CIS- important points

Question 1

acute nephrolithiasis

Answer 1

bloody urine, flank pain, nausea/vomiting, fever/ chills

urinary freq. beginning 24 hours in advance

Lloyd’s/ CVA tenderness prominent!

Order: US, VCUG (voiding cysto-urethrogram)

Tretment: fluids, pain meds (toridol- NSAID), CCBs, alpha 1 antagonist, OMM

Refer for recurrent/ multiple stones, larger than 5 mm.

Question 2

structures directly associated with the L/ R kidneys?

Answer 2

Left- 11-12th rib and diaphragm, QL, psoas, tail of pancreas, internal oblique

Right- 12th rib and diaphragm, QL, psoas, duodenum, internal oblique

adrenals above, ureters below

pubic symphisis/

Question 3

kidney sympathetics/ parasymp

Answer 3

kidney- T10-L1
Ureter: T10-L1
Bladder: T10-L2

para- Vagus
upper ureter- Vagus
lower ureter/ Bladder- S2-?

Question 4

MET to int obl improves motion to?

Answer 4

L kidney via its connection to rib 11.

What connects to both kidneys via rib 12? QL

Question 5

Still Technique

Answer 5

specific, nonrepetitive articulatory method that is indirect, then direct.

1. posn of ease
2. force vector
3. continue through restrictive barrier
4. return to neutral and reassess

Question 6

FPR

Answer 6

system of indirect myofascial release treatment

1. neutral to diminish tension
2. apply force vector (compression, traction, torsion) until release is felt
3. return to neutral and reassess.

Question 7

L5 rules

Answer 7

ROSS

if scacrum is R on Right oblique axis, L5 is rotated left, sidebent right

Question 8

why no HVLA in cardiac patients?

Answer 8

HVLA can cause a transient increase in sympathetics

Question 9

symp to heart, ganglia, para

Answer 9

T-5ish

cervical chain ganglia

Vagus

Question 10

Vagus course

Answer 10

Medulla through Jugular foramen, occipital mastoid suture can be important to treat. CN IX, CN XI, int. jug vein also go through jug foramen

Question 11

meds for HTN when?

Answer 11

less than 60- BP of 140/90

more than 60 150/90

with diabetes, chronic kidney 140/90

Question 12

role of exercise in CHF?

Answer 12

improve skeletal muscle function–> improved lymphatics

Question 13

symptoms of CHF?

Answer 13

fatigue and SOB

anorexia, diaphoresis, edema, nausea, nocturia,

Question 14

2 main goals of CV treatment

Answer 14

autonomic balance

improve arterial, venous and lymphatic circulation

Question 15

most common cause of death in MMI pt within 24 hrs?

Answer 15

v fib

Question 16

discharge meds post MI

Answer 16

beta blocker, nitro, clopidogrel or aspirin, statin, ACE inh.

Question 17

by what mech does treating thoracic dysfunction improve heart issues?

Answer 17

decrease heart rate