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OPP III Final > Respiratory Cases DSA > Flashcards

Respiratory Cases DSA Flashcards

1
Q

upper lung chapman - anterior

A

between ribs 3 and 4 close to sternal border

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2
Q

upper lung chapman - posterior

A

between T3 and T4 near spinous process

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3
Q

lower lung chapman - anterior

A

between ribs 4 and 5 close to sternal border

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4
Q

lower lung chapman - posterior

A

between T4 and T5 near spinous process

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5
Q

bronchus chapman - anterior

A

between ribs 3 and 4 close to sternal border

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6
Q

bronchus chapman - posterior

A

midway between transverse process and spinous process of T2 on posterior aspect of transverse process

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7
Q

nose chapman - anterior

A

anterior costochondral junction of 1st rib

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8
Q

nose chapman - posterior

A

finger under jaw angle like drawing line across face to parallel line of mouth pushing finger back until comes in contact with transverse process

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9
Q

tonsils chapman - anterior

A

1st and 2nd ICS close to sternum

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10
Q

tonsils chapman - posterior

A

surface of C1 transverse process

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11
Q

sinuses chapman - anterior

A

3.5 inches from sternum upper edge of 2nd rib and 1st ICS

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12
Q

sinuses chapman - posterior

A

midway between transverse and spinous processes of C2 on superior aspect of Transverse process

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13
Q

middle ear chapman - anterior

A

upper edge of clavicle - beyond where crosses 1st rib

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14
Q

middle ear chapman - posterior

A

upper edge of posterior aspect of tip of C1 tenderpoint

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15
Q

pharynx chapman - anterior

A

front of 1st rib 1 inch toward sternum from where clavicle crosses rib

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16
Q

pharynx chapman - posterior

A

midway between spinous and transverse processes of C2

-posterior aspect of transverse process

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17
Q

larynx chapman - anterior

A

upper surface 2nd rib, 2-3 inches from sternum

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18
Q

larynx chapman - posterior

A

midway between spinous process and transverse process of C2 on superior aspect of transverse process

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19
Q

gallbreath technique

A

tx for otitis media

increase blood flow through pterygoid plexus - veins and lymph

drainage of eustachian tube

stretching of peripharyngeal muscles and fascia

patient supine with affected side down

  • grab mandible
  • draw mandible downward and transversely with mild force 3-5 seconds
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20
Q

phrenic nerve

A

cervical 3-5 - respiratory diaphragm

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21
Q

upper thoracic dysfunction

A

T2-4 on left with respiratory problems

viscerosomatic changes

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22
Q

upper rib dysfunction

A

often with upper thoracic dysfunction

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23
Q

somatic dysfunction at thoracolumbar junction

A

flexed T10-L2 segments

facilitate increased sympathetic tone to adrenal glands

24
Q

scoliosis

A

greater than 75 degrees - compromise of resp functions

25
somatic dysfunction of cranium
may alter drainage of sinuses
26
immune triangle
sternum - thymus right lower ribs - liver left lower ribs - spleen
27
respiratory control
solitary nucleus of resp center - medulla
28
carotid body
sensitive to CO2 in blood
29
phrenic nerve
diaphragm | C3,4,5
30
respiratory acidosis
viscerosomatic reflex occurs - increase rate of respiration shallow breath - partial distension of air sac rapid breath - serum CO2 increased
31
sympathetic : PS in lungs
determines the ration of ciliated to goblet cells
32
normal autonomics in lung
parasympathetic predominate - thin clear mucus - slight increase in smooth m of bronchial tubes
33
facilitation
tissue injury stimulates visceral afferents - spinal cord of T1-6 - low threshold for sympathetics leads to sympathetic hyperactivity
34
T3-4 on left
for lung dysfunction also - see pleural friction rub
35
hypersympathetic in lung
thick viscous mucus that doesn't move well - congestion
36
diaphragm dysfunction
gets flattened dome
37
coughing
exhalation dysfunction of ribs
38
pleural sac and lung tissue lymph
to pretracheal nodes - to right lymphatic duct
39
influenza epidemic of 1918
osteopathic manipulation reduced mortality in flu patients as well as those complicated by pneumonia
40
goals of OMT for pulmonary
reduce congestion reduce sympathetic hyperactivity reduce mechanical impediments
41
headache
with lung problems | -C1 and 2 travel with vagus
42
sympathetics on lung
thicker secretions vasoconstriction of blood supply to tissue bronchiole dilation
43
parasympathetics on lung
thinner secretions profuse secretions relative bronchiole constricion
44
OME vs. AOM
otitis media with effusion - OME acute otitis media - AOM OME - middle ear effusion without signs or sx of infection -aka glue ear AOM - infected middle ear with acute onset of inflammation
45
recurrent AOM
3 or more in 6 months | 4 or more in 12 months
46
chronic otitis media
OME beyond 3 months
47
path of otitis media
increased congestion in middle ear | -impaired eustachian tube function**
48
bacteria in otitis media
strep pneumoneae non-typable haemophilus influena moraxella catarrhalis
49
mild hearing loss
with OME
50
otalgia and fever
AOM
51
diagnosis of OME and AOM
fluid in middle ear | -presence of inflammation to differentiate the two
52
OME - tympanic membrane
opaque or cloudy
53
AOM tympanic membrane
red or dark yellow and bulging
54
tx of otitis media - antibiotics
amoxicillin amoxicillin clavulanate - if severe
55
watchful waiting
with otitis media -because of antibiotic resistance and because otitis media will often resolve on its own watchful waiting for 48-72 hours before antibiotic use - with AOM watchful waiting for 3 months - with EOM -concern - hearing loss causing learning developmental problems
56
OMT and otitis media
can cause to decreased time to resoltion of middle ear effusions
57
tympanotomy with tube placement
tx of severe otitis media - tube that drains the middle ear

OPP III Final (11 decks)

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