OPP III Exam I CIS fellows Flashcards
Alcoholism bibasilar rales fatigue SOB hepatomegaly JVD bilateral LE pitting edema
CHF
treating a dysfunction at T10 in a patient with CHF will do what….
reduce sympathetic tone to the kidney
this is the viscerosomatic level of the kidney
what treatment is absolutely contraindicated in patient with compression fracture?
HVLA
S4 on exam?
think of acute or old MI until proven otherwise
S3 on exam?
heart failure until proven otherwise
why is HVLA contraindicated in MI?
may increase sympathetic tone to the heart
may result in vasoconstriction of coronary arteries
by what mechanism will treating thoracic SD in MI reduce blood pressure
decrease HR
decrease workload of the heart
patient with high blood pressure and thoracic SD…. what should you do?
treat the associated dysfunction with OMM and monitor BP
Counterstrain
indirect technique with passive forces only
active
vs
passive motion
active- pt moving themselves duh
passive- doc moving the patient
typically with viscerosomatic segments what type of dysfunctions will you find?
type II (Flexed or extended)
type I is most often related to postural decompensations –> short leg
you can see viscerosomatic dysfunction on both sides
when a spinal segment has SD (example T6 ERLSL) it is restricted in motion in relation to what?
to the vertebral segment BELOW
so T6 ERLSL —> is restricted in rotation and sidebending to the right in relation to T7
GU infection and low back pain would have what SD?
parasympathetically mediated SD?
sympathetically mediated SD?
parasympathetic–> Left on left sacral torsion OR OA origin
Sympathetic–> type II between T10-L2
OA is often related to what type of SD
parasympathetics
??
Pregnant patient with piriformis tender point. how do you set them up
patient supine
flex 135
abduct
externally rotate right hip
what are the 4 tenets??
what are they
what urinalysis findings are most specific for cystitis
leukocyte esterase
acute uncomplicated
a functional scoliosis is characterized by what…
a rib hump on forward bending that resolves when upright
seated flexion test –> indicates SD of which axis and body region
sacroiliac, sacrum
when seated, the ilium is stable
do L5 rules apply to sacral shears?
NO !!
with R on R or L on L what is going to happen with L5
It is going to be Type I Neutral
with R on L or L on R what is happening with L5?
Type II dysfunction
acute MI patient would have a ganglioform nodule (Chapman’s point) in which location?
b/w transverse process of T2 and T3 posterior !!!
CP b/w transverse process of L2 and L3 posterior
urethra
CP 1 inch superior and 1 inch lateral to the umbilicus
kidney
viscerosomatic reflex at T10
T8 viscerosomatic point
small intestine
L1 viscerosomatic point
distal ureter
Still technique?
greatest ease
compression
into barrier
