3/20/21 Flashcards by Kent Lofley

Who gets a Rh anti-D immunoglobulin injection (rhogam) during pregnancy?

All Rh D neg (-) pregnant women

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When in pregnancy does a Rh D neg (-) mother get the anti-d immunoglobulins?

at 28 weeks gestation

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What is the dose of Rh anti-d immunoglobulin for Rh D negative mother?

300 mcg

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If an Rh D neg (-) mother has an event that could cause fetal-maternal bleeding, what is the treatment?

Rh anti-d immunoglobulin 300 mcg within 72 hours of event

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A Rh D positive (+) infant is born to a Rh D neg (-) mother, what is the appropriate treatment?

Rh anti-d immunoglobulin 300 mcg

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You treat 2 body regions with OMT, what is the CPT code?

for 1-2 regions the code is 98925

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You treat 4 body regions with OMT, what is the CPT code?

for 3-4 body regions the code is 98926

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You treat 5 body regions with OMT, what is the CPT code?

for 5-6 body regions the code is 98927

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You treat 8 body regions with OMT, what is the CPT code?

for 7-8 body regions the code is 98928

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You treat 10 body regions with OMT, what is the CPT code?

for 9-10 body regions the code is 98929

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What is the typical presentation of peritonsillar abscess

sore throat, fever, “hot potato” or muffled voice, drooling, trismus

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What are the classic exam findings of peritonsillar abscess

enlarged and fluctuant tonsil with deviation of the uvula to the opposite side

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What studies are needed to diagnose a peritonsillar abscess?

none – clinical diagnosis, may use US if needed

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Treatment for peritonsillar abscess

needle aspiration, antibiotics (Augmentin or Clindamycin) x 14 days

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What is the recommended breast screening guidelines from the USPSTF?

The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.

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What is a junctional rhythm?

no P waves seen before the QRS complexes; instead, they occur either simultaneously with the QRS complexes or more commonly are retrograde
When Rate > 100 bpm called junctional tachycardia

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Mobitz type I second degree AV block

progressive PR interval prolongation precedes a non-conducted P wave

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Mobitz type II second degree AV block

PR interval remains unchanged prior to a P wave that fails to conduct to the ventricles.

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OMT findings:
Positive standing flexion test on the right and restricted compression test at ASIS on the right
Right inferior ASIS
Right superior PSIS
Right tight quadriceps

Right anterior innominate

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OMT findings:
Positive standing flexion test on the left and restricted compression test at ASIS on the left
Left superior ASIS
Left inferior PSIS
Left tight hamstrings

Left posterior innominate

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OMT findings:
Positive standing flexion test on the left and restricted compression of the ASIS on the left
ASIS and PSIS are superior on the left

Left superior innominate shear (upslip)

OMT findings:
Positive standing flexion test on the right and restricted compression of the ASIS on the right
ASIS and PSIS more inferior on the right

Right inferior innominate shear (downslip)

What is a sacral torsion?

sacral rotation on an oblique axis with somatic dysfunction at L5

Sacral torsion (sacral rotation on an oblique axis):
When L5 is sidebent the oblique axis is on the \_\_\_\_\_ side of sidebending

SAME

``` Sacral torsion (sacral rotation on an oblique axis): When L5 is rotated the sacrum rotates the _______direction on an oblique axis. ```

Opposite

``` Sacral torsion (sacral rotation on an oblique axis): The seated flexion test is found on the _____ side of the oblique axis ```

Opposite

``` OMT findings: positive seated flexion test on the right right sulcus deeper left ILA inferior and posterior Lumbar sidebending to left L5 rotated to the right ```

Left on Left oblique axis

``` OMT findings: positive seated flexion test on the left left sulcus deeper right ILA inferior and posterior Lumbar sidebending to right L5 rotated to the left ```

Right rotation on a right oblique axis

``` OMT findings: positive seated flexion test on the right right sulcus is shallow left ILA is anterior and superior Lumbar sidebending to the left L5 is rotated to the left ```

right rotation on a left oblique axis

``` OMT findings: positive seated flexion test on the left left sulcus is shallow right ILA anterior and superior lumbar sidebending to the right L5 is rotated to the right ```

Left rotation on a right oblique axis

``` OMT findings: negative seated flexion test negative standing flexion test right and left sacral sulci are deep ILAs shallow bilaterally increased lumbar curve ```

bilateral sacral flexion

What is a common sacral somatic dysfuntion in a post-partum patient?

bilateral sacral flexion

``` OMT findings negative seated flexion test negative standing flexion test right and left shallow sulci decreased lumbar curve ```

bilateral sacral extension

``` OMT findings: positive seated flexion test on the left left sulcus is deeper left ILA is significantly inferior left ILA is slightly posterior ```

left unilateral sacral flexion

``` OMT findings: positive seated flexion test on the right right sulcus is deeper right ILA is significantly inferior right ILA is slightly posterior ```

right unilateral sacral flexion

``` OMT findings: positive seated flexion test on the left positive lumbosacral spring test positive backward bending test left sulcus is shallow left ILA is superior left ILA slightly anterior ```

left unilateral sacral extension

``` OMT findings: positive seated flexion test on the right positive lumbosacral spring test positive backward bending test right sulcus is shallow right ILA is superior right ILA slightly anterior ```

right unilateral sacral extension

OMT findings: right sulci and right ILA are shallow left sulci and left ILA are deep

right sacral margin posterior

OMT findings: left sulci and left ILA are shallow right sulci and right ILA are deep

left sacral margin posterior

When L5 and sacral somatic dysfunction are present, which location do you treat first?

What lumbar somatic dysfunction is anticipated with a psoas syndrome?

L1 or L2 flexed, sidebent and rotated to the same side as the contracture.

Key rib to treat in exhalation dysfunction of ribs

Top rib | BITE = bottom inhalation -- top exhalation

Key rib to treat for inhalation dysfunction of ribs

Bottom rib | BITE = bottom inhalation -- top exhalation

What is the exit from the cranium for CN X - vagus

jugular foramen

What somatic dysfunction can affect the vagus (CN X)

temporal, occiput, OA, AA, C2

What are the symptoms of somatic dysfunction affecting the vagus (CN X) nerve

headaches, arrhythmias, GI upset, respiratory problems

What is the name of CN VIII?

vestibulocochlear nerve

Dysfunction of CN VIII can cause what symptoms?

tinnitus, vertigo, hearing loss

What is the name of CN XII (12)?

hypoglossal nerve

What somatic dysfunction can affect the hypoglossal nerrve (CN XII)?

occiput dysfunction

Poor suckling in a newborn may be caused by what somatic dysfunction?

condylar / occipital dysfunction affect the hypoglossal nerve