Ped Pt.

Question 1

What are the tenets of osteopathic medicine?

Answer 1

1. The body is a unit; the person is a unit of body, mind, and spirit.
2. Structure and function are reciprocally interrelated.
3. The body is inherently capable of self-regulation, self-healing, and health maintenance
4. Rational treatment is based upon an understanding and application of the above.

Question 2

What techniques are good for kids (regardless of age)?

Answer 2

INDIRECT RX

ART (includes Stills)

MFR

FPR

Lymphatic

BLT/BMT (membranous)

Cranial

*HVLA contraind in ppl w hyper mobile jts (kids)

Question 3

What comes out of the Jugular foramen? hypoglossal canal?

Answer 3

a. Jugular foramen: CN 9/10/11
b. Hypoglossal canal: CN 12

*compression of the jugular foramen may cause SD of tongue motion, intestinal peristalsis, SCM/Trap motion

Question 4

When do the fontanelles close?

Answer 4

posterior - 2-3 mo

sphenoid - 6 mo

mastoid - 6-18 mo

anterior - 12-36 mo

PSMA

Question 5

What cranial dysfunction is most likely in infants?

Answer 5

occiput

Question 6

What cranial SD can cause otitis media?

Answer 6

internally rotated temporal bone

Question 7

What must be ruled out prior to OMM tx?

Answer 7

Craniosynotosis: needs to be RO prior to OMT

***usually requires helmet, and maybe surgery if extreme

Question 8

What should you do first for an asthma attack?

What OMT can you do after?

What is a SD you might find in an asthmatic?

Answer 8

albuterol

OMT: rib raising, OA, C3-5, diaphragm

SD: inhalation dysfunction

Question 9

What will compression of the jugular foramen cause?

Answer 9

1. Tongue motion dx
2. Intestinal peristalsis dx: consripation, gerd, colic
3. SCM/trap dx: torticolis

Question 10

What are the spine sections like in infants?

Answer 10

C-spine: slight lordosis. Inc as baby supports head

T-spine: kyphosis hasn’t developed yet

L-spine: lordosis hasn’t developed yet

Question 11

Describe plagiocephaly?

What is it assc with?

Answer 11

Plagiocephaly = parallelogram head

**assc w torticollis and lateral strain

Question 12

Describe brachycephaly

What position is it assc with?

Answer 12

Brachiocephaly: head more wide than long, back is flat

**assc vertical strain or flexion strain

Question 13

Describe scaphocephaly?

What is it assc with?

Answer 13

Scaphocephaly: long and narrow (scapho means boat)

**assc w extension strain

Question 14

Define Torticolis

Answer 14

Spasm of the SCM from irritation of CN 11

**kid looks away from tight ms

Question 15

What age is a child when cranium ossifies, sinuses form, & epiphyseal plates are still open?

Answer 15

School aged kids

Question 16

What are the 4 components of bacterial sinusitis?

Answer 16

Question 17

What are 4 Rx for GERD?

Answer 17

Question 18

What are four Rx for constipation?

Answer 18

Question 19

What do you need to make sure to do for peds MSK complaints?

Answer 19

Evaluate the joints ABOVE and BELOW the joint in question

**examine shoulder and wrist for an elbow complaint

Question 20

Would we treat sympathetics or parasympathetics for constipation?

Answer 20

PNS = inc tone –> MORE peristalsis (constipation)

**sacral rock

SNS = dec tone –> LESS peristalsis (diarrhea)