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OS3 EX1 > OAT: Renal Patient > Flashcards

OAT: Renal Patient Flashcards

1
Q

cystitis: cause

A

usually bacterial

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2
Q

cystitis: population at highest risk

A
  • sexually active women
  • infants
  • pregnant
  • old
  • catheter
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3
Q

cystitis: common symptoms

A
  • dysuria
  • hematuria
  • frequency
  • urgency
  • fever
  • lower abdominal pain
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4
Q

cystitis: tests

A
  • midstream UA

- lloyds punch

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5
Q

UNEXPLAINED BLOOD IN THE URINE: what it?

A

malig until disprove

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6
Q

cystitis: treatment

A
  • antibiotics
  • increased fluid intake
  • fuckin’ OMT i guess
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7
Q

cystitis: serious complications

A

can become pyelonephritits

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8
Q

what length urethras do women have?

A

short

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9
Q

what the most common disorder fo the urinary tract?

is this more common in males or females?

A
  • kidney stones

- men

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10
Q

how do kidney stones present

A

severe colicky pain, flank pain that radiates to the groin

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11
Q

most common kidney stones

A

calcium oxalate and calcium phosphate

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12
Q

imaging study of choice for kidney stones

A

CT no contrast

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13
Q

how do you conservatively manage urolithiasis?

A
  • aggressive hydration
  • dietary modification
  • if do not respond: then urologic intervention
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14
Q

Kidney stones: Behavioral management

A
  • minimum 2L of water/day
  • avoid starchy vegetarian diets
  • avoid excessive animal protien, salt, vit C/D, soda
  • eat phytate-rich foods (bran, legumes, beans, wild rice, brazil nuts)
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15
Q

which nerve makes the refered pain in kidney stones

A

GENITOFEMORAL

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16
Q

Kidneys live infront of which muscle

A

psoas

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17
Q

Interstitial cystitis/painful bladder syndrome: signs and symptoms

A
  • pain between the vagina and anus
  • pain between the scrotum and anus
  • chornic pelvic pain
  • always feel like u gotta pee
  • frequent urintate, in smol amounts (like 60 a day)
  • pain while bladder fills
  • pain with sex
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18
Q

Interstitial cystitis/painful bladder syndrome: diagnosis

A
  • fucking history and physical
  • bladder diary
  • pelvic exam
  • UA w/ cytology
  • cytoscopy w/ biopsy
  • potassium sensitivity
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19
Q

Interstitial cystitis/painful bladder syndrome: treat

A
  • pt
  • nsaids
  • tricyclic antidepressants
  • antihistamine
  • pentosan polysulfate sodium
  • OMT
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20
Q

how does the kidney change with age?

A
  • decrease in GFR
  • changes in glomerular, vascular, and accompanying parenchyma
  • decreased number of nephrons
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21
Q

what are the consequences of a decrease in the number of nephrons?

A
  • decline in creatine clearence
  • cant clear drugs too good
  • have to be careful with drugs that are cleared via kidney bc they can accumulate and become toxic p fast.
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22
Q

incontinence: treatment

A
  • bladder training, double voiding, schedule toilet trips
  • pelvic floor muscle exercise
  • electric stimulation
  • anitcholinergics, alpha blockers
  • urethral inserts
  • surgery
  • …omt
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23
Q

where is the upper pole of the kidney?

A

T12

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24
Q

where is the lower pole of the kidney

A

L3

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25
Q

how far do kidneys move with breatheing

A

~3cm

26
Q

what is anterior to the right kidney

A

liver
duodenum
ascending colon

27
Q

what is anterior to the left kidney

A

spleen
pancreas
stomach
descending colon

28
Q

all them pelvic organs, what is up?

A

they are all covered in fascia

29
Q

do you have to do internal manipulation do have a significant impact on GU organs?

A

no

30
Q

SD in the GU myofasical system mechanically affects and is effected by what

A

the sacrum, innominates, and related muscle and fascia

31
Q

in the GU myofasical system: what do u do if ther is a generalized sense of laxity?

