OMM/True learn Flashcards
Digoxin MOA
inhibit ATP NA+/K+
Positive urine cyanide nitroprusside test
Hexagon crystals
Cystine
Epigastric pain that radiates to the back, supraclavicular LAD, thrombophlebitis
Pancreatic cancer
Increase in CEA CA 19-9
CT scan
Infectious DIC
Ebola
PS1 CS
bilateral sacral sulcus
PS 2-4 CS
Midline on sacrum corresponding to level
PS 5 CS
Medial and superior to ILA
T(x) for pneumonia (mycoplasma) IN PREGNANT PT
Macrolides (azuthromycin)
inhibit 50S
Tetracyclines and fluoroquinolones in not pregnant
impaired vertical gaze, normal to large pupils, convergence refraction nystagmus, eyelid retraction
Parinaud syndrome
Dorsal midbrain
What Diuretic causes gout
Thiazides
Adrenal CS
1 inch lateral and 2 inches superior to umbilicus (anterior)
Posterior T11-12
Kidney CS
1 inch lateral and 1 inch superior to the umbilicus (anterior)
T12-L1 (posterior)
Bladder CS
Anterior- periumbilical
Posterior- L2 TP
Ovaries /urethra CS
Anterior- superior pubic ramus, 2 cm lateral to the symphysis
Posterior L2 TP
Prostate CS
Anterior- outer femur (posterior IT band)
Posterior- lateral sacral base
Uterus CS
Anterior- inferior pubic rami
Posterior L5 TP medial to PSIS
Chromosome for Huntington
4
CAG repeats
Epigastric vessels location with reference to direct hernia
epigastric vessels lateral to direct inguinal hernia
T(x) neonate meningitis
Cephalosporins
Avoided with metronidazole use
Alcohol
Dark curtain closing in vision loss
Amaurosis Fugax
via atherosclerosis
Battery
intentional and unauthorized contact of patient.
Tamoxifen increase risk of
endometrial cancer
Lens shaped hematoma
Midle meningeal artery
Epidural hematoma
Antidepressant that causes hypertensive crisis
MAOi
Paresthesia in middle finger, weak wrist flexion and diminished triceps reflex
Radiculopathy C6-C7 (C7 nerve root)
Proteinuria in HIV patient
FSGS
effacement of podocyte foot processes
What BPH medication cannot be handled by pregnant female
finasteride
What size alveoli more like to collapse
Small sized
Joint pain, steatorrhea, diarrhea
Whipple
PAS+
Gram + bacilli
Diabetic nephropathy
Mesangial expansion, glomerular BM thickening, podocyte injury –> glomerusclerosis
Lateral strabismus, ptosis, pupillary dilation
CN III
posterior communicating A
ipsilateral
Acute Dysfunction
Warm boggy
Pain on motion
sharp pain
Chronic Dysfunction
cool ropey
decreased pain
dull ache
Flexion and Extension plane
sagittal plane
horizontal axis
rotation plane
transverse plane
vertical axis
Sidebending plane
coronal plane
AP axis
Isotonic contraction
Concentric: bring origin and insertion close (bicep curl up)
eccentric: bring origin and insertion far (bicep curl down)
isolytic contraction
outside force cause rapid elongation
arm wrestling breaking force
Isometric contraction
muscle energy
no change in muscle but both muscle contracting
Rule of 3’s
T1-3 –> spinous process same level
T4-6 –> spinous process 1/2 step lower than transverse
T7-9 –> spinous process 1 step lower than transverse
T10 –> spinous process 1 step lower than transverse
T11 –> spinous process 1/2 step lower than transverse
T12 –> spinous process same level
Superior facet orientation
cervical –> BUM
Thoracic –> BUL
Lumbar –> BM
Anterior cervical CS
F SARA
Anterior thoracic CS
F STRA
Anterior lumbar CS
F SART
Anterior ribs CS
FSTRT
