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OMM gastro


Esophageal referred pain substernal
RUQ Pain doudenum, liver, gallbladder, colon
mid-epigastric pain stomach
generalized upper abdominal pain pancreas
peri umbilical pain small intestine
LUQ pain colon
RLQ Pain appendix, cecum
LLQ pain sigmoid colon, rectum
T10-11 small intestines, kidney, ureters, gonads, R colon
T12-L2 L colon and pelvic organs
T1-4 head and neck
T1-6 heart and lungs
T5-9 stomach, duoddenum liver spleen
Vagus nerve esophagus, stomach, pancreas, and upper large intestine
pelvic splanchnic lower large intestine, rectum
Esophagus T2-8
CN X lwer 2/3 esophagus, Left- greater curvature of stomach, pyloric sphincter, Right upper Gi tract, liver, gallbladder, right half of colon
pelvic splanchnic left colon and pelvis
Esophagus sympathetic relfex t3 right
stomach symp. reflex T5-8 left
symp. reflex duodenum t7-8 right
symp. reflex small intestine t8-10 b/l
symp. reflex cecum and ascending colon t12-L1right
symp. reflec descending colon L2-3 left
Pancreatic reflex T6,7,8
liver/gallbladder reflex T9-10 right
Gallbladder innervation celiac plexus(T5-9- greater splanchnic-celiac)
Chapmans reflex gallbladder Anterior- lateral to costal cartilage 7,8
Post. chapmans reflex T7-8 right
Lymphatics of pncrease pancreaticosplenic nodes- celiac nodes
Demographics of Gastric ulcers 6th decade, males less common than duodenal
Duodenal ulcers, demographics 25-75 years, Equal M/F
Created by: swohlers