CPA 3 - Ureteral Lithiasis Flashcards
What are 2 components of the Biomechanical model for Ureteral Lithiasis?
Iliopsoas spasm - ME to reduce spasm
Innominate outflare - causes compression of ureter, ME to Tx
What are 2 components of the Respiratory/Circulatory model for Ureteral Lithiasis?
Pelvic diaphragm - increase pressure gradient to pull lymph centrally (*Thoracic inlet first)
IV of normal saline - improve urine flow
What are 2 components of the Neurologic model for Ureteral Lithiasis?
IV Opioids - reduce pain
Paraspinal inhibition T10-11 = upper ureter
Paraspinal inhibition T12-L2 = lower ureter
What are 2 components of the Metabolic/Energy model for Ureteral Lithiasis?
NSAIDs - reduce inflammation/pain
HCO3 solution - increase urinary pH to reduce stone formation
What are 2 components of the Behavioral model for Ureteral Lithiasis?
Drink fluids
Diet changes - reduce uric acid levels
What is the first area to assess and what are the TART findings?
Abdomen
Tissue texture changes
Erythema, swelling, ecchymosis
Tenderness
What is the second area to assess and what are the TART findings?
Innominate
Tenderness
Asymmetry
Erythema, swelling, ecchymosis
What is the third area to assess and what are the TART findings?
Sacrum
Asymmetries
Tenderness
Sacral ROM
How would you diagnose an abdominal SD in a pt with Ureteral Lithiasis?
Evaluate T10-L2 in seated position
How would you diagnose a hip SD in a pt with Ureteral LIthiasis?
Iliopsoas ROM
How would you Tx an abdominal SD and is it an indirect or direct Tx?
MFR to T10-L2
Indirect
How would you Tx an iliopsoas/hip SD and is it an indirect or direct Tx?
ME to iliopsoas
Direct
What is an OMM ANS Tx for Ureteral Lithiasis?
Paraspinal inhibition of T10-L2 - normalize SNS tone
What is an OMM lymphatic Tx for Ureteral Lithiasis?
Pelvic diaphragm release - ischiorectal fossa release
*Open thoracic inlet