A

use indirect methods

32
Q

sympathetic innervation: kidney

A

T10-L1

33
Q

sympathetic innervation: ureter

A

upper: T10-L1
Lower: L1-2

34
Q

sympathetic innervation: bladder

A

T11-L2

35
Q

sympathetic innervation: what it cause

A
  • vasoconstriction
  • ureteroconstriction
  • constriction of internal urethral sphincter
36
Q

parasympathetic innervation: kidney

A

vagus

37
Q

parasympathetic innervation: ureter

A

upper: vaugs
lower: s2-4

38
Q

parasympathetic innervation: bladder

A

s2-4

39
Q

parasympathetic innervation: what it do?

A
  • peristalsis along ureter

- contract bladder

40
Q

CHAP: adrenals

A

A: 2-2.5in above and 1in lateral to belly button
P: spaces between TP of T11 and T12

41
Q

CHAP: kidney

A

A: 1in above and 1in lateral to belly button
P: space between TP of T12 and L1

42
Q

CHAP: ureter

A

A: 1in above and 1in lateral to belly button
P: space between TP of L1 and L2

43
Q

CHAP: bladder

A

A: belly button
P: superior edge of L2 transverse process

44
Q

CHAP: urethra

A

A: inner edge of the pubic ramus near the symphysis
P: superior edge of L2 transverse process

45
Q

what is the lymphatic drainage path for the kidneys?

A

lymph vessesls by the cortical radial arteries»arcuate arteries»interlobar arteries»intrarenal plexi»lateral aortic nodes»thoracic duct: cysterna chyli to left subclavian vein

46
Q

renal OAT is indicated for what?

A

SD primary or secondary to viscerosomatic reflexes because of disease

47
Q

examples of SD primary to Viscerosomatic reflexes

A

rib, diaphragm, thoracic, lumbar, pelvic SD that make them more susceptible to their disease?!?!?!?

48
Q

examples of SD secondary to viscerosomatic reflex

A

rib, spinal, or chapman

49
Q

CONTRAINDICATIONS for OAT anything

A
  • patient is unable to tolerate OMT secondary to pain or positioning
  • delaying more definitive care
50
Q

BIOMECHANICAL: what areas affect or are affected by the kidneys?

A
  • lower ribs
  • thoracolumbar spine
  • psoas
  • quadratus lumborum
  • pelvic floor muscles

BONE attachments: innominants, pubic bone, pelvic floor, sacrum

51
Q

treat the ____ to treat the ______

A

treat the gut to treat the bladder

52
Q

what do you treat to fix the bladder

A

pubic shear?

53
Q

how can we fucking help the kidneys move w/ breathing?

A
  1. check that thoracic inlet, focus on the left side
  2. then move to thoracoabdominal diaphragm
  3. treat the lower ribs
  4. then check that pelvic diaphragm
  5. PEDAL PUMP THAT BITCH if it be tolerated
54
Q

what SD related to biomechanical model would you find in a patient with a stone in ureter?

A

Iliopsoas hypertonicity

55
Q

what is the best explanation for finding “ tender congested nodule noted 1 inch above and 1 inch to right of umbilicus

A

reflex related to lymphatic and autonomic interactions (MOTHER FUCKIN CHAP)

56
Q

OMT helps _____ autonomic tone

A

NORMALIZE

57
Q

decreasing sympathetic tone (renal) might do what?

A

reduce ureteroconstriction

58
Q

who do visceral afferents typically travel with?

A

sympathetic nerves

59
Q

visceral affarents travel where?

A

enter sympathetic trunk and chain gangilia»>travel through white rami to dorsal root ganglia»>project to dorsal horn

60
Q

what do alpha motor neurons do?

A

result in tissue texture changes and somatic dysfuntion

61
Q

if u give antibiotics, what model is that

A

metabolic

OS3 EX1 (11 decks)

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