Clinical Aspects of Cranial osteopathy Flashcards Preview

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Flashcards in Clinical Aspects of Cranial osteopathy Deck (93):
1

What are the reflexes that are more common in HENT?

Viscero-viscero reflexes

2

Optic nerve goes through what foramen?

Optic canal

3

V2 goes through what foramen? V3?

V2 = Foramen rotundum
V3 = ovale

4

VII goes through what foramen?

Internal acuostic meatus

5

VIII goes through what foramen?

Internal acoustic meatus

6

XII goes through what foramen?

Hypoglossal canal

7

X goes through what foramen?

Jugular foramen

8

XI goes through what foramen?

Jugular foramen

9

III goes through what foramen?

Superior orbital fissues

10

What are the CNs that run through the jugular foramen?

IX, X, and XI

11

V1 goes through what foramen?

Superior orbital fissure

12

IV goes through what foramen?

Superior orbital fissure

13

VI goes through what foramen?

Superior orbital fissure

14

What are the CNs that have a PNS component?

III
VII
IX
X

15

Why do we need to know foramina for CNs?

CNs depart through the skull through foramen, which may be important if there is an abnormal growth of the foramen, or a disturbance in the bone

16

Why is it important that the nerves that leave the head are covered in pia mater?

Any dysfunction of the dura may lead to a dysfunction of the nerves

17

What is the difference between a stroke and bell's palsy?

No forehead wrinkling with Bell's palsy

18

What are the s/sx of trigeminal neuralgia?

HA in the region of the eyebrows, sinuses, cheek

19

Taste from the posterior 1/3 of the tongue is mediated via which CN?

IX

20

What is the treatment for children with colic?

Decompression of the condylar parts to relieve CN X

21

CN XI is affected with what congenital condition?

Torticollis

22

What are the sympathetics for the head and neck?

T1-T4

23

Vasoconstriction or dilation with PNS?

Vasoconstriction

24

Thick or thin secretions with PNS?

Thick

25

What happens to lymphatic drainage with SNS?

Decreased drainage

26

What are the s/sx of increased SNS in the head?

-Tinnitus
-HA
-Dilation of the pupils

27

What are the ophthalmologic problems that can occur with SNS overstimulation in the head?

-Dilation of the pupils
-Cataracts

28

What happens to the thyroid with increased SNS?

Increased secretions

29

Long term upper thoracic and cervical dysfunction with increased SNS is implicated in cataracts 2/2 what?

Congestion

30

SNS innervation causes thyroid gland secretions how?

Blood vessel constriction causes changes in the cells that secretion T4

31

What are the PNS effects on CN III? (2)

-pupil constriction
-accommodation

32

What are the PNS effects on CN VII? (3)

-Lacrimal gland
-Mucosal glands
-Submandibular glands

33

What are the PNS effects on CN IX? (1)

Parotid secretions

34

What are the PNS effects on CN X? (2)

-Heart
-Guts to 2/3 along transverse colon

35

Increased PNS causes what to secretions?

Thinning

36

What is ganglion that CN VII runs through?

Sphenopalatine (pterygopalatine) ganglia

37

What is sphenopalatine syndrome?

Redness/engorgement of the mucus membranes, tearing + retro orbital pain

38

What happens to asthma with sphenopalatine syndrome? Why?

Worsens d/t lowered resistance of the nasal mucosa to foreign protein and adequate conditioning of air

39

85% of the venous drainage from the head is through what?

Jugular foramen

40

What is the first sign of congestion in the head?

Fullness in the supraclavicular areas

41

Should you press on the lymph nodes with venous and lymphatic obstruction in the head

no--painful

42

Poor drainage from the head leads to what eye problems?

Glaucoma

43

Poor drainage from the head leads to what ear problems?

Meniere's disease

44

External rotation of the temporal bone = what tinnitus sound?

Low pitched roar

45

Internal rotation of the temporal bone = what tinnitus sound?

High pitched wine

46

What may cause otalgia in the head?

Dysfunction with the teeth, tongue, esophagus, tonsils , TMJ,

47

The temporal bones are being moved by what bone?

The occiput movement

48

How do you treat otalgia?

Temporal rocking and VSD techniques

49

How do you treat tinnitus?

