OMM/viscerosomatics Flashcards
(68 cards)
1
Q
head and neck
A
T1-T4
2
Q
heart
A
T1-T5
3
Q
respiratory
A
T2-T7
4
Q
esophagus
A
T2-T8
5
Q
upper GI
A
T5-T9
6
Q
middle GI
A
T10-T11
7
Q
lower GI
A
T12-L2
8
Q
appendix
A
T12
9
Q
arms
A
T2-T8
10
Q
kidneys
A
T10-T11
11
Q
upper ureters
A
T10-T11
12
Q
lower ureters
A
T12-L1
13
Q
bladder
A
T11-L2
14
Q
gonads
A
T10-T11
15
Q
uterus/cervix
A
T10-L2
16
Q
erectile tissue
A
T11-L2
17
Q
prostate
A
T12-L2
18
Q
legs
A
T11-L2
19
Q
posterior appendix chapman point
A
transverse process of T11
20
Q
anterior appendix chapman point
A
tip of 12th rib
21
Q
gallbladder chapman point
A
6th right intercostal space at the mid-clavicular line
22
Q
pancreas chapman point
A
7th right intercostal space mid-clavicular line
23
Q
spleen chapman point
A
7th left intercostal space mid-clavicular line
24
Q
parasympathetic innervation of proximal vs distal ureter?
A
proximal = OA distal = pelvic splanchnic
25
parasympathetic to distal transverse colon, descending colon, sigmoid colon, rectum, distal ureter, bladder, and reproductive organs?
S2-4 (pelvic splanchnic)
26
Parasympathetic innervation to the kidneys and proximal ureter?
OA (vagus nerve)
27
tenderpoint midway between the inferior lateral angle (ILA) of the sacrum and the greater trochanter
piriformis
28
tenderpoint 1 cm lateral to pubic symphisis
anterior L5
29
tenderpoint on the ilium, inferior to PSIS
lower pole L5
30
tenderpoint at superior medial surface of PSIS
upper pole L5
31
tenderpoint at inner ala of the ilium in the midaxillary line bilaterally
AT12
32
tenderpoint halfway between the umbilicus and pubic symphysis
AT11
33
tenderpoint one-fourth of the distance from the umbilicus to the pubic symphysis
AT10
34
chapman point at surgical neck of the humerus
eye
35
what technique increases amplitude of CRI?
CV4
36
tenderpoint on the superior aspect of the popliteal fossa either medial or lateral to the hamstring tendons
ACL
37
tenderpoint in the center or slightly below the popliteal fossa
PCL
38
vault hold finger placements
1. Fifth digit (pinky) on squamous portion of the occiput, medial to the occipitomastoid suture.
2. Fourth digit (ring finger) on the petrous portion of the temporal bone, near the mastoid process
3. Third digit (middle finger) should lie on the squamous portions of the temporal bone (approximating the zygomatic process of the temporal bone)
4. Second digit (index finger) on the greater wing of the sphenoid
5. Thumbs can be in one of two positions: they can either meet and cross above the cranium, or they can rest on the frontal bone. Either is appropriate
39
what drugs have been found to cause lupus-like symptoms?
hydralazine, isoniazid, procainamide, and phenytoin
40
what tenderpoint is found on the *inferolateral* tip of C2 spinous process?
PC3
- PC3-8 are found on the spinous process of the vertebra ABOVE (PC4 is on tip of C3)
- **PC2 is located superolateral to C2**
41
posterior cervical TP's are all E SaRa except which two?
- PC1 onion (flex OA)
| - PC3 (F SaRa)
42
what TP is on ilium just inferior to PSIS?
L5 lower pole
43
what TP is on the superior medial surface of PSIS?
L5 upper pole
44
what TP is 2-3 cm lateral to PSIS?
High Ilium Sacroiliac
45
initial tx for thoracic outlet syndrome with positive Adson's test?
MFR to scalenes
| - positive Adson's tells you compression is either from scalenes or a cervical rib
46
what are the anterior and posterior chapman's points for the rectum?
ant: proximal inner thigh on lesser trochanter
post: S2
47
any time you see phenytoin, what should you think?
CYP450 inducer!
- increases catabolism of lots of things (like VitD!)
- Vitamin D is responsible for increasing calcium and phosphate absorption in the intestine and resorption in the bone -> leads to soft bones -> osteomalacia
- low vitD, low serum Ca -> secondary hyperPTH
48
chronic fatigue, nonspecific muscle pain, increases lumbar lordosis, wide-based gait
- elevated alk phos
- low urine calcium
osteomalacia
- vitamin D deficiency results in decreased absorption and resorption of phosphate, leading to decreased phosphate levels
49
what nerve provides sensory innervation to the first three digits and the radial half of the fourth digit?
medial nerve
50
why is sensation to the thenar eminence spared in carpal tunnel?
it is innervated by the palmar cutaneous branch, which branches just proximal to the carpal tunnel
51
young males (4-10 y/o) and can present with hip pain and a limp of either acute or insidious onset. Pain in the knee occurs due to referred pain from the obturator nerve
- decreased hip ROM
- pain worse after exertion
- Xray might show femoral head collapse (femoral head looks widened/flattened)
Legg-Calvé-Perthes disease
- interruption of blood supply to head of the femur
- NOT obese (like Osgood-Schlatter, and SCFE)
52
crutch paralysis?
radial nerve palsy, wrist drop
53
FOOSH?
fall prone, hands pronated, radial head posterior
54
posterior fibular head?
foot is plantarflexed
55
inability to make OK sign shows weakness in what muscles?
flexors of the pollex and distal interphalangeal joint of the 2nd digit
- damage to anterior interosseous nerve
- will see a flattening of the 1st and 2nd digit rather than a true circle
56
positive Apley scratch test?
rotator cuff dysfunction
| - shows decreased function of all 4 rotator cuff muscles
57
positive empty can test?
specific for supraspinatus injury
58
carrying angle < 3° degrees is considered cubitus varus and can be caused by what?
abduction restriction
| - ex of woman carrying too many bags of groceries
59
what TP does this treat?
- left is hip and knees flexed to 90 degrees, side bend the ankles away, and rotation toward (accomplished by rotating the knees away)
AL2-4
60
what type of relfex occurs when abnormal somatic stimuli (e.g. tissue texture changes, muscle strains, muscle spasms, or any changes in a non-visceral structure) enters the spinal cord at a specific level and results in altered function of a visceral organ at the same level (heart problem)
somatovisceral
| - vs viscerosomatic: when heart problems cause tissue texture changes
61
strain that occurs when there is cephalad or caudad movement of the base of the sphenoid in relation to the occiput
- named after the direction of the base of the sphenoid
vertical strain
62
base of the sphenoid moves caudad in relation to the occiput, and the greater wings of the sphenoid move cephalad
inferior vertical strain
63
base of the sphenoid moves cephalad in relation to the occiput while the greater wings of the sphenoid move caudad
superior vertical strain
64
when the base of the sphenoid deviates laterally in relation to the occiput
lateral strain
| - causes the cranium to have a parallelogram shape.
65
base of the sphenoid deviates left in relation to the occiput
left lateral strain
66
base of the sphenoid deviates right in relation to the occiput
right lateral strain
67
occurs often with head trauma along the AP axis, and is denoted by a decreased CRI amplitude as it prevents true flexion and extension from occurring
- often times it may present as an alternating vertical strain
SBS Compression
68
The temporal and occipital bones come together to form the what?
jugular foramen and the occipital-mastoid suture
| - cranial nerves exit the cranium through the jugular foramen are IX, X, and XI
