Heme-Lymph Cases and Techniques (Huzij)

Question 1

Osteopathic Principles

Answer 1

1. The human being is a dynamic unit of function
   • 2. The body possesses self-regulatory
   mechanisms that are self-healing in nature
   • 3. Structure and function are interrelated at all
   levels
   • 4. Rational treatment is based on these principles

Question 2

Most appropriate initial test of DVT?

Answer 2

Compression U/S

Question 3

Non OPP treatment for DVT:

Answer 3

Decreased activity, LE elevation, Heat,

Compression stockings, anticoagulants

Question 4

Transitional Zones

Answer 4

1. Occipitoatlantal
2. Cervicothoracic
3. Thoracolumbar
4. Lumbosacral

Question 5

Sympathetic Spinal levels to the LE

Answer 5

T10-L3

Question 6

Parasympathetics Spinal Levels to the LE

Answer 6

None

Question 7

OMM Risks to Treating DVT

Answer 7

1. possible acute fracture in area being treated requires technique modification
2. Embolism

Question 8

7 Fascial Restriction Points

Answer 8

1. Thoracic Inlet (1st)
2. Posterior Axillary Fold
3. Antecubital Fossa
4. Carpal Tunnel
5. Inguinal Ligament
6. Popliteal Fossa
7. Achilles Tendon

Question 9

Inhibition Technique

Answer 9

1. Provide increasing compression to area of
   restriction
2. As fluid drains and area releases, compress
   further

Question 10

Prior to Effleurage Restriction points should be opened up __________.

Answer 10

Proximal to Distal

Question 11

Define Effleurage

Answer 11

Continuous moving
compression to move fluid
distal to proximal

Question 12

In a DVT pt, pedal/thoracic pump should only be performed once the pt is _____.

Answer 12

anticoagulated

Question 13

Things against the Theoretical risk of metastasis with lymphatic techniques in CA

Answer 13

1. No evidence of harm
2. Animal models show reduction in tumor
   formation