Intro to Peds OMT Flashcards
{{BLANK}} is the most common reason for children ≤5 yo to visit the doctor
OM
Does OMT help with OM recurrence?
Yes, 62% of pediatric patients who received 3 weekly OMT sessions after an episode of AOM did not have recurrence of AOM S/Sx
What is the galbreath technique?
- Used to Tx AOM
- Hold head w/ one hand & w/ Tx hand pull jaw outward (hold above the angle of the mandible) & have patient keep their jaw open & loose
- Pull jaw out & hold it for 3-5 secs, repeat 3 times
What nerve innervates the SCM?
This can be dysfunctional in torticollis
CN XI (Accessory)
What is true regarding initiation of treatment for torticollis?
- Start ASAP
- If you wait until after 1 mo it will prolong the amount of PT required by ~6 months
- Infants are more cooperative < 2 mo
{{BLANK}} is a term used to describe flattening of the cranium
Plagiocephaly
What is important regarding the prevention of plagiocephaly?
- Limit time baby rests in positioning devices (e.g., car seat)
- AAP recommends babies sleep on their back
- AAP recommends supervised tummy time when awake
{{BLANK}} results from premature fusion of one or more cranial sutures
Craniosynostosis
Premature fusion seen in craniosynostosis restricts the growth of the skull {{BLANK}} to the affected suture
Perpendicular
By what age is the annular ligament more resistant to tear or displacement?
5 yo
What position is the radial head most likely in during displacement seen in Nursemaid’s elbow?
- Forearm pronated
- Elbow in extension
What position do kids usually hold their arm in after suffering from radial head distraction?
flexed w/ forearm pronted (forearm against belly)
When do you order imaging for radial head syndrome?
- < 5 yo: Age < 6 mo w/o Hx of arm trauma; Severe trauma; Swelling beyond radial head; Focal bony tenderness; Bony deformity; Inability to reduce displacement
- ≥5 yo: uncommon so order
What is the hyperpronation technique for fixing RHS?
- Place one hand on elbow, stabilize arm, place thumb on radial head applying pressure
- Other hand hyperpronates hand
- May hear click
What is the supination/flexion method for fixing RHS?
- Support elbow w/ one hand, put pressure against radial head with thumb
- Hold distal forearm w/ other hand, apply traction & fully supinate forearm then fully flex elbow w/ smooth motion
- May hear/feel a click
What is the difference between acute versus subacute rhinosinusitis?
- Acute: Resolves < 30 days
- Subacute: Resolves between 30-90 days
How do you Tx rhinosinusitis?
Stroke sinuses 3-5 times
Each sinus & area of face (3 areas traditionally)
Ankle sprains most commonly occur after ankle {{BLANK}}
Ankle inversion
When is an ankle film needed?
- Pain in malleolar zone plus one of the following:
- bone tenderness at medial or lateral malleolus; inability to bear weight immediately & at ED
When do you order a foot film?
- Pain in midfoot plus any of following:
- Bone tenderness base of 5th metatarsal; Bone tenderness at navicular bone; inability to bear weight immediately or at ED
What is the preferred OMT for HA?
Suboccipital tension release
What techniques are useful in treating asthma patients with OMT?
- rib raising
- MFR
The parietal bones should override everything (post-childbirth) except for?
temporal bones at the squamous sutures
The parietal bones override the frontal bones at the {{BLANK}} suture
Coronal
The parietal bones override the occipital bones at the {{BLANK}} sutures
lambdoid
The parietal bones override each other at the {{BLANK}} suture
sagittal
Molding should resolve within approx. {{BLANK}} days post-delivery
2-days
Faster if breast fed
What CNs are transmitted through the jugular foramen?
IX, X, XI
The hypoglossal canal transmits?
XII
The {{BLANK}} nerve provides sensation to the posterior 1/3rd of tongue
Glossopharyngeal (IX)
The {{BLANK}} nerve is visceral sensory to the pharynx & larynx
Vagus (X)
lesion can lead to reduced peristalsis & reflux
B/L damage to the {{BLANK}} can lead to arching which is frequently seen in reflux
XI
The eustachian tube forms between the {{BLANK}} and {{BLANK}} of the temporal bone
Between the petrous & squamous portions
The superior orbital fissure transmits?
III, IV, V1, VI
Can lead to strabismus, seen in lateral strains & condylar compression
The Foramen ovale transmits the {{BLANK}} nerve which innervates muscles of mastication
V3 (mandibular)
The foramen rotundum transmits the {{BLANK}} which provides sensation to the upper lip, teeth, gums, and palate
V2 (maxillary)
How do you Dx torsion?
Side w/ greater wing of sphenoid (e.g., left or right)
How do you name sidebending rotation?
Side of convexity (side that moves inferiorly)
How do you name a lateral strain?
Direction in which sphenoid base moves (e.g., left or right)
How do you name a vertical strain?
Which sphenoid base moves (e.g., superior or inferior)
