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Comlex 2 OMT review
Terms in this set (67)
wood-like rash w/ concentric scalin bands resembling wood grain.
Erythema gratum: look for cancer of some kind.
Arthralgia, cold-like symptoms, 'slapped cheek' rash on face then extremities.
Erythema infectosum, fifth's dz, Parovirus B19
non-pruritic erythematous macula rleasions that start in on elocation and spread outwards. central area will clear. Flu-like symptom's, polyarthralgia, bells' palsy.
Lyme's dz, spread by b. burgdorferi via tick bites. Tetracyclines/Ceftriaxones.
target lesions, central blisters appearing on skin/mucosa. Can cause large areas of skin to slough off.
Erythema multiforme; Assoc. w/ herpes simplex infection or certain meds.
Hx. of being in africa: Foot ulcer followed by fatigue, n/v, cough, microcytic anemia.
`Hoocwoorm infection: Ancyclostoma duodenale or Necator americanus. Adults in guts cause bleeding/iron def. anemia. Stool exam to dx.
Pt w/ hx of travel to Asia: elevated LFT's, abdominal pain, diarrhea.
Clonorchis sinensis: liver fluke obtained from eating raw fish. symptomatic pt's typically
Fryette's 1st Law
NEUTRAL position, S and R occur in OPPOSITE directions
Fryette's 2nd Law
NON-NEUTRAL (flexion/extension) position, S and R occur in SAME directions
Fryette's 3rd Law
Movement in 1 plane restricts motions in the remaining planes.
C1 Movement Principles
SB/Rotation move opposite of eachother, flex 45 deg. to assess
C2-C7 movement principles
SB/Rot move in the same direction.
Motion of the Right Sternocleomastoid MM.
Flexion, Sidebending R., Rotation L. of the neck is this mm. motion
Fryette 1: Rotation/sidebending opposite each-other while neither flexed nor extended.
Flexion/external rotation of the hip.
Supine pt. lifts knee of non-dysfunctional hip/leg. IF the pt's dysfunctional knee lifts off the table, Hip flexion contracture is present (iliopsoas; rectus femoris). Spine will flex/rotate/sidebend towards dysfunction.
Conterstrain TP for Psoas
2/3 between ASIS and Umbilicus; flex, side-bend towards, ext. rotation of the hip
+ seated flexion test indicates
Dysfunctional side, opposite side is side of axis for torsion.
L5 vs sacrum movement directions
at lumbosacral junction L5 + sacrum move in opposite directions: Flexion/extension occur opposite. Roation is opposite. Sidebending in one direction means the axis is on that side.
Inguinal pain/paraasthesia indicates what root compression
back pain/parasthesia radiating to ant. thigh and medial calf indicates what root compresison
Back pain/parasthesia of lateral calf/foot, decreased foot dorisflexion, inversion, eversion strength.
L5 compression: involves tibialis anterior, extensor hallicus longus via deep peroneal nn.
Parasthesia over the post. calf, foot; weakend plantar flexion of the foot.
S1 compression: Decreased ankle jerk reflex. weakened gastrocnemius, soluius ia the tibial nn.
Pain/decreased sensation of sacral/buttocks region. Saddle anasthesia
S2/3/4 compression, small mm. of the foot wekaneed. if it presents w/ urinary/fecal incontinnece - cauda equina synd.
Sacral Nutation means:
Sacrum is flexed forward, cranial extension has occured. AP diameter increases (midline extension) and lateral diameter decreases (paired internal rotation)
Flexion of the SBS
paired bones EXTERNALLY ROTATE
widens head and decreases AP diameter (bert)
Extension of SBS
Paired bones internally rotate, sacrum nutates, narrows head, increases AP diameter (Ernie)
TP: Lesser Trochanter
TP assoc. w/ rectum
TP: lateral/posterior margin of the IT band
TP assoc. w/ prostate
TP: Ant. IT band
TP associated w/ colon
TP: 2nd intercostal space
TP assoc. w/ Thyroid, esophogus, myocardium, bronchi.
