Term
| Where are the Celiac Ganglion located? |
|
Definition
|
|
Term
| What does the Celiac Ganglion innervate? |
|
Definition
| Upper GI - stomach, liver, pancreas, gallbladder |
|
|
Term
| Where are the superior mesenteric ganglion? |
|
Definition
|
|
Term
| What does the superior mesenteric ganglion innervate? |
|
Definition
| Small intestine and right side of the colon |
|
|
Term
| Where do the inferior mesenteric ganglion come from? |
|
Definition
|
|
Term
| What does the inferior mesenteric ganglion innervate? |
|
Definition
| Pelvic structures and left side of colon |
|
|
Term
| What provides parasympathetics to the GI? |
|
Definition
vagus (OA, C1, C2)
pelvic splanchics (S2-S4) |
|
|
Term
| What are the important Chapmans points and sympathetics for treatment in IBS? |
|
Definition
Small Intestine 8-10th intercostal spaces
Colon - Anterior IT band
Celiac, SM, and IM ganglion
T8-10 TPs for small intestine
T10-L2 for large bowel |
|
|
Term
| What are the important points of treatment for GERD? |
|
Definition
Sympathetics/Chapman's - Stomach - left 5th intercostal space, mid mammillary line
Intertransverse between T5-T6
Parasympathetics - OA, AA, C2 |
|
|
Term
| Chapman's Point for the Esophagus |
|
Definition
Parasternal, Rib 2-3
T2 TPs |
|
|
Term
| Chapman's point for Stomach |
|
Definition
Left 5th ICS, middle
T5 Left TP |
|
|
Term
| Chapman's point for Duodenum |
|
Definition
|
|
Term
| Chapman's Point for Liver |
|
Definition
Right, medial 5th and 6th ICS
T5-T6 Right TP |
|
|
Term
| Chapman's Point for Gallbladder |
|
Definition
Right med 6th ICS
T6 right TP (T6-T9 R) |
|
|
Term
| Chapman's point for Ileum-Jejunum |
|
Definition
Med 8-10th ICS
T8-T10 Transverse processes |
|
|
Term
| Chapman's Point for Right Colon |
|
Definition
Right IT
BL 2-4 Transverse processes |
|
|
Term
| Chapman's point for Left Colon |
|
Definition
Left ITB
L2-L4 Transverse Processes |
|
|
Term
| What are some sympathetic GI symptoms? |
|
Definition
Constipation
Abdominal Pain
Flatulence
Distension |
|
|
Term
| Overstimulation of the Parasympathetics can lead to what symptoms? |
|
Definition
Headache
Nause/Vomiting
Diarrhea
Cramping
Bradycardia |
|
|
Term
| What area should you treat for a patient with parasympathetic symptoms that deal with the upper GI tract? |
|
Definition
|
|
Term
| Someone with diverticula would most likely have tissue texture changes at what level? |
|
Definition
|
|
Term
| What is the purpose of the mesenteric lift? |
|
Definition
| To free fascial restrictions in the abdomen and facilitate movement of the bowels |
|
|
Term
| For constipation specifically dealing with the sigmoid colon, what area would you treat in order to increase activity? |
|
Definition
|
|
Term
| Where would you expect to find tissue texture changes in a patient complaining of abdominal pain on the right which gets worse with the ingestion of fatty foods? |
|
Definition
|
|
Term
| Name a contraindication for treating the cervical parasympathetics? |
|
Definition
|
|
Term
| What is the mechanism by which sympathetic stimulation causes sympathetic GI symptoms? |
|
Definition
| Decreases secretion with vasoconstriction, such as when you're under stress |
|
|
Term
|
Definition
| The greater curvature of the stomach to the duodenum |
|
|
Term
|
Definition
lesser curvature of the stomach
small intestine
right(ascending) colon to mid transverse colon |
|
|
Term
| Pelvic Splanchnics (S2-S4) Innervate |
|
Definition
2nd half of transverse colon
left (descending) colon to sigmoid colon
and rectum |
|
|
Term
| To treat parasympathetic activity in relation to vagus nerve, what location on the spine would you treat? |
|
Definition
|
|
Term
| To treat parasympathetic activity in relation to the pelvic splanchnics, what area on the spine would you treat? |
|
Definition
|
|
Term
| All activities associated with the vagus nerve originate where? |
|
Definition
| Dorsal Nucleus of the Vagus |
|
|
Term
| Superior ganglia of the vagus are located where? |
|
Definition
| Just above the jugular foramen |
|
|
Term
| Inferior Ganglion of the vagus is located where? |
|
Definition
| Just below the jugular foramen |
|
|
Term
| Inferior ganglion of the vagus receives sensory from what nerve? |
|
Definition
|
|
Term
| What type of dysfunction are you most likely to find on the spine in a viscerosomatic reflex? |
|
Definition
| Type II with extension, sidebending and rotation to the same side as the involved organ |
|
|
Term
| What are the sympathetic and parasympathetic origins of the celiac ganglion? |
|
Definition
| T5-T9 and Vagus Nerve (OA, C1, C2) |
|
|
Term
| What are the sympathetic and parasympathetic origins of the inferior mesenteric ganglion? |
|
Definition
T12-L2
Pelvic Splanchnics (S2-S4) |
|
|
Term
| What are the sympathetic and parasympathetic origins of the superior mesenteric ganglion? |
|
Definition
T10-T11
Vagus (OA, C1, C2) |
|
|
Term
| Chapman's points are primarily used for what? |
|
Definition
| To help diagnose visceral problems |
|
|
Term
| What are the goals of the osteopathic approach to treating IBS and GERD? |
|
Definition
Normalize autonomic function
Relieve lymphatic and venous congestion
Examine for facilitated segments |
|
|
Term
| Where is the most common somatic dysfunction when referring to sympathetic that reduce normal perstaltic movement of the gut? |
|
Definition
|
|
Term
| What are the important parasympathetic locations for IBS? |
|
Definition
Pelvic Splanchnics (S2-S4) - lower bowel
Vagus - OA, C1, C2 |
|
|
Term
| Lymphatic congestion in IBS includes what symptoms? |
|
Definition
|
|
Term
| How should you go about treating lymphatic congestion in IBS? |
|
Definition
Lymphatic Pump
Doming of the diaphragm
Open thoracic inlet
Mesenteric Lift |
|
|
