Visceral Flashcards
True or false: OMM is indicated for an SBO
True?
True or false: OMM is not appropriate for an Ileus
False?
What does the celiac artery supply? (5)
- Liver
- Stomach
- Abdominal esophagus
- Spleen
- Superior half of both the duodenum and pancreas
The SMA supplies what organs?
-Distal 1/3 of duodenum to half of transverse colon
The IMA supplies what part of the gut?
Last half of the transverse colon to the rectum
Complaints of HA, nausea, vomiting, diarrhea, and cramps result from what part of the ANS?
Parasympathetic
What are the branches of the SMA? (4)
- Jejunal
- Ileocolic
- Right Colic
- Middle colic
What are collateral ganglia?
Unpaired, abdominopelvic (prevertebral ganglia)
What are the three major collateral ganglia of the abdomen?
Celiac
SMA
IMA
What is the location of the ileo-cecal valve?
1/3 way on a line from the R ASIS to umbilicus, then a little superior
(McBurney’s point)
What is the location of the duodenal jejunal junction?
On a line from the left mid clavicle to the umbilicus, then 2/3 cm on line up from umbilicus
Where is the sphincter of Oddi located?
On a line from right mid clavicle to umbilicus, then 2-3 cm on line up from umbilicus
Where is the pylorus located?
6-7 cm above the umbilicus
Where is the cardiac/gastro esophageal junction located?
1/2 -1 in above the xiphoid process
Visceral organs are suspended from the dorsal surface of the abdominal cavity by what? What are these?
Mesenteries–folds of peritoneum
What are the three branches of the IMA?
- Left colic
- Sigmoid arteries
- Superior rectal arteries
The cisterna chyli receives lymphatic drainage from what part of the body?
Everything below the diaphragm
Where does the thoracic duct enter the abdomen?
Through the aortic hiatus
What are the indications for re-doming the diaphragm?
- GERD
- hiatal hernias
- Biliary colic
How is the cisterna chyli pump performed? How long?
Add a pulsating force (LA/HF) to the cisterna chyli for 1-2 minute
How is the thoracic pump performed?
Pulsate in the medial left clavicle
What is the nerve the supplies most of the PNS of the abdomen? Where does this nerve exit the skull?
CN X
Jugular foramen
Does the right or the left vagus nerve supply innervation to the greater curvature of the stomach?
Left
What are the cell bodies that are found in the sympathetic chain?
Second order neurons
What are the spinal levels of the celiac ganglion?
T5-T9
What are the spinal levels of the superior mesenteric ganglion?
T10-T11
What are the spinal levels of the inferior mesenteric ganglion?
T12-L2
Where is the superior mesenteric ganglion located?
midway between xiphoid process and umbilicus
Where is the inferior mesenteric ganglion located?
At the level of the umbilicus
Where is the celiac ganglion located?
Just inferior to the xiphoid process
How is the celiac ganglion inhibition performed?
- Spread fingers along the linea alba
- Take in a breath against resistance
- With inhalation, take past barrier
What are the indications for a celiac ganglion inhibition/linea alba treatment?
- Abdominal distension
- Slowed GI motility
How, generally, is counterclockwise function of the intestines treated?
Inhibit the most inferior sphincter by Fascially loading the sphincter and following it into the dysfunctional direction
True or false: oftentimes treating the most inferior dysfunctional sphincter will resolve sphincter SDs superiorly
True
The CT pathways of the mesenteries provide passages for what three things?
- Arterial blood supply
- Venous and lymphatic return
- ANS
What are the indications for a mesenteric lift?
IBS
Constipation
Ileus
How is a mesenteric lift performed?
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
