Osteopathic Approach to Pediatric Patient

Question 1

how are the joints in infants?

Answer 1

cartilaginous

Question 2

what is longer, the spinal cord or the spinal canal?

Answer 2

• they start out the same

- the spine then grows longer than the vertebrae

Question 3

how are the ribs in infants?

Answer 3

• more horizontal

- adults are more oblique

Question 4

what cranial bones help the baby during birth?

Answer 4

• Frontal
• Maxilla
• mandible

Question 5

how is the flexion of the basicranium in infants compared to adults?

Answer 5

-lesser in infants… that’s why they can’t really talk like us

Question 6

Where is all of our hearing stuff?

Answer 6

the temporal bone

-the petrous portion

Question 7

What CNs pass through the temporal bone?

Answer 7

3-11

Question 8

what cranial bone is the most susceptible to dysfunction?

Answer 8

the OCCIPUT!!!

Question 9

What CN’s are injured during forceps delivery?

Answer 9

6 and 7

• nystagmus
• facial palsy

Question 10

What about the temporal bones will give us increased risk for ear infections?

Answer 10

-internal rotation of temporal bones

Question 11

what is the epiphyseal growth plate made of?

Answer 11

hyaline cartilage

Question 12

What is the Apophysis?

Answer 12

• area of cartilaginous growth at insertion of a tendon
• made of fibrocartilage
• creates bony tubercles like tibial tubercle or AIIS

Question 13

if there’s a little league pitch with a sore elbow?

Answer 13

apophysitis!

-epicondylitis

Question 14

What is Wolff’s law?

Answer 14

-mechanical stressors will affect tissue differentiation and growth characteristics of msk tissues

Question 15

What is scoliosis

Answer 15

abnormal lateral curvature of the spine in the saggital plane

Question 16

when do the innominates fuse?

Answer 16

20

Question 17

when do we want to treat children?

Answer 17

• during periods of growth

- less is more

Question 18

when should you not do HVLA?

Answer 18

-in ppl with hypermobile joints

Question 19

where is the chapman point for appendix?

Answer 19

-tip of rib 12

Question 20

parasympathetic for nose?

Answer 20

-CNVII

Question 21

will asthma have an inhalation or an exhalation dysfunction?

Answer 21

inhalation

-it’s an obstructive lung disease

Question 22

Symp for Uterus?

Answer 22

T9-L2

Question 23

Symp for ovaries?

Answer 23

T10-11

Question 24

Symp for fallopian tubes?

Answer 24

T10-L2

Question 25

Parasymp for gynecologic complaints?

Answer 25

S2-4

-pelvic splanchnic nerves

Question 26

Viscerosomatics for the colon?

Answer 26

-T10-12

Question 27

Where is the chapman point for the uterus?

Answer 27

Ant: superior edge of inferior pubic ramus

-Posterior: transvers process of L5. lateral sacral base b/l

Question 28

Chapman’s points for ovaries

Answer 28

• Ant: superior pubic ramus, 2 cm lateral to pubic symphysis
• Post: lateral body of T10

Question 29

Vagina/Uterus/broad ligament chapman’s points

Answer 29

-Posterior: just lateral to the sacral base

Question 30

Chapman’s points for the Vagina/Clitoris?

Answer 30

-Posterior: medial thigh just inferior to ischial tuberosities

Question 31

Fallopian tubes chapman points

Answer 31

-posterior: 1.) PSIS, 2.) Posterior femoral head