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OS 3 Final > Osteopathic Approach To Post-Surgical Pt > Flashcards

Osteopathic Approach To Post-Surgical Pt Flashcards

1
Q

What treatment to avoid if pt has central line?

A

MFR to Thoracic inlet

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2
Q

Large intestine posterior chapman point?

A

Iliolumbar ligament

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3
Q

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

A

Oculocervical (Gyric) Reflex

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4
Q

Stage 1 omt treatments?

A 
Suboccipital inhibition 
Cervical soft tissue
MFR to thoracic inlet
MFR to thoracoabdominal diaphragm 
CV4
Gyric Reflex
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5
Q

Ant chapman point appendix?

A

Tip of 12th rib

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5
Q

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

A

2

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6
Q

Where is the phrenic n located?

A

Anterior to the anterior scalene m.

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10
Q

What can impact autonomic function?

A

Rib function

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11
Q

Stage 3 OMT techniques?

A 
Surgical traction
Thoracic pump
Pedal pump
Direct inhibition of lumbar spine
SI joint art tech
Quadratus lumborum release
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12
Q

Appendix Posterior chapman point?

A

TP of T11

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13
Q

Who looked at incentive spirometry and OMM?

A

Pratt-Harrington

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14
Q

What functionally works as an extension of the thoracolumbar diaphragm?

A

Quadratus lumborum release technique

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15
Q

Golden rule for omt on post-surgery pt?

A

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

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17
Q

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

A

Wieting and Beal

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18
Q

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

A

1

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19
Q

Colon Ant chapman point?

A

Greater trochanter

22
Q

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

A

Baltazar

23
Q

Stage 2 omt techniques?

A

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

25
Q

What can a laparotomy cause?

A

Right lower lobe atelectasis

Free air under diaphragm

26
Q

Intestine peristalsis Ant. Chapman point?

A

1 inch below ASIS

27
Q

Ambulating well with minimum splinting of respiration is what stage?

A

3

32
Q

Innervation of lungs?

A

T1-6

36
Q

Respiratory dysfunction after surgery decreases everything but what increases?

A

Inspiratory/expiratory pressures

37
Q

What increases stasis in the bowel?

A

Handling
Bedrest
Narcotics

38
Q

Innervation of small bowel?

Large?

A

T10-12

T12-L2

40
Q

Which nerve system is overactive in absent bowel sounds?

A

Symp due to pain and V-S reaction

OS 3 Final (2 decks)

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