Posterior Cervical CS
E SARA
Posterior thoracic Medial CS
E SARA
Posterior Lumbar CS
E SARA
Posterior Ribs
F SARA
AC 1 CS
posterior mandible
RA
AC7 CS
F STRA SCM meet clavicle
AT 1-6 CS
F
AL1 CS
ASIS
F STRA
AL5 CS
pubic tubercle
F SARA
Posterior Cervical M CS
F
PC3 M CS
F SARA
PT lateral CS
E SART
PT medial CS
E
Posterior Rib 1
E SART
OA motion
flexion/extension
sidebend and rotation opposite
AA motion
rotation and flex
C2-C4
rotation and sidebend the same
C5-C7
rotation and sidebend the same
Psoas M
origin T12-L5 Insertion lesser trochanter Action: hip flexion ER leg Cause gait abnormality (+) thomas test, excessive forward bending, ureteral calculi, diverticulosis CS --> ASIS 2/3 distance to umbilicus FST ER leg
Sacrum oblique axis
Named by deep sacral sulcus
for dynamic motion
walking on the left leg= left oblique axis
Sacrum superior axis
respiratory (Inhale = extend), Cranial SBS (SBS flex = sacrum extend)
Posterior Sacral axis
spine flex –> sacrum extend
positive spring test
extended
L5 Mechanics
L5 F/E opposite of sacrum
L5 rotation opposite of sacrum
L5 sidebending = oblique axis
Typical ribs
Have all components of rib
3-9
Atypical ribs
Don't have all components or have extra Rib 1- No angle Rib 2- Extra tubercle Rib 10 --> 1 articular facet Rib 11-12 --> no neck or tubercle
True ribs
connect to sternum
1-7
False ribs
Indirectly connect to sternum
8-10
Floating ribs
No connection to sternum
11-12
Pump handle
1-5
Bucket handle
6-10
Caliper
11-12
Inhalation rib somatic dysfunction
direct pressure treatment
Exhalation rib somatic dysfunciton
Use secondary muscles
Rib 1 Exhalation SD
Ant and Med Scalene
Rib 2 Exhalation SD
Post Scalene
Rib 3-5 Exhalation SD
Pec minor
Rib 6-8 Exhalation SD
Serratus anterior
Ribs 9-10 Exhalation SD
Lats
AC Joint Dx and Tx
Joint provides stability and levels scapula
Dx Spring / compress then check level of spine of scapula
Tx: abduct arm
Pronate hand for inferior have patient push down
Superior supinate hand and have patient push down
SC joint Dx and Tx
Joint helps shrugging shoulder
Dx: shrug shoulder = inferior motion
Tx: superior clavicle –> sit up move arm back while pt pull arm forward (use subclavius M)
Inferior clavicle –> lay on back rotate head away and have pt sidebend toward (use SCM)
Scapula Motion and Tx
protraction/ retraction, elevate/ depress
T(x) direct or indirect MFR
SPENCER
Every Fat Cat Takes An Indoor Piss Extension Flexion Compression with circumduction Traction with Circumduction Abduction Adduction with ER IR Pump
Supraspinatus Insertion origin Innervation Action
Medial border of scapula to greater tubercle
Abduction
Suprascapular N C5-6
Infraspinatus Insertion origin Innervation Action
Medial border of scapula to greater tubercle
ER
Suprascapular N C5-6
Teres minor Insertion origin Innervation Action
medial border of scapula to greater tubercle (under infraspinatus)
ER
Axillary N C5-6
Subscapularis Innervation Action
IR
Major/minor subscapular N C5-7
Cubitus valgus
> 15 degrees
ulna abducted
wrist adducted
Cubitus varus
<3 degrees
ulna adducted wrist abducted
Radial head Posterior
FOOSH
Pronated
Radial Head Anterior
Fall back
supinate
Long head of bicep CS
flex Abduct IR
Medial epicondylitis CS
flex, pronate, abduction
Lateral epicondylitis CS
extend, supinate, abduction
SPENCER HIP
