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OS IV > OAT Peds > Flashcards

OAT Peds Flashcards

1
Q

red flags on history and exam

A

neck pain and fever

hip pain in obese child

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2
Q

HVLA is

A

rarely necessary in young children

relatively contraindicated in hypermobile joints

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3
Q

Very useful OMT

A

Articulatory, myofascial, FPR, lymphatic, BLT, and cranial

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4
Q

Common Infant Complaints

A 
Colic 
GERD
Constipation
Torticollis
Otitis media
URI
Croup
Brachial plexus injury
Cerebral Palsy
club foot
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5
Q

Cardinal movements of labor

A

flexion
IR
Extension
ER

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6
Q

Foramen affected by labor

A

Juglar foramen - CNs IX, X, XI, inferior pertosal and sigmoid sinuses
Hypoglossal canal

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7
Q

CN IX

A

PSNS - parotid gland
motor - Ambiguus N.
somatosensory - Spinal Trigeminal N.

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8
Q

CN X

A

PSNS - vagal n.
Motor - ambiguus N.
Somatosensory - spinal trigeminal N.

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9
Q

CN XI

A

Spinal accessory

innervates the trapezius and sternocleidomastoid

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10
Q

CN XII

A

hypoglossal

innervates intrinsic and extrinsic muscles of the tongue

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11
Q

Compress of jugular foramen may cause dysfunction of

A 
tongue motion (poor suck)- IX and XII
Intestinal peristalsis (constipation, GERD, colic) - X
SCM/Trapezius motion (torticollis)- XI
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12
Q

Infant spine

A

C-spine has slight lordosis which increases a baby can support head
thoracic kyphosis and lumbar lordosis have yet to develop

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13
Q

Anterior fontanelle closes at

A

12 - 36m

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14
Q

Posterior fontanelle closes at

A

2-3 m

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15
Q

sphenoid fontanelle closes at

A

6 m

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16
Q

mastoid fontanelle closes at

A

6-18 m

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17
Q

most common SD in infants

A

occiput

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18
Q

SD in infants that affects the most cranial ns

A

temporal

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19
Q

in infants, a internally rotated temporal bone increased likelihood of

A

otits media

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20
Q

operative vaginal delivery can cause

A

CN VI - lateral rectus palsy

CN VII - facial palsy

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21
Q

reason otitis media is more common in chidlren

A

eustachian tube flatter in infants

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22
Q

what needs to be ruled out or considered before OMM

A

craniosynostosis

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23
Q

Synostotic trigoncephaly

A

metopic suture fusion

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24
Q

synostotic scaphocephaly

A

sagittal suture fusion

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25
Q

synostotic brachycephaly

A

bicoronal suture fusion

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26
Q

synostotic posterior plagiocephaly

A

unilateral lambdoid suture fusion

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27
Q

synostotic anterior plagiocephaly

A

unicoronal suture fusion

28
Q

deformational posterior plagiocephaly

A

all sutures open

29
Q

positional plagiocephaly

A

plane of eyes is titled like plane of head
ear on flattened side more anterior
forehead protruding on the side of the flattening
unilateral bald spot
“parallelogram-shaped” head
frequently associated with torticollis and lateral strain

30
Q

brachycephaly

A

head is wider than long
back of head is flat rather than curved
vertical strain or flexion strain

31
Q

scaphocephaly

A

head is long and narrow

extension strain

32
Q

torticollis due to irritation of

A

spinal accessory n. where it exits jugular foramen

33
Q

OMM for torticollis

A

OA region

clavicles

34
Q

how infants treat SD

A

crying and sucking

35
Q

OMM for cranial SD

A

condylar decompression
BMT
venous sinus release

36
Q

OMT in infants

A

indirect treatments preferred

37
Q

Common childhood complaints

A 
sinusitis
URI
Asthma
GERD
Constipation
MSK compalints
growing pains
38
Q

Risk factors for URI

A

daycare and school
immunocompromised
smoke exposure
asthma/allergic rhinitis

39
Q

OMT for URI

A

lymphatics - thoracic inlet
sympathetic T1-4
PSNS - CN VII(OA)

40
Q

Bacterial sinusitis

A

URI sxs >10 days
sx imporve then worsen
OMT lymphatics

41
Q

Sinuses present at birth

A

maxiallary and ethmoid

42
Q

development of sphenoid sinus

A

4 yrs

43
Q

development of frontal sinus

A

6 yr

44
Q

OMT for Asthma

A

OA
accessory muscle or respiration
diaphragm
T1-12 and ribs

45
Q

SD caused by asthma

A

inhalation rib SD

46
Q

chapman’s point for sinuses

A

A: inferomedial clavicle, lateral to SC junction - nasal
superior second rib at midclavicular line - all
P: mastoid process

47
Q

chapman’s point for larynx

A

A: superior second rib, just medial to sinuses CP
P: just lateral to SP of C2

48
Q

Chapman’s point for pharynx

A

A: inferior first rib at sternocostal junction
P: lateral to SP of C2

49
Q

Chapman’s point for tonsils

A

lateral manubrium

50
Q

chapman’s point for middle ear

A

A: superior clavicle, about 2-3 cm lateral to SC junction
P: base of occiput at OA

51
Q

OMT for sinusitis

A

sinus milking techniques

cranial lifts

52
Q

OMT for OM

A

ear pull
glabreath
muncie technique

53
Q

OMT for GERD

A

OA
T5-9
Diaphragm
Celiac ganglion

54
Q

OMT for Constipation

A

OA
T10-L2
Superior and inferior mesenteric ganglia
sacrum

55
Q

OMT for MSK

A

evaluate at least the joints above and below the joint in question
send pts home with exercises

56
Q

OMT for cerebral palsy

A

treat what you find

57
Q

common adolescent complaints

A

growing pains
back pain
joint pain
dysmenorrhea

58
Q

viscerosomatics for SNS Upper GI

A

T5-9

ends at duodenum

59
Q

viscerosomatics for SNS Middle GI

A

T10-11

ends at splenic flexure

60
Q

viscerosomatics to SNS lower GI

A

T12-2

61
Q

viscerosomatics for PSNS upper GI

A

OA, AA

ends at transverse colon

62
Q

viscerosomatics for PSNS lower GI

A

pelvic splanchnic

63
Q

CP for appendix

A

A: tip of 12th rib
P: TP of T11

64
Q

CP for intestines

A

just below ASIS

65
Q

CP for colon

A

along the IT band

66
Q

CP for rectum

A

near inner thigh

OS IV (9 decks)

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