Exam 1 Flashcards by Cole Connelley

for any disease state

the patient must be stable before performing OMT

-OMT not performed with new onset of chest pain or SOB

How well did you know this?

Not at all

Perfectly

facilitated segments only occur where?

sympathetic levels

How well did you know this?

Not at all

Perfectly

treatment for temporal arteritis

steroids

How well did you know this?

Not at all

Perfectly

muscle hypertonicity can be caused by what

caused by something overlying the muscle

ex. renal lithiasis or appendicitis –> hypertonic psoas –> + thomas test
ex. inflamed lymph nodes –> would make muscle they are touching hypertonic (sternocleidomastoid)

How well did you know this?

Not at all

Perfectly

what is the 1st thing you do in a physical exam?

observation

-obtain history before physical exam

How well did you know this?

Not at all

Perfectly

reversible dextro or levoscoliosis

NO sagittal component –> follows fryett I principles (neutral)
dextro –> convex points right, side bends, rotated right
levo –> convex points left, right side bending, rotated left

How well did you know this?

Not at all

Perfectly

left lateral convexity

vertebrae side bent right

How well did you know this?

Not at all

Perfectly

right lateral convexity

vertebrae side bent left

How well did you know this?

Not at all

Perfectly

when treating a group dysfunction with OMT

go for the apex (middle) of the curve

-ex. dysfunction of T10-T12, go for T11

How well did you know this?

Not at all

Perfectly

type 2 dysfunction usually occurs where

at the apex (middle) of the group curve

How well did you know this?

Not at all

Perfectly

translation to the right

left side bending

How well did you know this?

Not at all

Perfectly

translation to the left

right side bending

How well did you know this?

Not at all

Perfectly

principle 1 of osteopathic medicine

-body is a unit –> ex. gastric ulcer causes thoracic tissue texture changes

How well did you know this?

Not at all

Perfectly

principle 2 of osteopathic medicine

-body is capable of self regulation, healing, maintenance –> ex. healed fracture

How well did you know this?

Not at all

Perfectly

somatosomatic reflex

-ex. rib dysfunction from an innominate dysfunction

How well did you know this?

Not at all

Perfectly

somatovisceral reflex

-ex. triggering asthma attack when working on thoracic spine

How well did you know this?

Not at all

Perfectly

viscerosomatic reflex

-ex. gallbladder disease affecting musculature

How well did you know this?

Not at all

Perfectly

viscerovisceral reflex

-ex. MI causing vomiting

How well did you know this?

Not at all

Perfectly

post ganglionic sympathetic fibers

lead to tissue texture changes like hypertonicity, erythema, moisture

How well did you know this?

Not at all

Perfectly

dorsal horn of the spinal cord

where somatic and visceral afferents synapse giving viscerosomatic reflex

How well did you know this?

Not at all

Perfectly

counterstrain steps of treatment

continuous monitoring
hold for 90 seconds
return patient to neutral slowly

chapman reflex points also called what?

ganglioform nodules or tissue

chapman - sinuses

anterior –> upper edge of 2nd rib

- posterior –> C2

chapman - pharynx

anterior –> 1st ribs beneath the clavicle

- posterior –> C2

chapman - larynx

- anterior --> 2nd ribs lateral to sternocostal junction | - posterior --> C2

chapman - tonsils

- anterior --> b/w 1st and 2nd ribs next to sternum | - posterior --> midway b/w spinous process (post. tubercle) and transverse process

chapman - middle ear

- anterior --> superior/anterior aspect of clavicles | - posterior --> TPs of C1

chapman - eye (retina/conjuctiva)

- anterior --> anterior aspect of humerus at surgical neck | - posterior --> occipital bone below superior nuchal line

what are the parasympathetic cranial nerves?

CN 3,7,9,10

CN 3 oculomotor nerve ganglion

celiary ganglion

CN 9 glossopharyngeal nerve ganglion

otic ganglion --> exits through jugular foramen

CN 7 facial nerve ganglion

1. pterygopalatine ganglion --> exit through stylomastoid foramen 2. submandibular ganglion

CN 5 trigeminal nerve ganglion

all 4 of the previous ganglion discussed

what can cause dry mouth (xerostomia)

1. CN7 --> lacrimal, sublingual, submandibular glands | 2. CN9 --> parotid glands

what do you do before any lymphatic treatment?

clear/treat/open the thoracic inlet/outlet | -found in supraclavicular space and on 1st rib

venous drainage of the head

- via internal jugular veins - pass through jugular foramina along occipitomastoid suture b/w occipital and temporal bones --> altered motion or compression may impair flow through foramina leading to head congestion

myofascial release to pterygoid fascia

used to treat maxillary sinusitis by stimulating parasympathetic supply to nasal mucosa (CN7)

Galbreath technique

- mandibular drainage - used to treat otitis media, fluid in middle ear, and eustachian tube somatic dysfunction - pulling traction on the mandible to decongest the fluid in the middle ear

CN 3,4,6 entrapment**

- pass under petrosphenoidal ligament (formed by tentorum cerebelli) and can get trapped** --> blurred vision, diplopia, nystagmus, headache - CN6 (innervate lateral rectus) --> closest to dura and most likely affected --> medial strabismus -DM, aneurysm, and SD most common cause of EOM

CN 1 impingement

Anosmia | Cribiform plate through ethmoid bone

CN 5 impingement

Trigeminal Neuralgia/Tic Deloureaux | May complain of sudden, severe facial, ear, and/or jaw pain

CN 7 impingement

Exits stylomastoid foramen | Bell’s Palsy

CN 8 impingement

Labyrinthitis, Tinnitus, Vertigo **** Temporal bone is associated with tinnitus, labrynthitis, vertigo

CN 10 impingement

Exits jugular foramen | Can cause Nausea/Vomiting

CN 12 impingement

Hypoglossal canal | Can cause nursing/latching problems in infants

tension headaches

Bilateral pressure | No aura, nausea

migraine headaches

Unilateral Triggers May have aura, nausea/vomiting, photophobia/phonophobia

cluster headaches

Unilateral | Severe

what refers pain lateral and behind the eye?

sternocleidomastoid muscle**

what refers pain to the vertex of the head?

splenius capitus**

one gait cycle

heel contact of one foot to heel contact again with the SAME foot

what compensates for lumbar curve?

tight iliopsoas CONTRALATERAL to short leg side