Temporal rocking

50

What is the SD that may cause eustachian tube dysfunction?

Internal rotation, torsion, or sidebending dysfunctions of the SBS, which leads to temporal bone dysfunctions

51

How do you treat OM?

Temporal rocking

52

What CN may cause OM?

CN X

53

What is the treatment for sinusitis? Why?

Frontal lift and intraocular techniques to address CN V (press on each part of CN V)

54

What is the treatment for pharyngitis? (3)

-Hyoid bone technique
-Submandibular drainage
-Effleurage of tissue

55

What is the effect of coughing in the elbow n the etiology of pharyngitis?

Torqueing of the neck fascia

56

What is the effect of SBS SDs with the endocrine system?

SBS restrictions can cause strains in the vasculature surrounding the pituitary and hypothalamus

57

How do you treat neural-endocrine problems?

Any SDs of the VSD

58

What is the most common, general, cause of HAs?

Vascular or other cause

59

What are the OMM causes of HAs? (3)

-Venous sinuses SDs
-Dura
-Dural arteries

60

What are the nerve roots that contribute to HA? (5)

V
VII
IX
X
C2-C3

61

True or false: a truly psychogenic cause of HA is rare

True

62

True or false: in the vast majority of cases, the physical exam of the head is WNL, including the OMM exam

False--OMM is always positive

63

What is Kernig's sign?

Flex the hip, can't extend at the knee

64

What is Brudzinski's sign?

Flexion of the neck causes flexion at the hips and knees

65

What are the s/sx of acute angle glaucoma?

Prominent eye pain, dilated pupils, narrow chamber

66

What are the three major recurrent HAs?

-Tension
-Migraine
-Cluster

67

What are the 2 types of migraines?

Classic = aura
Common = no aura

68

Caffeine is a vaso constrictor or dilator?

Constrictor

69

Tyramine in wine causes what effect on vessels?

Dilation

70

What are cluster HAs?

Neurogenic inflammation affecting the vascular plexus of the cavernous sinus

71

In whom are cluster HAs more common in?

20-40 aged men

72

What is the pain like with cluster headaches? (onset, intensity)

Explosive onset and very sharp in intensity

73

What is the associated syndrome with cluster HAs?

Horner's syndrome

74

Are tension HAs usually unilateral or bilateral?

bilateral

75

What are the characteristics of the pain with tension HAs?

Dull, achy pain/pressure

76

Is there an aura with tension HAs?

No

77

What are the associations with tension HAs?

Stress
Anxiety
Depression

78

What is the effect of physical activity on tension HAs?

Not worsened

79

C1 supplies motor innervation to what? How do you treat if these are involved?

Suboccipital triangle muscles

Treat OA

80

C2 and C3 provide sensory innervation to what?

Cranial vault, back of the head, and suboccipital pain

81

What are the areas that should be assess with HA 2/2 musculoskeletal pain

Upper cervs
Suboccipital muscles

82

What are the borders of the suboccipital triangle?

-Rectus capitus posterior major
-Oblique capitis inferior
-Oblique capitis superior

83

What tender point should be treated with frontal or orbital HAs? Where is this, and how is it treated?

C1
Posterior surface of the ramus of the jaw--rotate head away

84

What tender point should be treated with periorbital HAs? Where is this, and how is it treated?

C2
Flex the spine and rotate away from the TP

85

What tender point should be treated with occipital HAs? Where is this, and how is it treated?

C4
SARA

86

What is the blood supply to the dura and calvaria?

Middle meningeal artery

87

How does the sphenoid relate to the side of the HA?

Greater wing is low on the side of the HA (I/e/ left torsion)

88

HAs caused by temporal bone problems are usually due to what?

Internal rotation restriction

89

Which usually has more sinusitis, and which has more migraines: flexion or extension heads?

Flexion = sinusitis
Extension = migraines

90

What type of joint it the TMJ?

Diarthrodial joint

91

The mandible hands from what bones? What SDs, then, can cause problems with the TMJ?

-Mandible hangs from the temporals
-Occiput

92

How is the Galbreath maneuver performed?

Effleurage from behind the ear, down into the neck

93

What is the ganglion that should(n't) be manipulated with throat s/sx?

Sphenopalatine