08-03-2015, Treffer, Osteopathic Clinical Thinking

Question 1

Illness= ___ + ___

Answer 1

Illness = Host + Disease

Question 2

___ deals with the host aspect of illness.

___ deals with the disease aspect

Answer 2

Family medicine and OMM

Specialty medicine

Question 3

Unity, structure/function, self healing are aspects of what?

Answer 3

Health

Question 4

Fluid Dynamics - CV and lymphatic systems are comprised of what elements?

Answer 4

High pressure (arterial)
Low pressure (venous and lymphatic)

Question 5

What do biomechanics do to affect nerve function and fluid mobility?

Answer 5

Change pressure on nerves and fascias

Question 6

SD overlaps what realms?

Answer 6

Fluid dynamics, biomehcnaical, and nervious system

Question 7

Defintion of visceral dysfunction

Answer 7

impaired or altered mobility or motility of the visceral system and teh combined fascias, the neruo, vascular, skeletal, and lymphatic elements

Question 8

What can be tx with manipulation?

Answer 8

Osteopathic lesion
Somatic dysfunction
Chiropractic subluxation
Joint lock
Joint blockage
loss of joint play
minor intervertebral derangement

Question 9

DEFINITION OF MANIPULATION

Answer 9

skillful or dexterous treatment by the hands

using hands to achieve maximum painless, movment of the motor system posutre balance

Question 10

FIVE MODELS OF OSTEOPATHIC TREATMENT

Answer 10

postural structural
neurological
respiratory circulatory
bioenergy
psychosocial
(6).  neuroendocrine immune and the organ system model

Question 11

SD Defintion

Answer 11

impaired or altered functuion of the somatic system - skeletal, arthroidal, myofascial structures, related vasculture, lymphatic, neural elements

Question 12

joint mobilization methods

Answer 12

direct
indirect
combined
physiological
exaggeration

Question 13

Concerns with FLUID CONGESTION (esp. venous, lymphatic)

Answer 13

1. Delineate DRAINAGE PATHWAY for the area. Follow to terminal drainage.
2. Describe the anatomic/physiologic CHOKE POINTS that may impede drainage along this path.
3. Suggest OSTEOPATHIC MANIPULATIVE INTERVENTIONS that will increased fluid drainage.

Question 14

Concerns with NERVOUS SYSTEM

Answer 14

1. Delineate the INNERVATION for the area. Follow course to SC.
2. Describe the ANATOMIC FACTORS/INFLUENCES ALONG THE COURSE OF TEH INNTERVATION that can change SNS function.
3. Suggest possible OMM INTERVENTIONS that can normalize the NS influences associated with pt problem.

Question 15

Concerns with BUOMECHANICS

Answer 15

1. Delineate LOCAL AND REGIUONAL BIOMECHANICAL CONCERNS.
2. Delineate the INTER-REGIONAL BIOMECHNAICAL CONCERNS that may impact the patient problem.
3. Suggest possible OMM interventions that can normalize the BIOPMECHANICAL influences associated with pt problem.

Question 16

Concerns with VISCERAL (biomech, fluid, SNS, PNS, Pain)

Answer 16

1. Delineaste INNERVATIONS/VASCULAR/LYMPHATIC ELEMENTS. ( or the PERITONEAL/PLEURAL/FASCIAL EMELENTS for the viscus relevant to the innervation/vascualr/lymphatic influences of teh pt’s problem)
2. Describe the ANATOMIC FACTORS ALONG COURSE OF ABOVE.
3. suggest possible OMM INTERVENTIIONS