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Cranial/GI Flashcards

1
Q

5 principles of PRM

A
  1. inherent motility of brain/cord
  2. fluctuation of CSF
  3. mobility of membranes
  4. articular mobility of cranial bones
  5. involuntary mobility of sacrum
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2
Q

Falx cerebri connects

A

ethmoid
frontal
parietal
occiput

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3
Q

CRI rate

A

10-14 cycles/min

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4
Q

dura mater forms:

A

falx cerebri
falx cerebelli
tentorium cerebelli

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5
Q

dural attachments

A

foramen magnum
C2, C3
S2

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6
Q

Flexion: sphenoid mvmt

A

ant (away from occiput)

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7
Q

flexion: occiput mvmt

A

post (away from sphenoid)

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8
Q

flexion: sacrum mvmt

A

counternutation

extension

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9
Q

flexion: AP diameter

A

decreases

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10
Q

flexion: paired mvmt

A

external rotation

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11
Q

flexion: midline mvmt

A

flexion

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12
Q

extension: sphenoid mvmt

A

post (together)

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13
Q

extension: occiput mvmt

A

ant (together)

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14
Q

extension: sacrum mvmt

A

nutation

flexion

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15
Q

extension: AP diameter

A

increases

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16
Q

extension: paired mvmt

A

internal rotation

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17
Q

extension: midline mvmt

A

extension

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18
Q

vault hold fingers

A

index: greater wing of sphenoid
middle: squamous portion of temporal bone
ring: mastoid process of temporal
pinky: squamous portion of occiput

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19
Q

torsion strain axes

A

AP axis

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20
Q

sidebending/rotation strain axes

A

AP axis
vertical axis thru sphenoid
vertical axis thru foramen magnum

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21
Q

flex/extend strain axes

A

transverse axis thru sphenoid

transverse axis superior to foramen magnum

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22
Q

vertical strain axes

A

transverse axis thru sphenoid

transverse axis superior to foramen magnum

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23
Q

lateral strain axes

A

vertical through sphenoid

vertical through foramen magnum

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24
Q

physiologic strains

A

torsion
sidebending/rotation
flexion/extension

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25
Q

non-physiologic strains

A

vertical
lateral
compression

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26
Q

name: torsion

A

which wing of sphenoid if more cephalad

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27
Q

name: sidebending

A

named for mvmt of basosphennoid
side of convexity
(side of egg crack)

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28
Q

name: vertical

A

named for mvmt of basosphenoid

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29
Q

name: lateral

A

named for deviation of basosphenoid

back of hand

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30
Q

SBS compression mvmt

A

no movement

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31
Q

SBS compression mech

A

force to back of head

32
Q

vertical strain description

A

basosphenoid moves caudad/cephalad to occiput

33
Q

lateral strain description

A

basosphenoid deviates to one side

both sidebend to opp side

34
Q

cribiform plate bone

35
Q

thru cribiform

A

olfactory (I)

36
Q

optic canal bone

37
Q

thru optic canal

A

optic nerve (II)

38
Q

superior orbital fissure bone

39
Q

thru superior orbital fissure

A

occulomotor (III)
trochlear (IV)
opthalamic (V1)
abducens (VI)

40
Q

foramen rotundum bone

41
Q

thru foramen rotundum

42
Q

foramen ovale bone

43
Q

thru foramen ovale

44
Q

foramen spinosum bone

45
Q

thru foramen spinosum

46
Q

foramen lacerum bone

47
Q

thru foramen lacerum

A

internal carotid

48
Q

internal auditory meatus bone

49
Q

thru internal auditory meatus

A

facial (VII)

vestibulochochlear (VIII)

50
Q

jugular foramen bone

A

btwn temporal and occipital (post cranial fossa)

51
Q

thru jugular foramen

A

glossopharyngeal (IX)
vagus (X)
accessory (XI)

52
Q

hypoglossal canal bone

A

occipital (post cranial fossa)

53
Q

thru hypoglossal canal

A

hypoglossal (XII)

54
Q

foramen from ant to post

A 
cribiform
optic canal
superior orbital fissure
foramen rotundum
foramen ovale
foramen spinosum
foramen lacerum
internal auditory meatus
jugular foramen
hypoglossal canal
55
Q

parasympathetics down to ascending colon

56
Q

parasympathetics below ascending colon

A

pelvic nerve

57
Q

celiac ganglion organs

A 
esophagus
stomach
duodenum
abd vessels
liver
gallbladder
pancreas
58
Q

superior mesenteric ganglion organs

A

kidneys?
ileum
jejunum
ascending colon

59
Q

inferior mesenteric ganglion organs

A

descending colon
rectum
bladder
sex organs

60
Q

celiac ganglion levels

61
Q

sup mesenteric ganglion levels

62
Q

inf mesenteric ganglion levels

63
Q

where does cisterna chyli sit

A

right crus of diaphragm

64
Q

celiac location

A

1 cm below xyphoid

65
Q

sup mesenteric ganglion location

A

btwn xyphoid and umbilicus

66
Q

inf mesenteric ganglion location

A

1 cm above umbilicus

67
Q

HA prevalence by type

A

tension (69%)

migraine (15%)

68
Q

secondary HAs

A

sinusitis

TMJ

69
Q

life-threatening HA to R/O

A 
meningitis/encephalitis
stroke
aneurysm/ICH
temporal arteritis
space occupying lesion
70
Q

parasympathetic up in head affects which CNs

A

III
VII
IX
(glands swell)

71
Q

Tx for para

72
Q

Tx for symp

73
Q

HA muscles

A 
trapezius (XI - C3-4)
sternocleidomastoid
spinalis capitus
splenius capitus
longissimus capitus
levator scapulae
semispinalis cervicis
scalene
74
Q

top HA Txs

A

cranial
lymphatics
direct inhibition

75
Q

muscles of direct inhibition

A

medial pterygoid

lateral pterygoid

OMM (10 decks)

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