Sandhouse- Endocrine System

Question 1

Endo crine glands secrete hormones _____________________.

Answer 1

directly into the bloodstream.

Question 2

What can OMM do to improve endocrine function?

Answer 2

Improve circulation and lymphatic return!! This improvement indirectly enhances hormonal release, cellular uptake, and cellular response.

Question 3

What OMM Techniques are good to help address Endocrine issues?

Answer 3

Lymphatic pumps/ Eflleurage

Myofascial releases

Cranial techniques

SVR Reduction (Correction of SD)

Sympathetic/Parasympathetic

Question 4

**IMPORTANT** Which is a more predominant influence on endocrine glands, sympathetic or parasympathetic?

Answer 4

Sympathetics are the predominant influence!

Question 5

**What is the viscerosomatic level associated with the Pancreas?

Answer 5

T7- T9

Question 6

**What is the viscerosomatic level associated with the Adrenals?

Answer 6

T10-T12

Question 7

**What is the viscerosomatic level associated with the Pituitary, Thyroid, and Parathyroid?

Answer 7

T1- T4

Question 8

**What is the viscerosomatic level associated with the gonads?

Answer 8

T10-L2

Question 9

What are treatments for Pituitary?

Answer 9

Cranial OA
Cervical SD
Thoracic Inlet
Lymphatic Pumps

Question 10

What are treatments for Thyroid? What technique is specific for hyperthyroidism?

Answer 10

OA
Cervical SD
Thoracic SD
Thoracic Inlet
Lymphatic Techniques
Rib Raising (Hyperthyroidism)

Question 11

What are treatments for Parathyroid? What techniques should you be careful with?

Answer 11

OA
Cervical SD
Thoracic Inlet
Lymphatic Techniques

BE CAREFUL WITH HVLA

Question 12

What are treatments for Pancreas?

Answer 12

Respiratory and Pelvic Diaphragm
Lymphatic Pumps (esp. lower limbs)
Thoracic SD
Rib Raising

TREAT THE FEET!!! (His dad was a diabetic).
CRANIAL TOO!

Question 13

What are treatments for Adrenals?

Answer 13

OA
Diaphragm
Rib Raising
Lymphatic Techniques
Thoracic SD Consider MEN?

Question 14

What are treatments for the Gonads?

Answer 14

Don’t directly manipulate (you perv!)
Pelvic Diaphragm
Lymphatic techniques
THORACOLUMBAR SD
Sacral techniques

Question 15

A 34 yo F w/ weight loss and palpitation comes into your office. In June you find that Total T4 is 16 (normal: 4.5-11) and nearly low TSH. What OMM do you want do in now in June?

Answer 15

Ribraising at T1-T5

Lymphatics

Question 16

A 34 yo F w/ weight loss and palpitation comes into your office. In September after the patient previously had T4 extremely high and you find that Total T4 is 2 ug/dL (normal: 4.5-11 ug/dL) and TSH 7 (norm = 0.3-5uU/dL). What problem does the person have? What OMM do you want do in now in September?

Answer 16

The person has Hashimoto’s

Give the patient beta-blockers

Anything else?

Question 17

A 15 yo patient comes in to your clinic diagnosed with T1DM, what OMT techniques might be helpful in controlling his diabetes? compensating for dialy injections? Preventatively treatinc complications? Curing his insulin dependence?

Answer 17

NONE! OMT ain’t magic.

Question 18

A 45 yo female shipmate who has previously been diagnosed with borderline Addison’s disease. Assuming you only have the tools in your diagnostic kit, what monitoring and therapy would you use to treat this patient?

Answer 18

Monitor her blood pressure! (adrenals = T10-T12)

Question 19

Blah blah blah, high pulse, high BP, mass on left adrenal. Which Somatic Dysfxn would you expect?

T1-4 NSR_L

T10 FRS_L

OA FSR_R

Answer 19

T10 FRS_L

Question 20

What OMT technique can help with decreasing BP in peripheral vasculature?

Answer 20

Rib Raising > 90 sec

Question 21

Pt is mildly hyperparathyroid due to multiple endocrine neoplasia. What OMT technique is contraindicated?

Answer 21

HVLA