Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OS III Midterm > Visceral OMT DSA > Flashcards

Visceral OMT DSA Flashcards

1
Q

True or False: most interneurons receive input from both visceral and somatic sources

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

List the order of OMT treatment using Biomechanical, Circulatory Lymphatics, and Neurologic.

A

1) Biomechanical first
2) Neurologic second
3) Circulatory Lymphatics third

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the characteristics of treating the biomechanical aspects of viscera using OMT?

A
  • remove associated mechanical stress
  • -lower ribs, TL spine, psoas, QL, pelvic floor
  • -visceral support (mesentery, ligaments)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the characteristics of treating the neurologic aspects of viscera using OMT?

A

-treat areas related to sympathetic/parasympathetic innervation to normalize autonomic tone

  • Para: OA (vagus) and sacrum (pelvic splanchnic)
  • Sympathetic: T1-L2 dorsal root ganglia
  • Chapman’s Points
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the characteristics of treating the circulatory lymphatics aspect of viscera using OMT?

A
  • reduce impediments to flow (local, regional, global)

- pumping (thoracoabdominal and pelvic diaphragms)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are indications and contraindications of Large Intestine Visceral OMT?

A

+constipation, IBS, post-injury, viscerosomatic reflex

–active infection, colon obstruction, surgery within the past 2-3 weeks, splenomegaly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which parts of the colon are intraperitoneal and which parts are retroperitoneal?

A

Intraperitoneal: Transverse and Sigmoid
Retroperitoneal: Ascending and Descending

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

True or False: the colon tapers from proximal to distal

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which two major arteries supply the colon?

A

Superior and Inferior Mesenteric aa.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How does the mesentery run along the posterior abdominal wall?

A

from superior left to inferior right

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the sympathetic innervation and parasympathetic innervation of the ascending and transverse colon?

A

Sympathetic: T10-T11 (lesser splanchnic n.)
(superior mesenteric ganglion)

Parasympathetic: Vagus (CN X)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the sympathetic and parasympathetic innervation of the descending colon?

A

Sympathetic: T12-L2 (least splanchnic n.)
(inferior mesenteric ganglion)

Parasympathetic: Pelvic Splanchnic (S2-S4)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where would you palpate the superior mesenteric ganglion and what does it control?

A
  • midway between the xiphoid and the umbilicus

- distal duodenum, pancreas, jejunum, ileum, ascending colon, proximal 2/3rds of transverse colon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where would you palpate the celiac ganglion and what does it control?

A
  • 1/4th of the way between the xiphoid and the umbilicus

- distal esophagus, stomach, proximal duodenum, liver, gallbladder, spleen, pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where would you palpate the inferior mesenteric ganglion and what does it control?

A
  • 1/4th of the way b/w the umbilicus and the xiphoid

- distal 1/3rd of the transverse colon, descending colon, sigmoid colon, rectum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How do you conduct collateral ganglia release?

A
  • direct force posteriorly and engage the feather’s edge of the restrictive barrier
  • maintain gentle force until a softening occurs (inhibition)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Where is the posterior Chapman point for the colon?

A

-a triangular area from the transverse process of L2, transverse process of L4, and the crest of the ilium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

True or False: there is a direct fascial relationship b/w the QL and the colon

A

True: ascending colon on the right side and descending colon on the left side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How do you treat Chapman’s Points?

A

–slow circular massage with medium/firm pressure for 10-30s

–clockwise and counterclockwise may be alternated, whichever works best

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are indications and contraindications for performing Small Intestine Visceral OMT?

A

+indigestion, delayed gastric emptying, cholestasis, viscerosomatic reflex findings

–splenomegaly, active infection, colon obstruction, surgery within the past 2-3wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Which parts of the small intestine are intraperitoneal and which parts are retroperitoneal?

A

Retroperitoneal: duodenum
Intraperitoneal: jejunum and ileum

22
Q

What is the sympathetic and parasympathetic innervation to the duodenum?

A

Sympathetic: T5-T9 (greater splanchnic n., celiac ganglion)

Parasympathetic: Vagus n. (CN X)

23
Q

What is the sympathetic and parasympathetic innervation to the jejunum and ileum?

A

Sympathetic: T10-T11 (lesser splanchnic n., superior mesenteric ganglion)

Parasympathetic: Vagus n. (CN X)

24
Q

Where are the anterior Chapman points for the small intestines?

A

-on the inferior aspect of the costochondral joints of ribs 8-10

25
Q

Where is the Chapman Point for the appendix?

A

tip of Rib 12

26
Q

Where is the anterior Chapman Point for the spleen?