Flexion Extension Compress with circum Traction with circum IR ER Abduction Adduction
Piriformis Origin, insertion, Action, Innervation
posterior sacrum to greater tubercle of femur
ER lower extremity abduct Flexion
MCL CS
F Ad IR
LCL CS
F Ab ER
ACL CS
push tibia, pillow under femur
PCL CS
push fermur, pillow under tibia
Psoas CS
F ER ST
Iliacus CS
1/3 between ASIS and umbilicus
F ER Ab
Foot pronation
dorsiflex eversion Ab (talus tibia external rotation)
Posterior SD
Foot supination
Plantarflex inversion adduction (talus tibia internal rotation)
Anterior SD
Anterior Fibular head SD
pronated (talus posterior)
Posterior Fibular Head SD
Supinated (talus anterior)
Transverse foot arch
navicular, cuneiforms, cuboid
Medial foot arch
navicular, cuneiforms, metatarsals 1-3 , talus
Lateral foot arch
cuboid metatarsals 4-5, calcanus
T1-6 SNS Viscerosomatic
head, neck, esophagus, heart, lungs
T5-9 SNS Viscerosomatic
celiac
stomach, duodenum, pancreas, liver, gallbladder, spleen
T10-11 SNS Viscerosomatic
SMA
small intestine, cecum, appendix, ascending and transverse colon, kidney, upper ureter, gonads
T12-L2 SNS Viscerosomatic
IMA
colon, lower ureters, bladder, prostate, sex organs
Dextroscoliosis
most common
convex to right
Levoscoliosis
convex to left
Functional scoliosis
Curve goes away with motion
Structural scoliosis
Curve DOES NOT go away with motion
Lymphatic Zinc Areas
- thoracic outlet
- Diaphragm
- Hip
- Posterior knee
- Distal dysfunciton
Lymphatic pump motions
pedal
thoracic
Extremity milking
Contraindications to Lymphatic treatment
fracture
cancer
severe infection
Facial sinus treatment
effleurage
Otitis Media treatment
Gallbreath maneuver
PNS
Vagus (everything above SMA) Pelvic Splanchnic (IMA)
Vault hold
Index: greater wing
Middle: temporal bone anterior to ear
Ring: Temporal bone on mastoid
Pinky: squamous suture
Flexion SBS
distal ends closer
short AP axis and wide transverse
Counter nutation in sacrum (Extension)
Extension SBS
distal ends far
big AP axis and narrow transverse
nutation in sacrum (Flexion)
Torsion Cranial
named for greater wing of sphenoid
Sidebending Cranial
One side flexed while other is extended
Vertical shear Cranial
One side higher than the other
Lateral shear
named for pinky finger going left or right
CV4
used to increase CRI
Normal is 8-12
V spread
used to release sutures
SLE Ab
dsDNA Anti smith (RNP core proteins)
Mixed connective tissue disease
anti U1 RNP
Dermatomyositis, polymyositis Ab
Anti Jo1
Histidine tRNA ligase
Systemic sclerosis and CREST syndrome AB
anticentromere
Sjogren syndrome Ab
Ro and La
Drug induced lupus Ab
antihistone Ab
Head and Neck sympathetic VS reflex
T1-4
Heart sympathetic VS reflex
T1-5 Left
Respiratory sympathetic VS reflex
T2-T7
Esophagus sympathetic VS reflex
T2-T8
Upper GI tract sympathetic VS reflex
T5-T9
Middle GI tract sympathetic VS reflex
T10-11
Lower GI tract sympathetic VS reflex
T12-L2
Appendix sympathetic VS reflex
T10-T12
Arms sympathetic VS reflex
T2-8
Kidneys sympathetic VS reflex
T10-11
Upper ureters sympathetic VS reflex
T10-T11
Lower ureters sympathetic VS reflex
T12-L1
Bladder sympathetic VS reflex
T11-L2
Gonads sympathetic VS reflex
T10-T11
Uterus/Cervix sympathetic VS reflex
T10-L2
Erectile tissue sympathetic VS reflex
T11-L2
Prostate sympathetic VS reflex
T12-L2
Legs sympathetic VS reflex
T11-L2