Structural Exam Flashcards
What is an easy way to see R and L asymmetries?
Skin creases on waist, elbows, back of knees
Are R and L sides normally mirror images?
No
Can anyone take credit for manipulative healing?
N
Whose artwork portrays manual treatment?
Hippocrates
Who included “bonesetters”?
Native Americans and European cultures
Whose medical manuscripts had manipulative procedures?
Chinese
Osteopathic medicine focuses on what?
Patient orientated approach; not disease oriented
Is “holistic” exclusive to osteopathic medicine?
NO (mind, body, spirit)
2 things with Heroic Medicine
- Remedies worse than original disease
2. Surgery used no anesthetics and performed outside of sterile field
Who enunciated Germ Theory? When?
Koch; 1890’s
What did Heroic Medicine use to treat medical conditions?
Poisons and/or addictive substances such as mercury, arsenic, opium, cocaine, morphine, and alcohol
5 health affects of Mercury
- Deteriorates nervous system
- Impairs hearing, speech, vision and gait
- Corrodes skin and mucous membranes
- Involuntary muscles movements
- Chewing and swallowing to become difficult
AT Still’s Letters
AT Still, MD, DO
When and where was AT Still born?
August 6th, 1828
Virginia
What did AT Still’s father do?
- Farmer
- Physician
- Methodist Minister
Did AT Still’s family relocate for their dad?
Yes; minister things
3 things AT Still did
- Farmer
- Minister
- Legislator
Where did AT Still study?
Kansas City School of Physicians and Surgeons (now gone)
What did AT Still serve as?
Union Officer and Physician/Surgeon in Civil War
Why did he start to dislike modern medicine? When?
Lost 3 children (2 of his own) to spinal meningitis in 19th century
Who influenced Still?
Plains Native Americans who he ministers to in Kansas
Did he study anatomy on living and deceased
Yes
What did AT still call God? What did he believe?
“Master Mechanic”. Believed He didn’t create a body that wasn’t capable of healing itself
Did he like the use of medicine?
No; saw it as poison
What does the snake comment mean?
Snake is poison like drugs, osteopathy is victorious
When did the headache banner occur? When did he announce it?
Child; when he was 46
What was the headache event called? When?
“Flung to the breeze the banner of Osteopathy”
June 22, 1874
Where did Still announce his ideas? Well received?
Bake University in Baldwin, Kansas
No; Labeled as heretic
What was his first school called?
American School of Osteopathy
What is the Triune Nature of man? Did Still think it important?
Yes; balance of mind, body, and spirit
How did Still see the body?
As machine where each working part had to be free of structural restriction or impediment to perform at its optimal level
What was Still’s axiom?
“Find it, fix it, and let it alone”
Date of inagurated first class?
October 3, 1892
How many students in first class? How many women? Enrollment in 1899?
17; 5; exceeds 700
How long was the curriculum? When did first diplomats graduate?
2 years; 1894
How much was tuition?
500
Did Still encourage matriculation of African Americans and women?
yes
What did CHARTER state?
To improve surgery, obstetrics, and treatment of disease, put same rational and scientific basis to impart information to medical profession
When did surgery and obstetrics get into curriculum?
1897
What was the most important subject?
Anatomy!
Observe what 3 main things?
How patient sits, stands, and ambulated
What is the body habitus?
Clothing, grooming, make-up
Why do we site landmarks?
To prevent “parallax”
How do we get reproducible results?
Pt stands without shoes, feel under their hips to produce 90 degree rectangle
Where is the Odontoid Process? What is it a part of?
C2; Lateral Midgraviation Line (weight bearing line)
Is Sacral Promontory in the weight bearing line?
Yes
Mid Gravtiational Line Landmarks
External Auditory Canal Odontoid Process Greater tuberosity of humerus Mid-body L3 Sacral Promintory Greater trochanter of femur Just posterior to patella Just anteral to lateral malleolus
Are all scoliotic curves lateral curves?
Yes
Are all lateral curves scoliotic curves?
No
On pelvic sideshift, it is more free away or towards short leg?
Away from short leg
What 2 areas are assessed in sideshift test?
Thoracic and lumbar
2 other things in sideshift test?
Dropped medial arch, fascial restriction in LE
Where is iliosacral from?
LE
