Osteopathic Approach To Post-Surgical Pt

Question 1

What treatment to avoid if pt has central line?

Answer 1

MFR to Thoracic inlet

Question 2

Large intestine posterior chapman point?

Answer 2

Iliolumbar ligament

Question 3

What treatment is contraindicated with fracture, dislocate or severe joint instability?

Answer 3

Oculocervical (Gyric) Reflex

Question 4

Stage 1 omt treatments?

Answer 4

Suboccipital inhibition 
Cervical soft tissue
MFR to thoracic inlet
MFR to thoracoabdominal diaphragm 
CV4
Gyric Reflex

Question 5

Ant chapman point appendix?

Answer 5

Tip of 12th rib

Question 5

Bowel sounds with liquid diet, stable E-lutes is what stage?

Answer 5

2

Question 6

Where is the phrenic n located?

Answer 6

Anterior to the anterior scalene m.

Question 10

What can impact autonomic function?

Answer 10

Rib function

Question 11

Stage 3 OMT techniques?

Answer 11

Surgical traction
Thoracic pump
Pedal pump
Direct inhibition of lumbar spine
SI joint art tech
Quadratus lumborum release

Question 12

Appendix Posterior chapman point?

Answer 12

TP of T11

Question 13

Who looked at incentive spirometry and OMM?

Answer 13

Pratt-Harrington

Question 14

What functionally works as an extension of the thoracolumbar diaphragm?

Answer 14

Quadratus lumborum release technique

Question 15

Golden rule for omt on post-surgery pt?

Answer 15

Sicker the pt, shorter the duration of tx and inc freq of treatment

Question 17

Who showed decreased time to bowel movement in OMT pts post-op for CABG?

Answer 17

Wieting and Beal

Question 18

No bowel sounds, shallow breathing, unbalance e-lytes, NPO what stage?

Answer 18

1

Question 19

Colon Ant chapman point?

Answer 19

Greater trochanter

Question 22

Who showed that OMT resulted in dec. LOS for post-op gi pts?

Answer 22

Baltazar

Question 23

Stage 2 omt techniques?

Answer 23

Rib raising
BLT
Indirect MFR thoracic/lumbar
Indirect MFR surgical site

Question 25

What can a laparotomy cause?

Answer 25

Right lower lobe atelectasis

Free air under diaphragm

Question 26

Intestine peristalsis Ant. Chapman point?

Answer 26

1 inch below ASIS

Question 27

Ambulating well with minimum splinting of respiration is what stage?

Answer 27

3

Question 32

Innervation of lungs?

Answer 32

T1-6

Question 36

Respiratory dysfunction after surgery decreases everything but what increases?

Answer 36

Inspiratory/expiratory pressures

Question 37

What increases stasis in the bowel?

Answer 37

Handling
Bedrest
Narcotics

Question 38

Innervation of small bowel?

Large?

Answer 38

T10-12

T12-L2

Question 40

Which nerve system is overactive in absent bowel sounds?

Answer 40

Symp due to pain and V-S reaction