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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
Q

somatic dysfunction of cranium

A

may alter drainage of sinuses

26
Q

immune triangle

A

sternum - thymus
right lower ribs - liver
left lower ribs - spleen

27
Q

respiratory control

A

solitary nucleus of resp center - medulla

28
Q

carotid body

A

sensitive to CO2 in blood

29
Q

phrenic nerve

A

diaphragm

C3,4,5

30
Q

respiratory acidosis

A

viscerosomatic reflex occurs - increase rate of respiration

shallow breath - partial distension of air sac
rapid breath - serum CO2 increased

31
Q

sympathetic : PS in lungs

A

determines the ration of ciliated to goblet cells

32
Q

normal autonomics in lung

A

parasympathetic predominate

  • thin clear mucus
  • slight increase in smooth m of bronchial tubes
33
Q

facilitation

A

tissue injury stimulates visceral afferents

  • spinal cord of T1-6
  • low threshold for sympathetics

leads to sympathetic hyperactivity

34
Q

T3-4 on left

A

for lung dysfunction

also - see pleural friction rub

35
Q

hypersympathetic in lung

A

thick viscous mucus that doesn’t move well - congestion

36
Q

diaphragm dysfunction

A

gets flattened dome

37
Q

coughing

A

exhalation dysfunction of ribs

38
Q

pleural sac and lung tissue lymph

A

to pretracheal nodes - to right lymphatic duct

39
Q

influenza epidemic of 1918

A

osteopathic manipulation reduced mortality in flu patients as well as those complicated by pneumonia

40
Q

goals of OMT for pulmonary

A

reduce congestion
reduce sympathetic hyperactivity
reduce mechanical impediments

41
Q

headache

A

with lung problems

-C1 and 2 travel with vagus

42
Q

sympathetics on lung

A

thicker secretions
vasoconstriction of blood supply to tissue
bronchiole dilation

43
Q

parasympathetics on lung

A

thinner secretions
profuse secretions
relative bronchiole constricion

44
Q

OME vs. AOM

A

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
Q

recurrent AOM

A

3 or more in 6 months

4 or more in 12 months

46
Q

chronic otitis media

A

OME beyond 3 months

47
Q

path of otitis media

A

increased congestion in middle ear

-impaired eustachian tube function**

48
Q

bacteria in otitis media

A

strep pneumoneae
non-typable haemophilus influena
moraxella catarrhalis

49
Q

mild hearing loss

A

with OME

50
Q

otalgia and fever

A

AOM

51
Q

diagnosis of OME and AOM

A

fluid in middle ear

-presence of inflammation to differentiate the two

52
Q

OME - tympanic membrane

A

opaque or cloudy

53
Q

AOM tympanic membrane

A

red or dark yellow and bulging

54
Q

tx of otitis media - antibiotics

A

amoxicillin

amoxicillin clavulanate - if severe

55
Q

watchful waiting

A

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
Q

OMT and otitis media

A

can cause to decreased time to resoltion of middle ear effusions

57
Q

tympanotomy with tube placement

A

tx of severe otitis media - tube that drains the middle ear

OPP III Final (11 decks)

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