sympathetic neuro Cardiopulm manifestations
increased catecholamines, increased iono/chron, increased BP, increased O2 demand, impaired lymph drainage, typical VSR
Parasympathetic neuro cardiopulm manifestations
vagal, decreased chron/iono, decreased BP, improved lymph drainage
Cobb Method exam?
degree of scoliosis
Classifications of Cobb method:
mild scoliosis: 5-15deg
mod scoliosis: 20-45deg
severe scoliosis: >50deg
at what cobb angle is respiratory function compromised?
cobb angle >50 = resp. compromise
the thoracic duct is functionally under what control?
sympathetic control [hypersymp tone = decreases lymphatic tone]
where do the pregangionic nerves that synapse at the thoracic sympathetic ganglia come from?
the intermediolateral column of T1-T5
postganglionic fibers from the sympathetic cardiac nerves converge where?
at the cardiac plexus
what parasympathetic nerves synapse on the cardiac plexus?
preganglionic axons from the dorsal nucleus of the vagal nerve and the nucleus ambiguus
what are the branches of the cardiac plexus?
there is a DEEP and a SUPERFICIAL plexus. the DEEP plexus splits into RIGHT and LEFT halves. LEFT = ONLY AV NODE. RIGHT = SA NODE + right and left coronary plexus.
What is the consequence of sympathetic and parasympathetic hyperactivity the the RIGHT half of the deep cardiac plexus?
- sympathetic hyperactivity = at the SA node = risk of SVT
- vagal hyperactivity = at the SA node = sinus brady
What is the consequence of sympathetic and parasympathetic hyperactivity the the LEFT half of the deep cardiac plexus?
- sympathetic hyperactivity = at the AV node = risk of ectopic foci and Vfib
- vagal hyperactivity = at the AV node = AV blocks
What are the 3 goals of omt pneumonia treatment?
- reduce congestion
- reduce sym to pulm parenchyma of lung
- reduce mech impediments to thoracic cage resp motion
what is the osteopathic treatment goal for arrhythmias?
Omt should be directed toward reduction of segmental facilitationin the upper thoracics and modification of vagal tonicty.
What treatment is contraindicated in COPD patients?
thoracic vacuum (but doming is still coo)
