Exam #1 Flashcards
paired bones
motion
frontal
mandible
motion: internal/external rotation
midline bones
motion
sacrum sphenoid vomer ethmoid motion: flex/extend
Low occiput
High occiput
Low: external rotation of temporal bone
High: internal rotation of temporal bone
normal cranial rhythmic impulse
8-12
during cranial extension the sacrum
sacrum nutate
during cranial flexion the sacrum
sacrum couture nutates
Sphenobasilar synchondorsis compression
no CRI
bowling ball
hard head
torsion axis
1 AP
sidebending/rotation axis
3
2 parallel vertical axis
1 AP axis
lateral strain axis
2
2 parallel vertical axis
vertical strain axis
2
2 parallel transverse axis
Superior vertical strain
occiput
sphenoid
occiput: extension
sphenoid: flexion
Inferior vertical strain
occiput
sphenoid
occiput: flexion
sphenoid: extension
heart
T1-T6
lungs
T2-T7
upper gi
T5-T9
middle gi
T10-T11
lower gi
T12-L2
appendix
T10-T11
kidney
T10-T11
upper ureter
T10-T11
lower ureter
T12-L1
vagus (OA,AA,C2)
trachea-splenic fixture
Greater splanchnic nerve innervates (T5-T9)
stomach liver gallbladder pancreas parts of duodenum **fore gut
Lesser splanchnic nerve (T10-T11)
small intestine
right colon
APPENDIX
**mid gut
Least splanchnic nerve (T12-L2)
left colon
pelvic organs
**hind gut
superior esophagus sympathetics
T2-T4
periumbilical pain
true visceral pain
chapman reflex point 12
viscerosomatic pain
RLQ pain from appendicitis
percutaneous reflex of Morley
all GI is parasympathetically innervated by vagus except the …. is innervated by the pelvic splanchnic
left colon and pelvis
flatulence and distention are
sympathetic
headache, nausea, vomiting, cramps or pain of the GI tract are
parasympathetic
… lead to tissue text changes such as hypertonicity, moisture, erythema
post ganglionic sympathetic fibers
sacral torsion L5
L5 sidebends toward axis and rotates opposite of axis
LOL L5
L5 SL RR
LOR L5
L5 SR RR
ROR L5
L5 SR RL
ROL L5
L5 RL SL
The combination C2 left, T3 right, T5 left and T7 right is collectively referred to as the
“upper G.I. reflex”: may indicate the need to use omeprazole, ranitidine, etc.
do not work on the anterior aspect of the abdomen such as
collateral ganglion release, mesenteric lift
dont place prone
Temporal bones are associated with
vertigo, tinnitus, and labyrinthitis
Cranial manipulation is absolutely contraindicated with
increased intracranial pressure and uncontrolled hypertension
Primary respiratory axis of the sacrum is the
superior transverse axis
Right torsion vault hold
Index Finger moves Superiorly (cephalad)
Little Finger moves Inferiorly (caudad)
Left Side-bending Rotation
occiput
temporal
temporal: externally rotated left temporal bone
* *hands are going to widen and drop on the left side resulting in a low occiput
Left Lateral Strain vault hold
index fingers shift laterally to the right
pinkies shift laterally to the left
left lateral strain the sphenoid and occiput rotate
both rotate clockwise
Superior vertical strain vault hold
forefingers of both hands move inferiorly
little fingers of both hands move superiorly
Inferior vertical strain
forefingers of both hands move superiorly
little fingers of both hands move inferiorly
RIGHT LATERAL STRAIN motion
R-GWS: Ant/Med
R-O: Ant/Lat
L-GWS: Post/Lat
L-O: Post/Med
LEFT LATERAL STRAIN motion
R-GWS: Post/Lat
R-O: Post/Med
L-GWS: Ant/Med
L-O: Ant/Lat
Superior vertical strain
occiput
temporal
occiput: extension
temporal: internal rotation
Inferior vertical strain
occiput
temporal
occiput: flexion
temporal: external rotation
True visceral pain
Early pain from irritation, stretching, contraction of exaggerated physiologic motor activity and dysfunction Midline pain (may be right or left depending on organ), poorly localized and described as vague, deep, diffuse burning ache
Percutaneous Reflex of Morley
Direct transfer of inflammatory irritation from the viscera to the parietal peritoneum and abdominal wall without reflex through the visceral afferent nerve on a somatic afferent near the mesentary. It produces abdominal wall rigidity, pain, and rebound tenderness
pos spring test
LOR
ROL
neg spring test
LOL
ROR
Superior
Middle
Inferior
sacral axis
Superior: primary respiratory mechanism
Middle: sacrum flexion/extension
Inferior: innominate rotations
right greater wing of the sphenoid and the right occiput rotate anteriorly around their vertical axes
right lateral strain
Absorbable stitches
vicryl
PDS-II
Monocryl
plain and chromic
Never used non-absorbable suture in the
urinary tract
never use absorbable sutures in
vascular structures
Taper point
Conventional cut
Reveres cut
Blunt needle
Taper point: push tissue out of the way
Conventional cut: do not use on bowel mucosa (cut on inside arc
Reveres cut: cutting edge on outside of curve (
Blunt needle: suture liver
suture sizes
3 > 2 > 1 > 0 > 1-0 > 5-0 > 10-0
