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OS 3 Midterm > other > Flashcards

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1
Q

Which of the following nerves is responsible for reffered pain to the groin in a kidney w kidney stones?

A

Genitofemoial N(L1 – L2)

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2
Q

Pain from ureter is reffered to cutaneous areas innerved from spinal segments of the ureter (_____ => groin, scortum and labium majors)

A

T11-:2

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3
Q

reflex related to ANS and lymphatics

A

Chapmans point

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4
Q

Kidney stone patient? Perform OMT?

A

No give toridal

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5
Q

In neurolocal model; treating renal pt at T10-L2 with ST does what?

A

Normal ANS; decrease sympathetic tone => decrease uteroconstriction

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6
Q

Visceroscomatic reflexes?

A

nociceptors carry impulses via sympathetic N fibers => synapse w spinal interneurons, => spinal motor neurons

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7
Q

Renal failure tx

A
  1. Omt (underlying cause)
  2. Tx complications
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8
Q

· Scoliosis can cause a dysfunction in _____ function

A

CP

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9
Q

how do we grade scoliosis

A

· Cobb method: measure of the Cobb angle is used to classify scoliosis as mild, moderate or severe

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10
Q

o Cobb angle is formed how?

A

the intersection of a liner parallel to the superior end plate of the most cephalad vertebra in a particular curve, with the line parallel to the inferior end plate of the most caudad vertebra of the curve.

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11
Q

o ____ degrees: mild

o _____ degrees: moderate scoliosis

o ____ degrees: severe scoliosis; compromises respiratory function.

A
  • mild: 5-10
  • moderate: 20-45
  • severe: >50
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12
Q

· Mild curves can affect our ability to ____.

A

excercise

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13
Q

What CP problems can impair the flow of lymphatics?

A
  1. Pulmonary edema
  2. Ascites
  3. Hepatomegaly
  4. Peripheral edema (electrolyte imbalance)
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14
Q

The thoracic duct is functionally under _____________ control. Thus, how can we

↓ lymphatic flow?

A
  • Sympathetic
  • Hypersympathetic tone => ↓ lymphatic flow.
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15
Q

What is the sympathetic innervation of the heart?

A
  • Preganglionic axon: [Intermediolateral column (IMLC) of T1-5] synapse of the [upper thoracic sympathetic ganglia or cervical ganglia]
  • Postganglionic axons: leave as sympathetic cardiac nerves => converge at the cardiac plexus
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16
Q

What is the parasympathetic innervation of the heart?

A
  • Preganglionic axons from the
    • [dorsal nucleus of the vagus nerve]
    • [nucleus ambiguous]
  • synapse on the cardiac plexus
17
Q

What types of fibers are most strongly concentrated in the SA/AV node (and lesser extend the myocardium)?

A
  • Cholinergic and adrenergic fibers
18
Q

Sympathetic activation of the heart => ____ HR and ________ of the coronary artery

A
  • Increase
  • dilation
19
Q

Parasympathetic activation of the heart => ____ HR and ________ of the coronary artery

A
  • Decrease
  • Constriction
20
Q

Smooth muscle tone of the airways is controlled by the _________NS

A
  • Parasympathetic
21
Q

__________________ innervation of the airways causes bronchoconstriction, bronchial vasodilation and mucus secretion

A
  • M3 cholinergic innervation
22
Q

_______________ innervation cause bronchodilation

A

NO and VIP

23
Q

_______________ of the lungs are controlled by parasympathetics, though the parasympathetic nerves are anatomically and physiologically distinct from one another

A
  • BOTH relaxation and constriction
24
Q

What is the OMM treatment in a cardiopulmonary patient?

A
  1. Treat OA/AA
  2. Open thoracic inlet
  3. Rib raise/ treat ribs
  4. Treat diapragm
  5. Perform lymphatic pump
  6. Treat T1-T7 dysfunction
25
Q

What can we use to decrease SVR?

A
  • Generalized paraspinal inhibition (d/t widespread distribution of sympathetic NS)
26
Q

Using the 5-model approach, what is the goal of the neurological component to treat HTN?

A
  • Decrease sympathetic tone
  • Also: Perform paraspinal inhibition and treat OA/AA
27
Q

How does HF affect the thoracic duct?

A
  • Thoracic duct cant empty => dilate => peripheral edema
28
Q

When using OMT to treat HF, what should we be cautious of?

A
  • Not to overwhelm circulatory system and make sx worse.
29
Q

Using the 5-model approach, what is the goal of the neurological and respiratory/circulatory component to treat CHF?

A
  • Neurological
    • Paraspinal inhibition of T1-6 (SNS)
    • Suboccipital release (PNS)
    • Chapmans points
  • Res[/circ
    • rib raising
    • lymphatics
30
Q

When treating arrythmias, OMT should focus on what?

A
  • Reduce segmental facilitation in the upper thoracics
  • Modify vagal tonicity
31
Q

Using the 5-model approach, what is the goal of the neurological and respiratory/circulatory component to treat arrythmias?

A
  • Neurological
    • Treat OA, AA SD
    • Paraspinal inhibition of T-6
    • Chapmans points
  • Respiratory
    • Valsalva manever
    • Carotid sinus massage
32
Q

3 goals when using OMT to treat pneumonia?

A
  • Decrease congestion
  • Decrease sympathetic hyperactivity to parenchyma of the lung
  • Decrease mechanical problems that affect motion of the thoracic cage
33
Q

Using the 5-model approach, what is the goal of the neurological and respiratory/circulatory component to treat pneumonia?

A
  • Neurological
    • Paraspinal inhibition of T1-7
    • CV4
    • Treat OA/AA to normalize parasympathetics
  • Respiratory-circulatory
    • Rib raising
    • Treat Zink Patterns
    • Lymphatic treatments
34
Q

Using the 5-model approach, what is the goal of the neurological and metabolic/energetic-immune component to treat COPD?

  • Neuro
    • T1-7 (SNS)
    • OA, AA (PNS)
    • Chapmans
  • Metabolic-energetic- immune
A
  • Neuro
    • T1-7 (SNS)
    • OA, AA (PNS)
    • Chapmans
  • Metabolic-energetic- immune
    • Dome the diaphragm
    • Drugs
      *
35
Q

what is a CI in COPD pts (met/energetix/immune)?

A

Thoracic vacuum

36
Q

What are 3 things to consider when using OMT in CP patients?

A
  • Use indirect treatments
  • Moving too much fluid from [periphery => central] => high volume stress to CO.
  • Increase in sympathetic tone => constriction of lymphatic vessels and BV

OS 3 Midterm (18 decks)

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