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Lab Practical 1 Flashcards

1
Q

Introduction upon entering the room. 5 steps:

A
  1. Handwashing
  2. Student Doctor introduction (student doctor Ukoefreso, she/her)
  3. Ask preferred name and pronouns
  4. Explanation of OMT in layman terms (what does OMT stand for, how is it used)
  5. Obtain consent for evaluation AND treatment
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2
Q

Anterior Postural Exam Landmarks (6)

A
  1. Neck muscle mass
  2. Shoulder heights (acromion process)
  3. Fingertip heights
  4. Pectus
  5. Costal arches
  6. Knees
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3
Q

Posterior Postural Examination Landmarks (6)

A
  1. Mastoid process
  2. Shoulder heights
  3. Thorax-scoliosis
  4. Popliteal fossa
  5. Popliteal fossa line angles
  6. Feet
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4
Q

Lateral Postural Examination Landmarks

A

Mid-gravitational line: external auditory meatus, acromion, lateral mallelous

  1. Cervical lordosis
  2. Thoracic kyphosis
  3. Lumbar lordosis
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5
Q

Neck muscle mass: which postural exam, what are its associated terms/what are you looking for

A

Anterior postural exam
Symmetric
Prominence (L/R)

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6
Q

Shoulder heights: postural exam, associated terms/what you’re looking for

A

Anterior postural exam: Acromion process, symmetric, inferior/superior (L/R)
Posterior postural exam: symmetric, inferior/superior

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7
Q

Fingertip heights: postural exam, associated terms/looking for what

A

Anterior postural exam

Symmetric
superior/inferior (L/R)

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8
Q

Pectus: postural exam, associated terms/looking for what

A

Anterior Postural: Normal, carinatum (outward), excavatum (inward)
Lateral Postural: Symmetric, carinatum, excavatum

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9
Q

Costal arches: postural exam, associated terms/looking for what

A

Anterior postural exam
Normal
Prominence (L/R)

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10
Q

Knees: postural exam, associated terms/looking for what

A

Anterior postural exam
Normal
Valgus (knock-kneed) versus Varus (bow-legged)

Lateral postural exam
Symmetric
Recurvatum (hyperextension of knee)

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11
Q

Mastoid process: postural exam, associated terms/looking for what

A

Posterior postural exam,
Symmetric
Superior/Inferior (L/R)

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12
Q

Thorax-scoliosis: postural exam, associated terms/looking for what

A

Posterior postural exam (something similar in lateral but not quite this)
Symmetrical
LEVOscoliosis (spine to the left, body to the right–usually lumbar)
DEXTROscoliosis (spine to the right, body to the left–usually thoracic)

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13
Q

Popliteal fossa: postural exam, associated terms/looking for what

A

Posterior postural exam
Symmetrical
Superior/Inferior
Line angles (symmetricity)

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14
Q

Feet: postural exam, associated terms/looking for what

A

posterior postural
Symmetrical
Inversion/Eversion

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15
Q

Position of head: postural exam, associated terms/looking for what

A

Lateral exam

Symmetric
Anterior/Posterior

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16
Q

Spine curvature (3): postural exam, associated terms/looking for what

A

Lateral exam
Cervical lordosis: symmetrical, increased/decreased
Thoracic kyphosis: symmetrical, increased/decreased
Lumbar lordosis: symmetrical, increased/decreased

17
Q

7 landmarks for lateral postural examination

A
  1. External auditory meatus
  2. Acromion process
  3. Body of L3
  4. Anterior 1/3 of sacrum
  5. Greater trochanter
  6. Lateral femoral condyle
  7. Lateral malleolus
18
Q

Vertebral level of vertebral prominens

A

SPINOUS PROCESS of C7

19
Q

Vertebral level of suprasternal jugular notch

20
Q

Vertebral level of spine of scapula

A

SPINOUS PROCESS OF T3

21
Q

Vertebral level of sternal angle

A

T4-T5 intervertebral disc, also attaches at 2nd rib

22
Q

Vertebral level of inferior angle of scapula

A

SPINOUS PROCESS of T7, vertebral body of T8

23
Q

Vertebral level of xiphoid process

24
Q

Vertebral level of umbilicus

25
Q

Vertebral level of iliac crest

26
Q

What to look for during visualization (6)

A
  1. Discoloration
  2. Lesions
  3. Scars
  4. Tattoos
  5. Birthmarks
  6. Hair growth patterns (especially in birthmarks, moles)
27
Q

What are the categories evaluated in TART

A

T- Tissue Texture Changes
A- Asymmetry
R- Restriction of Motion
T- Tenderness

28
Q

What categories are evaluated in tissue texture changes?

A
  1. Temperature
  2. Moisture (Psuedomotor)
  3. Friction rub/red reflex
  4. Bogginess of tissue (spongy tissue bc high fluid content)
  5. Ropiness/stringiness
29
Q

How do you evaluate asymmetry

A

Visualize AND palpate

30
Q

How do you evaluate restriction of motion

A

Describe findings and
Evaluate superficial fascia ROM
Evaluate muscle ROM

31
Q

How do you evaluate tenderness?

A

Palpate and ask for patient feedback

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