OMM Flashcards
Gonadarche vs adenarche. 1° vs 2° amenorrhea. What closes growth plates?
HPO axis -> testo & estradiol from testes & ov vs androgens (DHEAS & androstenedione) from adrenal cortex -> hair, odor, oily, acne. No by 15yo but nml 2ndary sex vs no after 3mo or 6mo. Estradiol & androgens
Stages of puberty for girls vs boys. Avg age? When does height start?
Thelarche, adrenarche, height, menarche, final changes vs testicles, shaft, height. Girls 8-13, boys 9-14. Girls 2y before boys
5 stages br and pubic hair for girls. 5 Tanner stages for boys
Prepubertal/papilla elev, br & papilla elev, br & areola but no contour, some contour/2ndary mound, nipple projects/contour now. Prepubertal, sparse, starting to curl, no medial thigh, yes medial thigh. Infrequent erections, villous hair; scrotum thins, sparse; lengthen penis, darker & curled; darken genitalia, no medial thigh; adult, medial thigh
5 parts of informed consent. How to do counterstrain AL1-5 vs PL1-5
Nature, risk & benefit, alt, risk and benefit of alt, pts understanding. FStar, FSART for 2-4, FSARA vs ESARA for sp & tp, EABER for QL
Systematic approach to scrotal exam. What happens if there’s scrotal swelling?
Testes, tunica vag, epididymis, spermatic cord, inguinal LN. exclude inguinal hernia and chk nml testes
Sports hernia 4 etio
Disrupted confined tendon, weak IO mm, weak trascerealis fascia, weak oblique aponeurosis -> dil superficial inguinal ring
USPTF screening: prostate ca vs colon ca vs testicular cancer vs HIV vs G/C vs syphilis vs mammo
C 50-69, D >70 vs B 45 vs D vs A 15-65 vs B for women, O for men vs adults at increased risk vs B for biennial mammo 40-74yo
Sympathetic vs parasympathetic vs somatic of Lec 4. ED vs premature ejac dependent on?
Know the chart; inc ut ctx & relax/dec cvx tone, constrict aff arteriole, inc sphincter tone & relax bladder wall, ureterospasm -> dec GFR, inc bp; dec UO/incomplete emptying, dec flow in ureter vs vagus in kid/prox ureter/ov & S2-4 in distal ureter/bladder/ut/cvx vs pudendal n for external sphincter S2-4. S2-4 parasympathetic & pudendal n vs symph L1-2 & somatic S2-4
Etio of chronic pelvic pain syndrome
WBC, cytokines, autoimmune, abnml nervous system, low testosterone (nmlly inhibit prostate inflammation), stress/depression, ca
Axes of motion: fl/ex at sup vs middle vs inf transverse axis. What is the physio response technique?
Resp or cranial impulses vs sacral base vs innominates. maintain the oblique axis in the
treatment setup and induce the opposite rotation of the sacrum.
Parasymp vs symp autonomies per Lec 7. Pelvic splanchnic nn?
Vagus, pelvic splanchnic nn S2-4 vs thoracic & lumbar. T5-9 greater splanchnic to celiac ganglion, T10-T11 lesser splanchnic to SMA ganglion , T12-L2 least splanchnic n to IMA ganglion. Pelvic splanchnic pass thru hypogastric plexus
OMM for premenstrual syndrome vs dysmenorrhea vs endometriosis vs pelvic floor dysfxn
HA, mood, lymphatics, structural vs structural, autonomics T10-L2 & S2-4, lymph, chapman ov & broad lig, knee to chest vs structural, autonomics T9-L2/S2-4/CN10, lymph, Chap, sacral rock, OB roll vs structural, lymph, chap, MTrP coccyges, piri, lev ani
CI OMM in preg
Undxed AUB or DVT, placenta previa/abruption, unstable vitals, high bp (relative), PTL, ectopic, fetal distress
Sxs of neonatal RDS. Physical vs neuro criteria of mature gest age. 3 main components of perinatal hx
Grunt, tachypnea, nasal flare, dec breath sounds, cyanosis, retractions, dec UO, periph edema. Firm pinna, inc breast tissue, dec lanugo hair & skin opacity vs inc flexion & tone, dec lax joints. Risk assessment, health promotion, therapeutic intervention
Non vs prolif retinopathy fundoscope findings from DM. What’s acropachy & it’s a sign of? Lid lag = sign of?
Cotton wool spots, micro aneurysm, hem, macular edema vs fragile vessels bleed, retinal detach, neovasc; tx with laser. Periosteal bone formation in extremities -> digital clubbing -> Graves. Thyrotox
