Heme Lymph Cases DSA/CIS Flashcards
upper extremity sympathetics?
T2-8
tenets of osteopathy?
- body is a unit
- body possesses self regulatory mechanisms
- structure and function are reciprocally related
- rational tx is based on all three
CI’s of tx of cancer?
- risk of hematogenous spread is high –> don’t do OMT of spine (Batson’s plexus)
- Direct techiques over tumor/can cause risks
- risk of lymphatogenous spread is increased
alternating pattern of dysfunction occurs due to ?
compensatory pattern due to major fascial pathways - where diaphragms are located
- OA: receiprical tension membrane
- cervical-thoracic junction: thoracic inlet
- thoraco-lumbar junction: abdominal diaphragm
- lumbo-sacral jn: pelvic diaphragm
most common compenstaroy pattern?
OA: L thoracic inlet: R TL junction: L pelvic diaphragm: R (see that pelvis rotates right, generally anterior)_
Uncommon compensatory pattern?
pelvis rotated L, anteriorly
TL: right
thoracic inlet: left
OA: right
cancer’s seen in children under 4?
ALL, Neuroblastoma, Wilms
cancers seen in children older than 10?
Ewings sarcoma, HL, thyroid cancer
common presenting signs of childhood cancer?
CHILDREN
- continued w/l thats unexplained
- h/a’s w/ vomiting in morning
- increased swelling and persistent pain in joints/bones
- lump/mass in abdomen/neck
- development of whitish appearance of pupil
- recurrent fevers
- excessive bruising/bleeding
- noticeable paleness/tiredness
pitting edema?
think DVT, CHF, iliac vv. compression = decreased plasma oncotic pressure and disorders caused by increased capillary pressure
do D dimer assay or US to determine DVT
D dimer has 90% negative predictive rate - positive results are not ddx as it could be due to blood loss, pregnancy, a fib, etc.
use CT angiography to look for PE
virchow’s triad
pathogenesis of VTE:
hypercoagulability
alterations in blood flow
endothelial injury/dysfunction
right heart strain seen w/ PE?
T wave inversion
RBBB
S1Q3T3
