You will need to know how to do both for the practical!
You diagnose and treat the same way. To diagnose, perform each maneuver and determine which had the most resistance. To treat, do the maneuver for each area, but hold until you feel the release.
Mesenteric diagnoses/lifts do not involve the transverse colon b/c it does not have a mesentery.
- Small bowel- pull from umbilicus towards RUQ
- Cecum- cup the RLQ and pull up towards hepatic flexure (RUQ)
- Ascending colon- pull right side of abdomen towards umbilicus
- Descending colon- pull left side of abdomen towards umbilicus
- Sigmoid- cup the LLQ and pull towards umbilicus
Vs. (4 main differences)
Colonic diagnoses/lifts do not involve the small bowel (1), you feel more medially (2), and you go in reverse order (3) AND YOU WON’T HAVE TO DIAGNOSE on the practical, just treat (4).
- Sigmoid
- Descending
- Transverse- pull epigastric area towards umbilicus
- Ascending colon
You will not need to do a valvular diagnoses or treatment for the practical either!
