CardioPulm shits DSA

Question 1

sympathetic neuro Cardiopulm manifestations

Answer 1

increased catecholamines, increased iono/chron, increased BP, increased O2 demand, impaired lymph drainage, typical VSR

Question 2

Parasympathetic neuro cardiopulm manifestations

Answer 2

vagal, decreased chron/iono, decreased BP, improved lymph drainage

Question 3

Cobb Method exam?

Answer 3

degree of scoliosis

Question 4

Classifications of Cobb method:

Answer 4

mild scoliosis: 5-15deg
mod scoliosis: 20-45deg
severe scoliosis: >50deg

Question 5

at what cobb angle is respiratory function compromised?

Answer 5

cobb angle >50 = resp. compromise

Question 6

the thoracic duct is functionally under what control?

Answer 6

sympathetic control [hypersymp tone = decreases lymphatic tone]

Question 7

where do the pregangionic nerves that synapse at the thoracic sympathetic ganglia come from?

Answer 7

the intermediolateral column of T1-T5

Question 8

postganglionic fibers from the sympathetic cardiac nerves converge where?

Answer 8

at the cardiac plexus

Question 9

what parasympathetic nerves synapse on the cardiac plexus?

Answer 9

preganglionic axons from the dorsal nucleus of the vagal nerve and the nucleus ambiguus

Question 10

what are the branches of the cardiac plexus?

Answer 10

there is a DEEP and a SUPERFICIAL plexus. the DEEP plexus splits into RIGHT and LEFT halves. LEFT = ONLY AV NODE. RIGHT = SA NODE + right and left coronary plexus.

Question 11

What is the consequence of sympathetic and parasympathetic hyperactivity the the RIGHT half of the deep cardiac plexus?

Answer 11

• sympathetic hyperactivity = at the SA node = risk of SVT

- vagal hyperactivity = at the SA node = sinus brady

Question 12

What is the consequence of sympathetic and parasympathetic hyperactivity the the LEFT half of the deep cardiac plexus?

Answer 12

• sympathetic hyperactivity = at the AV node = risk of ectopic foci and Vfib
• vagal hyperactivity = at the AV node = AV blocks

Question 13

What are the 3 goals of omt pneumonia treatment?

Answer 13

1. reduce congestion
2. reduce sym to pulm parenchyma of lung
3. reduce mech impediments to thoracic cage resp motion

Question 14

what is the osteopathic treatment goal for arrhythmias?

Answer 14

Omt should be directed toward reduction of segmental facilitationin the upper thoracics and modification of vagal tonicty.

Question 15

What treatment is contraindicated in COPD patients?

Answer 15

thoracic vacuum (but doming is still coo)