Lymphatic Venous System Flashcards
Frontal Sinus-LV
TP: over the supra-orbital foramen of the frontal bone
Tx: translation of the nasal bone inferiorly towards the opp side, while pulling the ipsilateral side of the frontal bone superiorly towards the opp side
Maxillary Sinus-LV
TP: located over the infraorbital sinus
Tx: translation of the ipsilateral maxillary bone in an anterior/inferior direction, while providing counter pressure in the opposite direction on the contralateral maxilla
SUBM-LV Submandibular Lymphatics
TP: post/inf aspect of the descending ramus
Tx: c/s rotation away from the TP and glide the submandibular/submental lymphatics (b/w the mandible and digastric muscle in an ant/slightly medial direction)
Facial Vein-LV
TP#1: ant/inf aspect of the masseter muscle
TP#2: middle of the zygomaxillary suture
Tx: glide facial vein TP#1 towards the top of the nasal bone in an ant/sup direction
PTER-LV
TP#1: inf/lat aspect of the lambdoidal suture (2 fw sup/med from the asterion)
TP#2: found in large depression on the temporal bone (post to the upper ear and lateral to the lambdoid suture
Tx: glide mandible and masseter muscle in an ant and slightly inferior direction
UJUG-LV
TP: slightly below and 1 fw lateral to the post occipital protuberance on the inf nuchal line (pull in a sup/lat direction)
Tx: cervical rotation away, glide the parotid gland and upper jugular vein in an ant and sup direction (add traction of the head during)
Jugulodiagstric/retromandibular vein
TP: located over the post aspect of the C2 transverse process in the paravertebral mass
Tx: c/s rotation away from the tender point, glide of lymphatics & retromandibular vein, posterior to mandible in superior direction.
EJUG-LV
TP#1: located in a small depression on the post occiput, 3cm sup and slightly lat to the lat aspect of the semispinalis capitus insertion
TP#2: over paravertebral mass of C4
Tx: glide external jugular vein (post to mid SCM) in a sup and slightly ant direction
Anterior Jugular-LV
TP: C5 paraspinal mass
Tx: glide lower aspect of the ant jugular vein (grasp lateral to the SCM at the level of the C5) in medial direction
EPI C1-LV
TP: b/w the occiput and the medial arch of the atlas (post to ant)
Tx: c/s flexion (to level), side bend away and rotate toward with traction
EPI C2-C7-LV
TP: over lateral humerus (centrally) from below the deltoid tuberosity to the supracondylar ridge
C7 is located on the medial end of the clavicle
Tx: flexion to the level, side bend away and rotate towards with traction
EPI T1-6-LV
TP: centrally over the manubrium and sternum
Tx: patient seated, thoracic flexion, side away and rotate towards and exaggerate the segmental curve seen
EPI T7-T11-LV
TP: under the corresponding inferior rib margins
Tx: thoracolumbar flexion, side bend away and rotation towards (use the ipsilateral axilla or ilium depending on the level of dysfunction)
EPI T12-L1-LV
TP: T12: inner rim of the mid iliac crest
L1: 1 cm medial to upper ASIS
Tx: thoracolumbar flexion, side bend away and rotation towards (use the axilla or ilium depending on the level of dysfunction)
EPIL2-L5-LV
TP: in a row over the lateral mid femur (middle 1/3)
Tx: LTR away from the involved side with mild to mod traction
EPI S1-S2-LV
TP: in sacral foramen 1 and 2 (med to lat)
Tx: glide sciatic nerve in the sciatic notch in an inf/lat direction
EPIS3-S4-LV
TP: in sacral foramen 3 and 4 (med to lat)
Tx: glide pudendal (inf to sacrotuberous ligament)
in an inf/med direction towards the pelvic floow
PEPI C1-LV
TP: lateral aspect of the nasal aperture of maxilla, slightly inf to level of the inferior orbit. approach lat to med
Tx: OA ext, side bend away and rotate toward the tender point side (traction the neck)
PEPI C2-C6-LV
TP: located over medial humerus from below the level of the deltoid mass to the lower 1/4 of the medial humeral shaft
Tx: cervical side bend away and rotation toward the tender point side, shoulder flexion (marked) and adduction (mild)
PEPIC7-T4-LV
TP: located over the superior aspect of the spinous processes C7-T4 (sup to inf)
Tx: supine, cervicothoracic side bed away and rotate toward, shoulder abduction and traction of the humerus (long axis)
PEPI T5-T9-LV
TP: superior surface of the spinous processes of T5 through T9
Tx: prone, thoracolumbar extension, side bending away and rotation toward tender point side (utilize the axilla to localize to the level of dysfunction)
PEPI T10-L5-LV
TP: superior surface of the spinous processes of T10 through L5
Tx: prone, thoracolumbar extension, lumbar side bending away and rotation away from the tender point side (use ipsilateral ileum to localize to the involved segment) changes due to draining into lumbar vein below T9 vs azygos above
SMED C1-C2-LV
TP: located on the medial surface of the upper 1/2 of the mandible (med to lat)
Tx: c/s sidebend and rotation away from tender point side and translate involved cervical segment in an ant and lat direction toward TP side
SMED C3-C7-LV
TP over the lateral margin of the first rib in the thoracic inlet (lat to med)
Tx: c/s sidebend and rotation away from tender point side and translate involved cervical segment in an ant and lat direction toward TP side