OPP notes Flashcards by Katie Murphy

Midline bones (flex w/ inhalation)

Occiput
Vomer
Ethmoid
Sphenoid
Sacrum

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Paired bones (ER w/ inhalation)

Temporal
Parietal
Palatine
Zygoma

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Flexion/Extension strains

2 transverse axes

Fingers towards feet/towards head

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Torsions

1 AP axis

L = L index finger superior (towel wringing)

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Sidebending/rotation strains

2 vertical, 1 AP axis

L = L hands moves towards feet and gets fuller

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Vertical strains

2 transverse axes (named by motion at base)

S = pinky fingers move superior, index move inferior

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Lateral strains

2 vertical axes (named by motion at base)

L = index fingers R, pinkies L (parallelogram head)

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Tinnitus (cranial)

Treat temporals

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Anosmia (cranial)

Treat ethmoid

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Temporal dysfunction can cause

CN X, XI, XII problems

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Baby w/ sucking/swallowing problems (cranial)

Treat w/ decompression of occipital condyles

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C/I to cranial

Bleed, fracture, trauma
+ICP
Acute asthma attack

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Absolute C/I to HVLA

Fracture
Metastasis
AA: RA, DS

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Relative C/I to HVLA

RA, OA
Osteoporosis
Disk herniation

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Scoliosis naming

Name for convex side of curve

Convex side = rib hump, prominent scapula

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Cobb angle

Degree of scoliosis
5-15 = mild
20-45 = moderate
>50 = severe

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Rib 1 exhalation treatment

Ant/middle scalene

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Rib 2 exhalation treatment

Posterior scalene

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Rib 3-5 exhalation treatment

Pec minor

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Rib 6-10 exhalation treatment

Serratus anterior

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Rib 11-12 exhalation treatment

Lat dorsi or Quad lumborum

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Can’t walk on heels

L5 nerve root problem (L4-L5)

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Can’t walk on toes

S1 nerve root problem (L5-S1)

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Hip drop test vs Trendelenberg test

