Viseral 3: Lower GI

Question 1

Sympathetics for right colon and 1/2 of transverse colon

Answer 1

T10-11

Question 2

Sympathetics for 1/2 of transverse colon and left colon

Answer 2

T12-L2

Question 3

Hyperactivity of sympathetics will cause what Sx?

Answer 3

Gas, abdominal distention, constipation ileus

Question 4

Overactivity of parasympathetics will cause what Sx?

Answer 4

Diarrhea

Question 5

What provides parasympathetic stimulation to the right colon and first 1/2 of transverse colon?

Answer 5

Vagus n

Question 6

What provides parasympathetic innervation to the left of the colon and last 1/2 of transverse?

Answer 6

Pelvic splanchnics

Question 7

Hypoactivity of parasympathetics to the gut will cause what Sx?

Answer 7

Constipation

Question 8

Describe Stage I of Post-OP

Answer 8

Decreased/absent bowel sounds

Decreased breathing

Question 9

What are the Tx options for Stage I post-Op?

Answer 9

Paravertebral inhibition
Indirect release of diaphragm
Thoracic inlet
Tx phrenic n. with mid cervical manipulation

Question 10

What is Stage II of Post-Op like?

Answer 10

Bowel sounds
Breathing on own
Ingesting fluids

Question 11

What are the Tx options for Stage II post-Op?

Answer 11

Rib raising, paravertebral inhibition, indirect fascial release

Question 12

What is Stage III of Post-Op like?

Answer 12

Ambulation + increased oral intake

Question 13

What are the Tx options for Stage II post-Op?

Answer 13

Paravertebral inhibition, CV4, Pedal pump, rib raising, condylar decompression, pectoral traction

Question 14

If a pt has constipation, flatulence, and distention, where would the Chapman points be for this?

How would you treat it?

Answer 14

T10-L2

TX: Rib raising, Tx the Chapman pt, paravertebral inhibition, inferior mesenteric inhibition