Sandhouse- Endocrine System Flashcards
(21 cards)
Endo crine glands secrete hormones _____________________.
directly into the bloodstream.
What can OMM do to improve endocrine function?
Improve circulation and lymphatic return!! This improvement indirectly enhances hormonal release, cellular uptake, and cellular response.
What OMM Techniques are good to help address Endocrine issues?
Lymphatic pumps/ Eflleurage
Myofascial releases
Cranial techniques
SVR Reduction (Correction of SD)
Sympathetic/Parasympathetic
**IMPORTANT** Which is a more predominant influence on endocrine glands, sympathetic or parasympathetic?
Sympathetics are the predominant influence!
**What is the viscerosomatic level associated with the Pancreas?
T7- T9
**What is the viscerosomatic level associated with the Adrenals?
T10-T12
**What is the viscerosomatic level associated with the Pituitary, Thyroid, and Parathyroid?
T1- T4
**What is the viscerosomatic level associated with the gonads?
T10-L2
What are treatments for Pituitary?
Cranial OA
Cervical SD
Thoracic Inlet
Lymphatic Pumps
What are treatments for Thyroid? What technique is specific for hyperthyroidism?
OA
Cervical SD
Thoracic SD
Thoracic Inlet
Lymphatic Techniques
Rib Raising (Hyperthyroidism)
What are treatments for Parathyroid? What techniques should you be careful with?
OA
Cervical SD
Thoracic Inlet
Lymphatic Techniques
BE CAREFUL WITH HVLA
What are treatments for Pancreas?
Respiratory and Pelvic Diaphragm
Lymphatic Pumps (esp. lower limbs)
Thoracic SD
Rib Raising
TREAT THE FEET!!! (His dad was a diabetic).
CRANIAL TOO!
What are treatments for Adrenals?
OA
Diaphragm
Rib Raising
Lymphatic Techniques
Thoracic SD Consider MEN?
What are treatments for the Gonads?
Don’t directly manipulate (you perv!)
Pelvic Diaphragm
Lymphatic techniques
THORACOLUMBAR SD
Sacral techniques
A 34 yo F w/ weight loss and palpitation comes into your office. In June you find that Total T4 is 16 (normal: 4.5-11) and nearly low TSH. What OMM do you want do in now in June?
Ribraising at T1-T5
Lymphatics
A 34 yo F w/ weight loss and palpitation comes into your office. In September after the patient previously had T4 extremely high and you find that Total T4 is 2 ug/dL (normal: 4.5-11 ug/dL) and TSH 7 (norm = 0.3-5uU/dL). What problem does the person have? What OMM do you want do in now in September?
The person has Hashimoto’s
Give the patient beta-blockers
Anything else?
A 15 yo patient comes in to your clinic diagnosed with T1DM, what OMT techniques might be helpful in controlling his diabetes? compensating for dialy injections? Preventatively treatinc complications? Curing his insulin dependence?
NONE! OMT ain’t magic.
A 45 yo female shipmate who has previously been diagnosed with borderline Addison’s disease. Assuming you only have the tools in your diagnostic kit, what monitoring and therapy would you use to treat this patient?
Monitor her blood pressure! (adrenals = T10-T12)
Blah blah blah, high pulse, high BP, mass on left adrenal. Which Somatic Dysfxn would you expect?
T1-4 NSRL
T10 FRSL
OA FSRR
T10 FRSL
What OMT technique can help with decreasing BP in peripheral vasculature?
Rib Raising > 90 sec
Pt is mildly hyperparathyroid due to multiple endocrine neoplasia. What OMT technique is contraindicated?
HVLA