review Flashcards
what is the outcome of diminished lymphatic flow in the resp system
- Diminished antigen/allergen presentation
- Tissue congestion
a. Sinus congestion
b. Pleural effusion
c. Pulmonary infiltrates - Prolonged recovery from infectious etiologies
which adult primary cancers are most likely to metastasize to bone
breast prostate lung kidney thyroid
which adult primary cancers are most likely to have spinal cord metastases
lung
breast
colon
sarcoma
which pediatric cancers are most like to have bone metastases
neuroblastoma wilms osteosarcoma ewing sarcoma rhabdomyosarcoma
patient has pain the iliac crest
flank
sacroiliac joint
where is the bone metasases most likely
T12-L1
interscapular bone pain
where are the bone mets
C7-T1
posterior headache where are the mets
high cervical spine mets
when you are working on doing lymphatic draingae of the whole body, where do you start and what is the order?
First, open the drain, the thoracic inlet *terminal drainage point for all lymph
Treat the baffles of the body:
The respiratory diaphragm, the pelvic floor, popliteal fossa
Treat the lymphatics of the leg
Reduce the tightness of the gastroc and hamstring
Sympathetics to the LE
T11-L2
what is the major pump for the lymphatic system
resp diaphragm
what are the absolute contraindications to lymph drainage therapy
acute infection
thrombosis
venous obstructions
cardiac event
hemorrhage
cancer
necrotizing fasciitis
anuria
what is lymphedema
• Occurs 6 weeks to 20 years after surgery
• Average is 3 years post op
• Usually involves fibrosis as well
• Stays in the external compartments, over the muscle***
• OMT and other modalities should be done ASAP after
the surgery to hopefully prevent lymphedema
• If this cannot occur, then as soon as lymphedema
presents itself so that it can resolve more quickly
contraindications for thoracic pump
- Rib fx
- Subclavian line
- Incisions
- COPD (relative)
- Gum in mouth
- Thoracostomy tube (also pectoral traction)
where can acute cholecystitis refer pain to >
right shoulder area
or right near the right pectoral muscle
what muscles can present as abdominal pain>
rotatores
multifides
angina can refer to wear in the abdomen
xiphoid
where can a splenic infarct refer pain
left upper quadrant
where can appendicitis refer pain
umbilicus
Constipation • Bloating • Pain • Contraction of sphincters • Increased vasomotor tone (may lead to decreased mucus production in stomach and intestines)
sympathetics in GI
what can increased sympathetic tone in the GI system lead to
Increased vasomotor (sympathetic)
tone leads to Gastritis, Ulcers (peptic
and duodenal), GERD
• Nausea • Vomiting • Diarrhea • Hypermotility • Relaxation of sphincters • Increased mucus secretion • Increased acid production in the stomach
parasympathetics of GI
what is the main OMT technique used on babies with colic
thoracolumbar junction
pelvic diaphragm
lumbar spine
what are the relative contraindications to doing visceral manipulation
gallstones
cancer
bowel obstruction
pregnancy
IUD
central tendon
“central chain” or “central tendon” which refer to the fascial connection from the base of the sphenobasilar symphysis to the perineal body via the pre-tracheal fascia, mediastinum, the central tendon of the diaphragm, the midline of the abdominal cavity from which all of the organs arose via invagination of the gut cavity during embryology to the pre-sacral fascia.