Lumbar sidebending vs gluteus medius weakness

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Hip drop test

Shift weight, hip that drops less is side lumbar spine is sidebent towards

Trendelenburg test

Lift one foot; if other hip drops, weak gluteus medius

Posture plumb line

``` Posterior to apex of coronal suture Through external auditory meatus Through most cervical vertebrae Through shoulder joint Through most lumbar vertebrae Posterior to axis of hip joint Anterior to axis of knee joint Anterior to lateral malleolus ```

+Arm drop test

Rotator cuff injury

+Yergason's test

Bicep tendonitis

+Speed's test

Bicep tendonitis

+Adson's

TOS (anterior scalenes) (loss of radial pulse w/ rotation of head towards affected side)

+Empty can test

Rotator cuff injury

+Hyperabduction test

TOS (pec minor) (loss of radial pulse w/ abduction and external rotation of shoulder)

+Costoclavicular test

TOS (1st rib and clavicle) (loss of radial pulse w/ "military" posture of shoulders back)

C5 reflex

Biceps

C6 reflex

Brachioradialis

C7 reflex

Triceps

Tennis elbow

Lateral epicondylitis (pain w/ wrist extension)

Golfer's elbow / Little leaguer's elbow

Medial epicondylitis (pain w/ wrist flexion)

Ape hand

Median nerve injury

Claw hand

Median/ulnar nerve injury

Wrist drop

Radial nerve injury

Erb-Duchenne palsy

C5-6 nerve roots (upper brachial plexus lesion)

+Lachman test

ACL

+Drawer tests

ACL / PCL

+McMurray test

Medial meniscus

+Valgus/Varus tests

MCL/LCL

+Apley's compression test

Meniscus (medial/lateral)

+Apley's distraction test

MCL/LCL

+Patellar grind

Patello-femoral syndrome

Supination of foot

Inversion, plantar flexion, adduction | Posterior fibular head

Pronation of foot

Eversion, dorsiflexion, abduction | Anterior fibular head

ME rx posterior fibular head

Dorsiflex and evert foot

ME rx anterior fibular head

Plantar flex and invert foot

Fibular head dysfunction -> nerve?

Peroneal nerve impingement

Peroneal nerve impingement symptoms

Paresthesias on top of foot, ankle, outer lower leg Pain gets worse with activity Foot drop

Ankle sprain grades and ligaments

Grade I - Anterior talofibular Grade II - ATF + calcaneofibular Grade III - ATF + CF + PTF

Inversion sprain SDs

Tibia external rotation Femur internal rotation Posterior fibular head Forward torsion of sacrum on side of sprain

HEENT VS

T1-T4

Heart VS

Left T1-T5

Lungs VS

T1-T5/6

Esophagus VS

T5-T6

Stomach VS

Left T5-T9

Spleen/Pancreas VS

Left T7-T9

Liver/GB VS

Right T6/7-T9

Adrenals VS

T8-T10

Small intestine VS

T9-T10

Ovaries/Testes VS

T10-T11

Kidney VS

T10-L1

Uterus VS

T12-L1/2

Right colon VS

Right T10-T11

Left colon VS

Left T12-L2

Bladder/Ureters VS

T11/12-L2

Prostate

T11/12-L2

Rectum/Sigmoid VS

Left L1-L2

Upper extremity VS

T2-T7

Lower extremity VS

T11-L2

Parasympathetic levels

CN III, VII, IX, X (to mid-transverse colon) | S2-S4 (below diaphragm, mid-transverse colon on)

Chapman's point - middle ear

Top of mid-clavicle

Chapman's point - sinuses

Bottom of mid-clavicle, top of 2nd rib

Chapman's point - cerebellum

Tip of hook of scapula

Chapman's point - retina, conjunctiva

Lateral upper humerus near biceps tendon origin

Chapman's point - neck

Medial upper humerus (axilla)

Chapman's point - pharynx

Bottom of clavicle at sternoclavicular junction

Chapman's point - tonsils

Side of sternum btwn clavicle and 2nd rib

Chapman's point - tongue

Lateral sternum at 2nd rib level

Chapman's point - larynx

Sternum/2nd rib junction

Chapman's point - esophagus, bronchus, thyroid, myocardium

Lateral sternum btwn rib 2-3

Chapman's point - upper lung, upper limb

Lateral sternum btwn rib 3-4

Chapman's point - lower lung

Lateral sternum btwn ribs 4-5

Chapman's point - pylorus

Mid-sternum at rib 5 level

Chapman's point - stomach (acidity)

L costochondral jxn btwn ribs 5-6

Chapman's point - liver

R costochondral jxn btwn ribs 5-6 and 6-7

Chapman's point - stomach (peristalsis)

L costochondral jxn btwn ribs 6-7

Chapman's point - gallbladder

R costochondral jxn btwn ribs 6-7

Chapman's point - spleen

L costochondral jxn btwn ribs 7-8

Chapman's point - pancreas

R costochondral jxn btwn ribs 7-8

Chapman's point - small intestine

Costochondral jxns btwn ribs 8-9, 9-10, 10-11

Chapman's point - appendix

Tip of rib 12

Chapman's point - adrenals

2 cm above, 1 cm lateral to umbilicus

Chapman's point - kidneys

1 cm above, 1 cm lateral to umbilicus

Chapman's point - bladder

Umbilicus

Chapman's point - intestine (peristalsis)

1 cm below ASIS

Chapman's point - ovaries, urethra

Top of pubic symphysis

Chapman's point - uterus

Superior edge of inferior pubic rami

Chapman's point - rectum

Upper medial femur

Chapman's point - broad ligament or prostate

IT band

Chapman's point - colon

``` "Flipped" onto legs Ileocecal - upper R femur Ascending colon - middle R femur Transverse colon - lower R and L femurs Descending colon - middle L femur Sigmoid colon - upper L femur ```

Celiac ganglion

T5-9 Under xiphoid process Stomach, duodenum, liver, gallbladder, spleen, pancreas

Superior mesenteric ganglion

T10-T11 Btwn xiphoid process and umbilicus SI below duodenum, R colon, kidneys, adrenals

Inferior mesenteric ganglion

T12-L2 Above umbilicus L colon, pelvis, rectum