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OMM II > Visceral > Flashcards

Visceral Flashcards

1
Q

True or false: OMM is indicated for an SBO

A

True?

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2
Q

True or false: OMM is not appropriate for an Ileus

A

False?

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3
Q

What does the celiac artery supply? (5)

A
  • Liver
  • Stomach
  • Abdominal esophagus
  • Spleen
  • Superior half of both the duodenum and pancreas
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4
Q

The SMA supplies what organs?

A

-Distal 1/3 of duodenum to half of transverse colon

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5
Q

The IMA supplies what part of the gut?

A

Last half of the transverse colon to the rectum

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6
Q

Complaints of HA, nausea, vomiting, diarrhea, and cramps result from what part of the ANS?

A

Parasympathetic

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7
Q

What are the branches of the SMA? (4)

A
  • Jejunal
  • Ileocolic
  • Right Colic
  • Middle colic
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8
Q

What are collateral ganglia?

A

Unpaired, abdominopelvic (prevertebral ganglia)

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9
Q

What are the three major collateral ganglia of the abdomen?

A

Celiac
SMA
IMA

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10
Q

What is the location of the ileo-cecal valve?

A

1/3 way on a line from the R ASIS to umbilicus, then a little superior

(McBurney’s point)

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11
Q

What is the location of the duodenal jejunal junction?

A

On a line from the left mid clavicle to the umbilicus, then 2/3 cm on line up from umbilicus

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12
Q

Where is the sphincter of Oddi located?

A

On a line from right mid clavicle to umbilicus, then 2-3 cm on line up from umbilicus

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13
Q

Where is the pylorus located?

A

6-7 cm above the umbilicus

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14
Q

Where is the cardiac/gastro esophageal junction located?

A

1/2 -1 in above the xiphoid process

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15
Q

Visceral organs are suspended from the dorsal surface of the abdominal cavity by what? What are these?

A

Mesenteries–folds of peritoneum

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16
Q

What are the three branches of the IMA?

A
  • Left colic
  • Sigmoid arteries
  • Superior rectal arteries
17
Q

The cisterna chyli receives lymphatic drainage from what part of the body?

A

Everything below the diaphragm

18
Q

Where does the thoracic duct enter the abdomen?

A

Through the aortic hiatus

19
Q

What are the indications for re-doming the diaphragm?

A
  • GERD
  • hiatal hernias
  • Biliary colic
20
Q

How is the cisterna chyli pump performed? How long?

A

Add a pulsating force (LA/HF) to the cisterna chyli for 1-2 minute

21
Q

How is the thoracic pump performed?

A

Pulsate in the medial left clavicle

22
Q

What is the nerve the supplies most of the PNS of the abdomen? Where does this nerve exit the skull?

A

CN X

Jugular foramen

23
Q

Does the right or the left vagus nerve supply innervation to the greater curvature of the stomach?

A

Left

24
Q

What are the cell bodies that are found in the sympathetic chain?

A

Second order neurons

25
Q

What are the spinal levels of the celiac ganglion?

A

T5-T9

26
Q

What are the spinal levels of the superior mesenteric ganglion?

A

T10-T11

27
Q

What are the spinal levels of the inferior mesenteric ganglion?

A

T12-L2

28
Q

Where is the superior mesenteric ganglion located?

A

midway between xiphoid process and umbilicus

29
Q

Where is the inferior mesenteric ganglion located?

A

At the level of the umbilicus

30
Q

Where is the celiac ganglion located?

A

Just inferior to the xiphoid process

31
Q

How is the celiac ganglion inhibition performed?

A
  1. Spread fingers along the linea alba
  2. Take in a breath against resistance
  3. With inhalation, take past barrier
32
Q

What are the indications for a celiac ganglion inhibition/linea alba treatment?

A
  • Abdominal distension

- Slowed GI motility

33
Q

How, generally, is counterclockwise function of the intestines treated?

A

Inhibit the most inferior sphincter by Fascially loading the sphincter and following it into the dysfunctional direction

34
Q

True or false: oftentimes treating the most inferior dysfunctional sphincter will resolve sphincter SDs superiorly

A

True

35
Q

The CT pathways of the mesenteries provide passages for what three things?

A
  • Arterial blood supply
  • Venous and lymphatic return
  • ANS
36
Q

What are the indications for a mesenteric lift?

A

IBS
Constipation
Ileus

37
Q

How is a mesenteric lift performed?

A

Gently move intestines with scoop-like motion at right angles to mesenteric attachment until restriction of motion is felt

Pt takes a partial breath in and hold, while dr takes up slack

OMM II (43 decks)

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