Integrative Rounds

Question 1

herbal for heart failure

Answer 1

Hawthorne berry

-weak inotrope, dilator

Question 2

how to achieve opioid affect with acupuncture? (Hz)

Answer 2

low freq (2 Hz)
.... technically 2-20 but not practically

Question 3

herbal for hemangiosarcoma

Answer 3

yunnan baiyao (pronounced You- nin Bi-Oh)
also I’m Yunity
increases platelet adhesion
can be used for hematomas

Question 4

acupuncture to stimulate appetite

Answer 4

shen gen (mountain base, nose-hair junction)

Question 5

infective stage liver flukes is

Answer 5

L3

Question 6

Flaccid paralysis is an _____ motor neuron disease.

possible differentials?

Answer 6

lower motor neuron

1. Coral snake
2. Tick paralysis
3. Myasthenia gravis
4. clostridium botulinum
5. Polyradiculoneuritis

Question 7

stiff paralysis is an _____ motor neuron disease

Answer 7

upper

Question 8

(coral snake) anti-venom moa

Answer 8

Ach receptor block

Question 9

landmarks for placing feeding tubes
esophageal?
v. gastric?

How much do you feed?

Answer 9

esophageal - ribs 7-9
gastric - last rib

25% RER on Day 1, 50% day 2 etc.

Question 10

Grading IVDD

Answer 10

1 - pain on palpation (no neuro deficits)
2 - pain with some ataxia/ CP deficits
3 - nonambulatory paraparetic
4 - paraplegic with deep pain
5 - paraplegic with no deep pain

Question 11

Signs of lesion of the:
oculomotor (III)
Trochlear (IV)
Trigeminal (V)
Abducent (6)
glossopharyngeal 9 
accessory 11
hypoglossal 12

Answer 11

lateral and ventral - oculomotor (III)
rotational - Trochlear (IV)
drop jaw/ muscles of mastication - Trigeminal (V) 
medial strabismus - Abducent (6)
gag - glossopharyngeal 9 
trapezius - accessory 11
tongue deviatoin - hypoglossal 12

Question 12

respiratory stimulation acupuncture

Answer 12

GV 26 (lower nostril)

Question 13

cat absesses usually have what kind of bacteria?

Answer 13

g- bacteria

Question 14

main antioxidant in the cell

Answer 14

glutathion