OMT Viscerosomatic Reflexes

The OMT Viscerosomatic Reflexes, part of the OMT section provides High Yield Information needed for COMLEX Level 1, 2, 2PE, 3, Medical School, Residency, and as a practicing Physician.

Table Of Contents
1 OMT Viscerosomatic Reflexes Table
2 Referred Pain
3 OMT Viscerosomatic Reflexes MC Quiz

OMT Viscerosomatic Reflexes Table

OrgansSympathetic Parasympathetic
Head
(Sinuses, Eustachian tube, Lacrimal glands, Salivary glands)		T1-4CN 3, 7, 9, 10
Neck
(Thyroid Glands)		 T1-4CN 3, 7, 9, 10
HeartT1-5 (L)Vagus (OA, AA, C2)
LungsT2-7Vagus (OA, AA, C2)
EsophagusT2-T8Vagus (OA, AA, C2)
Upper Extremities T2-8Vagus (OA, AA, C2)
Upper GI tract:
Stomach (L)
Liver (R)
Gallbladder & Biliary Tree (R)
Pancreas (R)
Spleen (L)
Duodenum (R)		T5-9 (L)
Greater Splanchnic Nerve
Celiac Ganglion		Vagus (OA, AA, C2)
Middle GI tract:
Small Intestine
(jejunum, ileum)
Transverse Colon
Ascending Colon		T10-11Vagus (OA, AA, C2)
Appendix T12Vagus (OA, AA, C2)
Lower GI tract:
Transverse Colon
Descending Colon
Sigmoid Colon
Rectum		T12-L2Pelvic Splanchnic S2-4
Adrenal MedullaT10Vagus (OA, AA, C2)
KidneysT10-T11
Superior Mesenteric Ganglion		Vagus (OA, AA, C2)
OvariesT10-T11Vagus (OA, AA, C2)
TestesT10-T11Vagus (OA, AA, C2)
Upper UreterT10-T11
Superior Mesenteric Ganglion		Vagus (OA, AA, C2)
Lower UreterT12-L1
Inferior Mesenteric Ganglion		Pelvic Splanchnic S2-4
Uterus and CervixT10-L2Pelvic Splanchnic S2-4
Penis and ClitorisT11-L2Pelvic Splanchnic S2-4
BladderT11-L2Pelvic Splanchnic S2-4
ProstateT11-L2Pelvic Splanchnic S2-4
LegsT11-L2Pelvic Splanchnic S2-4

Referred Pain

Def. – Visceral afferent sensory fibers arrive at same spinal segments that give rise to preganglionic sympathetic somatic nerves
TypesExamples
ViscerosomaticMI pain at left chest (read in order visceral problem cause somatic pain)
ViscerovisceralGastric distention increase LI motility
SomatosomaticPain in hand, withdraw hand
SomatovisceralTART T1-5 that worsens asthma

OMT Viscerosomatic Reflexes MC Quiz