Exam #1 Flashcards
inflamed lymph nodes can cause what become hypertonic
sternocleidomastoid
Dry mouth causes
Cranial Nerve VII
Cranial Nerve IX
Sphenopalatine (Pterygopalatine) ganglion exits
stylomastoid foramen
Cranial Nerve VII innervates
lacrimal glands, sublingual and submandibular glands
Cranial Nerve IX innervates
parotid gland
CN IX is associated with the (ganglion)
Otic ganglion
Otic ganglion exits through
jugular foramen
Thoracic inlet/outlet has to be cleared/opened/treated
BEFORE ANY other lymphatic treatment
Venous drainage of the skull
jugular foramina,
occipitomastoid suture
occipital and temporal bones
dural strain on CN VI causes
result is medial strabismus
CN XI impingement
Torticollis
CN V
problem
Trigeminal Neuralgia/Tic Deloureaux
May complain of sudden, severe facial, ear, and/or jaw pain
CN VII
exit
problem
Exits stylomastoid foramen
Bell’s Palsy
CN XII
exit
problem
Hypoglossal canal
Can cause nursing/latching problems in infants
Tension headache description
Bilateral pressure
No aura, nausea
Migraine headache description
Unilateral
Triggers
May have aura, nausea/vomiting, photophobia/phonophobia
Cluster headache description
Unilateral
Severe
Sternocleidomastoid muscle trigger point
refers pain lateral and behind the eye
Splenius Capitus muscle refers pain to
vertex of the head
Gentle stroking of congested tissue used to encourage lymphatic flow
Effleurage
Involves pinching or tweaking one layer and lifting it or twisting it away from deeper areas
Petrissage
T5-T9 sympathetic pre and post gang
-gallstone
pre: Greater Splanchnic
post: Celiac Ganglion
T10-T11 sympathetic pre and post gang
-appendicitis
pre: Lesser Splanchnic
post: Superior Mesenteric Ganglion
T12-L2 sympathetic pre and post gang
-sigmoid colon
pre: Least Splanchnic (T12 only)
post: Inferior Mesenteric Ganglion
Parasympathetic cranial nerves
III, VII, IX, X
3, 7, 9, 10
Oculomotor nerve ganglion
Ciliary Ganglion
Glossopharyngeal (CN IX) ganglion
Otic ganglion
Facial Nerve (CN VII) ganglion
Pterygopalatine Ganglion
Submandibular Ganglion
Postsynaptic parasympathetic fibers from the four parasympathetic ganglia join branches of
CN V and are:
carried to their destinations along with the CN V sensory and motor fibers
Increased Parasympathetic Activity
Increased clear, thin, watery secretions of glands
Pupillary constriction
Improved/increased drainage
CN III, IV, VI Entrapment
Petrosphenoidal ligament
Symptoms:
Blurred vision, diplopia, nystagmus, eye fatigue, HA
One Gait Cycle is considered from
-answer on test
heel contact of one foot through heel contact of that SAME foot again
-60%
Freud
behavior is motivated by unconscious biological urges, instincts drives
- Oral (0-1): focus on mouth
- Anal (1-3): Toilet training demands or inhibition and delays
- Phallic (3-6): Sexual drive increases (inc desire for opposite gender parent)
- Latency (6-puberty): Development of socially acceptable skills focus on learning
- Genital (puberty-adulthoood)
Erickson
personality development as a lifelong, sequential process
Piaget
two innate cognitive functions 1. Children construct their understanding and learning of the world by organizing experiences into concepts and more complex schemas 2. Assimilation (An established framework or cognitive schema is used for the interpretation of all experiences) and Accommodation (Framework or cognitive schema are adjusted to re align difference between cognitive understanding and external reality)
Kohlberg
moral reasoning isthe basis for ethical behavior (judgment of what is right and wrong)
- Preconventional (0-6): premolar - consequences reward vs punishment (no moral concepts)
- Conventional (6-12): moral - desire to please other (“good girl”)
- Postconventional (>12): postmoral - personal beliefs
Maturational theory of Development vs. Social Learning Theory
Maturational Theory of Development: cognitive and motor development occur in parallel and in regular sequence due to genetic blueprint
Social Learning Theory: learning occurs through observation and imitation of others’ behaviors
Rolls over
5 mo
Sits unassisted
6 mo
separation anxiety
6-9 months
Stranger Anxiety, Plays social games
8-9 months
Plays cooperatively with other children Engages in role playing (imaginary friends)
4 yo
ADHD percentage
9.4%
% Tourettes with other diseases. what highest
86%
-ADHD
Major Depressive Disorder (diagnosis)
- predominantly depressed mood/anhedonia lasting >2 weeks
- 4 SIGECAPS
Persistent Depressive Disorder (diagnosis)
Depressed mood lasting >2 years for adults, >1 year for kids + 2 of the following
Poor appetite or overeating.
Insomnia or hypersomnia.
Low energy or fatigue.
Low self-esteem.
Poor concentration or difficulty making decisions.
Feelings of hopelessness.
SIGECAPS
S - sleep disturbance I - diminished interest G - guilt E - energy (fatigue) C - concentration (cognitive slowing) A - appetites changes P - psychomotor changes (restlessness) S - suicide (ideation, attempts)
Bipolar I Disorder (diagnosis)
only required episode for diagnosis is MANIA
Bipolar II Disorder
At least 1 episode of hypomania
At least 1 episode of depression
No history of mania
Mania vs hypomania
Mania: >7 days SEVERE impairment Often with psychosis Often hospitalized
Hypomania: >4 days Very limited if any impairment No psychosis Never hospitalized
MAOI need to be aware of
tyramine restricted diet
-can lead to serotonin like syndrome
Mirtazapine
fat and sleepy
-can be given for sexual side effect alternative
Bupropoin
don’t give to eating disorder
trazadone
can pair w SSRI to help sleep
tricyclin
very bad side effects and easy to OD
Effexor
really bad side effects if forget to take
SSRI
sexual side effects
GI side effects
interventional depression treatments
ECT
transcranial magnetic stimulation
spravato (ketamine)
De Quervain tenosynovitis and test
inflammation of extensor and abductor tendons of the thumb
-finkelstein test
Dupuytren vs trigger finger
Dupuytren: cant straighten
Trigger finger: can straighten
C6 radiculopathy pain and numbness
pain: bicep
numbness: thumb/index
- between C5 and C6
C7 radiculopathy pain and numbness
pain: tricep
numbness: middle finger
- between C6 and C7
spondylolysis vs spondylolitheisis
spondylolysis: defect/fracture
spondylolitheisis: displacement
TMJ Masseter Counterstrain
toward
TMJ Medial Pterygoid Counterstrain
away
temporal bone internally rotate
high pitch ringing
temporal bone externally rotate
low pitch roaring
abnormal amylase/lipase and nausea levels
OA AA C2 (vagus nerve)
left on left seated flexion test on
right side
sixth intercostal space on right side issue
cholecystitis
trigeminal stimulation
supraorbital
infraorbital
mental
Conduct Disorder
antisocial personality disorder
Oppositional Defiant Disorder
mood disorder and psychosis
acute postpartum psychosis is associated with
bipolar I