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Flashcards in OSI Deck (85)
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1

what are the 3 basic body types?

endomorph, ectomorph, mesomorph

2

what are the 3 basic body types?

endomorph, ectomorph, mesomorph

3

person whose body habitus is comprised of tissues predominantly endoderm (obese, fatty)

endomorph

4

person whose body habitus is comprised of tissues predominantly from endoderm (tall, lanky)

ectomorph

5

color can be an important indicator in clinical observation. what are some colors to watch out for in patients and what might they mean?

pale- bad
red- erythema, inflammation
yellow- jaundice (liver disease)
blue- cyanosis
black- necrosis

6

what is the proper order for assessing structural diagnosis? (always do structural exam in context of total H&P)

observe, auscultate, percuss, palpate

7

what factors create asymmetry?

bone or joint deformity, kyphoscoliosis, dress, occupation, mental attitude, habit, lower extremity defects, somatic dysfunction

8

which of the following is likely to cause postural asymmetry?
a. belt
b. eye color
c. organ transplant
d. anatomical short leg
e. type of muscle tissue

d. anatomical short leg

9

which of the following is likely to cause postural asymmetry?
a. belt
b. eye color
c. organ transplant
d. anatomical short leg
e. type of muscle tissue

d. anatomical short leg

10

what are some landmarks we use to assess symmetry of the patients anterior side?

eye level
nose angle to midline
ear lobe level
shoulder height
clavicle alignment
fingertip level
breast
crest of ilium
angle of patella
medial or lateral malleolus

11

what are some landmarks we use to assess symmetry of the patients posterior side?

shoulder level
inferior angle of scapula
fingertip level
iliac crest height
gluteal line
popliteal space
medial and lateral malleolus

12

What is TART?

Tissue texture changes
asymmetry
restriction of motion
tenderness

13

what is active ROM?

patient demonstrates the activity (less than passive)

14

what is passive ROM?

patient is not active, examiner takes the relaxed limb through ROM (no muscles only ligaments stop motion)

15

what is an anatomic barrier?

limit of motion imposed by anatomic structure (just beyond passive ROM)

16

what is an elastic barrier?

range between physiologic and anatomic barrier of motion in which passive ligamentous stretching occurs before tissue disruption (between active and passive)

17

what is a restrictive barrier?

functional limit within anatomic ROM which abnormally diminishes normal range of motion

18

what is the term we use to describe impaired or altered function of related components of the somatic system: skeletal, arthrodial, myofascial structures and related vascular lymphatic and neural elements

somatic dysfunction

19

what is OMT

osteopathic manipulative treatment: therapeutic application of manual forces used to improve physiologic function and support homeostasis

20

term describing the normal feel of muscle in the relaxed state?

tone
(hypertonicity when spastic paralysis)
(hypotonicity when flaccid paralysis)

21

term describing abnormal shortening of muscle due to fibrosis often resulting from a chronic condition

contracture

22

what is abnormal contraction of muscle maintained by physiologic need? (hint it often is accompanied by pain and restriction of motion)

spasm (hypertonicity)

23

state of muscle with increased fluid in hypertonic muscle (like a wet sponge)

bogginess

24

state of muscle with hard, firm, rope like tone usually indicating a chronic condition

ropiness

25

what are qualities of vascular textures that indicate acute dysfunction? chronic?

actue: inflamed, peptide release VASODILATION
chronic: sympathetic tone increases VASOCONSTRICTION

26

what is end feel?

palpatory experience or quality of motion when a joint is moved to its limit or barrier is approached

27

what are the 4 types of abnormal end feels and an example of each

early muscle spasm- protective after injury
late muscle spasm- chronic
hard capsular- frozen shoulder
soft capsular-synovitis (knee swells after injury)

28

what is the term for: discomfort or pain elicited by physician through palpation (unusual sensitivity to touch or pressure)

tenderness

29

what are acute TART affects?

Texture: red, swollen, boggy, increased tone
asymmetry: present
restriction: present and painful with motion
tenderness: sharp pain

30

What are chronic TART effects?

Texture: dry, cool, ropy, pale, decrease tone
asymmetry: present, compensation occurs
restriction: present (maybe not guarded)
tenderness: dull, achy pain or paresthesias