplace

A

Dysfunction: sacroiliac, ilosacral

  1. Have the patient in either the Sims’ position or on their side.
  2. Stand behind the patient and place one hand on the sacrum at S2.
  3. Grasp the top leg just below the knee and flex the knee and hip.
  4. Flex the hip up to the S2 level (palpate for motion at S2). Abduct the thigh until you feel a slight resistance.
  5. While maintaining abduction, circumduct and extend the leg allowing it to fall off the table at the end of extension. Take up slack during the entire motion. Respiratory cooperation may be added with the patient holding their breath during this maneuver.
  6. Repeat on the opposite side.
  7. This technique may also be used to mobilize a Type II Non-Neutral SD in the lumbar spine. Have the patient lie with the side of the rotated transverse process down, have them hug the table in the Sim’s position. Flex the patient’s top lower extremity until motion is palpated at the dysfunctional segment. The rest of the treatment is the same as the SI joint technique.
25
Q

Muscle energy for the b/l flexed sacrum AKA frog leg technique

A

Good for postpartum pts with a persistently b/l flexed sacrum.

  1. Patient is supine with both hips and knees flexed, knees apart, and soles of the feet together.
  2. Stand to the side of the patient and cup their sacrum with your caudad hand. The tips of the fingers grasp the junction of the L5 vertebra and the sacral base.
  3. Your sacral hand gives traction in a caudad direction throughout the technique to move the sacral base posteriorly and the apex anteriorly.
  4. The patient takes a deep breath and holds it while at the same time they steadily slide the feet downward toward the end of the table, keeping the soles of their feet together and their knees apart for as long as possible.
  5. Several repetitions may be needed to correct the SD.
  6. The lower extremity positioning helps to gap the SI joint. Your traction force on the sacrum moves the flexed sacrum into a more neutral position. The patient holds their breath to help encourage extension of the sacral base.