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OPP III final exam > CIS Heme-Lymph Cases- Ferrill > Flashcards

CIS Heme-Lymph Cases- Ferrill Flashcards

1
Q

During the process of physiologic emptying of the lymphatic stream the fingers of one hand _______while _________ is initiated through the other hand on top of it.

A

establish a contact over lymph nodes……a transmitted vibration

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2
Q

A __________should occur between physiologic emptying of the lymphatic stream.

A

quiet pause-rest

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3
Q

Physiologic emptying of the lymphatic stream:

The transmitted vibration ________.

A

initiates the siphoning process

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4
Q

Physiologic emptying of the lymphatic stream: order of siphoning process

A
  1. Upper left thoracic area at the level of the axillary lymph nodes (if not found look for chapman’s refelxes)
  2. nodes around the epigastrium
  3. lift up the omentum
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5
Q

Radiation can cause _____ in the tissues which can _______.

A

fibrosis….impair lymphatic flow

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6
Q

3 Approaches to finding osteopathic structural findings:

A
  1. Biomechanical perspective
  2. Neurological perspective
  3. Lymphatic (Respiratory-Circulatory) perspective
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7
Q

Biomechanical perspective:

It is important consider the anatomical connections from the extremities to the __(5)___

A
  1. C spine
  2. T spine
  3. L spine
  4. Ribs
  5. Sacrum
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8
Q

Biomechanical perspective:

Generally _____ will cause _____ vertebral dysfunctions.

A

long restrictor muscles…….Type 1

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9
Q

Biomechanical perspective:

- Ribs will be _____. and the ______ will not make sense with what you have learned.

A

Elevated or depressed…..sacral restriction

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10
Q

Neurological perspective:

Somato-somatic reflexes of Upper extremity: SNS and PNS

A
  • SNS = T1-4

- PNS = none

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11
Q

Neurological perspective:

Somato-somatic reflexes of the Breast: SNS and PNS

A
  • SNS = T3-5 (2-4)

- PNS = none

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12
Q

Neurological perspective:

In Somato-somatic reflexes you are looking for _____ dysfunctions

A

Type II

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13
Q

Lymphatic perspective:

Lymph nodes of the breast

A
  • Axillary (3/4)
  • Apical
  • Internal Thoracic
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14
Q

Lymphatic perspective:

Breast lymph may go to the _____ nodes, or to the following three plexi:

A

contralateral breast …..

  1. rectus abdominus
  2. subperitoneal
  3. subhepatic
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15
Q

The body overcomes loss/removal of lymphatic structures via which three mechanisms?

A
  1. Passive movement through interstitial space
  2. Regeneration of vessels
  3. Collateral circulation
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16
Q

Lymphatics def.

A

Continuous structure from the interstitial space, through terminal lymphatics, vessels, nodes and into central circulation

17
Q

Lymphatic Baffles are ____

A

Facial Restriction points

18
Q

OMT for a cancer patient indications :

Pt can be treated for pain associated with _____ but not pain associated with _____.

A

somatic dysfunction….a tumor

19
Q

OMT for a cancer patient indications :

Think about evaluation and treatment when (6)

A
  1. Post-surgical
  2. Bed-ridden
  3. Lymphedema
  4. Constipation
  5. Atelectasis
  6. Pneumonia
20
Q

What types of OMT techniques should be used for cancer pts?

A
  • indirect techniques

- gentle direct or indirect soft tissue/myofascial techniques

21
Q

Contraindications in treating a patient with cancer:

NO OMT in the ______ in ____ dt the high risk of _______

A

spine….vertebral cancers…..hematogenous spread (batson’s plexus)

22
Q

Contraindications in treating a patient with cancer:

No ______ directly over _____.

A

Direct technique ….area of tumor

23
Q

Contraindications in treating a patient with cancer:

No _______ in the presence of _____.

A

Direct technique …. loos of boney integrity

24
Q

Contraindications in treating a patient with cancer:

____ are relatively contraindicated bc the risk of _____ is high

A

Lymphatic techniques ….. lymphatogenous spread

25
Q

Arguments against the lymphatogenous spread of cancer:

A

patients who do a moderate amount of exercise daily during treatment tend to do better overall than those who don’t. Lymphatic pumps do not move as much lymph as moderate exercise will

26
Q

What should you do if you have concerns about the lymphatogenous spread of cancer via lymphatic techniques?

A

use other techniques to passively affect lymphatic flow rather than actively

27
Q

Use of the Pelvic Torsion Technique

A

any dysfucnction of the innominates, sacrum or sacroilliac joints

28
Q

Pelvic Torsion Technique

Position of Physician and patient

A

PCP: same side as dysfunction
Pt: Supine

29
Q

Pelvic Torsion Technique:

procedure

A
  1. place palms of hands on pts ASIS’s
  2. gently compress the ASISs medially and posteriorly (gapping the SI joint)
  3. induce a twisting motion (rotating one innominate post and the other ant) with your hands to find a point of equal tension among the pelvic ligamentous attachments (the pelvis will typically move into its dysfunction)
  4. Hold this position until a release is palpated then slowly return the pt to neutral
  5. Reassess
30
Q

Thoracic Inlet Technique

A
  1. Evaluate rotation of thoracic inlet
  2. Posterior hand on spinous processes of T1-3 (ish)to encourage rotation into the barrier (DIRECT)
  3. Anterior hand along infraclavicular area (manubrium/ribs/proximal clavicles)
  4. Both hands engage barrier firmly
  5. Patient takes several deep breaths while the physician continues to take up the slack and encourage rotation into the barrier
31
Q

Sutherland’s lymphatic treatment technique

A

One hand palpates the area worked on, other hand on top introduces a gentle vibratory motion

32
Q

Sutherland’s lymphatic treatment sequence Areas to address

A

Upper left thorax
Epigastric area
Inferior to umbilicus

33
Q

Sutherland’s lymphatic treatment sequence: Force for upper Left thorax

A

Inferior and medial motion

34
Q

Sutherland’s lymphatic treatment sequence: Force for Epigastric area

A

superior and posterior (“lift”) motion

35
Q

Sutherland’s lymphatic treatment sequence: Force for Inferior to umbilicus

A

Superior and posterior motion (“lift”)

OPP III final exam (14 decks)

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