TP: 4th intercostal space
TP assoc w/ lungs
TP: 6th intercostal spcae
TP assoc w/ (L) Stomach (peristalsis), liver, (R) gallbladder
TP: 7th intercostal space
TP assoc. w/ spleen (l), pancreas (r)
TP: intercostal space 8-10
TP assoc. w/ SI
TP: 1st intercostal space
TP assoc. w/ tonsils
TP: 1st rib/ clavicles lateral to where the cross rib 1
Tp. assoc. w/ inner ear.
Defect in pars interarticularis, visible on oblique x-ray of the spine. No ant. displacement of the vertebral body.
Spondylolysis; can lead to spondylolythesis
20-40 y/o with back pain, x-ray showing inflammation/fusion of vertebral segments
Degenerative narrowing of the joints of the spine, disc spaces, facet joints
Ribs 1-5 stuck up, won't move into exhalation.
Prop up pt with you knee behind the shoulder-blade, flex pt's head to remove upward stress from the rib. Push rib down during inhalation/exhalation 3-5 times.
Ribs 6-10 stuck up, won't move into exhalation.
Have pt. inhale fully and reach for their knee while pressing down on their rib
Rib 3 is stuck down, won't move into inhalation.
Pt inhales fully and pushes elbow towards ASIS as physician pushes up on rib.
Tissue texture changes will be found at what level if there is disease/dysfunction of the Ileum?
TTC found around T8 may indicate disease at:
Tissue texture changes will be found at what level if there is disease/dysfunction of the Ileum, jejunem, ascd. colon, or promixal transverse colon?
TTC at T10-11 may indicate disease at:
Tissue texture changes will be found at what level if there is disease/dysfunction of the distal transverse colon, sigmoid colon, ureter, bladder?
TTC at T12-L2 may indicate disease at:
TP: Spleen vs. Pancreas
Both at 7th intercostal, SpLeen is LEFT, pancReas is RIGHT
Lateral elbow pain, tenderness at the lateral epicondyle, hx consistent w/ overuse injury.
Lateral epicondylitis. Pain will increase w/ active wrist extension or supination against resistance. RICE, Brace, NSAIDs
Tissue texture changes will be found at what level if there is disease/dysfunction of the Prostate, penis, lower extremities?
TTC at L1-2 may indicate this. prostate/genitals via pelvic splanchnic nn.
TP: Surgical neck of the humerus
TP for the eyes.
TP: First intercostal space
TP for the tonsils
Force overcoming resistance: muscle shortens at variable speed. Bicep curls
Controlled lengthening of a muscle against eternal force, like letting a weight down slowly.
When the operator's force is greater than the patient's force, and the muscle lengthens
Muscle contracts but there is no movement, muscle stays the same length
a muscle contraction produced by a variable external resistance at a constant speed; swimming
Weakness of the biceps, wrist extensors. Brachioradialis reflex reduced. Thumb/lat forearm parasthesia
C6 spinal root compression.
Decreased sensation of medial forearm
T1 spinal root compression.
Decreased sensation of the medial upper arm
T2 spinal root compression.
Decreased sensation of the middle finger, triceps weakness.
C7 spinal root compression.
Decreased sensation of the pinkie finger, hand-grip weakness
C8 spinal root compression.
Increase amplitude of CRI, thenar eminences on the occipital bone and drawing back on it during craniosacral flexion.
resist flexion and encourage extension until still point.
Venous sinus drainage
Thumbs crossing over the suture and applying lateral pressure away from the suture to open up the sinus. Performed sequentially along the length of the sinus.
Supine pt, flex knee to 30 degrees. Forward traction is placed on Tibia and compared bilaterally.
Lachman's test for ACL strain, + if one side shows greater laxity than the other.
pt stands on one leg and alternates, one iliac crest drops lower than the other
Trendelenberg Test: Testing gluteus medius/hip abductors
Supine patient, leg is raised and pain is reported before 70-80 degrees of elevation.
Lasegue's test, aka straight leg test. Indicates sciatica is present.
Supine patient, leg is raised and pain is reported before 70-80 degrees of elevation, then leg is lowered below threshold of pain and the foot is dorsiflexed, iliciting the same pain as before.
Braggard's test: More specific test for sciatica that also eliminates chance of it being just inflexible hamstrings.
Normal cranial rhythmic impulse?
10-14/min: Lowered by psych disease, poison, chronic disease. Raised by fever, craniosacral manipulation, exercise. india palace
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