A

-7th intercostal space (b/w 7 and 8) on the Left

27
Q

What are the posterior Chapman Points for the small intestines?

A

-midway between the transverse process and spinous process between T8-T9, T9-T10, and T10-T11

28
Q

Where is the posterior Chapman Point for the spleen?

A

-midway b/w the transverse process and spinous process b/w T7-T8 on the Left

29
Q

Where is the posterior Chapman Point for the pancreas?

A

-midway b/w the transverse process and spinous process b/w T7-T8 on the Right

30
Q

True or False: if there’s no Chapman Point reflex, there’s no disease process

A

False, lack of Chapman Reflex does NOT indicate lack of disease

Conversely, presence of a Chapman Reflex doesn’t always indicate disease, could be a somatic dysfxn

31
Q

What are indications for Liver Visceral OMT?

A
  • passive congestion of liver and spleen
  • parenchymal disease of liver or spleen
  • pt’s w/ infectious processes (improve host immunity)
  • liver visceral capsule or suspension dysfxn
32
Q

What are contraindications for Liver Visceral OMT?

A
  • fractures, dislocations in thorax
  • lymphatic system malignancy
  • trauma to liver, spleen, or adjacent organs
  • acute hepatitis
  • friable hepatomegaly or splenomegaly (mono, sickle)
33
Q

True or False: blood supply passes through fascia

A

True; thus, tight fascia can cause blood flow issues

34
Q

What is the sympathetic and parasympathetic innervation to the liver?

A

Sympathetic: T7-T9 (greater splanchnic n., celiac ganglion)

Parasympathetic: Vagus n. (CN X)

35
Q

Describe the Liver Pump.

A

Set-up: caudad hand on front right ribs at bottom costal margin and cephalad hand on back right ribs at bottom costal margin

–alternate compress/release for 30-60s (15-20x/min)

36
Q

Where is the anterior and posterior Liver Chapman Point?

A

Anterior: 5th intercostal space on the Right

Posterior: halfway b/w spinous process and transverse process b/w T5-T6 on the Right

37
Q

Where is the anterior and posterior Gallbladder Chapman Point?

A

Anterior: 6th intercostal space on the Right

Posterior: halfway b/w the spinous process and the transverse process b/w T6-T7 on the Right

38
Q

What are indications for Renal Visceral OMT?

A
  • renal failure
  • nephrolithiasis
  • cystitis, interstitial cystitis
  • incontinence, pelvic floor symptoms
  • prostate or uterine disease
39
Q

True or False: treating constipation may improve bladder function

A

True; constipation can cause reflexive bladder spasms, and the pressure of the stool on the urethra can prevent complete emptying.

40
Q

Are the kidneys intraperitoneal or retroperitoneal?

A

Retroperitoneal

K of SAD PUCKER

41
Q

What is the sympathetic and parasympathetic innervation of the ureters, bladder, and pelvic organs?

A

Sympathetic: T12-L2 (least splanchnic n., inferior mesenteric ganglion)

Parasympathetic: Pelvic splanchnic n. (S2-S4)

42
Q

What happens when there’s dysfxn of the sympathetic innervation to the urinary system?

A
  • vasoconstriction
  • ureteral constriction
  • constriction of internal urethral sphincter
43
Q

What is parasympathetic innervation of the urinary system responsible for?

A
  • helps w/ peristalsis along ureters

- contracts bladder to urinate

44
Q

Where is the anterior and posterior Chapman Point for the adrenals?

A

Anterior: 2” above and 1” lateral to the umbilicus

Posterior: intertransverse spaces T11-T12

45
Q

Where is the anterior and posterior Chapman Point for the kidney/ureters?

A

Anterior: 1” above and 1” lateral to the umbilicus

Posterior Kidney: intertransverse space T12-L1
Posterior Ureters: intertransverse space L1-L2

46
Q

Where is the anterior and posterior Chapman Point for the bladder?

A

Anterior: umbilicus/periumbilical area

Posterior: superior edge of L2 transverse process (same as urethra)

47
Q

Where is the anterior and posterior Chapman Point for the urethra?

A

Anterior: inner edge of pubic ramus near symphysis

Posterior: superior edge of L2 transverse process (same as bladder)

48
Q

What is the primary lymphatic drainage of the lower pelvis?

A

external iliac nodes

-thus, anterior hip tension has an influence on pelvic congestion

49
Q

True or False: Chapman’s Reflexes are a viscerosomatic reflex

A

True

50
Q

What nerve is responsible for referred pain from a kidney stone in a ureter?

A

genitofemoral n.

OS III Midterm (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions