OMT SB (-10) Flashcards
COMBANK blocks (3-5,S1,M1-2,T1-2,W1-2,Th1-3) Missing block 5, M1-2, T1-2, W1-2, Th1-3
what OMM techniques are safe to use in acute settings?
indirect techniques (FPR, MFR, CS)
how do you determine the vertebral somatic dysf(x) in scoliosis pt?
Side of rib hump = side of Rot = opp side of SB
R rib hump = segments NRrSBl
posteriorly rotation innominates tend to be in/out flared?
out-flared
ant rot innom = inflared
supination of the foot includes what motions?
- plantar flexion
- inversion
- adduction
what are the special tests for subacromial impingment?
- neer’s test
2. hawkin’s test
are inhalation rib dysf(x) assoc w/ ant or post TP?
posterior TP
are exhalation rib dysf(x) assoc w/ ant or post TP?
anterior TP
what is the positioning for Adson’s test?
- elbow = E
- shoulder = E, ER, ABD
- neck = rotated towards
crescendo-decrescendo vent patterns are seen in what disorder?
central sleep apnea
what is the vent pattern seen in OSA?
desaturation w/ decr airflow during apneic episodes
how do you dx the sacrum from a given L5 dysf(x)?
T1 = forward torsion = ROT X on X = AXIS same as L5SB or opp L5Rot
T2 = backward torsion = ROT X on Y = AXIS same as L5SB/rot
weakness of what muscle can lead to lateral patellar tracking?
vastus medialis
if lateral quad muscles are stronger than medial quad muscle, what synd can develop?
patelofemoral pain synd
can the sartorius m. affect the patella? why?
no. it does not directly attach to it
patellar tendon inflammation leads to what condition in what type of athlete?
- patellar tendonitis
- jumping athletes
how do you position the pt to perform levator scapulae counterstrain?
- prone
- Rot head away
- IR ipsilat shoulder
- add gentle traction and ABD as needed
how do you position the pt to perform supraspinatus counterstrain?
- supine
- FLEX, ABD, and ER the arm
where is the posterior chapman point associated w/ the kidney located?
between TP and SP of T12 and L1
in sheehan synd, what damage occurs to the pituitary gland?
pituitary ischemia 2/2 massive hemorrhage
what muscle is used in the ME tx of rib 2 exhalation dysf(x)?
post-scalene
which muscles elevate Rib 1 and could be used to tx R1 exhalation dysf(x) w/ ME?
ant scalene and middle scalene
CTX of which muscle serves as the activating force in ME tx geared towards fixing Rib 3-5 exhalation dysf(x)?
pec minor
CTX of which muscle serves as the activating force in ME tx geared towards fixing Rib 6-8 exhalation dysf(x)?
serratus anterior
CTX of which muscle serves as the activating force in ME tx geared towards fixing Rib 9-10 exhalation dysf(x)?
lat dorsi
CTX of which muscle serves as the activating force in ME tx geared towards fixing Rib 11-12 exhalation dysf(x)?
quad lumborum
ME for exhalation Rib dysf(x) uses which muscles for which ribs?
1 = ant/mid scalene 2 = post scalene 3-5 = pec minor 6-8 = serratus anterior 9-10 = lat dorsi 11-12 = quad lumborum
what n. innervates glut medius?
superior gluteal n. (L4-S1)
what muscle is innervated by the inf. gluteal n. (L5-S2)?
gluteus maximus
what is the CS position for medial epicondylitis?
- elbow = Flex
- hand = Pronated
- forearm = ADDucted
Lower GI viscerosomatics correlate to what anatomical landmarks and what levels?
= desc colon –> rectum
T12 - L2
Middle GI viscerosomatics (T10-11) changes are expected in pts w/ abn between what 2 anatomical borders?
- ligament of trietz
- splenic flexure
what is the most likely early complication of herpes zoster keratitis?
neurotrophic keratopathy
what is neurotrophic keratopathy?
decr corneal sensation 2/2 virus mediated destruction
permanent blindness is a ____ complication of herpes zoster keratitis?
late
with shoulder shrug/arm ABD, what should the proximal clavicle do?
move inferiorly
if the proximal clavicle doesn’t move inferior w/ shoulder shrug/arm ABD, what is the dysf(x)?
ADDuction dysf(x)
what are the clinical criteria for brain death?
- absence of spontaneous ventilation
2. loss of brainstem activity
pt meets brain death criteria and has no documentation of his/her or their families wishes. what do you do?
- contact family if able
- remove life sustaining interventions
how does C5-C6 herniation present?
- decr sensation over thumb and index finger
- weak biceps and wrist extensors
how does C6-C7 herniation present?
-C7 pathology (decr sens middle finger + weak triceps)
facilitated positional release is what kind of tx?
indirect and passive
in the vault hold, the index finger is placed @ _____.
greater wing of the sphenoid
in the vault hold, the middle finger is placed @ _____.
preauricular portion of the temporal bone
in the vault hold, the ring finger is placed @ _____.
mastoid process portion of the temporal bone
adenocarcinoma is the MC ____ and the MC ____ to occur in never smokers.
- non-small cell lung Ca
- lung Ca
how does adenoCa appear on histology?
glandular formation w/ mucin production identified on periodic acid-schiff staining
how does small cell lung Ca appear on histo?
small, round cells w/ scant cytoplasm and fine granular chromatin
what test is used to dx achilles tendon rupture?
Thompson test
what is the patrick (fabres) test used to evaluate?
hip/SI pathology
how do you tx ruptured achilles tendon non-operatively?
- 2wks in a cast @ 20* plantar flexion
- progressive weight bearing + PT when the cast comes off
HCV is assoc w/ what?
- IVDA
- blood transfusions
- sex
HBV is assoc w/ what?
- sex
- IVDA
- vertical transmission
for sacral torsion dx based on L5 dx, what does a positive seated flexion test tell you?
seated flexion test = POS on OPP SIDE OF oblique AXIS
L+ = R axis. R+ = L axis
what is the best test to confirm dx (and tx) of acute cholangitis?
ERCP
T2-T7 viscerosomatics correspond to what anatomical local?
lungs
